Pregnancies
complicated by gestational diabetes which is diet-controlled should
be managed as follows:
Office
visits to the doctor at least every other week until 36
weeks then every week.
Daily
self-blood glucose monitoring with fasting and 1-hr post-meal
blood sugars initially; if target range blood sugars are
obtained then testing may be decreased to 4 finger sticks
on 2 or 3 days per week.
An ultrasound
at around 30-32 weeks to see if the baby is growing normally
and another one prior to delivery at about 38 weeks to estimate
the baby's weight.
Delivery
should be planned near the due date and should not be allowed
to extend too far beyond this.
Twice
a week non stress tests (fetal monitoring) should be started
if the pregnancy is allowed to continue past 40 weeks.
Office
visits to the doctor at least every other week until 36 weeks
and weekly thereafter.
Daily
self-blood glucose monitoring with fasting and 1-hr post-meal
blood sugars for the remainder of the pregnancy.
Insulin therapy usually combining insulins with different
rate of action with subcutaneous injections at least 2 to
3 times per day. Click here
for more information on insulin.
An
ultrasound at around 30-32 weeks to see if the baby is growing
normally and another one prior to delivery at about 38 weeks
to estimate the baby's weight.
Delivery
should be planned around the due date and should not be allowed
to extend too far beyond this.
Twice a
week non stress tests (fetal monitoring) should be started at
around 32 -34 weeks unless clinically indicated for other obstetrical
reasons sooner than this.
Pregestational
Diabetes Types 1 or 2
Office
visits to the doctor at least every other week until 36 weeks
and weekly thereafter.
Daily self-blood
glucose monitoring with fasting and pre-meal blood sugars for
the remainder of the pregnancy.
Initial
laboratory studies in addition to prenatal labs will include
a complete metabolic panel, thyroid function studies, a 24 hr
urine collection to evaluate kidney function and an opthamological
retinal (eye) examination.
Insulin
therapy usually combining insulins with different rate of action
with subcutaneous injections at least 2 to 3 times per day.
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An ultrasound
at around 30-32 weeks to see if the baby is growing normally
and another one prior to delivery at about 38 weeks to estimate
the baby's weight.
Delivery
should be planned around the due date and should not be allowed
to extend too far beyond this.
Twice a
week non-stress tests (fetal monitoring) should be started at
around 28 - 32 weeks depending on the severity of vascular complications
from the diabetes.
This
information is not intended to substitute or replace the professional
medical advice you receive from your physician. The content provided
on this page is for informational purposes only, and was not designed
to diagnose or treat a health problem or disease. Please consult your
physician with any questions or concerns you may have regarding a medical
condition.
