Dr. Manasi Thakur | Gynaecologist In Nagpur | Pregnancy, Delivery | Abortion | Cosmetic Gynecology

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Gestational Diabetes

What is Gestational Diabetes?

Gestational diabetes is a condition where blood sugar levels, which were normal before pregnancy, rise during pregnancy. While it usually goes away after delivery, it can lead to serious complications for both mother and baby if not managed properly. It also increases the risk of developing type 2 diabetes later in life.

Causes of Gestational Diabetes

During pregnancy, the placenta produces hormones that can cause insulin resistance. If the pancreas cannot make enough insulin to overcome this resistance, blood sugar levels rise, leading to gestational diabetes.
Gestational Diabetes

Symptoms of Gestational Diabetes

Most women with gestational diabetes do not experience obvious symptoms and are diagnosed during routine screening. However, some may notice:

  • Increased thirst

  • Increased appetite

  • Frequent urination

Risk Factors

You may have a higher risk of gestational diabetes if:

  • Your pre-pregnancy weight was high

  • You have a family history of diabetes

  • You had gestational diabetes in a previous pregnancy

  • You have high blood pressure or other medical issues

  • You gave birth to a baby weighing more than 4 kg

  • You are above 25 years of age

  • Belong to higher-risk ethnic groups

Diagnosis of Gestational Diabetes

Gestational diabetes usually develops in the second trimester and is screened between 24–28 weeks (or earlier in high-risk mothers).

Screening Test – Oral Glucose Challenge Test (OGCT):

  1. A fasting blood sugar sample is taken.

  2. You are given 75 gm glucose in water to drink.

  3. Blood sugar is re-tested after 2 hours.

  4. Based on results, doctors classify patients as normal, diabetic, or glucose intolerant.

High-risk mothers may need testing before 24 weeks and again in the third trimester.

Treatment & Monitoring at Zenith Hospital, Nagpur

Early treatment is essential to protect both mother and baby.

✅ Lifestyle Management – Diet modifications, exercise, and regular monitoring of blood sugar and urine ketones.
✅ Insulin Therapy – If blood sugar remains high despite diet and exercise, insulin is prescribed.

Diet & Exercise Tips for Gestational Diabetes

  • Eat a healthy, low-sugar diet with the help of a dietician.

  • Have 3 main meals and 3 small meals to maintain steady blood sugar.

  • Avoid sugary snacks, choose vegetables, fruits, and whole grains.

  • Aim for 30 minutes of moderate exercise at least 5 days a week.

Prevention of Gestational Diabetes

You can lower your risk before pregnancy by:

  • Eating a balanced diet

  • Staying physically active

  • Maintaining a healthy weight

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