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Diabetes Is Not So Sweet
Diabetes During Pregnancy
By Crystal Patriarche
Benson says she didn't have any symptoms or indications that anything was wrong until the test results came back. After being told she had gestational diabetes, she was disappointed and worried.
"I felt like I had done something wrong or done something to cause it, even though I know that's not true," Benson says. "I was worried that I would end up having to take insulin or that I would end up having a C-section rather than vaginal birth. I was also scared knowing that I'm at increased risk of having diabetes later in life."
Other precautions besides diet and blood sugar monitoring for women who are pregnant with diabetes are increased fetal surveillance starting at around 32 weeks and having them deliver by their due date.
"We will let them go up to term but not after; we like for the woman to deliver by the due date," Dr. Evans says. This is because of the higher risk of having a large baby, which could cause delivery problems like shoulder dystocia (when the shoulders get stuck on the way out of the birth canal) or an emergency Cesarean section.
Both Dr. Evans and Ellis encourage women who have diabetes or have had gestational diabetes to maintain a healthy post-pregnancy weight, healthy diet and exercise regularly. This helps to reduce diabetic complications. For those with gestationa diabetes, it helps reduce the chance of developing type II or adult onset diabetes after the pregnancy.
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