One of the complications that threatens the mother and the fetus during pregnancy ***is gestational diabetes***... Human body cells need two essential substances, one of these substances is oxygen and the other is glucose or sugar... Foods that the body receives that contain sugar, such as rice, bread, potatoes and anything that has sugar, even a piece of sugar in the body turns into the throat... The cells of the human body need sugar to continue working... Insulin is a substance that causes so that the received sugar can be used by the cells and **insulin reduction** in the body causes an increase in sugar... In the following, we will explain the decrease in insulin in pregnancy and how to explain it.... The effect of diabetes in childbirth Those women with gestational diabetes who do not require insulin rarely require preterm delivery or other interventions.... If the fetal weight is estimated by ultrasound to be 4500 grams or more.... Cesarean delivery is considered.... Women who require insulin treatment due to elevated fasting blood sugar are continuously treated for the condition of the fetus with risk factors for diabetes.. Some women are more likely to have certain characteristics in are exposed to **gestational diabetes**. Among the risk factors are: - Overweight and obesity - History of this disease in previous pregnancies - Having polycystic syndrome - Involvement of a family member in diabetes - Giving birth to a baby weighing more than 4 kg Negative effects of gestational diabetes on the child - Having natural excess weight at birth; If the mother's blood sugar level is higher than normal, it will cause the child to grow too much... This category of fetuses may get stuck in the birth canal during delivery... Another complication of **gestational diabetes** is premature delivery... Of course, sometimes the doctor recommends premature delivery due to excessive growth of the fetus... - Very serious breathing problems; Children who are born prematurely due to gestational diabetes may suffer from respiratory distress syndrome... In this situation, it becomes very difficult for the child to breathe... It is possible for children whose mothers had gestational diabetes to develop type 1 and 2 diabetes in the future... What effect does gestational diabetes have on the mother?. **Increased blood pressure:** Diabetes during pregnancy greatly increases the risk of high blood pressure in mothers... After that, pregnancy poisoning may also appear, which is a serious and dangerous complication that endangers not only the mother's life, but also the life of the fetus... They are often forced to perform a cesarean delivery in the future... One who suffers from diabetes during pregnancy is more likely to have this problem in subsequent pregnancies and the possibility The incidence of type 2 diabetes is higher for them at older ages.. ### Treatment of diabetes in pregnancy #### **First three months:** Glucose measurement is necessary during this period, and for this reason, the best obstetricians and gynecologists in West Tehran accept and care for women who have obvious gestational diabetes at the beginning of pregnancy.... During this period, insulin is used for treatment.... mothers themselves can check their blood sugar using a glucometer. find... #### **second trimester:** To check neural tube abnormalities and defects in the 16th and 20th weeks of pregnancy, the alpha-phytoprotein concentration test of the mother's serum is used, as well as **ultrasonography** in the 18th to 20th weeks of pregnancy, which should mainly be done after the 20th week of pregnancy, in order to use it. Insulin, which is due to the increased production of pregnancy hormones... Correspondence... Ways of communication: 44977660 and Instagram thread** ### **third quarter:** In women who have diabetes and their fetus weighs more than 4500 grams, a cesarean section is used to avoid possible risks, and when the fetus is not large and in a favorable condition, induction of labor can be used. It is very important to reduce the amount of insulin or eliminate it on the day of delivery, because after delivery, the mother's need for diabetes treatment is significantly reduced. Gestational diabetes can be treated in 3 ways: 1 .... change of lifestyle 2... blood sugar control 3.... Take medicine if necessary Controlling blood sugar levels helps the baby to be born healthier.. It also keeps you away from the dangers during childbirth... Gestational diabetes control with lifestyle changes The way you eat and the level of your activity shows your lifestyle and type of life and has a significant effect on keeping blood sugar at a normal level... The best gynecologist in West Tehran does not recommend losing weight during pregnancy; Because the body is trying to grow the fetus efficiently, but the doctor controls the amount of weight gain during pregnancy with a detailed plan according to the weight you had before... ### healthy diet A healthy diet plan includes a variety of fruits, vegetables, grains, legumes and lean proteins... the amount of carbohydrates consumed in this diet is limited... a good obstetrician and gynecologist in Tehran manages the amount of substances the body receives during pregnancy by providing a suitable diet plan for each person and helps prevent the occurrence of gestational diabetes. If the mother's blood sugar is not controlled with diet and exercise programs, the use of medicine becomes necessary... Insulin injection is one of the pharmaceutical solutions, which of course some doctors believe... Research and studies are necessary to ensure the effectiveness of oral medicines... What should be done to prevent gestational diabetes? Regarding the prevention of diabetes during pregnancy, it should be said that there is no guarantee, but a series of healthy and correct habits can put the mother in a more favorable and favorable situation during pregnancy and avoid complications such as diabetes... Also, if you suffer from this problem, the following strategies will help you to reduce the risk of developing it in subsequent pregnancies or the occurrence of fiber and low-fat foods in type 2 diabetes and low-fat diabetes. Diet... consumption of fresh fruits and vegetables and all kinds of legumes has a great effect on this... Of course, check the amount of consumption of these substances during pregnancy with the best gynecologist in West Tehran... Maintaining proper weight during pregnancy: If you decide to become pregnant, if you are overweight, it is better to lose your excess weight first before taking any action. Fetus... weight gain should be controlled and under the supervision of a gynecologist... Due to the sensitivity during pregnancy, necessary care is very important... For more advice on gestational diabetes and other issues, you can refer to the best gynecologist in West Tehran...