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Gestational Diabetes Management

Expert care for gestational diabetes by Dr. P. Srilekha. Diet counselling, glucose monitoring and insulin management for safe pregnancy in Hyderabad.

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Gestational Diabetes Management

Overview

Gestational diabetes mellitus (GDM) is hyperglycaemia first detected in pregnancy that is not overt diabetes. It affects 10-15% of Indian pregnant women and is associated with macrosomia, birth injury, neonatal hypoglycaemia and increased risk of caesarean section if poorly managed.

Dr. P. Srilekha provides comprehensive GDM care including OGTT-based diagnosis, personalised dietary counselling, structured blood glucose monitoring and insulin or metformin therapy when needed — ensuring tight glucose control throughout pregnancy for safe delivery.

Symptoms & Conditions We Treat

Elevated Blood Glucose

Fasting glucose above 92 mg/dL or post-load glucose above 180 mg/dL on OGTT in pregnancy

Macrosomia Risk

Foetal glucose excess leading to large-for-gestational-age baby and difficult delivery

Excessive Thirst and Urination

Polyuria and polydipsia — classical symptoms of poorly controlled blood glucose

Polyhydramnios

Excess amniotic fluid from foetal hyperglycaemia causing uterine overdistension

Pre-eclampsia Risk

Gestational diabetes significantly increases the risk of developing hypertension in pregnancy

Recurrence Risk

High risk of GDM in future pregnancies and type 2 diabetes in later life without preventive measures

Our Treatment Approach

1

Screening and OGTT

Universal 75g oral glucose tolerance test at 24-28 weeks (earlier for high-risk women) for diagnosis.

2

Medical Nutrition Therapy

Personalised carbohydrate-counted diet plan with a diabetic dietitian to achieve glucose targets.

3

Blood Glucose Monitoring

4-point daily glucose profile (fasting and 1-hour post-meal) with targets: fasting below 95, post-meal below 140 mg/dL.

4

Insulin or Metformin if Needed

Medical therapy initiated if glucose targets not achieved within 2 weeks of dietary intervention.

Treatment Options

Dietary Management

  • Carbohydrate distribution plan
  • Low glycaemic index foods
  • 3 meals and 3 snacks daily
  • Adequate protein and fibre

Insulin Therapy

  • Basal-bolus insulin regimen
  • Rapid-acting with meals
  • Dose titration to glucose targets
  • Safe in all trimesters

Oral Hypoglycaemic

  • Metformin where acceptable
  • Dose adjustment by glucose profile
  • Combined with diet therapy
  • Postpartum discontinuation plan

Foetal Monitoring

  • Growth scans every 4 weeks
  • Doppler blood flow assessment
  • Non-stress test from 34 weeks
  • Delivery planning at 38-39 weeks

Why Choose Srilekha's Clinic?

Obstetric Expert

Dr. P. Srilekha MS (OBG) provides evidence-based GDM management with maternal and foetal safety focus

Structured Monitoring

Regular blood glucose review with immediate insulin adjustment to maintain tight glucose control

98% Safe Deliveries

Excellent maternal and foetal outcomes through meticulous GDM monitoring and management

Dietary Counselling

Personalised meal plans to control glucose without unnecessary medication

Frequent Review

Fortnightly clinic visits to assess glucose control and foetal growth during third trimester

Postpartum Follow-Up

6-week postnatal OGTT and long-term diabetes prevention counselling for mother and child

Gynaecology FAQ

Frequently Asked Questions

Quick answers about this condition. Can't find what you need? Chat with us directly.

GDM is high blood sugar first detected during pregnancy (typically at the 24-28 week GDM screen), caused by insulin resistance from pregnancy hormones.

Risks: large baby (macrosomia), birth injuries, C-section, neonatal hypoglycaemia, preterm labour, and long-term diabetes risk for both mother and child.

Medical Nutrition Therapy (MNT), regular blood sugar monitoring, moderate exercise, and if targets not met: insulin or metformin. Regular foetal growth monitoring via ultrasound.

GDM usually resolves after delivery. However, 50% of women with GDM develop Type 2 diabetes within 10 years. Annual blood sugar testing post-delivery is essential.

Book via WhatsApp +91 9963 138 139. Dr. Srilekha at Habsiguda, Hyderabad.