Lg Cwd
icon-nav-help
Need Help

Submit your question to our team of health care professionals.

icon-nav-current-questions
Current Question

See what's on the mind of the community right now.

icon-conf-speakers-at-a-glance
Meet the Team

Learn more about our world-renowned team.

icon-nav-archives
CWD Answers Archives

Review the entire archive according to the date it was posted.

CWD_Answers_Icon
April 13, 2008

Gestational Diabetes

advertisement
Question from Roswell, Georgia, USA:

What is the risk of getting gestational diabetes if you had insulin resistance as a child? I had undiagnosed insulin resistance for more than six years and had acanthosis nigricans for those six years. After losing 30% of my weight, the issue was resolved for the past 10 years, with yearly blood glucose checks and daily exercise. What is the risk of developing gestational diabetes when I get pregnant, since this manifests with insulin resistance? Can I avoid this through continuing exercise while pregnant?

Answer:

From: DTeam Staff

Since you have already manifested insulin resistance, I would think that your risk of developing gestational diabetes is higher than in the average population. Depending on your ethnic background, your risk of developing gestational diabetes is 1 to 8%. Pregnancy itself causes some degree of insulin resistance. However, if you keep your weight stable prior to conception and do not have excessive weight gain, you may be get away without diabetes. Continued exercise may be of benefit. It may be worthwhile to screen for glucose intolerance early in the pregnancy (less than 24 weeks). If the initial screening is negative, then you will still have to be screened at 24 to 28 weeks.

OWJ