WOMENS-HEALTH Messages for June, 1999: Re: Gestational Diabetes in First Pregnancy

Re: Gestational Diabetes in First Pregnancy - Inevitable in 2d Pregnancy?

From: William D. McIntosh, MD (anonymous@obgyn.net)
Sat, 26 Jun 1999 12:48:31 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: ALLISON: "Re: 'false menopause'"
Previous message: William D. McIntosh, MD: "Re: estratest hs"
In reply to: TKO'sMom: "Gestational Diabetes in First Pregnancy - Inevitable in 2d Pregnancy?"
Next in thread: Elizabeth: "I had it too: Gestational Diabetes in First Pregnancy - Inevitable in 2d Pregnancy?"

At Fri, 25 Jun 1999, TKO'sMom wrote: >
>I am 34 years old, with an 18 month old son. I am very fit (exercise at
>least 4 times a week) and eat very healthy. I am 5'4" and 122 pounds.
>Toward the end of my 1st pregancy, I gained weight at the recommended
>rate, until the 36th nd 37th week, when I gained 5 pounds each week,
>without changing my intake. At 38 weeks, an ultrasound revealed that my
>baby was already close to 10 pounds, so my doctor suspected gestational
>diabetes. However, that suspicion was never confirmed, because the lab
>had lost my glucose test results, and had not informed me in time for me
>to retest. Born via C-section at 38 weeks, my son weighed 9 lbs. 9 oz.
>He had hypoglycemia, for which he was treated in NICU for one week.
>
>(1) Do these facts indicate that I, in fact, did have gestational
>diabetes?

Almost certainly.

>(2) If I did have gestational diabetes during my first pregancy, what
>are the odds that I will develop this condition in my second pregnancy?

Very high, though not 100%.

>(3) If I have an increased risk, is there anything I can do prior to
>conception to decrease the risk in my second pregancy?

It sounds as if you are already doing the important things, weight control and exercise. An American Diabetic Association (ADA) diet would be very important for your pregnancy, and for that matter, right now. The wonderful thing about this diet is that it is the perfect diet for any pregnant woman, not just the ones with glucose intolerance. This makes following it a win-win situation. All of the problems that are the result of any diabetic circumstance, including gestational diabetes, are the result of high blood sugar levels. If you control the levels, there is no injury. >
>--
>TKO'sMom
>

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: ALLISON: "Re: 'false menopause'"
Previous message: William D. McIntosh, MD: "Re: estratest hs"
In reply to: TKO'sMom: "Gestational Diabetes in First Pregnancy - Inevitable in 2d Pregnancy?"
Next in thread: Elizabeth: "I had it too: Gestational Diabetes in First Pregnancy - Inevitable in 2d Pregnancy?"

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: