About Gestational Diabetes

What is Gestational Diabetes?
Gestational Diabetes is characterized as a high blood sugar level that appears during pregnancy and usually disappears after pregnancy. It usually appears around the 24th week of pregnancy when the placenta begins producing large quantities of hormones that cause insulin resistance.

Our Gestational Diabetes Clinic

Who is at Risk?
  • Over age 30
  • Obesity
  • Family history of diabetes
  • Occurrence
  • Occurs in 7 percent of all pregnant women.
  • Potential Concerns for the Baby

  • Large birth weight baby
  • Hypoglycemia
  • Jaundice
  • Potential Concerns for the Mother
  • Pre eclampsia
  • Urinary tract infections
  • Ketones
  • Ketones are substances that the body produces when it breaks down fat for energy. They cross the placenta and enter the baby’s blood stream. This may happen when your diet is low in carbohydrates or if your body cannot use glucose properly.
  • You will need to check your urine every morning during pregnancy for the presence of ketones.
  • Treatment
  • Do not skip meals or decrease calories. East three meals/three snacks per day as outlined by your dietician. If you have moderate or large amounts of ketones for two mornings in a row call your Diabetes Nurse Educator or Dietician – you probably need more calories
  • Blood Glucose Testing
  • Fasting: A blood sugar between 95 - 100 mg/dl.
  • If you are on insulin the fasting blood sugar should be between 85 - 92 mg/dl.
  • 1 hour after finishing a meal: A blood sugar of less than 130 mg/dl. Check your blood sugar when fasting and 1 hour after every meal. Call your Doctor or Diabetes Nurse Educator if your blood sugar is above 100 in the morning or above 130 one hour after meals for two (2) days in a row. Evaluation by the endocrinologist may be required to see if insulin is needed.
  • Follow Up

  • In 98% of women with gestational diabetes the diabetes goes away after delivery.
  • Check-ups are important. 50% of women with gestational diabetes risk developing diabetes in later years. This risk increases to 70% if you are obese.
  • Your should get your blood sugar checked once a year when you see your primary care physician.
  • You must be monitored closely if you plan on becoming pregnant again.
  • Staying active and at a healthy weight are the most important tools to prevent future diabetes.
  • Schedule
  • Check urine ketones every morning before breakfast.
  • If ketones are moderate or large for 2 mornings in a row call your Diabetes Nurse Educator or Dietitian.
  • Test your blood sugar 4 times a day: 
    -  Before breakfast
    - 1 hour after breakfast
    - 1 hour after lunch
    - 1 hour after supper
  • Find a Doctor

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    Events

    Think Pink! Girls' Night Out

    Join us on Tuesday, October 21, from 6:30-8:30 pm at the Newton Marriott for a celebration of women's health. Includes a wine reception, hors d'oeuvres, and a health panel.
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    Register Now for HopeWalks on Sept. 28

    Registration is open for the 5th Annual HopeWalks on Sunday, Sept. 28, to benefit the patients at the Vernon Cancer Center.
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    News

    "Top Doctors"

    Boston Magazine featured Newton-Wellesley Hospital in their annual “Top Doctors” issue as a top community hospital outside of Boston.
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    US News and World Report

    US News and World Report has ranked Newton-Wellesley Hospital 16th in Massachusetts.
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