Cloudnine expert, Dr. Poornima talks about patient-friendly ways to prepare oneself before pregnancy. To know more, visit www.cloudninecare.com. #C9HealthTalk #CloudnineHospitals

Cloudnine expert, Dr. Poornima shares easy ways to control diabetes during pregnancy. To know more, visit www.cloudninecare.com. #C9HealthTalk #CloudnineHospitals

"Basically gestational diabetes does not cause any kind of congenital abnormalities or anomalies of the fetus because gestational diabetes is the diabetes that is occurring in the pregnancy for the first time. It is entirely different from a woman who is having diabetes for many number of years before she has actually fallen pregnant. Overt diabetes means diabetes in a woman for a long time before she has fallen pregnant cases a lot of congenital abnormalities in the developing fetus. As far as gestational diabetes is concerned, the two main things that it causes is macrosomia, that is increased weight of the fetus, that is the babies weight goes up more than above 4 kgs and the water around the baby it increases, a condition called as polyhydramnios. As a consequence of polyhydraminios or macrosomia, there is overdistension of uterus, that is the diameter of the uterus increases and the placental size increases and because of this there is an early onset of preeclampsia that is hypertension in pregnancy and polyhydramnios can cause preterm labor, that is the patient going in for preterm labor much before 34 or 35 weeks of gestation. So the bottom line is since the diabetes has occurred after the conception, that is after the fertilisation, the problems that occur at the time of fertilisation are usually absent in gestational diabetes. It basically occurs in overt diabetes"

"Blood sugar during pregnancy is controlled in 3 ways, one is exercise diet and third is meditation. Usually diet and exercise are the first tried, if the blood sugars do not come under control with these two, then only medications are started. When we come to exercises exercise, as in she needs to go for half an hour to 45 minutes of walking everyday and the speed of the walk it depends on the comfort of the patient and there is something known as isometric exercise . Isometric exercises are done in the sitting posture at home. Here one kg weight are grasped in both the hands and there is flexion of the arm at the elbow joint, flexion and extension are continuous movements about 3 to 4 sets are done each set is topped when the patient is tired and when she has some amount of shortness of breath. These are isometric exercise and any other form of exercise can be performed like yoga she can go for swimming and some amount of light dancing can be done. Coming to diet, diet she has to follow a diabetic diet, she has to take regular frequent meals, she has to keep up her time an these meals are divided into 6 portions, one is breakfast lunch and dinner, and in between breakfast and lunch, and in between lunch and dinner and late midnight snack, here the carbohydrate should constitute about 50 to 55% and proteins about 20 to 25% and fat about 15% and in between snacks should consist about whole-wheat bread and some biscuits devoid of sugar and direct sweets to be avoided and pastries, cakes, chocolates, ice creams to be avoided and sugar has to be brought down, rice content to be brought down, and she needs to eat more of wheat and ragi and after every meal if she can do some amount of light walking, that would very very helpful and the last would be medications. Medications would be oral hypoglycemic agents and insulin. Insulin is given for all diabetic patients. But now oral hypoglycaemic agents like metformin and glipizide are used and the doses of these are adjusted according to the sugar of the patient"

Cloudnine expert, Dr. Poornima confirms Gestational Diabetes doesn't have any major impact on fetus growth or development. To know more, visit www.cloudninecare.com. #C9HealthTalk #CloudnineHospitals

Cloudnine expert, Dr. Poornima talks about patients with Gestational Diabetes will be going for delivery depending on their prevailing diabetic condition. To know more, visit www.cloudninecare.com. #C9HealthTalk #CloudnineHospitals