Should Pregnant Women Have a Sugar Loading Test?

In this article, let’s give information about a vital issue that has been seriously discussed in recent years. The answer to the question you read above will be “Yes, it should be done”. Although the controversies confuse the pregnant women, let us state that this test is guiding in terms of both mother and baby health and many precautions can be taken according to the results of this test.

There has been an increase in pregnancy-related sugar rates in recent years.

Gestational diabetes, commonly known as gestational diabetes, is one of the important health problems that expectant mothers may encounter during pregnancy. Moreover, in this table, it can be defined as those who have a history of diabetes, not those who are not diabetic, but the increase in blood sugar due to pregnancy and the end of this situation with the end of pregnancy.

Expectant mothers are very confused about gestational diabetes, which has been on the agenda in recent years. While some expectant mothers want to have the necessary tests and keep the disease under control, some expectant mothers believe that the tests will adversely affect the pregnancy. However, due to the increase in the incidence of diabetes during pregnancy in recent years, being a mother at an advanced age and rapidly changing eating habits, it is of great importance to have these tests done.

When is OGTT (pregnancy sugar challenge test) done?

The placenta, which is formed to feed the baby during pregnancy, produces some hormones for the development and growth of the baby. These hormones can temporarily complicate the use of sugar in the mother’s circulation. As such, insulin resistance and insulin need increase. Therefore, to prevent all complications that may develop due to diabetes during pregnancy, 24-28. It is very important for public health to perform a screening test in pregnant women who do not have known diabetes between weeks of gestation.

What happens if a diabetes test is not done during pregnancy?

Undiagnosed diabetes during pregnancy or poorly controlled blood sugar levels can harm the unborn baby. In the patient with gestational diabetes, the pancreas starts to work more because the need for insulin increases. Since insulin cannot cross the placenta, it cannot enter the baby’s circulation, but sugar passes to the baby as it is. Thus, the blood sugar of the baby in the womb also rises.

How common is gestational diabetes?

According to the 2014 data of the Center for Disease Recognition and Prevention, the prevalence of gestational diabetes is 9.2 percent all over the world. This means that this disease appears in approximately one out of every 10 pregnant women. For these reasons, the test should be done in the recommended weeks of pregnancy. If it is not done and if gestational diabetes is not controlled, this time the baby’s pancreas tries to produce extra insulin to balance the rising blood sugar levels. Thus, more energy emerges in the baby, and it stores the excess in the form of fat. Thus, macrosomic babies, called large babies, are born.

How does gestational diabetes affect the baby?

  • As a result of extra insulin being made from the pancreas of babies, blood sugars can be low in the newborn period.

  • Respiratory distress is more common.

  • Cesarean section rates increase depending on the size of the baby.

  • The incidence of very serious complications such as traumatic normal birth and shoulder entrapment is increasing.

  • Babies born this way face the risk of type 2 diabetes and obesity later in life.

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