Being diagnosed with gestational diabetes may come as a shock but learning you have it is really important.

As Sarah, a 32-year-old mother of two, learned she had gestational diabetes during her routine antenatal checkup, her heart raced with worry. “Initially, it felt like a death sentence for my pregnancy, an unexpected complication that could endanger my baby,” she recalls, tears welling in her eyes. Yet, with the right treatment and support from her healthcare team, Sarah discovered that managing her blood sugar levels was entirely achievable, leading her to a healthy pregnancy and a joyful delivery.

What are the main treatments for gestational diabetes?

Managing gestational diabetes primarily involves adjustments to diet, exercise, and, in some cases, medication—all geared toward stabilizing blood glucose levels. Dr. Emily Roberts, an endocrinologist specializing in maternal health, emphasizes, “Lifestyle changes often serve as the first line of defense. However, for some women, additional medical interventions are necessary to ensure the safety of both mother and baby.”

Do I need to take medication?

While many women can start with dietary adjustments and increased physical activity, elevated blood sugar levels may necessitate medication. “It’s crucial to recognize that needing medication does not signify failure; it highlights the need for extra support,” explains Dr. Roberts. Even with medication, ongoing lifestyle modifications remain essential.

How do the medications work?

Metformin

This oral medication helps reduce glucose production in the liver and enhances insulin sensitivity. Typically taken with meals, Metformin provides critical support for managing blood sugar levels.

Insulin

Unlike Metformin, insulin is a hormone administered via injection, as digestive enzymes would break it down if taken orally. As Sarah shared, “When my healthcare team put me on insulin, it was a game-changer—my blood sugar levels stabilized dramatically.”

Is my medication suitable during pregnancy?

Health professionals are best equipped to determine appropriate treatments during pregnancy. Though patient information leaflets may warn against Metformin use in pregnancy, evidence from the UK suggests its efficacy and safety in pregnant women, provided the benefits outweigh potential risks. As Dr. Roberts states, “Each case is unique, and ongoing dialogue with healthcare teams is paramount.”

Physical activity and gestational diabetes

“Don’t be discouraged by the term ‘exercise,’” urges fitness coach and maternal wellness advocate, Linda Jackson. You don’t need a gym membership to stay active—simple changes to daily routines can make a significant difference. Key recommendations include:

• Consult with your maternity team before starting any new physical activities.
• Choose activities that align with your pre-pregnancy fitness level.
• Listen to your body and respect its limits.
• Engage in group exercises guided by qualified instructors aware of your pregnancy stage.

Benefits of physical activity

Being active plays a crucial role in managing gestational diabetes. Exercise encourages muscle glucose utilization, helping lower blood sugar levels, and fosters improved insulin efficiency. “Regular activity can also decrease the amount of insulin required,” Dr. Roberts adds.

What type of activity should I do?

To maintain an appropriate level of physical activity, consider integrating the following:

• Taking regular walks after meals.
• Joining pregnancy yoga sessions.
• Participating in swimming or water aerobics.
• Dancing in your living room.

If you weren’t active before pregnancy

For women unaccustomed to exercise, initiating a fitness routine can feel overwhelming. “Start gradually,” advises Jackson. Begin with short walks and build as your body adapts.

What is the first-line treatment for gestational diabetes?

The initial approach typically includes dietary guidance and exercise recommendations. Medication may be introduced if lifestyle adjustments alone prove ineffective in stabilizing blood sugar levels.

Can you fix gestational diabetes during pregnancy?

Most women find that gestational diabetes resolves after childbirth; however, some may discover existing type 2 diabetes. Follow-up care is essential, as having gestational diabetes increases the risk of developing type 2 diabetes later in life. “Regular monitoring post-pregnancy is critical for long-term health,” states Dr. Roberts.

How do I check my blood sugar levels?

Monitoring blood sugar levels involves pricking the side of the finger to obtain a drop of blood, which is tested using a glucose meter supplied by the healthcare team. Typical testing times include fasting in the morning and post-meal readings. “At first, it seems daunting, but it quickly becomes second nature,” shares Nicole, another mother managing gestational diabetes.

What numbers to aim for

To maintain optimal glucose levels, aim for the following targets:

• Fasting: below 5.3mmol/l
• One hour after meals: below 7.8mmol/l
• Two hours post-meal: below 6.4mmol/l

Use of a continuous glucose monitor

If blood glucose levels remain unstable, your healthcare team may introduce a continuous glucose monitor (CGM), which provides real-time blood sugar data. This device allows for improved management while reducing the need for frequent finger pricks.

Sarah’s journey with gestational diabetes evolved from fear to empowerment, transforming her pregnancy experience. “Understanding my body and managing my condition allowed me to focus on the joy of bringing my baby into the world,” she reflects with a smile. The path of gestational diabetes is undoubtedly complex, but with informed choices and robust support, a healthy pregnancy is within reach for countless women.

Source: www.diabetes.org.uk