One of the complications of pregnancy is sometimes gestational diabetes. Gestational diabetes occurs only during pregnancy. It is like other forms of diabetes in that it affects the way your body uses blood sugar (glucose). As a result, your blood sugar level is too high. Gestational diabetes left untreated can result in a variety of health problems for you and your baby.
Symptoms of gestational diabetes:
?Excessive thirst
?Increased urination
Some women are at greater risk for developing gestational diabetes. Any pregnant woman can develop it. Review the following factors that can increase your risk of developing gestational diabetes during pregnancy:
?Age: Women older than age 25 are at a higher risk
?Family or personal history: If you have a close family member such as a parent or sibling who has type 2 diabetes you are at higher risk. If you had gestational diabetes in your previous pregnancy, you are at a higher risk for subsequent pregnancies.
?Weight: Gaining a lot of weight during pregnancy does not cause gestational diabetes, however, if you are overweight before pregnancy, you are at a higher risk for gestational diabetes.
?Race: It is unclear why women of some races are more likely to develop gestational diabetes. An increased risk is present for black, Hispanic or American Indian women.
?Previous complicated pregnancy: An unexplained stillbirth or a baby who weighed more than 9 pounds may call for a pre-screening for gestational diabetes the next you become pregnant.
There are women who develop gestational diabetes with no known risk factors.
Treatment for gestational diabetes:
?Controlling blood sugar usually with diet and exercise, however, if diet and exercise does not control the blood sugar, your doctor may prescribe medication. Monitoring blood sugar is the key to your treatment program because it tells you whether your blood sugar is within a normal range.
One of the best ways to control your blood sugar level is to eat the right kind and amount of food. Healthy diets are important for every pregnant woman. Eating a healthy diet is even more important if you have gestational diabetes.
You will need to eat more fruits, vegetables and whole grains. You want to eat foods high in nutrition and low in fat and calories, fewer animal products and sweets. In addition, working with a registered dietitian or counselor can help you put together an individual meal plan based on your blood sugar level, height, weight, exercise habits and food preferences.
Regular physical activity causes sugar to be transported to your cells where it is used for energy and lowers the levels in your blood. Exercise also reduces blood sugar by increasing your sensitivity to insulin.
Regular exercise during pregnancy has many other benefits which include:
?Preventing some of the discomforts of pregnancy such as back pain, muscle cramps, swelling, constipation and difficulty sleeping
?Regular exercise can help you prepare for labor and delivery
?With increased muscle strength and endurance you will reduce stress on your ligaments and joints during delivery. Regular exercise can also help you during labor, delivery and shorten your recovery time.
Your goal for exercise during pregnancy should be moderate aerobic exercise on most days. If you are not generally active, start slowly and build up gradually. Best results are achieved through a program of aerobic activity, stretching and strength-training exercise.
Although gestational diabetes is reason for concern and closer monitoring for you and the baby, it is a complication of pregnancy that can be successfully treated.
Source: Mayo Foundation for Medical Education and Research (2007)
Disclaimer: *This article is not meant to diagnose, treat or cure any kind of a health problem. These statements have not been evaluated by the Food and Drug Administration. Always consult with your health care provider about any kind of a health problem and especially before beginning any kind of an exercise routine.
This article is FREE to publish with the resource box. Article written 3-2007.
Diabetes Symptoms And Treatment
• Fingers
• Hips
• Knees
• Lower back
• Feet
At first osteoarthritis may affect only one joint, but if your fingers are affected, multiple hand joints may become arthritic.
There are available treatments for osteoarthritis, but no cure. The available treatments can relieve pain and help you remain active.
Some people may not experience symptoms because the disease often develops slowly. Signs and symptoms of osteoarthritis may include:
• Pain in a joint during or after use, or after a period of inactivity
• Discomfort in a joint before or during a change in the weather
• Swelling and stiffness in a joint, particularly after using it
• Bony lumps on the middle or end joints of your fingers or the base of your thumb
• Loss of joint flexibility
Areas in which osteoarthritis typically affects include:
• Fingers: Bony knobs can enlarge your finger joints and create a gnarled appearance. Early in the disease, your joints may feel painful or stiff and numb. The pain eventually often subsides, but leaves bony nodes that affect the mobility of the joints at the end of your fingers. The nodes run in families and affect women more than men.
• Spine: As the disk slowly deteriorate between the bones along your spine, back and neck pain and stiffness may occur.
• Weight-bearing joints: The hips, knees and feet are more susceptible to osteoarthritis because they bear the majority of your body's weight. Over the years cartilage slowly deteriorates and chronic pain or varying amounts of discomfort when you stand and walk can occur. Swelling especially in the knees may also occur.
Treatment for osteoarthritis
Your doctor may recommend a combination of treatment that includes medication, self-care, physical therapy and occupational therapy. Surgical procedures may also be necessary in some cases.
Medications may include:
• Topical pain relievers such as Aspercreme or Sportscreme, Icy Hot and Ben-Gay.
• Acetaminophen like Tylenol and others can relieve pain but does not reduce inflammation
• NSAIDs: Nonsteroidal anti-inflammatory drugs work to relieve pain and fight inflammation. They range from OTC aspirin, ibuprofen like Advil, Motrin IB and others to prescription strength
• Cox-2inhibitors: Are considered as effective as other NSAIDs for managing pain and inflammation without the same stomach-damaging effects. Other side effects of Cox-2inhibitors may include fluid retention, exacerbating high blood pressure and links to increased risk of heart attack and stroke
• Tramadol: Available only by prescription, has no anti-inflammatory effect, but can provide effective pain relief with fewer side effects such as stomach ulcers and bleeding. Tramadol may cause nausea and constipation. It is generally used for short-term treatment of acute flare-ups.
• Antidepressants: Tricyclics especially can help reduce chronic pain. They can treat sleep disturbances that can accompany arthritis. Some antidepressants used for arthritis pain and nonrestorative sleep include amitriptyline and nortriptyline.
• Injections of pain relievers: Corticosteroid injections into a joint space can offer some pain relief and reduce inflammation.
Surgical or other procedures used to treat osteoarthritis include:
• Joint replacement
• Arthroscopic lavage and debridement
• Repositioning bones
• Fusing bones
Source: Mayo Foundation for Medical Education and Research
Disclaimer: *This article is not meant to diagnose, treat or cure any kind of a health problem. These statements have not been evaluated by the Food and Drug Administration. Always consult with your health care provider about any kind of a health problem and especially before beginning any kind of an exercise routine.
This article is FREE to publish with the resource box. Article written 4-2007.
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