Treatment
The goals of treatment are to keep blood glucose levels within normal limits during the pregnancy, and to make sure that the fetus is healthy.
Your health care provider should closely check both you and your fetus throughout the pregnancy. You also can self-monitor your blood glucose levels. Fetal monitoring to check the size and health of the fetus may include ultrasound and nonstress tests.
A nonstress test is a very simple, painless test for you and your baby. A machine that hears and displays your baby's heartbeat (electronic fetal monitor) is placed on your abdomen . When the baby moves, its heart rate normally increases 15 – 20 beats above its regular rate.
Your health care provider can look at the pattern of your baby's heartbeat compared to its movements and find out whether the baby is doing well. The health care provider will look for 3 increases of 15 beats per minute over the baby's normal heart rate , occurring within a 20-minute period.
Managing your diet can give you the calories and nutrients you need for your pregnancy and to control blood glucose levels. You should have nutritional counseling with a registered dietician.
See also: Diabetes diet
If managing your diet does not control blood glucose levels, you should start insulin therapy. You will need to self-monitor your blood glucose levels during insulin treatment.
Outlook (Prognosis)
There is a slightly increased risk of the fetus or newborn dying when the mother has gestational diabetes. Controlling blood sugar levels reduces the risk to the baby. High blood glucose levels often go back to normal after delivery. However, women with gestational diabetes should be watched closely after giving birth and at regular doctor's appointments to screen for signs of diabetes. Many women with gestational diabetes develop full-blown diabetes within 5 – 10 years after delivery. The risk may be increased in obese women .
Possible Complications
Development of diabetes later in life
Increased risk of newborn death
Low blood glucose or illness in the newborn