Symptoms of gestational diabetes

Written by Chen Xie
Endocrinology
Updated on September 25, 2024
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Gestational diabetes refers to abnormal glucose tolerance that occurs during pregnancy. It usually involves only mild, asymptomatic hyperglycemia without the typical symptoms of diabetes such as dry mouth, excessive thirst, frequent urination, and weight loss. However, significant increases in blood sugar can lead to symptoms such as dry mouth, excessive thirst, frequent urination, and weight loss. It is important to be vigilant for gestational diabetes in patients who exhibit symptoms such as excessive amniotic fluid, a large fetus, or recurrent urinary tract infections. Therefore, it is generally recommended for pregnant patients to complete an OGTT (Oral Glucose Tolerance Test) by the 24th week of pregnancy to confirm whether they have gestational diabetes. After childbirth, blood sugar levels in women with gestational diabetes generally return to normal, but the risk of developing Type 2 diabetes in the future significantly increases. Therefore, patients with gestational diabetes should undergo diabetes screening 6 to 12 weeks postpartum and be monitored over the long term.

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Symptoms of Gestational Diabetes

The symptoms of gestational diabetes differ from those of non-pregnancy diabetes; non-pregnancy diabetes is mainly characterized by excessive drinking, eating, urination, and weight loss. During pregnancy, excessive drinking and eating may be physiological responses due to increased appetite, and frequent urination may be caused by the enlarged uterus pressing on the bladder during early pregnancy. Weight loss is generally not apparent in gestational diabetes due to the growth of the fetus, the uterus, and the increase in amniotic fluid. For women who had a higher body mass index before pregnancy and a family history of diabetes, it is recommended to start glucose tolerance screening from the time of planning to conceive. For those who gain weight rapidly after becoming pregnant and have a significant increase in amniotic fluid, we typically conduct routine diabetes screening between 24 to 28 weeks of pregnancy. Gestational diabetes has severe impacts on the pregnant woman, the fetus, and the newborn, thus early detection and treatment are advised.

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Diabetic foot prevention care

First of all, it's important to keep blood sugar under control. It's recommended that people with diabetes check their glycated hemoglobin every three months to see if their blood sugar levels meet the standards. Second, many patients suffer from diabetic foot due to severe diabetic peripheral neuropathy. Injuries such as stepping on a nail or accidental bumps may lead to infections. Therefore, it's suggested that patients with diabetes check their feet daily for any small wounds or ulcers, and if found, they should seek timely treatment from an endocrinology specialist. Third, using warm water for foot baths and treatments like local infrared lamp therapy are advised. It's important to ensure that the temperature is not too high, generally around 40 degrees Celsius, to avoid burning the skin.

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What should pregnant women with diabetes eat?

If a pregnant woman has been diagnosed with gestational diabetes during pregnancy, it is still necessary to decide what food to eat based on the specific blood sugar levels. If the current blood sugar level is relatively stable, she can follow a diabetic diet, eat smaller meals more frequently, and consume more fresh fruits and vegetables. It's important to avoid foods that cause high blood sugar, and it is essential to walk or engage in appropriate exercise 30 minutes after eating to help metabolize the blood sugar. However, if the blood sugar remains high and does not decrease significantly, insulin might be needed to lower the blood sugar levels.

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Will the fetus have diabetes if the mother has gestational diabetes?

Gestational diabetes is a common complication during pregnancy, characterized by elevated levels during glucose tolerance tests conducted while a woman is pregnant. Gestational diabetes can significantly affect both the mother and fetus, but actively controlling blood sugar can generally minimize these impacts. If a baby is born to a mother with gestational diabetes, this baby has a higher likelihood of developing diabetes later in life compared to the general population, but it does not necessarily mean that they will. This is because such babies have a genetic predisposition and might experience insufficient pancreatic function as adults, which can lead to diabetes. Therefore, it is important for these newborns to undergo regular blood sugar monitoring as adults to determine if they have diabetes, and if so, to seek proactive treatment.

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Gestational diabetes symptoms

During pregnancy, there are two scenarios concerning diabetes: one is where diabetes is diagnosed before pregnancy, referred to as pregestational diabetes combined with pregnancy. The other scenario is where the sugar metabolism is normal before pregnancy, or there is an underlying reduced glucose tolerance, and diabetes appears or is diagnosed during pregnancy, also known as gestational diabetes. Over 80% of diabetic pregnant women have gestational diabetes. Typically, gestational diabetes doesn't show clear symptoms of the classic "three polys and one less" - excessive drinking, eating, urination, and weight loss. Some women with gestational diabetes may experience itching of the vulva, caused by repeated infections with Candida albicans. Additionally, gestational diabetes may lead to conditions like fetal macrosomia and polyhydramnios during pregnancy, and pregnant women with gestational diabetes are more prone to infections.