Gestational diabetes mellitus (GDM) is a condition in which pregnant women have abnormal blood glucose levels. This increase in insulin resistance is a result of the placental secretion of diabetogenic hormones such as growth hormone, corticotropin-releasing hormone, placental lactogen, and progesterone. Many women with gestational diabetes have no or only minor symptoms. Fatigue, excessive thirst, blurred vision, frequent urination, weight loss despite an increased appetite, nausea, and vomiting are all possible symptoms. Nonetheless, in a few cases, mild nausea can be severe. This is known as hyperemesis gravidarum (HG). This article summarizes the possibility of developing and the management of nausea in pregnant women with gestational diabetes.
Are nausea and vomiting common during pregnancy?
Yes, nausea and vomiting are common during pregnancy, but they are mostly self-limiting and resolve by 16–20 weeks of gestation, with a brief reappearance around the 32nd week due to a surge in hormones. Many women may experience it throughout their pregnancy, making even the most basic tasks impossible. Hence, pregnant women with such experiences require reassurance and support.
Why do pregnant women experience nausea when they are diagnosed with GD?
The underlying cause of nausea during pregnancy is unknown, but it is probably a result of a combination of genetic, endocrine, gastrointestinal, environmental, and psychosocial factors. However, having high blood sugar levels for an extended period of time during pregnancy may also cause nausea. This process results in the formation of ketones, which accumulate in the blood and urine. During pregnancy, these ketones may make one feel nauseous more than usual. Hence, hyperemesis gravidarum and gestational diabetes are a nightmare to manage. This is because food is the enemy of hyperemesis, and a nutritious diet is a necessity for gestational diabetes.
How can nausea caused by gestational diabetes be managed?
There are psychological, non-drug, and medicine-based treatments available for pregnant women who are experiencing nausea and vomiting, especially if they have gestational diabetes. Reassuring women that nausea is a normal part of pregnancy, that it will pass, and that it will not harm their baby plays a crucial role. Non-drug treatments for nausea during pregnancy include dietary changes, psychosocial interventions, and behavioral interventions. Adequate hydration is essential for the management of the condition. You can also relieve the symptoms of nausea caused by gestational diabetes by eating bland, dry foods in small amounts and staying hydrated. Moreover, you should avoid triggers such as certain odors and foods. You should see your doctor on a regular basis to ensure proper management.
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