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How Is Gestational Diabetes Treated?

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If you have gestational diabetes, you'll need to get your blood sugar under control, and keep it that way, to protect your health and your baby's. You’ll have to make some lifestyle changes for that to happen.

Work on Your Diet

Your doctor might suggest you meet with a registered dietitian to help you make a diet plan you can stick with. It will need to address the gestational diabetes, but still provide your growing baby enough calories and nutrients.

Your dietitian will recommend the number of total daily calories a woman your height and weight should get. About 2,200 to 2,500 calories per day is the norm for women of average weight. If you’re overweight, you may need to lower that to about 1,800 calories per day.

The dietitian can teach you how to balance your diet. She’ll probably suggest you get:

  • 10% to 20% of your calories from protein sources like meats, cheeses, eggs, seafood, and legumes
  • Less than 30% of your calories from fats
  • Less than 10% of your fat calories from saturated fats
  • The remaining 40% or so of your calories from carbohydrates like breads, cereals, pasta, rice, fruits, and vegetables

Get More Exercise

Your doctor may tell you to you add exercise to your weekly routine if it’s OK for you and the baby. Try to do some kind of mild to moderate activity for 15 minutes or half an hour on most days. This will help your body use insulin better, and that helps control blood sugar levels. Follow your doctor's instructions about how much exercise is right for you.

Test Your Blood Sugar

Make sure the diet changes and added exercise get your blood sugar levels under control. Test your levels regularly, before meals and 1 or 2 hours after meals. If you don’t already have a bloodglucose meter to use at home, your doctor will probably give you one and teach you how to use it.

Take Medication

If your blood sugar remains high despite these changes, the doctor may prescribe diabetes pills to keep it in check and protect your baby. If they don’t do the job, the next step may be insulin injections.

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If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

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