Gestational diabetes symptoms

Written by Lin Xiang Dong
Endocrinology
Updated on September 08, 2024
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Gestational diabetes shows several symptoms, the most typical being the "three more one less" syndrome, namely increased thirst, increased appetite, urination, and weight loss. The second common manifestation is fatigue, which is due to glucose not being utilized effectively in the body and being broken down too quickly, leading to insufficient energy replenishment. The third is unexplained frequent fungal infections, such as recurring candidal infections of the vulva and vagina, at which point blood sugar screening should be considered. The fourth symptom is pregnancy accompanied by excessive amniotic fluid or a large fetus. The fifth is glucose positivity in urine from two fasting morning samples.

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Gestational diabetes symptoms

Gestational diabetes refers to the abnormal glucose tolerance that occurs during pregnancy, typically characterized by mild, asymptomatic elevated blood sugar levels without obvious symptoms such as dry mouth, excessive thirst, and frequent urination. However, when blood sugar levels are high, symptoms typical of diabetes such as dry mouth, excessive thirst, and frequent urination may occur. If excessive amniotic fluid, a large fetus, or recurrent infections of the external genitalia occur during pregnancy, it is important to be vigilant for the presence of diabetes. It is generally recommended that patients undergo the OGTT (Oral Glucose Tolerance Test) during the mid-stage of pregnancy to confirm whether gestational diabetes is present. Women's blood sugar levels generally return to normal after childbirth, but the risk of developing diabetes later increases significantly. Therefore, patients with gestational diabetes should be screened for diabetes 6-12 weeks postpartum and monitored over the long term.

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How long does prediabetes take to turn into diabetes?

How long it takes for prediabetes to progress into diabetes varies, with no definitive answer, as it differs from person to person. Whether prediabetes will develop into diabetes largely depends on blood sugar control. Clinical experience shows that some individuals never progress to diabetes after adjusting their diet and exercise routines. However, if a patient does not take their condition seriously and fails to change their lifestyle, it might take as little as 2-3 years or as long as 5-10 years to develop into diabetes. Therefore, it is crucial to manage lifestyle promptly upon prediabetes diagnosis, paying attention to blood sugar monitoring and pancreatic function tests.

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Care of diabetic foot

The care of diabetic foot is very important. In our daily life, we need to do the following aspects. First, regularly wash and check both feet. During washing, the water temperature should not be too high. Also, keep the skin moist to prevent it from drying and cracking. Second, choose suitable shoes and socks, preferably loose-fitting to avoid tightness. Third, be careful when trimming toenails, making sure not to damage the skin of the feet. If there are any sores, go to the hospital immediately for treatment. Fourth, avoid using corrosive chemicals on the feet.

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Gestational diabetes range

Gestational diabetes refers to abnormal blood sugar levels occurring during pregnancy. This term is used if the diagnosis is made during pregnancy, and does not include patients who were already diabetic before pregnancy, who are referred to as having diabetes concurrent with pregnancy. The criteria for diagnosing gestational diabetes are based on the results of the OGTT (Oral Glucose Tolerance Test) conducted between 24-28 weeks of pregnancy. According to the OGTT results, a fasting blood sugar level ≥ 5.1 mmol/L, a one-hour blood sugar level ≥ 10.0 mmol/L, or a two-hour blood sugar level ≥8.5 mmol/L, meeting any one of these criteria confirms a diagnosis of gestational diabetes.

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What is gestational diabetes?

Gestational diabetes, also known as pregnancy-induced diabetes, generally refers to a condition diagnosed during pregnancy where varying degrees of high blood sugar levels are detected for the first time. This includes some cases where glucose intolerance or diabetes was undiagnosed before the pregnancy. Most patients see their blood sugar levels return to normal after delivery, but regardless of whether the high blood sugar normalizes post-pregnancy, it is considered gestational diabetes. Currently, the diagnostic criteria for gestational diabetes include a 75-gram oral glucose tolerance test. If the fasting blood glucose level is greater than or equal to 5.1 mmol/L, the blood glucose level after one hour is greater than or equal to 10.0 mmol/L, and the blood glucose level after 120 minutes is greater than or equal to 8.5 mmol/L, then gestational diabetes can be diagnosed.