Petaling Jaya: For some pregnant women, hormones produced by the placenta prevent effective use of insulin, a condition known as gestational diabetes (GDM).
According to obstetrician and gynecologist Dr. Milton Lamb, it usually disappears after childbirth, but it can recur in future pregnancies.
“They are more likely to develop GDM in future pregnancies and more likely to develop type 2 diabetes later in life,” he said, adding that Ministry of Health data showed that 21.95% of patients were pregnant. /m2, a history of GDM, a family history such as a first-degree relative with diabetes, a history of fetal macrosomia, a history of bad obstetrics, and two High diabetes (>2+) in diabetes is part of the risk factor.
Hypertension, polyhydramnios (excessive accumulation of amniotic fluid), and current use of steroids are other risk factors.
Regarding prevention, Dr. Lum said preconception care by a multidisciplinary team is important.
Patients with pre-existing diabetes must be informed of their blood sugar targets and empowered to achieve control before conception.
He added that counseling about diabetes risk and management during pregnancy is also important.
Women should also be informed about GDM and diabetes, have a pre-pregnancy check-up, and ultimately take preventive measures such as antenatal clinic appointments, doctor’s advice and adherence to prescribed treatments. he said.