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Why diabetes develops in pregnancy?

In pregnancy, there is increase in some hormonal level that work against insulin. Insulin production is not enough to fulfill the increase demand in some women so these women may develop gestational diabetes (GDM).


Who are at risk of developing GDM?

Women at risk of developing GDM are those having:
• Age 35 or greater
• Obesity BMI greater than or equal to 27 kg/m2
• Family history of diabetes
• high blood glucose in previous pregnancy
• Previous baby weight >4kg (greater than 4kg).
• Some races such as Asian (Pakistani, Indian), Middle eastern women are at increased risk of GDM.
• Some diseases like such as Poly cystic ovary syndrome (PCOS)
• Use of some medications like steroid
• After delivery GDM mother have higher chances of developing cardiovascular disease in the future.

Which oral drugs can be safely?

Your doctor will prescribe medicines if needed. Medicine can be use in GDM, especially in women who already receiving medicine for some diseases like poly cystic ovary syndrome.

Storage technique of insulin

Insulin must be stored away from heat source/sunlight and humidity.

It should be kept between 02 and 24 degrees Celsius in room or in fridge or collar or in clay pot filled with water, but never kept in freezer.
• If insulin is kept in the fridge, it should be stored in vegetable compartment or in door section.
• Vigorous shaking damage the insulin. Cloudy insulin (N, NPH or premixed insulins) needs to be rolled between two hands (not shaken) to mix it before use at least 10 times.

How to administer insulin?

• Select Injection Site. (Thigh (not near knee) or abdomen).
• Clean Injection Site with normal water and soap (selected area).
• Gently pinch up the area using thumb & index finger.
• Push the needle through skin, with 90-degree angle fully and inject insulin.
• Count till 10 sec before removing the needle.
• Remove needle from skin. Count again for 3-5 sec & release the pinch up.

Commons reason for the occurrence of hypoglycemia (Low blood sugars) among insulin treated patients

When meal is missed or taken late.
When carbohydrate portion is not adequate
When women not eating enough
When injecting too much insulin for planned meal.