gestational diabetes | Multiple risks, but don’t panic

(Paris) This is one of the most common disorders in a pregnant woman: gestational diabetes leads to multiple complications that we know better and better. But it can be managed with a proper diet, without indulging in serious deprivation.

Posted at 10:39

Julian Dore
France media agency

This type of diabetes is called gestational diabetes, and it’s “highly associated with pregnancy complications,” summarizes a large study published Thursday in British Journal of Medicine (BMJ).

This disorder is diagnosed due to high blood sugar during pregnancy. It usually goes away after birth, although it increases the risk of classic diabetes in the following years.

It is considered one of the most common disorders in pregnant women, although it is difficult to give an exact frequency, since there is no consensus on what constitutes excessive blood sugar.

Its prevalence has been increasing anyway for several years in the world, in part because weight gain, which promotes diabetes, is increasingly prevalent.

What are the risks of progressing well into the pregnancy, and for the baby itself? This is what has been studied BMJ He sought a better rating.

The topic is not new and we already knew there were multiple complications, such as an increased risk of cesarean delivery or premature birth. But this work, led by Chinese researcher Fangcun Liu, has an important scope: it is a “meta-analysis,” bringing together about 150 primary studies, on more than 7 million pregnant women.

Do not be afraid

Thus the researchers were able to confirm that there are many risks and, most importantly, show that they are indeed linked to diabetes itself and not, for example, just to being overweight.

Among the proven risks are not only the use of a cesarean section and premature birth, but also preeclampsia – a disorder that manifests as high blood pressure and can develop into dangerous convulsions – or an abnormally high birth weight of the newborn.

In some women, insulin therapy is required. The study notes certain risks for the latter, including breathing difficulties in the baby at birth.

However, this work is also reassuring regarding a particularly severe risk that remains poorly assessed: the death of the child at birth.

The authors note that there is no “clear difference” in the matter between women with gestational diabetes, as well as in the risk of miscarriage.

Even if the risks remain numerous, this should not lead to panic. Diabetes or not, there is no doubt that a pregnant woman significantly reduces her diet.

“Sometimes we recover from some who, in doubt, are no longer eating,” testifies to AFP, nutritionist Helen Lovett. “To say, ‘I don’t eat anymore so it doesn’t go up’, is not a good long-term account.”

risk of nutritional deficiency

The risks of undernutrition are particularly high in a pregnant woman, which requires a difficult balance in diabetes management: controlling blood sugar without thwarting energy needs.

Hence the importance of consulting a doctor and a nutritionist. Except that the providers themselves lack standards and, in fact, use very different approaches: Should certain foods be banned? Split meals to smooth out blood sugar?

This is what prompted French diabetologists to publish detailed recommendations, a few weeks ago, under the auspices of Dr.I Lovett and his colleague Atifeh Nekpima. “The dietary recommendations were really old and brief: there was really little going on,” said the lady.I wolf.

These new rules, which obviously have to be adapted to each patient’s condition, are stamped out with a realistic approach: avoid disrupting the patient’s diet as much as possible.

Thus, they do not recommend completely banning any sweet food, although it is logically necessary to limit these foods, or to automatically divide meals, even if this remains a possibility depending on the development of blood sugar.

It is necessary to “take into account special situations due to pregnancy as well as various constraints (food habits, tastes, social, financial, occupational, organizational status, etc.) in order to provide the most appropriate support and follow-up to the patient”, summarizes this work.



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