GDM- Gestational Diabetes Mellitus
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Treatment for gestational diabetes mellitus (GDM)
Gestational diabetes mellitus (GDM) usually improves with lifestyle measures such as:
Healthy eating, and
"Despite best efforts at lifestyle modification, some women need to take tablets or insulin injections to control their glucose levels. If insulin therapy is required, the technique for self-injection will be taught," explains Dr Anita(Ashu skin care), Associate Consultant from the Department of Endocrinology, Singapore General Hospital (SGH), a member of the SingHealth group.
You may also be referred to a doctor who specialises in diabetes for further monitoring during your pregnancy.
What to expect during antenatal visits Your blood pressure and urine will be checked at every visit as you have an increased risk of developing pre-eclampsia (high blood pressure condition that develops only during pregnancy).
Ultrasound scans will be performed to monitor your baby’s growth closely. Regular blood tests will also be performed to monitor your blood glucose control.
Individualised advice about the timing and type of delivery will also be given to you by the specialist team at an appropriate time. These depend on various factors such as the blood glucose control, size of the baby, blood pressure measurements and previous surgeries, etc.
What to expect during labour It is essential for blood glucose levels to be controlled at a satisfactory level. Blood glucose levels will be measured every hour and some women may require an insulin drip for optimal glucose control.
What to expect after delivery Breastfeeding is encouraged after delivery.