Managing gestational diabetes in the early stages can prevent complications: Study

Managing gestational diabetes in the early stages can prevent complications: Study



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New Delhi: gestational diabetes Prevention in the early stages of pregnancy may help Complications According to researchers, the outcomes of childbirth improve. The authors of a new series published in The Lancet journal said that the incidence of gestational diabetes, one of the most common complications of pregnancy, is increasing worldwide and is being compounded by rising obesity.
The international team of researchers, including from the All India Institute of Medical Sciences, said the condition affects about one in seven pregnancies globally and is usually tested and treated at the end of the second or third trimester.
He said if gestational diabetes is left untreated, it can lead to high blood pressure, increased risk of caesarean section, mental health issues and complications for the baby at the time of delivery.
Having a pregnancy-related condition may also increase a mother's risk of developing later health complications, such as type 2 diabetes and heart disease, the authors said.
According to the authors, evidence suggests that the factors that lead to the development of gestational diabetes may be present before pregnancy and that metabolic changes, such as changes in glucose and blood pressure, can be detected early in pregnancy (before 14 weeks).
Therefore, they called for urgent strategies to prevent and manage gestational diabetes, including early screening and diagnosis. This, they said, could reduce pregnancy and childbirth complications, as well as reduce women's risk of developing other health conditions later in life.
“(Gestational diabetes) is a huge public health challenge. Women suffering from it need support from the medical community, policymakers and society at large to ensure they receive appropriate treatment, (reduce stigma associated with the condition) and have a better overall pregnancy experience,” said Dr Yashdeep Gupta, author of the series from the All India Institute of Medical Sciences.
The authors found that 30-70 percent of women with gestational diabetes experienced high blood sugar early in pregnancy — at 20 weeks or earlier. These women also had worse outcomes than women who developed the condition in later stages of pregnancy.
In the study where gestational diabetes was not managed effectively, the authors found that these women had a higher risk of delivering prematurely (51 percent), giving birth to large babies (57 percent), and having a cesarean delivery (16 percent).
Additionally, women with gestational diabetes have a 10 times greater risk of developing type 2 diabetes later in life than women who did not experience the pregnancy-related condition, and may also potentially have an increased risk of high blood pressure, fatty liver, and heart disease.
The authors called for early screening for gestational diabetes in women with risk factors, preferably before 14 weeks of pregnancy.
They also suggested improving post-pregnancy care, including checking blood sugar levels after meals.
The authors also urged annual screening of women with prior gestational diabetes to prevent future complications, as well as further research on this medical condition.




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