Gestational diabetes develops only during pregnancy, and if you’re newly diagnosed (or suspect that you might have it), you may wonder, “What’s next?”
Below, our team at OBGYN Westside, PLLC, on the Upper West Side of New York City, answers this common question and shares how we can help you manage a pregnancy with gestational diabetes.
Gestational diabetes occurs when your blood sugar levels become elevated during pregnancy, typically because your body isn't producing enough insulin to meet the increased needs. It’s important to understand that this condition is manageable and doesn’t mean you or your baby will experience long-term health issues if properly controlled.
If you’d like to learn more about the condition, talk to us, check out books from the library, or refer to reputable sites like the National Institutes of Health (NIH) or the Centers for Disease Control and Prevention (CDC).
Blood sugar (glucose) isn’t inherently bad. It’s your body’s primary energy source. Problems arise when you have too much glucose and it stays in your bloodstream instead of being ushered into your cells (by insulin), where your cells use it as energy. Too little glucose isn’t good either. That’s called hypoglycemia.
In other words, your goal isn’t to eliminate blood sugar. Your goal is to keep it in a healthy range, and regular monitoring can make sure your blood sugar levels stay in check.
Ideally, before you eat, your glucose levels should be 95 milligrams per deciliter (mg/dl) or less. When you eat, your levels should be 140 mg/dl or less (within one hour of eating) or 120 mg/dl or less (within two hours of eating).
In some cases — especially if you have prediabetes — you may be able to manage your condition with diet and exercise.
Whether or not you need medication, dietary changes will be a big part of your gestational diabetes management. There are three types of carbohydrates — starches, sugar, and fiber — and you need the right balance of them.
The ideal diabetes diet is rich in fruits and vegetables, 100% whole grains, lean proteins, and healthy fats.
Following the Diabetes Plate Method can help you learn what to eat and what portions to serve yourself. Your plate should contain:
Women who’ve had gestational diabetes have a 10-fold increased risk of developing type 2 diabetes later on. Learning how to eat now can help you avoid that diagnosis in the years to come.
Exercise is especially good for pregnant women, and a gestational diabetes diagnosis doesn’t change that. Aim for at least 30 minutes of moderate exercise most days of the week. Walk, swim, use a recumbent stationary bike, or do prenatal yoga. Exercise helps your body use insulin more effectively and can improve your energy levels and mood.
In some cases, dietary and lifestyle changes alone may not be enough to control blood sugar levels. Your OBGYN Westside provider may prescribe insulin or oral medications to help manage your condition.
Follow their instructions carefully and keep all your follow-up appointments to make sure your gestational diabetes is being managed effectively.
Gestational diabetes does elevate your pregnancy to a high-risk status, but our team is equipped to care for all pregnancies, including high-risk ones.
Gestational diabetes can lead to macrosomia, a condition where your baby weighs more than average. Our team monitors you and your baby throughout your pregnancy to watch for any signs of macrosomia.
The American College of Obstetricians and Gynecologists (ACOG) recommends a C-section for babies weighing more than 4500 grams (9.9 pounds) with underlying glucose intolerance.
Remember, you’re not alone — support and resources are available to help you navigate this journey. Our team is happy to answer your questions about diabetes, recommend lifestyle modifications to best suit your needs, and prescribe the medications necessary to help you safely lower your blood sugar.
If you’re concerned about gestational diabetes or have questions about your diagnosis, give us a call or book your appointment online today.
