"My two sisters had to do gestational diabetes screening, should I do one too?" Anna Roy, midwife in Paris, answers Karen's question.
The answer of Anna Roy, liberal and hospitable midwife in Paris
- Diabetes is a metabolic disorder. It corresponds to a rise in the concentration of glucose, a sugar, in the blood a hyperglycemia. Gestational diabetes is diabetes that occurs during pregnancy.
- Transient and cyclical, gestational diabetes or diabetes in pregnancy can affect women who have never had diabetes before and do not necessarily have land and hereditary predispositions, parameters that increase the risk of diabetes in pregnancy.
- It can be declared following a significant weight gain. If it disappears most often after delivery, it must be supported and detected during pregnancy because it is not without risks.
- A fetus developing with maternal diabetes, may take too much weight (macrosomia), which could disrupt the smooth delivery. In addition, he is at risk of having metabolic disorders and requiring medical surveillance. On the mother's side, 50% of women with gestational diabetes are at risk of developing permanent diabetes, early in those who are obese and those with a family history of diabetes Management of gestational diabetes is based on surveillance peculiar pregnancy with nutritional measures limiting weight gain, regular control of blood sugar and sometimes insulin injections.
- Gestational diabetes is diagnosed with a fasting blood test. This screening is performed according to the risk factors, mainly in women over 35, in overweight and obese, or in those who have already given birth to a child over 4 kg. Women who have already had diabetes in a previous pregnancy, women with diabetes in their family (relatives of the first degree) are also concerned. Finally, a pregnant woman whose two sisters have been screened for gestational diabetes, either because they have gained a lot of weight or because they have family risk factors, will certainly also have to be screened.
Interview by Frédérique Odasso
Other expert answers.
To find out more: the book Welcome to the world, confidences of a young midwife, Editions Leduc (April 2015).