Basic aspects
Learn the basics first, before moving on to more complex topics.
Understanding gestational diabetes
π§ What is gestational diabetes and why does it occur?
π§ How does gestational diabetes differ from other types?
π§ Why didn't you have diabetes before pregnancy?
π§ Is gestational diabetes temporary or permanent?
π§ In which trimester does it most commonly occur?
π§ How common is gestational diabetes in Romania?
π§ What pregnancy hormones affect blood glucose?
π§ Can gestational diabetes occur in any pregnancy?
π§ Why does the placenta influence glucose metabolism?
π§ What happens to diabetes after delivery?
Risk factors and screening
π§ What are the risk factors for gestational diabetes?
π§ Does age influence the risk of diabetes in pregnancy?
π§ How does pre-pregnancy weight affect risk?
π§ Is gestational diabetes hereditary?
π§ If you had gestational diabetes, will it recur?
π§ Which ethnicities have increased risk of gestational diabetes?
π§ Does polycystic ovary syndrome influence risk?
π§ When is the glucose tolerance test performed?
π§ How do you prepare for the OGTT?
π§ What OGTT values indicate gestational diabetes?
Diagnosis and initial assessment
π§ What tests confirm gestational diabetes?
π§ Why is the test done at weeks 24-28?
π§ What does the 75g or 100g glucose test mean?
π§ Can you have gestational diabetes without symptoms?
π§ What other tests are done after diagnosis?
π§ Is hospitalization required after diagnosis?
π§ What specialists will you consult during pregnancy?
π§ How is fetal risk assessed?
π§ What additional monitoring is necessary?
π§ When do you start treatment after diagnosis?
Impact on pregnancy
π§ How does diabetes affect baby's development?
π§ What is fetal macrosomia and what risk does it pose?
π§ Why does the risk of premature birth increase?
π§ Can diabetes cause congenital malformations?
π§ What complications can occur at birth?
π§ How does diabetes affect amniotic fluid?
π§ Why is fetal growth monitored?
π§ What is neonatal hypoglycemia?
π§ Does diabetes influence fetal lung maturation?
π§ Does GDM increase the risk of cesarean section?
Risks for the mother
π§ What maternal complications can occur?
π§ How does diabetes affect blood pressure?
π§ What is preeclampsia and how is it related to diabetes?
π§ Does the risk of infections in pregnancy increase?
π§ Why do you have increased risk of type 2 diabetes later?
π§ How does diabetes affect postpartum recovery?
π§ Can gestational diabetes affect breastfeeding?
π§ What problems can occur at delivery?
π§ Does diabetes influence healing after cesarean section?
π§ When do symptoms disappear after delivery?
Blood glucose monitoring in pregnancy
π§ How often do you measure blood glucose daily?
π§ What are the target values in gestational diabetes?
π§ When do you measure glucose: before or after meals?
π§ Why are targets stricter than in other types?
π§ How do you keep track of glucose levels for the doctor?
π§ What do you do when glucose exceeds the target?
π§ Is it worth using a continuous sensor in pregnancy?
π§ How does stress influence your glucose levels?
π§ Why does glucose vary in different trimesters?
π§ What glucose level should you have before delivery?
Fetal monitoring
π§ What additional ultrasounds are necessary?
π§ How is baby's growth measured?
π§ What is the biophysical profile?
π§ Why is cardiotocography (CTG) performed?
π§ How do you monitor fetal movements at home?
π§ What do changes in amniotic fluid indicate?
π§ When does weekly monitoring begin?
π§ What fetal parameters are monitored?
π§ How is pulmonary maturity assessed?
π§ What tests determine the timing of delivery?
Delivery planning
π§ Can you have a natural birth with gestational diabetes?
π§ When is labor induction recommended?
π§ Why don't we always wait for the due date?
π§ How do you prepare for delivery?
π§ What monitoring do you have during labor?
π§ Does the newborn need special care?
π§ What happens to glucose during labor?
π§ Do you need insulin during delivery?
π§ How do you choose the right maternity hospital?
π§ What complications can occur at delivery?
Treatment and management
Managing gestational diabetes for the safest possible delivery
Diet in gestational diabetes
π§ What diet do you follow in gestational diabetes?
π§ How many calories should you consume daily?
π§ How do you distribute meals throughout the day?
π§ What carbohydrates are recommended in pregnancy?
π§ What are the best sources of protein?
π§ What fats are essential for fetal development?
π§ Can you eat fruit with gestational diabetes?
π§ What foods do you avoid completely in pregnancy?
π§ How do you manage morning sickness with diabetes?
π§ What healthy snacks can you have between meals?
Carbohydrate counting and control
π§ How many carbohydrates can you consume per day?
π§ How do you count carbohydrates at each meal?
π§ What apps help you calculate?
π§ Why is breakfast the most difficult?
π§ How do you combine foods for glycemic control?
π§ What is the plate method for pregnant women?
π§ How do you read nutrition labels?
π§ What do you do when eating out?
π§ How do you adapt traditional recipes?
π§ Why does glycemic response vary?
Physical activity in pregnancy
π§ What exercises are safe in gestational diabetes?
π§ How much exercise can you do weekly?
π§ How do you start exercising safely?
π§ Why does walking help blood glucose?
π§ Can you do yoga or pilates in pregnancy?
π§ What exercises do you avoid with gestational diabetes?
π§ How do you monitor your pulse during exercise?
π§ When should you not exercise?
π§ What do you do if you have contractions during exercise?
π§ How do you hydrate properly during exercise?
Insulin treatment
π§ When does insulin become necessary in pregnancy?
π§ Is insulin safe for the baby?
π§ What types of insulin are used in pregnancy?
π§ How do you learn to give yourself injections?
π§ Why do doses increase as pregnancy progresses?
π§ Where do you give injections in pregnancy?
π§ How do you adjust doses based on glucose values?
π§ What do you do if you forget an insulin dose?
π§ How do you store insulin properly?
π§ Do you stop insulin immediately after delivery?
Oral medications in pregnancy
π§ Can you take metformin in gestational diabetes?
π§ Is metformin safe for the fetus?
π§ In what situations is metformin preferred?
π§ What side effects does metformin have in pregnancy?
π§ How do you start metformin treatment?
π§ Can you combine metformin with insulin?
π§ What other oral medications are allowed?
π§ Why do some doctors avoid oral medications?
π§ Does metformin pass into breast milk?
π§ When do you stop medications after delivery?
Managing complications
π§ How do you treat hypoglycemia in pregnancy?
π§ What do you do when glucose remains high?
π§ How do you manage urinary tract infections?
π§ What do you do if you have ketones in urine?
π§ How do you control increased blood pressure?
π§ What nausea treatment doesn't affect glucose?
π§ How do you manage pregnancy constipation?
π§ What do you do for fluid retention?
π§ How do you treat vaginal infections?
π§ When do you contact the doctor urgently?
Monitoring and adjusting treatment
π§ How often do you go for obstetric check-ups?
π§ What do you discuss with the diabetologist at visits?
π§ How do you communicate glucose values to the doctor?
π§ When is the treatment plan modified?
π§ What tests do you repeat periodically?
π§ How do you know the treatment is working?
π§ What do you do if diet is no longer sufficient?
π§ How do you prepare for each visit?
π§ What questions do you ask the medical team?
π§ When do you request a second opinion?
Postpartum period
π§ How does glucose change after delivery?
π§ When do you do the postpartum OGTT?
π§ Can you breastfeed with gestational diabetes?
π§ How does breastfeeding influence glucose?
π§ What diet do you follow during breastfeeding?
π§ Do you continue monitoring your glucose?
π§ What is your risk of type 2 diabetes later?
π§ How do you prevent diabetes after pregnancy?
π§ What medical follow-up does the baby need?
π§ When do you plan the next pregnancy?