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What are the precautions to be taken in case of gestational diabetes?

Q: I am a 27 year old woman and am 9 months pregnant. I have been identified with gestational diabetes. I am on Human Insulin Mixtard morning 28 and night 10 units. My weight is 65 Kgs. Every week I am undergoing blood test. Last week my PPBS was 160. Would I deliver normally or by caesarian section? Ultrasound scan and everything else is normal, the doctor says. What precautions I have to take to avoid c-section?

A:The chances of a C-section are certainly more if you have any medical problem, and that includes diabetes, but that does not mean you have to have a C-section. Precautions: maintain good control by walking regularly, eating a diet in which fats are not in excess, doing home blood glucose monitoring (just lab tests are usually not enough). Most of these would have been more useful if done from earlier on: now that you are already 9 months pregnant, and the delivery is around the corner, stay active (as much walking as you can manage), and staying calm.

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