WOMENS-HEALTH Messages for December, 1997: Gestational Diabetes

Gestational Diabetes

From: D.H. (anonymous@obgyn.net)
Tue, 30 Dec 1997 15:10:42 -0600 (CST)

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Reply: Harvey S. Marchbein, M.D.: "Re: Gestational Diabetes"

December 30. 1997

My wife, Rachel, of 27 years developed gestational diabetes during her first pregnancy 7 years ago and again during her her 2nd pregnancy about 4 and a half years ago. In both instances, she effectively controlled her sugar levels by diet. Her most recent pregnancy (last year) was again met with high levels of sugar but this time she needed insulin to control it.

Rachel's mother developed gesational diabetes with her last pregnancy which later in life turned into type 2 diabetes (She was taking pills and is now taking insulin to control her diabetes.). She is Rachel's only blood relative with this condition.

Thankfully all of Rachel's deliveries were trouble free and our children are thank G-D healthy. Our question is with respect to future pregnancies. Will additional pregnancies increase Rachel's risk of developing type 2 diabetes? Could it be that her last pregnancy was met with harder to control sugar levels only because of her age?

Our questions are as follows: One one hand we feel that because she may develop full diabetes, as is common in over 50% of women with gestational diabetes, then why avoid having more children. On the other hand if she is at higher risk of developing type 2 as a result, or if additional pregnancies can speed up this process, we would consider not having more children. Also, is there anything Rachel can do when she is not pregnant to help reduce her risk? We have not been able to receive clear answers from Rachel's personal GYN/OB or endocrinologist regarding the above and are hopeful that you could answer our questions and share some experiences.

Thank you from both of us.

Sincerely,

--
D.H.

Next message: Huma: "Iron Supplements"
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Next in thread: Harvey S. Marchbein, M.D.: "Re: Gestational Diabetes"
Reply: Harvey S. Marchbein, M.D.: "Re: Gestational Diabetes"

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