Bring this conversation starter and any additional questions you want to ask to your provider.At what point should I consider going to the emergency room or calling 911?.Is there a test I can have to rule out a serious problem?.I know my body and this doesn’t feel normal.Review the urgent maternal warning signs and how to describe them. I have been having _ (insert symptoms) that feel like _ (describe in detail) and have been lasting _ (number of hours/days).The date of my last period / delivery was _ and I’m having serious concerns about my health that I’d like to talk to you about. 14, 2022.Here is a Guide to Help You Start the Conversation: Gestational diabetes mellitus: Obstetric issues and management. Diet and healthy lifestyle in the management of gestational diabetes mellitus. Journal of the Academy of Nutrition and Dietetics. Guidelines for medical nutrition therapy in gestational diabetes mellitus: Systematic review and critical appraisal. Obstetrics and Gynecology Clinics of North America. Gestational diabetes - Diagnosis, classification, and clinical care. Standards of medical care in diabetes - 2021. Gestational diabetes mellitus: Screening, diagnosis, and prevention. National Institute of Diabetes and Digestive and Kidney Diseases. Centers for Disease Control and Prevention. Diabetes and Pregnancy: Gestational diabetes.Practice Bulletin No.190: Gestational diabetes mellitus. American College of Obstetricians and Gynecologists.Are there brochures or other printed materials I can take? What websites do you recommend?.What symptoms should prompt me to seek medical attention?.Will I need medication to control my blood sugar?.Can you recommend a registered dietitian or certified diabetes care and education specialist who can help me plan meals, an exercise program and coping strategies?.What can I do to help control my condition?.Some basic questions to ask your health care provider include: Make a list of questions to help make the most of your time with your health care provider.Make a list of all medications, including over-the-counter drugs and vitamins or supplements you're taking.Make a list of key personal information, including major stresses or recent life changes.You may not have noticeable symptoms, but it's good to keep a log of anything unusual you notice. Make a list of symptoms you're having, including those that may seem unrelated to gestational diabetes.When you make your appointment, ask if you need to fast for lab tests or do anything else to prepare for diagnostic tests. Be aware of pre-appointment restrictions.Everyday activities such as housework and gardening also count. Walking, cycling and swimming are good choices during pregnancy. If you haven't been active for a while, start slowly and build up gradually. With your health care provider's OK, aim for 30 minutes of moderate exercise on most days of the week. As an added bonus, regular exercise can help relieve some common discomforts of pregnancy, including back pain, muscle cramps, swelling, constipation and trouble sleeping. Regular physical activity plays a key role in every wellness plan before, during and after pregnancy. A registered dietitian or a certified diabetes care and education specialist can help you create a meal plan based on your current weight, pregnancy weight gain goals, blood sugar level, exercise habits, food preferences and budget. A healthy diet focuses on fruits, vegetables, whole grains and lean protein - foods that are high in nutrition and fiber and low in fat and calories - and limits highly refined carbohydrates, including sweets. But your health care provider can help you set weight gain goals based on your weight before pregnancy. Health care providers usually don't advise losing weight during pregnancy - your body is working hard to support your growing baby. Your lifestyle - how you eat and move - is an important part of keeping your blood sugar levels in a healthy range. If at least two of the blood sugar readings are higher than expected, you'll be diagnosed with gestational diabetes. This test is similar to the initial test - except the sweet solution will have even more sugar and your blood sugar will be checked every hour for three hours. If your blood sugar level is higher than expected, you'll need another glucose tolerance test to determine if you have gestational diabetes. A blood sugar level of 190 milligrams per deciliter (mg/dL), or 10.6 millimoles per liter (mmol/L), indicates gestational diabetes.Ī blood sugar level below 140 mg/dL (7.8 mmol/L) is usually considered within the standard range on a glucose challenge test, although this may vary by clinic or lab. One hour later, you'll have a blood test to measure your blood sugar level. Screening tests may vary slightly depending on your health care provider, but generally include: Routine screening for gestational diabetes
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