Around 7-10% of pregnancies worldwide are affected by gestational diabetes

Gestational diabetes not only endangers the health of the expectant mother, but also the unborn child. Without proper treatment, the disease can cause premature birth, infections, obstetric complications and in the long term it can lead to the development of type 2 diabetes, however, with early and timely screening tests and appropriate therapy, the risk of developing complications can be minimized.

According to estimates, gestational diabetes affects around 7-10% of pregnancies worldwide. The disease occurs in women who have not previously been diagnosed with diabetes. Although the sugar metabolism during pregnancy significantly improves or even disappears after childbirth, i.e. diabetes “goes away” after the birth of the baby, failure to diagnose it can pose a serious risk to the health of both the mother and the baby. Fortunately, with early diagnosis, lifestyle changes and modern medical screenings and treatments, a large percentage of complications can be avoided.

“In addition to hereditary factors, changes in hormone balance play a role in the development of the disease, as well as factors such as starting body weight before pregnancy, age, pregnancy conceived with the help of assisted reproduction and multiple (twin) pregnancy” – highlighted Prof. Dr. József Fövényi PhD, specialist at the Diabetes Center.

The long-term complications of gestational diabetes include the development of diabetes within 5-10 years after childbirth, during subsequent pregnancies, and the chance of complications during pregnancy and childbirth also increases. In addition, it may happen that the newborn temporarily requires neonatal intensive care, for example infusion and sugar supplementation. There is a higher chance of premature birth and more frequent caesarean sections, and the child born may be more prone to diabetes as an adolescent or adult.

It makes self-diagnosis difficult, as well as the importance of screening tests, that the majority of expectant mothers experience the disease without symptoms. As the pregnancy progresses, the levels of many hormones – for example cortisol, progesterone – and human placental lactogen start to rise drastically as early as the 20th week. Insulin resistance can develop as a result of the disruption of hormone balance. “The general practice is 24-28 makes screening for gestational diabetes every week, but in the case of expectant mothers belonging to the high-risk group for gestational diabetes, it is already 12-16 weeks. a stress blood glucose test is recommended during the week, in order to make a diagnosis as early as possible”, pointed out Professor Fövényi.

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In the case of gestational diabetes, an innovative method is continuous glucose monitoring (CGM), thanks to which the doctor and the patient get a detailed picture of the body’s sugar balance with the help of an implanted measuring device. Sensory blood glucose measurement in gestational diabetes is mainly recommended if insulin treatment is also required during pregnancy.

The 24th doctor’s professional day of the Prima Medica Health Centers focused on methods of prevention and treatment. Prima Medica, which has been operating for nearly 20 years, has been organizing medical professional days since 2014, the central theme of which always covers several fields of expertise to promote the sharing of knowledge.

Website: primamedica.hu

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