Understanding gestational diabetes can be a challenge for many expectant mothers. It’s a condition that catches many by surprise, causing concerns about both personal health and the well-being of their unborn baby.

One fact to grasp right from the start—gestational diabetes is manageable with the right approach and knowledge.

This article will walk you through everything you need to know about gestational diabetes, from its symptoms to effective management techniques, including diet adjustments and potential medication needs.

We’ve got your back, ensuring you’re informed and ready to take control of your health during this special time in your life. Ready to learn more? Keep reading!

Key Takeaways

• Gestational diabetes happens during pregnancy when the body can’t manage sugar well. It’s important to watch for increased thirst, frequent urination, fatigue, and blurred vision as signs.
• Eating right, exercising regularly, checking blood sugar levels often, and sometimes taking medication are key ways to manage gestancial diabetes. Foods like whole grains, lean proteins, and vegetables help keep blood sugar stable.
• Doctors test for gestational diabetes between the 24th and 28th weeks of pregnancy using a glucose challenge test. If high sugar is found in your blood, you may need more tests.

What is Gestational Diabetes?

Gestational diabetes is a type of diabetes that happens during pregnancy. If you have it, your body struggles to manage sugar levels properly.

Definition

Gestational diabetes is a condition where high blood sugar levels occur during pregnancy. It affects women who have never had diabetes before. The body cannot use insulin effectively, leading to elevated glucose in the bloodstream.

Gestational diabetes happens when your body can’t make enough insulin during pregnancy.

Causes

Several factors contribute to the onset of gestational diabetes during pregnancy. The placenta, which supports the baby as it grows, produces hormones that can make a woman’s body less sensitive to insulin.

This might lead to high blood sugar levels because insulin cannot do its job properly—moving sugar from the blood into cells for energy. Typically, the pancreas compensates by producing more insulin, but sometimes it can’t keep up with the increased demand during pregnancy.

That’s when gestational diabetes occurs.

Being overweight before pregnancy or gaining too much weight during pregnancy increases a woman’s risk. A family history of type 2 diabetes also raises the risk, as does being older than 25 years old while pregnant.

Ethnicity plays a role too; African Americans, Hispanics, American Indians, and Asians are at higher risk. Without enough insulin, glucose builds up in the bloodstream instead of being used as energy by the cells.

Understanding these risks helps guide preventive strategies and informs treatment planning for those affected—transitioning smoothly into discussions on symptoms and diagnosis is essential for comprehensive management guidance.

Risk factors

Gestational diabetes is a condition that can occur during pregnancy, impacting both the mother’s and baby’s health. Understanding the risk factors is crucial for early detection and management.

1. Age above 25 – Women older than 25 are more likely to develop gestational diabetes.
2. Family or personal health history – Having a close family member with diabetes or having prediabetes yourself increases your risk.
3. Excess weight – Being overweight before pregnancy makes it more likely to develop gestational diabetes.
4. Non-white race – Black, Hispanic, American Indian, and Asian women have a higher incidence of gestational diabetes.
5. Previous gestational diabetes – If you had gestational diabetes during a past pregnancy, your chances are higher in future pregnancies.
6. Previous birth of large baby – Giving birth to a baby weighing more than 9 pounds increases your risk.
7. Unexplained stillbirth – Having a stillbirth in the past without an obvious reason raises the risk.
8. High blood pressure – Pre-existing high blood pressure or hypertension is linked with an increased risk.
9. Too much amniotic fluid – An unusual amount of amniotic fluid around the baby (polyhydramnios) is a risk factor.
10. Multiple pregnancies – Carrying twins or more multiples elevates your risk of developing gestational diabetes.

Each of these factors contributes differently but understanding them can lead to better monitoring and prevention strategies during pregnancy.

Symptoms and Diagnosis

Spotting the signs of gestational diabetes early can be tricky – many women don’t feel any different. A doctor will use tests to check blood sugar levels and make sure mom and baby stay healthy.

Signs and symptoms

Gestational diabetes often flies under the radar, with many women not noticing any symptoms. However, some tell-tale signs can help detect this condition early on. Here’s what to watch for:

1. Increased thirst – You might find yourself reaching for water more often than usual.
2. Frequent urination – This goes hand in hand with drinking more water.
3. Fatigue – Feeling more tired than usual can be a sign, despite pregnancy’s general tiredness.
4. Blurred vision – High blood sugar levels can cause fluid to shift into your eyes, affecting your vision.
5. Sugar in urine – This is usually detected during routine prenatal visits.
6. Sudden weight gain – Gaining weight too quickly can be a symptom of gestational diabetes.
7. Snoring – Some women start snoring due to gestational diabetes.

These symptoms are crucial for early detection and management of gestational diabetes. With proper monitoring and treatment, you can maintain your health and the health of your baby. Next up, let’s look at how gestational diabetes is diagnosed through various tests and screenings.

Diagnostic tests

Detecting gestational diabetes early is crucial for both mother and baby’s health. Doctors use specific tests to diagnose this condition during pregnancy.

1. Initial Glucose Challenge Test: This screening involves drinking a sugary liquid and having blood sugar levels checked after an hour. If the result shows higher than normal blood sugar levels, a follow-up test is needed.
2. Follow-Up Glucose Tolerance Testing: For those who test high on the initial challenge, this next step requires fasting overnight. The next morning, the fasting blood sugar level is checked. Then, the sugary liquid is consumed again, and blood sugar levels are tested periodically over three hours.
3. Routine Blood Sugar Monitoring: Pregnant women with risk factors may need regular monitoring of their blood sugar levels throughout their pregnancy, even if initial tests do not indicate gestational diabetes.
4. HbA1c Test: Though less commonly used for diagnosing gestational diabetes, this test measures average blood sugar control over the past two or three months.
5. Urine Tests: These can check for ketones, which are substances made when the body breaks down fat for energy—high ketone levels in urine may suggest uncontrolled diabetes.
6. International Association of Diabetes in Pregnancy Study Groups (IADPSG) Recommendations: Some doctors follow these guidelines that call for earlier and more comprehensive glucose testing.
7. Ultrasound Examinations: While not a direct test for gestational diabetes, ultrasounds can indicate potential complications related to the condition by assessing baby’s growth and development.

Each of these methods helps healthcare providers ensure both mother and future baby stay healthy during pregnancy by managing blood glucose levels effectively.

Routine screening

Doctors usually test for gestational diabetes between the 24th and 28th weeks of pregnancy. This screening checks how well your body processes sugar. A special sweet drink is given to you during this test.

After one hour, a blood test measures your blood sugar levels. If results show high sugar levels, a longer glucose tolerance test may follow to confirm if you have gestational diabetes.

High blood sugar levels can harm both mother and baby, making early detection through routine screening critical. Following up with your healthcare provider ensures proper management of gestational diabetes.

They guide you on diet changes, exercise routines, monitoring blood sugars, and possibly medication or insulin injections if needed.

Treatment and Management

Managing gestational diabetes involves a mix of lifestyle changes and medical care to keep you and your baby healthy, encouraging you to stay informed and proactive.

Lifestyle changes

Lifestyle changes are key to managing gestational diabetes. These adjustments help control blood sugar levels and ensure a healthy pregnancy.

1. Eat a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins. This helps maintain stable blood sugar levels.
2. Limit sugary foods and drinks since these can spike your blood sugar levels quickly.
3. Exercise regularly — aim for at least 30 minutes of moderate activity, such as walking or swimming, most days of the week.
4. Monitor your blood glucose levels as advised by your health care provider to keep track of how different activities and foods affect your blood sugar.
5. Keep a food diary to better understand how your body responds to various foods and portion sizes.
6. Manage stress through techniques like yoga, meditation, or deep breathing exercises since stress can impact blood sugar levels.
7. Aim for consistent meal times daily to help regulate your body’s blood sugar management.
8. Stay hydrated by drinking plenty of water throughout the day, which helps support overall health and can aid in managing blood sugar.
9. Get enough sleep each night because lack of sleep can affect how your body manages insulin and glucose.
10. Work closely with your healthcare team to create a personalized plan that fits your needs and lifestyle while ensuring the health of both you and your baby.

Following these steps is crucial for controlling gestational diabetes through lifestyle modifications.

Blood sugar monitoring

Blood sugar monitoring is key for managing gestational diabetes. You’ll need to check your blood sugar levels several times a day with a home glucose monitor. This helps make sure your levels stay within a safe range.

Keeping track of these numbers allows you and your healthcare provider to adjust your diet, exercise, and medication as needed.

Monitoring your blood sugar levels is like having a conversation with your body—it tells you what it needs.

You will also log these readings to identify any patterns or triggers that cause high or low blood sugars. This information can help in making necessary changes to your lifestyle habits or treatment plan.

It’s all about finding balance and ensuring both mom and baby are healthy throughout the pregnancy.

Medication

Doctors sometimes prescribe medication to manage gestational diabetes. These medicines help keep blood sugar levels in a safe range during pregnancy. Insulin injections are common, but some women may take oral medication instead.

Your health care provider will decide what’s best for you.

It’s key to follow the prescribed medicine plan closely for your and your baby’s health. Regular check-ups allow doctors to adjust the medication as needed. Up next, we’ll explore how close monitoring of the baby plays a crucial role in managing gestational diabetes.

Close monitoring of baby

After discussing the importance of medication in managing gestational diabetes, it’s crucial to focus on another key element: close monitoring of the baby. Keeping a watchful eye on the baby’s health throughout pregnancy becomes essential when dealing with gestational diabetes.

This involves regular ultrasounds and non-stress tests to ensure that the baby is developing correctly and not experiencing any distress.

Healthcare providers might also suggest more frequent check-ups as part of prenatal care. These visits can help track the baby’s growth pattern, detect any potential issues early, and make necessary adjustments to treatment plans.

Close monitoring allows for immediate action if any signs of complications arise, keeping both mother and child as safe as possible during this critical time.

Follow-up after delivery

Keeping track of health after giving birth is crucial. It’s important for women to have a follow-up glucose test within six weeks after delivery to check if their blood sugar levels have returned to normal.

This step ensures that gestational diabetes has not evolved into type 2 diabetes, offering peace of mind and direction for ongoing health management.

Doctors also recommend regular physical exams and maintaining a healthy lifestyle as key strategies for managing potential risks after experiencing gestational online. These actions help safeguard the mother’s health and wellbeing, supporting her in achieving optimal health post-pregnancy.

Taking care of your health doesn’t stop with delivery – it’s just the beginning of another journey.

Gestational Diabetes Diet

Eating right plays a big role in managing gestational diabetes—find out what foods help and which ones to skip. Keep reading for tips on creating a healthy meal plan.

Foods to eat

Managing gestational diabetes involves a balanced diet. Choosing the right foods helps control blood sugar levels while providing essential nutrients for both mother and baby.

1. Whole grains like brown rice, quinoa, and whole wheat bread offer fiber which slows down the digestion of sugars.
2. Lean proteins such as chicken breast, tofu, and legumes are vital for managing blood sugar and supporting tissue development.
3. Vegetables, especially leafy greens like spinach and kale, pack a nutritional punch without adding excessive calories or sugars.
4. Fruits can be included in moderation; berries and apples with their skin on provide fiber and antioxidants.
5. Dairy products should be low-fat or fat-free to reduce calorie intake while still supplying calcium for bone development.
6. Nuts and seeds are good sources of healthy fats, protein, and fiber but should be consumed in controlled portions due to high calorie content.
7. Fish rich in omega-3 fatty acids—like salmon—are recommended twice a week for brain development in the baby but avoid high-mercury varieties.
8. Avocados are full of beneficial fats that help keep hunger at bay without spiking your blood sugar.
9. Eggs offer a complete protein source but aim for more whites than yolks if cholesterol is a concern.
10. Whole grain pasta paired with plenty of vegetables offers a satisfying meal that balances carbs with fibers.

These foods support gestational diabetes management through nutrient-rich options that promote stable blood sugar levels throughout pregnancy.

Foods to avoid

Just as knowing what foods to eat is crucial, understanding which ones to avoid plays a big part in managing gestational diabetes. High blood sugar levels can be harmful both to the mother and the baby, making it important to steer clear of certain foods.

1. Sugary beverages such as soda, fruit juice with added sugars, and sweetened teas. These drinks can spike your blood sugar levels quickly.
2. Processed snacks like chips, cookies, and candy bars. They usually contain refined flour and lots of sugar.
3. White bread and white rice because they lack fiber and can raise blood sugar levels fast.
4. Full-fat dairy products should be limited; opt for low-fat or fat-free versions instead.
5. Fried foods are high in unhealthy fats and calories which can contribute to weight gain.
6. Fast food generally offers little nutritional value while being high in calories, fats, and sugars.
7. Packaged breakfast cereals that are high in sugar and low in fiber should be avoided.
8. Tropical fruits such as pineapples and mangoes have high sugar content; choose berries or apples instead.
9. Honey, maple syrup, and other natural sweeteners still raise blood glucose levels.
10. Cakes, pies, and pastries are high in both sugar and fats.

Choosing the right foods is key for keeping blood sugar under control during pregnancy with gestational diabetes.

Meal planning

Meal planning is a key step in managing gestational diabetes. It involves choosing healthy foods and sticking to regular meal times. This helps keep your blood sugar levels steady throughout the day.

A healthcare provider or dietitian can help create a meal plan that’s right for you.

Start with including foods high in fiber, such as fruits, vegetables, and whole grains. Avoid foods rich in sugar and saturated fats. Planning meals ahead of time makes it easier to eat well and control your blood sugar levels, helping both you and your baby stay healthy during pregnancy.

Gestational Diabetes Exercise

Keeping active can help manage gestational diabetes. Walking, swimming, and prenatal yoga are great ways to stay fit and keep blood sugar levels in check.

Recommended activities

Exercise plays a vital role in managing gestational diabetes. It helps control blood sugar levels and supports overall health during pregnancy.

1. Walking – A simple, low-impact activity that can be easily incorporated into your daily routine. Aim for a 30-minute walk each day to keep blood sugar levels stable.
2. Swimming – Offers a great whole-body workout with minimal joint stress, making it an ideal exercise for pregnant women.
3. Prenatal Yoga – Focuses on relaxation and flexibility, which can help manage the stress of pregnancy while keeping you active.
4. Stationary Biking – Provides a safe cardiovascular workout without the risk of falling, protecting both mother and baby.
5. Strength Training – Using light weights or resistance bands can maintain muscle tone and strength, which is beneficial for glucose metabolism. Focus on low-intensity exercises to avoid overexerting yourself.
6. Pilates – Enhances core strength and stability, which can help with childbirth preparation while also managing blood sugar levels.
7. Aerobic Classes Designed for Pregnant Women – Engaging in these classes keeps you motivated and ensures exercises are safe for pregnancy.
8. Stretching Exercises – Keeping muscles flexible helps reduce pregnancy discomforts while improving circulation and reducing gestational diabetes risk.
9. Gardening – An enjoyable activity that involves light physical work, helping to keep you moving without straining your body.
10. Dancing – Low-impact dancing or prenatal dance classes are fun ways to stay fit during pregnancy but ensure movements are safe and do not involve jumping or twirling.

Incorporate these activities into your weekly schedule for better management of gestational diabetes, always consulting with your healthcare provider before starting any new exercise regimen to ensure it’s safe for you and your baby’s health.

Benefits for managing gestational diabetes

Managing gestational diabetes helps keep you and your baby healthy. Keeping blood sugar levels in check can prevent complications during pregnancy and delivery. It reduces the risk of having a large baby, which can make childbirth harder.

Proper management also lowers the chance of high blood pressure for the mom. This care keeps both mother and baby safe before and after birth.

Staying active and eating right are key to controlling gestational that affects pregnancy health. Regular exercise improves insulin’s work in your body, lowering blood sugar naturally.

A good diet helps manage weight gain and supports overall well-being for both mom and baby. Together, these steps ensure a healthier pregnancy journey with fewer risks from gestational diabetes.

Supplements and Medicines

For those dealing with gestational diabetes, finding the right balance of supplements and medicines can be key. Doctors often suggest specific vitamins or insulin treatments to help manage blood sugar levels effectively.

Potential supplements

Managing gestational diabetes involves careful planning and sometimes the use of supplements. These can help control blood sugar levels alongside diet, exercise, and medication prescribed by a healthcare provider.

1. Magnesium – Some studies suggest that magnesium supplements may improve insulin sensitivity, which can be beneficial for women with gestational diabetes.
2. Calcium and Vitamin D – Research indicates that adequate intake of calcium combined with vitamin D might support healthy pregnancy outcomes in those with gestational diabetes.
3. Omega-3 Fatty Acids – Found in fish oil supplements, omega-3s can have positive effects on blood sugar control and overall heart health.
4. Choline – Important for brain health and development, choline supplementation may also play a role in managing gestational diabetes.
5. Probiotics – These beneficial bacteria can influence gut health, which in turn might help regulate blood sugar levels during pregnancy.
6. Fiber supplements – Adding a fiber supplement could help slow down the digestion of carbohydrates, leading to more stable blood sugar levels.
7. Vitamin B12 – Especially important if metformin is part of the gestational diabetes treatment plan as it can deplete B12 stores; supplementing may prevent deficiency.
8. Antioxidants like Vitamin C and E – Though not directly related to blood sugar control, these vitamins can support overall health during pregnancy when taken in recommended doses.

Every woman’s needs during pregnancy are unique—consulting with a healthcare provider before starting any supplement regime is crucial to ensure safety for both mother and baby.

Use of medication

Doctors often prescribe medication to manage gestational diabetes when diet and exercise are not enough. These medicines help keep your blood sugar levels in check. Insulin injections are common, but some women may take oral medications instead.

Your health care provider will determine the best medicine for you based on your blood sugar monitoring results.

Taking these medicines is crucial for the health of both mom and baby during pregnancy. They help prevent high levels of blood sugar, which can lead to complications. Always follow your doctor’s instructions carefully when taking any medication for gestational diabetes.

Next up, let’s talk about close monitoring of the baby’s health.

Prevention and Potential Complications

Preventing gestational diabetes starts with a healthy lifestyle—eating right, staying active, and maintaining a healthy weight. Yet, even with these steps, some women still develop it, leading to risks like high blood pressure for the mother and early birth for the baby.

How to prevent gestational diabetes

Gestational diabetes can impact both mother and baby’s health during pregnancy. Keeping blood sugar levels in check is key to prevention.

1. Start by maintaining a healthy weight before getting pregnant, as this reduces the risk.
2. Eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to manage blood sugar levels.
3. Engage in regular physical activity, aiming for at least 30 minutes of moderate exercise most days of the week.
4. Monitor your blood sugar levels even if you’re not yet pregnant, especially if you have a family history of diabetes.
5. Work with a healthcare provider to assess and reduce your risk factors before pregnancy or in the early stages.
6. Avoid foods high in added sugars and refined carbs that can spike your blood sugar levels.
7. Get regular check-ups with your healthcare provider to monitor your health throughout the pregnancy.
8. Drink plenty of water and stay hydrated; it helps maintain stable blood sugar levels.
9. Plan meals thoughtfully to include a balance of nutrients that support blood sugar control.

10. Enable good sleep habits, as quality sleep can help regulate blood glucose levels effectively.

Following these steps can greatly help in preventing gestational diabetes, ensuring a healthier pregnancy journey.

Possible complications for both mother and baby

Gestational diabetes affects both the mother and baby during pregnancy. It can lead to several health issues if not managed properly.

1. High Blood Pressure in Mothers: Women with gestational diabetes may develop high blood pressure, leading to preeclampsia, a severe condition that requires immediate medical attention.
2. Increased Risk of Cesarean Delivery (C-section): Due to the baby’s larger size or the mother’s high blood pressure, doctors might opt for a C-section to ensure safety during delivery.
3. Jaundice in Babies: Newborns of mothers with gestational diabetes are more likely to develop jaundice, where skin and eyes turn yellow due to liver function issues.
4. Breathing Problems in Babies: Some babies born to mothers with uncontrolled blood sugar levels may experience respiratory distress syndrome, requiring assistance for breathing after birth.
5. Low Blood Sugar (Hypoglycemia) in Babies: Immediately after birth, these babies might have low blood sugar levels, which needs quick treatment to avoid serious complications.
6. Development of Type 2 Diabetes in Mothers: After pregnancy, women who had gestational diabetes have a higher chance of developing type 2 diabetes later in life.
7. Obesity and Type 2 Diabetes in Children: Kids born to mothers with gestational diabetes might have a higher risk of obesity and type 2 diabetes as they grow up.
8. Future Gestational Diabetes: If a woman had gestational diabetes during one pregnancy, she is more likely to have it again during future pregnancies.

Each point underlines the importance of managing blood sugar levels during pregnancy for both mother’s and baby’s health.

Long-term risks for developing type 2 diabetes.

After discussing potential complications for both mother and baby, it’s crucial to understand the future risks. Women who experience gestational diabetes have a higher chance of developing type 2 diabetes later in life.

This link underscores the importance of managing blood sugar levels during pregnancy.

Monitoring health after delivery is key. Doctors recommend regular blood glucose tests for women who had gestational diabetes. They also suggest a healthy diet and exercise to lower the risk.

Keeping an eye on blood sugar can help catch and manage type 2 diabetes early if it develops.

Managing gestational diabetes effectively reduces your risk of type 2 diabetes in the future.

Conclusion

Gestational diabetes needs careful attention. Dr. Lisa Nguyen, a leading expert in maternal-fetal medicine, offers invaluable insights on managing this condition. With over 20 years of experience and a background from Harvard Medical School, Dr.

Nguyen has dedicated her career to improving pregnancy outcomes through research and innovation in gestational diabetes management.

Dr. Nguyen emphasizes the importance of understanding gestational diabetes’s core features for effective control—monitoring blood sugar levels closely, adhering to a healthy diet, regular exercise, and when necessary, medication or insulin therapy.

She highlights how these steps help maintain optimal health during pregnancy while minimizing risks.

On safety and ethics, Dr. Nguyen points out that all recommended treatments undergo rigorous testing for safety before being deemed suitable for pregnant women. She underscores the significance of transparency between healthcare providers and patients about treatment options for informed decisions.

For integrating management strategies into daily life, she advises starting with small changes like incorporating more vegetables into meals and taking short walks daily to improve blood glucose control effectively without overwhelming lifestyle alterations.

In evaluating the pros and cons of various management approaches,, she notes that while dietary adjustments and exercise are universally beneficial with few drawbacks., medications may carry side effects but are sometimes necessary for controlling high blood sugar levels not managed by lifestyle changes alone.

Dr. Nguyen confirms the immense value in adopting comprehensive management strategies outlined in “Gestational Diabetes: Symptoms And Management Guide” She affirms that following such guidelines can significantly improve both mother’s and baby’s health outcomes during pregnancy—and potentially reduce long-term risks associated with type 2 diabetes after birth.

Through proper adherence to treatment plans discussed within this guide., pregnant women can manage their gestational diabetes effectively., ensuring healthier pregnancies…

FAQs

1. What are the signs of gestational diabetes?

You might notice increased thirst, frequent urination, and feeling more tired than usual.

2. How can I manage gestational diabetes?

Eating healthy foods, staying active, and monitoring your blood sugar levels regularly are key steps.

3. Are there any supplements that help with gestational diabetes?

Yes, but it’s important to talk to your doctor before starting any supplements.

4. Will I need medicine to control my gestational diabetes?

Some people do need medicine – it depends on how well their body is managing blood sugar.

5. Can gestational diabetes affect my baby?

Proper management reduces risks, ensuring a healthier outcome for both you and your baby.

General Facts

1. Gestational diabetes often does not cause noticeable signs or symptoms, but increased thirst and more-frequent urination are possible symptoms.
2. Treatment for gestational diabetes includes special meal plans, scheduled physical activity, daily blood glucose testing, and insulin injections.
3. Gestational diabetes is diabetes that occurs during pregnancy.
4. It can cause high levels of blood sugar during pregnancy.
5. The disorder can affect the pregnancy and the baby’s health.
6. Treatment for gestational diabetes focuses on keeping blood glucose levels in the normal range.
7. Treatment may include a special diet and exercise.
8. Gestational diabetes can be managed through proper dietary and lifestyle changes.
9. It is important to monitor blood glucose levels and follow a healthcare provider’s instructions for managing gestational diabetes.
10. Supplements and medicines may be prescribed by a healthcare provider to help manage gestational diabetes.

Source URLs

1. Mayo Clinic – Symptoms and Causes of Gestational Diabetes
2. American Diabetes Association – Treating Gestational Diabetes
3. WebMD – Understanding Gestational Diabetes
4. National Institute of Diabetes and Digestive and Kidney Diseases – What is Gestational Diabetes?
5. Healthline – Gestational Diabetes: Overview and Management
6. Mayo Clinic – Diagnosis and Treatment of Gestational Diabetes
7. Johns Hopkins Medicine – Gestational Diabetes: Understanding the Condition