Gestational diabetes means diabetes during pregnancy. This type of diabetes usually starts after week 24 and only occurs during pregnancy. 2% of pregnant women are affected by this form of diabetes. It is because the hormones of your pregnancy slow down the production of insulin.
You have an increased risk of gestational diabetes if:
Characteristics of gestational diabetes:
The midwife will refer you to the gynecologist after gestational diabetes has been diagnosed. You will continue to receive treatment from the gynecologist, and also will give birth in the hospital. You get one or more growth scans to monitor the growth of your child and to measure the volume of amniotic fluid.
The gynecologist will also refer you to a specialist who, together with the diabetes nurse and dietician, will guide you in controlling your blood glucose. If a low carbohydrate diet is not sufficient, insulin will be used.
If necessary and certainly with gestational diabetes with insulin use you will be induced at 38 weeks. The blood glucose of your child will be checked after birth. If this is too low, glucose will be administered by means of an infusion. Your child will then be admitted to neonatology. In that case you will stay in hospital for at least 48 hours with your child.
Follow-up takes place at both the gynecologist and the internist. In the years to come, it is advisable to have your blood glucose checked over the long term (HbA1C) once a year.