The Gestational Diabetes Clinic is part of the High-Risk Pregnancy Clinic and is one of the hospital's outpatient clinics. The staff includes a managing physician, nurse and a dietitian. Furthermore, endocrinological consulting, ultrasound tests and fetal monitors are available. The clinic cares for women with gestational diabetes, pregestational type 1 and 2 diabetes, and women who are overweight. The clinic responds to mother and fetal pregnancy complications. Visits to the clinic include follow-up by a nurse, fetal ultrasound, monitor and a medical assessment, in which the blood tests and blood glucose curves are reviewed, and a recommendation for continued follow-up is given.
What is gestational diabetes?
Gestational diabetes is defined as glucose intolerance discovered for the first time during pregnancy. The hormones released by the placenta lead to an increase in insulin resistance. Women whose pancreases are unable to overcome this resistance may develop gestational diabetes. It is one of the most common pregnancy complications, and its frequency in various populations fluctuates between 4% and 20%.
Gestational diabetes poses an increased risk of developing pre-eclampsia, high birth weights, cesarean sections and long-term maternal morbidity. Up to 50% of women who experience gestational diabetes will suffer from Type 2 diabetes later in life. Gestational diabetes increases the risk of fetal morbidity, including trauma during birth, neonatal sodium and glucose metabolic disorder and an increased risk of long-term morbidity.
Treatment for gestational diabetes is based on lifestyle changes - guidance on appropriate diet and physical activity and, if necessary, oral medication or insulin to bring glucose values under control.
The clinic provides patients with the full range of treatment, for themselves and the fetus, in order to ensure the safest and most pleasant pregnancy and delivery possible.