Postpartum concerns

1. Nearly all women with gestational diabetes are normoglycemic after delivery. However, they are at risk for recurrent gestational diabetes, impaired glucose tolerance, and overt diabetes. One-third to two-thirds of women will have gestational diabetes in a subsequent pregnancy. Women with gestational diabetes have an incidence of type 2 diabetes in the first five years postpartum of 47 to 50 percent.

2. After delivery, blood glucose should be measured to ensure that the mother no longer has hyperglycemia. Fasting blood glucose concentrations should be below 115 mg/dL and one-hour postprandial concentrations should be below 140 mg/dL. A woman with gestational diabetes should be able to resume a regular diet. However, she should continue to measure blood glucose at home for a few weeks after discharge.

3. Six to eight weeks after delivery, or shortly after cessation of breast feeding, all women with previous gestational diabetes should undergo an oral glucose tolerance test. A two-hour 75 gram oral glucose tolerance test is recommended.

References: See page 184.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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