162: Gestational Diabetes 101: Tests, Risks, and What Changes in Your Pregnancy
Notes de l’épisode
This episode breaks down gestational diabetes (new insulin resistance in pregnancy—not type 1 or 2), how insulin and glucose work, and why pregnancy naturally raises insulin resistance (but sometimes the pancreas can’t keep up). It covers who’s at higher risk (higher BMI, inactivity, prior GDM, certain ethnic groups, prior 9+ lb baby, PCOS, hypertension, heart disease) and how screening works at 24–28 weeks: the non-fasting 1-hour 50g test, followed by a fasting 3-hour 100g test if you “fail” (two elevated values = diagnosis). It explains why the test is a glucose “stress test,” alternatives like at-home fingersticks or CGM, and drink options (Glucola, Fresh Test, jelly beans). Finally, it outlines risks (C-section, shoulder dystocia, preeclampsia, baby hypoglycemia) and care differences between diet-controlled (deliver by 40+6) vs medication-controlled (NSTs/ultrasounds ~32 weeks, deliver ~39).
00:00 Gestational Diabetes Overview
00:52 How Insulin Works
02:31 Risk Factors Explained
03:20 Glucose Test Basics
05:43 One Hour vs Three Hour
07:06 At Home Monitoring Options
09:42 Drink Alternatives
13:52 Why It Matters Risks
18:46 How Care Changes
21:27 Final Recap Next Steps
24:24 Closing Resources
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