Introduction

Gestational diabetes is a type of diabetes that occurs in pregnant women and typically resolves upon the birth of the baby. It can lead to health complications for both the mother and the unborn child. Maintaining diabetes control during pregnancy can help safeguard the health of both the mother and the baby.

Signs and Symptoms of Gestational Diabetes

• Excessive thirst
• Increased urination
• Increased fatigue
• Loss of appetite
• Swelling of ankle, feet, hands, or eyes
• Changes in glucose and cholesterol levels

Causes of Gestational Diabetes

• Being obese
• Physically inactive
• Insulin resistance
• Beta cell dysfunction
• Untreated prediabetes
• History of gestational diabetes
• Other co-morbidities (e.g., hypertension, obesity, chronic kidney disease)

Understanding Gestational Diabetes in Ayurveda

In Ayurveda, gestational diabetes is often attributed to an imbalance in the “doshas,” specifically the Kapha and Pitta doshas. According to Ayurvedic principles, during pregnancy, hormonal changes can disrupt the natural balance of these doshas, leading to various health issues, including gestational diabetes.

Excess Kapha dosha, associated with heaviness and fluid retention, can lead to weight gain and insulin resistance, contributing to elevated blood sugar levels. Additionally, imbalanced Pitta dosha, linked to inflammation and heat, can affect the pancreas, and impair insulin production and regulation.

Treatment and Management

Lifestyle modifications: Stress reduction, regular exercise, healthy eating habits, and weight management can all help in improving blood sugar regulation.

Continuous glucose monitoring (CGM): The CGM device delivers real-time glucose measurements, enabling more frequent monitoring and prompt treatment strategy adjustments.

Medication adjustments: To optimize glucose control medications such as insulin, oral medications, injectable incretin-based therapies, etc., are considered.

Palliative care provided by SGP’s PSA for gestational diabetes focuses on symptom management through medications, dietary modifications, and lifestyle changes. It aims to alleviate symptoms, improve nutritional status, and enhance the overall well-being of both mother and baby by providing emotional and psychological support.

FAQs about Gestational Diabetes

1. Can gestational diabetes affect the baby’s health after birth?

   Yes, gestational diabetes can increase the risk of the baby developing health issues, such as low blood sugar, jaundice, and a higher likelihood of obesity later in life.

2. Can gestational diabetes have long-term effects on the mother’s health?

   Women with a history of gestational diabetes have an increased risk of developing type 2 diabetes in the years following pregnancy. They need to monitor their health and make appropriate lifestyle changes to reduce this risk.

3. What foods you should avoid if you are diagnosed with gestational diabetes?

   Avoid carbohydrate-rich foods such as potatoes, french fries, white rice, sweets, candy, soda, and other sugary foods. These foods cause your blood sugar levels to spike immediately after consumption.

4. What happens if gestational diabetes is left untreated? 

   If left untreated, gestational diabetes can cause serious complications for both the mother and the baby. Untreated gestational diabetes increases the likelihood of a Caesarean because there is an increased risk of the fetus being too big. It also increases the risk of pre-eclampsia, high blood pressure, and type 2 diabetes during pregnancy. 

5. Is gestational diabetes resolved after pregnancy?

   In most cases, gestational diabetes resolves after childbirth. However, women who have had gestational diabetes are at a higher risk of developing type 2 diabetes later in life.