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FEMMES CONSULTONT NOS DOCTEURS PENDANT LA GROSSESSE:DIABETE GESTATIONNEL

Le diabète gestationnel, apparaît pour la première fois pendant la grossesse et disparaît en général après l'accouchement.
Glycémie de la femme enceinte
Risque
Femmes les plus exposées
Risques pour le bébé
Risques après l'accouchement
Prévention du diabète gestationnel
Traitement
Régime
Notre vidéo
A lire aussi: Régime diabète gestationnel

Glycémie de la femme enceinte
Il correspond à l'augmentation de la glycémie, taux de sucre dans le sang. Le chiffre des femmes atteintes de ce diabète augmente un peu partout dans le monde.
5à 6 % des femmes enceintes sont concernées.

Une femme présentant une glycémie de 0,9 g/litre peut désormais, selon les résultats d'une étude présentée au cours du congrès de l'association américaine du diabète en été 2007, être considérée comme présentant un diabète gestationnel.

L'ALFEDIAM, association de langue française pour l'étude du diabète et des maladies métaboliques préconise de rechercher systématiquement un diabète gestationnel en effectuant un dosage de la glycémie chez toutes les femmes enceintes à 28 semaines de grossesse.
Risque
Le diabète gestationnel représente une complication de plus en plus fréquente de la grossesse avec des conséquences pour la future maman ou pour le bébé.

Le risque de récidive d'apparition d'un diabète gestationnel au cours d'une grossesse suivante est de 66%. Plus le taux de glycémie n'est élevé et plus le risque de voir apparaître un diabète gestationnel est important.

Pour en savoir plus consulter les sites:
de l'ALFEDIAM
de L'AFD, association française des diabétiques

Femmes les plus exposées
Il est important de dépister précocement l'apparition du diabète gestationnel chez les femmes présentant ce risque.
Présence de diabète dans la famille
Un excès de poids : une femme dont l'IMC est supérieur à 25 est exposée aux risques de diabète gestationnel.
Constatation d'un taux élevé de la glycémie sous pilule.
Un poids de naissance de la mère supérieur à 4 kg ou inférieur a 2.5 kg
Femme âgée de plus de 35 à 40 ans
Antécédent de fausses couches, de malformations du foetus ou de mort du foetus.
Antécédent de macrosomie foetale (mensurations du foetus au dessus des courbes du périmètre crânien et abdominal) au cours d'une grossesse précédente.
Femmes originaires d'Asie, d'Afrique du Nord ou des Antilles.
Au cours d'une grossesse précédente
Diabète gestationnel lors d'une grossesse précédente
Accouchement de bébés de plus de 4 kg

Le diabète gestationnel apparaît en l'absence de facteur de risque dans plus de 50% des cas.

Risques pour le bébé
Prise de poids excessive
Adiposité du foetus
Augmentation du risque de césarienne
Risque d'hypoglycémie (glycémie basse)

Risques après l'accouchement
Le diabète disparaît dans 98% des cas après l'accouchement. Le risque de développer un diabète définitif n'est pas négligeable.

Conseils pour diminuer les risques de développer un diabète à plus long terme
Revenir rapidement à un poids normal
Adopter une alimentation équilibrée
Avoir activité physique régulière
Surveiller la glycémie environ six mois après la naissance du bébé, et une fois par an par la suite.

Pour en savoir plus : consulter le site de la Haute Autorité, HAS
Prévention du diabète gestationnel
Prévenir et connaître les mesures diététiques à mettre en place dès son dépistage. La future maman doit avoir une alimentation équilibrée, et ceci dès le début de sa grossesse. Une activité physique est fortement recommandée.
Eviter les aliments sucres.
Consommer au maximum 3 fruits par jour car ils apportent du sucre.
Limiter la consommation de boissons sucrées du type soda, sirop, jus de fruits
Utiliser les matières grasses en quantité modérée

Traitement
Lorsqu'un diabète gestationnel est diagnostiqué, un régime destiné à obtenir une glycémie sanguine normale (taux sanguin de sucre) doit être instauré. Un traitement par insuline est parfois nécessaire lorsque le régime est inefficace.

L'objectif du traitement est de maintenir une glycémie normale tout en en réussissant à maintenir une alimentation saine pour la maman et pour l'enfant.

Il est indispensable de surveiller régulièrement
La glycémie
La présence de sucre dans les urines
La tension artérielle.

Il est nécessaire de consulter plus fréquemment son médecin qui décidera du rythme des consultations. *L'avis d'un endocrinologue, médecin spécialisé dans la surveillance du diabète, pourra être proposé.
Régime
Evitez les gâteaux ou des sucreries, jus de fruits, compotes, sucre et dérivés
Consommer des sucres lents, féculents ou pain, complets de préférence, à chaque repas accompagnés de légumes : les fibres qu'ils contiennent permettent de ralentir l'absorption du sucre, donc de limiter le taux de sucre dans le sang.
Privilégier les produits laitiers nature plutôt qu'un fruit qui apporterait plus de sucre

Des injections d'insuline sont envisagées si la glycémie ne se normalise pas malgré les conseils alimentaires

English translation by community member hsloss

Women consult our doctors during pregnancy: Gestational Diabetes

Gestational diabetes presents for the first time during pregnancy and generally disappears after giving birth.
Blood glucose during pregnancy

Risks

• Women most at risk
• Risks for the baby
• Risks after childbirth

Preventing gestational diabetes

• Treatment
• Diet
• See our video
• Read: Diet for gestational diabetes

Blood glucose during pregnancy

This corresponds to an increased level of blood glucose, or sugar in the blood. The number of women with this condition is growing throughout the world to around 5 to 6% of pregnant women.

A women with a blood glucose reading of 0.9 g/liter is considered to have gestationall diabetes, according to a study presented by conference of the American Diabetes Association in Summer 2007.

L’ALFEDIAM, the Francophone Association for the Study of Diabetes and Metabolic Diseases, advocates for systematic research into gestational diabetes by performing a blood glucose test on all pregnant women at 28 weeks of pregnancy.
Risks

Gestational diabetes presents a more common complication in pregnancy for both the future mother and the baby.

The risk of recurrent gestational diabetes during and following pregnancy is 66%. The higher one’s blood glucose level is, the higher the risk of developing gestational diabetes.

To learn more, consult the following sites:

• L’ALFEDIAM: L’Association de Langue Française pour l'Etude du Diabète et des Maladies Métaboliques (The Francophone Association for the Study of Diabetes and Metabolic Diseases).

• L'AFD: L’Association Française des Diabétiques (The French Association of Diabetics).

Women Most at Risk:

It is important to detect early-onset gestational diabetes in women who present the following risks:

• A family history of diabetes
• Overweight: A woman with a BMI greater than 25 is at a higher risk of gestational diabetes.
• High blood glucose readings while on the pill.
• If the mother’s birth weight was greater than 4 kg or less than 2.5 kg.
• Women between the ages of 35 and 40.
• A history of miscarriages, fetal malformations or fetal death.
• A history of fetal macrosomia (fetal measurements above the curve for head and abdominal circumference) during a previous pregnancy.
• Women of Asian, North African or Antillean origin.
• The following were present during a previous pregnancy:
◦ Gestational diabetes
◦ The delivery of a baby weighing more than 4 kg.

In 50% of cases, gestational diabetes occurs without these risk factors.

Risks for the baby:
• Excessive weight gain
• Fetal adiposity
• Increased incidence of a cesarean section.
• Risk of hypoglycemia (low blood sugar)
Risk after childbirth

Gestational diabetes disappears in 98% of cases after childbirth. The risk of developing diabetes in the long term is not negligible.

Tips to reduce the risk of developing diabetes in the long term:
• Quickly return to a normal weight
• Adopt a balanced diet
• Have regular physical activity
• Monitor blood glucose levels about six months after the baby is born, and once a year thereafter.

For more information visit the HAS website (High Authority on Health).

Preventing Gestational Diabetes

• Prevention and awareness of dietary measures to be in place after the screening:
◦ The mother should eat a balanced diet early in her pregnancy. Physical activity is highly recommended.
• Avoid sugary foods:
◦ Consume no more than three fruits per day, as they contain sugar.
◦ Limit the consumption of sugary drinks like soda, syrups, and fruit juices.
◦ Use fat in moderation.
Treatment

Once gestational diabetes is diagnosed, a diet designed to achieve normal blood glucose (blood sugar) should be initiated. Insulin treatment is sometimes necessary when the diet is inefficient.

The goal of treatment is to maintain a normal blood glucose level while also maintaining a healthy diet for the mother and child.

It is essential to regularly monitor:
• Blood glucose levels;
• The presence of sugar in the urine; and
• Blood pressure.

Make sure to consult your doctor, who will decide the frequency of consultations. The consultation of an endocrinologist specializing in diabetes may be proposed.

Diet

• Avoid cakes or sweets, fruits juices, compotes, and other sugar derivatives.
• Consume carbohydrates, whole starches or bread at every meal with vegetables: Fiber content can slow the absorption of sugar, thus limiting the amount of sugar in the blood.
• Focus on fluid milk products rather than fruit with high sugar
• Insulin injections should be considered if blood sugar is not normalized despite dietary changes.

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Comments

hsloss's picture

Translation

Women consult our doctors during pregnancy: Gestational Diabetes

Gestational diabetes presents for the first time during pregnancy and generally disappears after giving birth.
Blood glucose during pregnancy

Risks

• Women most at risk
• Risks for the baby
• Risks after childbirth

Preventing gestational diabetes

• Treatment
• Diet
• See our video
• Read: Diet for gestational diabetes

Blood glucose during pregnancy

This corresponds to an increased level of blood glucose, or sugar in the blood. The number of women with this condition is growing throughout the world to around 5 to 6% of pregnant women.

A women with a blood glucose reading of 0.9 g/liter is considered to have gestationall diabetes, according to a study presented by conference of the American Diabetes Association in Summer 2007.

L’ALFEDIAM, the Francophone Association for the Study of Diabetes and Metabolic Diseases, advocates for systematic research into gestational diabetes by performing a blood glucose test on all pregnant women at 28 weeks of pregnancy.
Risks

Gestational diabetes presents a more common complication in pregnancy for both the future mother and the baby.

The risk of recurrent gestational diabetes during and following pregnancy is 66%. The higher one’s blood glucose level is, the higher the risk of developing gestational diabetes.

To learn more, consult the following sites:

• L’ALFEDIAM: L’Association de Langue Française pour l'Etude du Diabète et des Maladies Métaboliques (The Francophone Association for the Study of Diabetes and Metabolic Diseases).

• L'AFD: L’Association Française des Diabétiques (The French Association of Diabetics).

Women Most at Risk:

It is important to detect early-onset gestational diabetes in women who present the following risks:

• A family history of diabetes
• Overweight: A woman with a BMI greater than 25 is at a higher risk of gestational diabetes.
• High blood glucose readings while on the pill.
• If the mother’s birth weight was greater than 4 kg or less than 2.5 kg.
• Women between the ages of 35 and 40.
• A history of miscarriages, fetal malformations or fetal death.
• A history of fetal macrosomia (fetal measurements above the curve for head and abdominal circumference) during a previous pregnancy.
• Women of Asian, North African or Antillean origin.
• The following were present during a previous pregnancy:
◦ Gestational diabetes
◦ The delivery of a baby weighing more than 4 kg.

In 50% of cases, gestational diabetes occurs without these risk factors.

Risks for the baby:
• Excessive weight gain
• Fetal adiposity
• Increased incidence of a cesarean section.
• Risk of hypoglycemia (low blood sugar)
Risk after childbirth

Gestational diabetes disappears in 98% of cases after childbirth. The risk of developing diabetes in the long term is not negligible.

Tips to reduce the risk of developing diabetes in the long term:
• Quickly return to a normal weight
• Adopt a balanced diet
• Have regular physical activity
• Monitor blood glucose levels about six months after the baby is born, and once a year thereafter.

For more information visit the HAS website (High Authority on Health).

Preventing Gestational Diabetes

• Prevention and awareness of dietary measures to be in place after the screening:
◦ The mother should eat a balanced diet early in her pregnancy. Physical activity is highly recommended.
• Avoid sugary foods:
◦ Consume no more than three fruits per day, as they contain sugar.
◦ Limit the consumption of sugary drinks like soda, syrups, and fruit juices.
◦ Use fat in moderation.
Treatment

Once gestational diabetes is diagnosed, a diet designed to achieve normal blood glucose (blood sugar) should be initiated. Insulin treatment is sometimes necessary when the diet is inefficient.

The goal of treatment is to maintain a normal blood glucose level while also maintaining a healthy diet for the mother and child.

It is essential to regularly monitor:
• Blood glucose levels;
• The presence of sugar in the urine; and
• Blood pressure.

Make sure to consult your doctor, who will decide the frequency of consultations. The consultation of an endocrinologist specializing in diabetes may be proposed.

Diet

• Avoid cakes or sweets, fruits juices, compotes, and other sugar derivatives.
• Consume carbohydrates, whole starches or bread at every meal with vegetables: Fiber content can slow the absorption of sugar, thus limiting the amount of sugar in the blood.
• Focus on fluid milk products rather than fruit with high sugar
• Insulin injections should be considered if blood sugar is not normalized despite dietary changes.

think you for the tranlation! can you give me the complete adress online for those communitties

Bénédicte Bulangalire

hsloss's picture

websites/les sites

http://www.alfediam.org
http://www.afd.asso.fr

hope this is the information you're looking for!

BENEDICTE BULANGALIRE's picture

thanks dear for this

thanks dear for this information.

Bénédicte Bulangalire

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