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Gestational diabetes mellitus

Gestational diabetes mellitus - Treatments

When you have GDM, you will be under the care of a specialist healthcare team comprising obstetricians, endocrinologists, specialised nurses and dieticians.

GDM usually improves with lifestyle measures such as healthy eating and exercise.
Despite best efforts at achieving a healthy lifestyle, some women need to take tablets or insulin injections to control their glucose levels.

You will be taught how to use a glucometer to monitor your sugar levels at different time points within the day, and how to self-inject insulin if you need insulin therapy. 

At every doctor’s visit, a blood test (HbA1c) will be done to measure your average blood glucose level. Blood pressure checks, urine tests, and ultrasound scans to monitor your baby’s growth will also be done to ensure that the pregnancy is a healthy one.

Your specialist team will give you advice about the timing and type of delivery. During labour, blood glucose levels will be monitored frequently and some women may require an insulin drip for optimal control.

After delivery, most patients who require tablets or insulin injections during pregnancy are able to stop their medications. However, some women may have persistent diabetes after pregnancy. Therefore, a repeat OGTT is needed about 6 – 12 weeks after delivery to check if the GDM has resolved.

Gestational diabetes mellitus - Preparing for surgery

Gestational diabetes mellitus - Post-surgery care

Gestational diabetes mellitus - Other Information