Gestational Diabetes: Screening and Treatment (PART 2)
In my last article, I spoke about what gestational diabetes is. In this segment, I shall touch on how we screen for it, and the treatment methods.
In the 24th to 26th weeks of the pregnancy, the gyanaecologist will advise that a GTT (Glucose Tolerance Test) be undertaken. This is the most common form of screening and is certified by the World Health Organisation. The patient is given 75g of glucose and the doctor will observe her body’s response. In some cases, if the mother has a higher risks of diabetes (such as due to a genetic pattern of diabetes in her family, history of PCOS, or if her BMI is higher than recommended), she may be asked to take the GTT in the first trimester itself.
If the mother is diagnosed with gestational diabetes, the remedial steps would depend on the intensity of the condition.
If the patient’s sugar levels are mildly elevated, all they need to do is follow a healthier diet (one that does not include excess carbohydrates or sugar), and engage in safe physical activity. There is no need for additional medication.
For women who have moderately elevated sugar levels, oral hypoglycemic agents (in tablet form) may be prescribed. They are to be taken on the gynaecologist’s advice only.
If the patients’ sugar levels are highly elevated, this would mean a significant risk, and administering insulin (through regular injections) is often seen as the best route. In such cases, it is important for the family to be supportive so that the patient does not have added stress.
With early diagnosis and the right treatment, gestational diabetes is treatable. Moreover, we are right here to provide all the guidance and support you need – at every step of the way.
