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11 months ago (05/01/22) 346 Views

what to do in gestational diabetes


Things to do in gestational diabetes


The rates of both gestational diabetes mellitus (GDM) and mental illness are increasing during pregnancy. There is a link between type 2 diabetes, depression, anxiety and schizophrenia. So there is a need to understand the importance of the relationship between gestational diabetes and mental illness. There is a bilateral and complex relationship between postpartum depression and gestational diabetes. The combined effects of depression and gestational diabetes dramatically increase the risk of postpartum depression. Medicine has a big role to play in the treatment of mental illness during pregnancy. Those who care for the patient need to be aware of the connection between GDM and mental illness in order to properly understand the disease and treat the disorder.


A new study published in the Australian and New Zealand Journal of Prosthetics and Gynecology found that women with schizophrenia and other psychiatric disorders were three times more likely to develop gestational diabetes mellitus. A previous analysis of 539 pregnant women with severe mental disorders. They found that about 21% of these women suffer from gestational diabetes, compared to only 8.3% of the average population. Maternal mental illness,Specific antipsychotic medications were associated with a higher risk of gestational diabetes, even after controlling age and body mass index. Stress and negative life events are associated with higher levels of cortisol during pregnancy, which increase glucose levels. If depression is high in early pregnancy, it increases the risk of GDM.

gestational diabetes

Gestational diabetes (GDM) affects more than 9% of pregnant women, usually increasing through diagnosis in the middle of the 2nd trimester. We know that this diagnosis can have a whole range of complications related to pregnancy, so it is understandable that women who take it find themselves in the midst of anxiety.


Depression increases stress and increases the hormone cortisol. Cortisol inhibits the action of insulin, the primary hormone that interferes with diabetes.This effect of cortisol on insulin leads to insulin resistance and body weight and hence the development of gestational diabetes. In fact, treatment of depression (in non-pregnant populations) has been shown to reduce insulin resistance.

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The high risk of developing GDM due to depression is that women who are depressed are unable to take care of themselves during pregnancy – perhaps less nutritionally conscious, more sensitive to eating, less healthy behavior. Depression is a disorder that is affecting more and more people.


How Depression Affects Gestational Diabetes (GDM)


Being able to detect the signs and symptoms of depression within the first trimester is a key task and should be treated accordingly to reduce the risk of developing more complications associated with GDM and pregnancy depression.


However, this does not always happen and so frustrated women who develop GDM face more struggles in managing diabetes without frustration. This is because the double challenge is related to frustration. First, depression depresses energy and motivation, making it harder to adhere to a strict diet plan and administer medication or insulin. Second, a depressed woman pushes her thoughts towards negativity. So there may be more negative feelings and thoughts.


Studies have tried to answer whether the diagnosis of gestational diabetes, which can be stressful, affects her mental health during pregnancy and postpartum.


There is some information about the increase in maternal anxiety or depression after the diagnosis of GDM or later during pregnancy and postpartum. It is important to answer this question, because we need to know that with the suggestion of universal screening for gestational diabetes, physicians can get women into trouble. Several studies have shown that anxiety increases after diagnosis and in the weeks leading up to first aid, but women with gestational diabetes do not develop a permanent anxiety condition that persists during pregnancy, especially after they have been treated and given advice on how to manage their diabetes.


However, several studies have suggested that gestational diabetes is associated with an increased risk of postpartum depression symptoms, in one of which, 34% of women diagnosed with GDM had symptoms of postpartum depression.


How to start treatment of the disease


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1. First, screening all pregnant women is essential for depression. If the patient’s mood seems to be changing, he needs help, especially in early pregnancy.


2. Second, it is also important to screen all women who are diagnosed with GDM for depression, as depression can make diabetes more challenging.


3. Third, it can be seen that women’s anxiety can be reduced through clear guidance and counseling. This makes sense, because the diagnosis of GDM can be one that can lead to potential complications, primarily pregnancy and increased fear for the baby. Women feel better if they are able to maintain a good healthy diet and reduce their blood sugar levels. This may mean more appointments with nutritionists, more frequent treatment appointments for close monitoring of high-risk pregnancies, and more support from family, friends, and other mothers.


4. Finally, intensive monitoring is necessary in the postpartum stage. New mothers can expect that the postpartum period will be ideal for starting a new healthy lifestyle, monitoring diet, resuming exercise and losing weight. It is a challenge to acquire a new baby and more problems when it comes to postpartum depression. So it is important to look for signs and symptoms of postpartum depression.


If GDM is diagnosed with other problems, including depression, treatment is important for mood and anxiety symptoms, in addition to controlling blood sugar. Psychotherapy during pregnancy, especially focusing on negative thoughts and concerns that may be associated with GDM detection, is an option.


Postpartum interpersonal psychotherapy is a good option. Consider meeting with a physician to discuss these treatment solutions, as well as others such as medications.


What patients and physicians can do:


1. Every prenatal and postpartum woman with diabetes should be asked about their fears or anxieties. The doctor should be informed about the health of his unborn child, his own health, his family / social status.


2. Every postpartum and postpartum woman with diabetes should be reassured as part of regular postpartum care. Adequate counseling must follow the rules before all screening and diagnostic tests, including glucose testing and ultrasonographic monitoring. Appropriate counseling must be done with insulin prescription.

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3. Every prenatal and postpartum woman with diabetes should be asked about depression. Specific instruments related to the condition, such as the Edinburgh Postpartum Depression Questionnaire and Pregnancy Experience Scale (PES), should be used.


4. If mental or psychiatric illness is significant, it should be referred to a qualified mental health professional.


5. Psychoactive drugs should be chosen with great care for postpartum and postnatal women with diabetes.


6. The family’s approach to diagnosing gestational diabetes should be asked. Family members, including husbands, mothers-in-law and other notable relatives, should be involved as active partners in providing emotional and social support to a diabetic woman. Family members should be advised about the potential detrimental effects of maternal stress on the health of the unborn child.


Here are some more ways to help maintain good mental health:


1. Join a diabetes group.


2. If you feel overwhelmed, seek professional advice. Seek the advice of a psychiatrist and psychologist to help you develop strategies for managing your diabetes and bring you back to a happier life.


3. Follow a healthy lifestyle with a balanced diet and regular exercise.


4. Every day you enjoy something new like the fragrance of nature, the sound of wind, the sound of rain, the beauty of flowers etc.


5. Social support should be discussed, especially in relation to mental health and depression. Mindfulness meditation and eating can have beneficial effects on weight loss and eating habits. According to research published in Diabetic Medicine, women who develop gestational diabetes are more likely to develop early pregnancy and postpartum diabetes than those who do not experience depression. If possible, trained and qualified mental health professionals should be included as part of the Diabetes Pregnancy Care Team.


6. Family and friends are an important part of all our lives who can provide comfort and support. If you are diagnosed with diabetes, take the time to discuss your feelings with your family and friends, listen to your loved one’s concerns.


7. All healthcare providers who live with women during childbirth should be aware of the unique psychosocial stress associated with complicated pregnancies due to diabetes.


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