Treatment for Gestational Diabetes Mellitus (GDM)

Treatment for gestational diabetes mellitus (GDM) goals to keep normal blood glucose levels equal to those of pregnant women who don't have gestational diabetes.Gestational diabetes mellitus (GDM) can harm you and your baby, you have to seek treatment as soon as possible.Treatment for gestational diabetes mellitus (GDM) will involve special meal plans and scheduled physical activity including daily blood glucose testing and insulin injections.

Dietary therapy: Dietary therapy is the primary therapeutic strategy for the achievement.

Diet is the way of treatment in gestational diabetes mellitus whether or not pharmacologic therapy is implemented. You may need consult to your doctor, nurse educator, and other members of your health care team regarding treatment for gestational diabetes mellitus.

Obey with your treatment for gestational diabetes mellitus will give you a healthy pregnancy and birth.

Caloric restriction should be approached.

The most appropriate intervention would be exercise, which affects insulin resistance and, in the absence of either medical or obstetric complications. It is the most suitable intervention for gestational diabetes mellitus women.

Blood Glucose Monitoring. On commencement of self monitoring, at least one fasting and one 1 or 2 hour postprandial glucose level should be obtained daily.

Insulin therapy: The current recommendations of the American Diabetes Association for gestational diabetes mellitus treatment (2) state that insulin treatment should be initiated if diet therapy fails to maintain plasma glucose values equal to or lower than 5.8, 8.6 and 7.2 mmol/l under fasting conditions and 1 and 2 h after meals, respectively. In addition, Patients who have gestational diabetes mellitus (GDM) need insulin to achieve acceptable blood glucose control, underlining the importance of monitoring blood glucose to detect those who are at risk of developing overt diabetes.

Ultrasonography : Fetal ultrasound assessment is very important in gestational diabetes mellitus. In the case of true gestational diabetes mellitus, ultrasound gives a precise information about fetal weight, amniotic fluid volume, to detect fetal malformations, confirming fetal maturity, and also to detect and diagnose hydramnios.

Delivery:Prolongation of gestation past 38 weeks increases the risk of fetal macrosomia without reducing cesarean rates, so that delivery during the 38th week is recommended unless obstetric considerations dictate otherwise.