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Kavita was elated to meet her Gynecologist upon completion of the second trimester of her pregnancy. But, her doctor was worried. Her blood diagnostics indicated an HbA1C of 9%. What does that mean? Kavita may have Gestational Diabetes. This is possible in pregnancy even if there is no previous history of diabetes. Gestational Diabetes is confirmed with the Oral Glucose Tolerance Test with a 75-g glucose load mg/dl mmol/l irrespective of meals. Results are checked postprandial after an hour and then 2 hours to confirm diabetes in pregnancy. Why does Gestational Diabetes occur? To explain in brief, adverse insulin response due to hormones released from the placenta is the main cause of gestational diabetes. After the birth of the baby, gestational diabetes subsides but the consequences are serious including an abnormally large head of the baby. At birth, low blood glucose levels and even severe jaundice in the newborn baby is observed. The severe consequences include stillbirth or seizures in the newborn, if maternal diabetes is not regulated, warn experts.
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