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You can manage your gestational diabetes easily by simple meals plan, physically active and drug or insulin treatment. Meals - limit sweets, eat three small meals and 1 to 3 snacks per day, maintain your meal’s time and include fibers in your meals in the form of fruits, vegetables, and whole-grains. Insulin - some with gestational diabetes need insulin to reach their blood-glucose targets. Your health care team may ask you to use a blood-glucose meter to check your levels on your own. Each time you check your blood glucose, record the results properly, and take it with you when you visit your health care team. The American College of Obstetrics and Gynecology recommends a moderate exercise for 30 minutes per day at least for 5 days of a week, unless one has a medical or pregnancy complication. Make your body more flexible, thus relieving from body aches, stomach bloating, and swelling of feet.
If you are having other medical conditions such as asthma, or heart disease may not be advisable to do exercising.
Also called as Menorrhagia, excessive bleeding during menstruation is said to occur if the woman in question tends to experience shedding for more than 7 days (a normal menstrual cycle will last between 4-7 days) or heavy bleeding that requires her to change tampons (or) pads once every two hours or so. The average menstrual period for a woman in normal circumstances is about 28 days where she loses about 40 ml of blood during the course of 7 days. Some of the more common symptoms of Menorrhagia that one has to look out for include heavy vaginal bleeding that would require frequent change of tampons or pads (once for every 2 hours), combined use of pads and tampons to prevent overflow, necessity to change tampons or pads even in the night, prolonged menstrual bleeding (lasting for more than 7 days) and presence of blood clots (bigger than 1 inch) during bleeding.  A woman may also suffer from Menorrhagia if she develops anemic symptoms (caused by iron deficiency) during menstruation. Before starting an appropriate treatment for excessive menstrual bleeding, the doctor would take some tests to find out the exact cause of the condition.
The specific treatment chosen for the condition would depend on the cause for the same and other factors like the patient’s body conditions, constraints and existing medical ailments if any. In most cases, the doctor would start treatments with standard medications, and would proceed to the next level (i.e. These are usually prescribed to help reduce excessive menstrual bleeding and offer relief from severe menstrual cramps as well. The patient would most probably start seeing positive results (reduced menstrual bleeding) after this timeframe. Although birth control pills are favored by most women, the doctor may prescribe other options like skin patches and vaginal rings based on individual preferences and constraints. NSAIDs can also be used in conjunction with other medications and treatments used to treat menorrhagia.  However, they are not that effective when compared to hormonal birth control pills and other treatments available for the condition. Unlike NSAIDs, anti-fibrinolytic medications cannot be used along with hormonal birth control pills unless recommended by the doctor. These pills are usually recommended for women who experience anovulation (failure to ovulate every month). These medications are usually prescribed for women who want to reduce or stop menstrual bleeding ahead of a surgery. This particular medication for menorrhagia is delivered as an injection once in every 3 months or so. Also called as Mirena, the hormonal intrauterine device is an IUD (intra uterine device) that is fitted into the uterus by the doctor. A hormonal intrauterine device would effectively curb excessive menstrual bleeding to a great extent.
Similar to the hormonal uterine device, the hormonal implant is a small device that is implanted under the skin.
Once placed properly, the implant would start releasing the progestin hormone into the bloodstream.


Called as Implanon, the device effectively helps to curb menorrhagia for a period of 3 years.
Surgery is usually opted for in cases where the patient does not respond well to the other treatments.
For instance, if a woman experiences severe menstrual bleeding due to the presence of polyps or fibroids in her uterus, the best form of treatment for the condition would involve cutting off the blood supply to these growths (by a procedure called ‘uterine artery embolization’) or removing them completely (by a procedure called ‘myomectomy’). Endometrial ablation is usually chosen in cases where a thickened endometrial lining is the cause for menorrhagia. Hysterectomy is usually chosen in severe cases where the condition does not respond to any of the above mentioned treatments.
A hysterectomy would also be the right choice for women suffering from severe conditions like endometrial cancer. Insulin is not harmful to your baby, but controlled blood glucose is beneficial to your baby. If possible, women should plan early and work to get their A1C below six before getting pregnant.
High levels of ketones are a sign that your body is using your body fat for energy instead of the food you eat. In the case of gestational diabetes, it additionally helps their body for better utilization of the insulin thus helps control blood-glucose level.
Easy and effective exercises are swimming, walking, indoor stationary cycling, and simple aerobics. Additionally, if you are having pregnancy-related conditions such as low placenta, bleeding, recurrent miscarriage, premature birth history, or weak cervix, it may be harmful to do exercising. They can make the fetus to secrete excess insulin and leads to severe hypoglycemia (low blood glucose). A woman is said to be suffering from menorrhagia if she loses more than 80 ml of blood during her period.
The more common reasons for the condition, however, include anovulation (failure to ovulate once every month which would cause the endometrial lining to thicken), presence of polyps or fibroids in the uterus, cervix or vagina (detachment from the inner walls can cause bleeding), and existing bleeding disorders that lead to excessive bleeding throughout the body. These tests would usually include physical and pelvic exams, blood tests that would check for conditions like anemia, thyroid or bleeding disorders etc., a pelvic ultrasound that relays back images of the uterine and cervical regions (useful to spot polyps, fibroids or other growths that may be causing the condition), a hysteroscopy to look inside the uterus (with a light and camera) for problems and an endometrial biopsy (taking a sample of the tissue inside the uterus). In certain cases, the treatment for excessive menstrual bleeding would also differ according to the patient’s preferences with regard to pregnancy and childbirth. The pills are usually taken daily for 3 continuous weeks with the patient getting her periods on the 4th week. They are inexpensive, do not cause any harmful side effects and can be obtained over the counter without a prescription (most of them). Therefore, they can most probably used to offer temporary relief from excessive bleeding and cramps during menstruation. When consumed, these drugs work by targeting the body’s clotting system and effectively reduce menstrual bleeding within 2-3 hours. In addition to common side effects like headaches and muscle cramps, unsupervised use of these drugs (with hormonal pills) can lead to blood clots, heart attacks and strokes etc.
These agonists simulate menopause by temporarily switching off the ovaries and stopping ovulation. The medication resembles a progestin pill and provides a long term solution to the problem.
However, the shot can prevent pregnancy as a result of which it is mostly prescribed for women who do not want to get pregnant for the next 6 months or so.


When properly fitted, the device would start releasing the progestin hormone into the uterus. Usually placed in the upper inner arm, the device would be the size of a matchstick, hardly causing any discomfort to the patient.
The excess progestin would counteract the effects of estrogen in the blood stream, thereby reducing excessive menstrual bleeding and cramps.
Like the hormonal intrauterine device, the hormonal implant would also prevent pregnancy and is only recommended in cases where the patient does not want to get pregnant for the next 6 months. Surgery would also be considered as the best option in case the bleeding is caused by a serious medical condition. The surgical procedure would involve destroying or removing all or a part of the endometrial lining.
A hysterectomy would involve removing the uterus completely, a procedure that can permanently affect pregnancy (a woman would not be able to get pregnant after a hysterectomy). The recovery period is usually a few weeks with the occurrence of mild complications now and then.
Additionally, the oral drugs are not effective enough to fulfill the rising insulin requirements of pregnancy. If that happens on a regular basis, the woman stands high chances of contracting other health related ailments like a weakened immune system or anemia etc. The entire cycle (1 month = 3 weeks of pills+1 week of waiting for the period to begin) needs to be continued for almost 3 months or more depending on the severity of the condition. Common examples include ibuprofen and mefenamic acid which need to be taken during the menstrual period (between 1-7 days of the period). These drugs do not interfere with pregnancy as well and need to be taken only a few days in a month.
These medications can be taken for a time period of up to 6 months to reduce (or stop) excessive menstrual bleeding. This in turn can act against the excess estrogen present in the uterus (usually responsible for the thickening of the endometrial lining) and reduce the effects of the latter (including heavy menstrual bleeding). However, the device would prevent pregnancy and would need to be opted for only if the patient does not wish to conceive for the next 6 months or so. The procedure effectively reduces heavy menstrual bleeding and does not hinder pregnancy or childbirth. However, insulin does not cross the placenta but can be able to meet the excess insulin requirement during pregnancy. Common examples of anti-fibrinolytic medications used to treat excessive menstrual bleeding include aminocaproic acid and tranexamic acid. However, they need to be stopped after 6 months as prolonged use can lead to side effects like weak bones. Progestin pills do not cause harmful side effects and do not cause any hindrances to pregnancy and childbirth.




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Comments

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    23.03.2015

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    23.03.2015