Diabetes often begins long before pregnancy, and other times, it results from the body reacting to being pregnant (called gestational diabetes mellitus). As Los Angeles’s preeminent high-risk pregnancy specialist, Dr. Steve Rad is an expert on overseeing the potential complications of diabetes during pregnancy.
Poor control of diabetes during pregnancy increases the risk of congenital disabilities and other risk factors for the expectant mother.
Understanding Diabetes During Pregnancy
Diabetes is a condition where the body cannot use the sugars and starches it takes in as food to make energy. The body produces too little or no insulin and cannot use it to change blood glucose into energy. As a result, extra sugar builds up in the blood (hyperglycemia) which can be harmful to the body.
Some ethnicities are at higher risk of developing diabetes. These include African Americans, Hispanic/Latino Americans, Asian Americans, Indigenous peoples, and Pacific Islanders.
Patients with a family history of diabetes are at higher risk of developing gestational diabetes – if they don’t already have diabetes.
There are three types of diabetes: type 1, type 2, and gestational diabetes.
What is type 1 diabetes?
Type 1 diabetes is suspected to be an autoimmune reaction that destroys the cells in the pancreas that make insulin. This dynamic can go on for years before any symptoms appear. Though the disease is not preventable, it can be managed with glucose monitoring and injected insulin.
Women with type 1 diabetes are able to have a normal, healthy pregnancy. However, it is imperative they control their blood sugar levels. Before becoming pregnant, discuss a strategy with your health care provider and be sure to attend all follow-up appointments.
Work with your doctor to keep your A1C levels (the amount of insulin sticking to red blood cells) as low as possible. Though the A1C measurement is most accurately found during bloodwork, it is possible to estimate your A1C at home using an estimated Average Glucose (eAG) level chart. Be aware that your need for insulin may change during pregnancy; consider using a continuous glucose monitor.
Without proper blood sugar control during pregnancy, severe complications may occur.
What is type 2 diabetes?
Type 2 diabetes is when the pancreas makes sufficient insulin, but the cells don’t respond. Also called insulin resistance, the pancreas keeps pushing insulin into the bloodstream, but because cells cannot assimilate insulin, blood sugar still rises. Chronic high blood sugar can cause disastrous side effects such as heart disease, loss of vision, and kidney problems.
The key to a healthy pregnancy with type 2 diabetes is planning with a maternal-fetal medicine specialist before conceiving. The doctor will check your weight, medication, and diet to help stabilize glucose levels and maintain them.
Depending on your overall health, the doctor may suggest holding off on having a child until your condition is more under control. The doctor may also suggest blood sugar control during pregnancy, often a more strict regimen.
What is gestational diabetes mellitus?
Gestational diabetes occurs when the body is overburdened by pregnancy, and the pancreas does not produce an adequate insulin supply. At the same time, cells become insulin resistant, and high blood sugar readings may follow.
There is some degree of insulin resistance in all pregnant people during the third trimester. Women who begin pregnancy with some insulin resistance have an increased risk for gestational diabetes. Patients with gestational diabetes are at a higher risk of developing Type 2 diabetes.
Gestational glucose tolerance occurs in pregnant people who have never experienced problems with their blood sugar. Some women experience this disease with every pregnancy, others only once. Occasionally, patients struggle with beginning breastfeeding after gestational diabetes.
Some studies suggest the higher prevalence of gestational diabetes is related to maternal obesity.
When do they test for diabetes in pregnancy?
Doctors typically test for gestational diabetes between 24 and 28 weeks of gestation. While sometimes patients will have to take insulin, gestational diabetes can also be controlled with a healthy diet, exercise, and other lifestyle changes.
Call (844) 473-6100 or click here to schedule online
What are the risks of diabetes in pregnancy?
High blood sugar readings are not good for the mother or baby. Without proper blood sugar control during pregnancy, severe complications may occur. These include:
Fetal macrosomia
Fetal macrosomia is a baby born larger than average. These babies’ weight is more than 8 pounds, 13 ounces at birth. Only about 9% of babies worldwide weigh this much. Risks increase if the baby weighs more than 9 pounds, 15 ounces.
This condition may make a vaginal delivery difficult or even impossible. Fetal macrosomia also increases the baby’s risk of health problems after birth.
C-section
Cesarean sections are much more prevalent in diabetic mothers. Because the baby is delivered through incisions in the abdomen and uterus, it takes longer for the mother to recover from birth.
Preeclampsia
Preeclampsia occurs only in pregnant patients. Typical symptoms include hypertension, a trace amount of protein in the urine, and swelling (edema) in the fingers and toes.
High blood pressure may harm the baby, and patients with diabetes are more prone to high blood pressure. Preeclampsia can cause the baby to be born preterm and with low birth weight and cause a seizure or stroke in the mother during delivery.
Hypoglycemia
Low blood sugar can occur in patients who take insulin or diabetes medications. Low blood sugar is an acute disease and can be fatal if not addressed immediately.
This condition can be avoided by keeping blood sugar under control. If the expectant mother does develop hypoglycemia, the baby must be monitored for low blood sugar immediately after delivery.
Ideal “diabetes in pregnancy” diet
Eating a proper diet for diabetic pregnant women can be the key to a healthy delivery.
Dr. Rad will assist you in constructing the proper diet during diabetic pregnancy. However, there are several basic diet rules to follow:
Eat plenty of fruits and vegetables
Moderate amounts of proteins and healthy fats
Whole grains, such as bread, cereal, pasta, rice, and starchy vegetables
Reduce intake of foods with high sugar, such as soft drinks, fruit juices, and pastries
Why choose Dr. Steve Rad and the Los Angeles Fetal and Maternal Care Center?
Did you know that all pregnancies in the United States are at risk of becoming high-risk? Even a pregnancy that begins “low-risk” can become high-risk.
That is no secret to double-board certified Dr. Steve Rad, an Obstetrician-Gynecologist with sub-specialty training in Maternal-Fetal Medicine / Perinatology.
Dr. Rad has been named a top Maternal-Fetal Medicine specialist in Los Angeles by Los Angeles Magazine for six years in a row.
Dr. Rad has undergone rigorous training with high honors at renowned institutions including the Department of Obstetrics and Gynecology at David Geffen School of Medicine at UCLA, USC, Cedars-Sinai Medical Center, and UCSF Medical Center, as well as centers internationally in London, Austria, Israel, and Africa.
Dr. Rad is passionate about neonatal obstetrics and gynecology while using his proficiency to guide high-risk mothers with prenatal testing, special monitoring, and diligent care during their pregnancy up to and including the birth of their baby.
We are conveniently located for patients throughout Southern California and the Los Angeles area at locations in or near Beverly Hills, Santa Monica, West Los Angeles, West Hollywood, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, Newport Beach, Irvine, and Downtown Los Angeles. We also offer in-home prenatal care and a fly-in program for out-of-town and international patients. Dr. Rad even travels to patients who need him throughout the U.S. and around the world.
If you can’t make it to Dr. Rad, he also offers virtual consultations worldwide.
Call (844) 473-6100 or click here to schedule online
What causes diabetes in pregnancy?
Diabetes in pregnancy, known as gestational diabetes, is primarily caused by hormonal changes. As the placenta grows, it produces hormones that can interfere with the body’s ability to use insulin effectively, leading to insulin resistance. This means that the body may need more insulin. If the pancreas cannot produce enough insulin to compensate for this increased demand, gestational diabetes can develop.
How common is diabetes in pregnancy?
Diabetes in pregnancy, also known as gestational diabetes, is relatively common, affecting approximately 6-9% of pregnant women in the United States. The prevalence may vary depending on factors such as ethnicity, age, and preexisting health conditions. Women who are overweight or obese, have a family history of diabetes, or have previously experienced gestational diabetes are at higher risk of developing the condition.
What are the symptoms of diabetes in pregnancy?
Diabetes in pregnancy, also known as gestational diabetes, often does not present with noticeable symptoms. However, some women may experience symptoms such as increased thirst, frequent urination, fatigue, blurred vision, and increased hunger.
Can eating too much sugar cause diabetes in pregnancy?
Eating too much sugar alone does not directly cause gestational diabetes in pregnancy. However, excessive sugar consumption can contribute to weight gain and increase the risk of developing gestational diabetes, especially in women who are already predisposed to the condition. Therefore, maintaining a balanced diet low in added sugars and high in nutritious foods, along with regular exercise, is important for reducing the risk of gestational diabetes.
Will I have gestational diabetes in my second pregnancy
While having gestational diabetes in a previous pregnancy does increase the risk of developing it again, it’s not a certainty. Factors such as age, weight,
family history of diabetes, and overall health can also influence your risk. Maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help reduce the risk of gestational diabetes in subsequent pregnancies.
Does diabetes in pregnancy go away?
Gestational diabetes is a temporary condition that affects some women during their pregnancy. Most women see their blood sugar levels return to normal within a few hours or days after giving birth.
Does gestational diabetes get worse later in pregnancy?
Gestational diabetes does not necessarily get worse as the pregnancy progresses, but it does require careful monitoring and management throughout the entire pregnancy.
Web Site Privacy Policy, Terms and Conditions of Use
The Los Angeles Fetal & Maternal Care Center (hereafter referred to as the “Clinic”) supports initiatives that improve the quality of medical and health information available on the World Wide Web.
Your privacy is critical to us. Likewise, we have built up this Policy with the goal that you should see how we gather, utilize, impart, and reveal and utilize individual data. The following blueprints are our privacy policy.
Before or at the time of collecting personal information, we will identify the purposes for which information is being collected.
Your personal information, including SMS consent and phone numbers, will not be sold, disclosed, or shared with any third party under any circumstances.
We will gather and utilize individual data singularly to satisfy those reasons indicated by us and for other good purposes unless we get the assent of the individual concerned or as required by law.
We will just hold individual data for the essential length of time to satisfy those reasons.
We will gather individual data by legal and reasonable means and, where fitting, with the information or assent of the individual concerned.
Personal information ought to be important to the purposes for which it is to be utilized and, to the degree essential for those purposes, ought to be exact, complete, and updated.
We will protect individual data by security shields against misfortune or burglary and also against unapproved access, divulgence, duplicating, use, or alteration.
We will promptly provide patients access to our policies and procedures for administering individual data.
We are focused on leading our business according to these standards, with a specific end goal of guaranteeing that the privacy of individual data is secure and maintained.
As a result, we pledge the following:
1. Authoritative
Any medical or health advice provided and hosted on this site will only be given by medically trained and qualified professionals unless a clear statement is made that a piece of advice offered is from a non-medically qualified individual or organization.
2. Complementary
The information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.
3. Privacy
Confidentiality of data relating to individual patients and visitors to a medical/health Web site, including their identity, is respected by this Web site. The Web site owners undertake to honor or exceed the legal requirements of medical/health information privacy that apply in the country and state where the Web site and mirror sites are located.
We use Google Analytics to analyze the website’s audience and improve our content. No personal information is ever collected from Google Analytics. For further information on the privacy policy concerning Google Analytics, please visit https://support.google.com/analytics/answer/6004245?hl=en.
4. Contact Information Use
We collect phone numbers from our patients and obtain consent to send SMS notifications or updates related to our services. We do not share these phone numbers with any third parties or affiliates for marketing purposes. The phone numbers provided are strictly used to contact the website visitor so we may fulfill their request (such as scheduling a consultation, etc.), obtain consent for SMS communication, and deliver relevant updates or notifications.
We are committed to safeguarding our patients’ privacy and ensuring that their personal information, including phone numbers, is protected from unauthorized access or misuse.
By providing your phone number with SMS consent, you agree to receive SMS notifications or updates from us related to our services”
5. Attribution
Where appropriate, this site’s information will be supported by clear references to source data and, where possible, specific HTML links to that data. The date when a clinical page was last modified will be displayed.
The source of the medically related content is written by the doctors and medical staff of the Clinic. Authorship is attributed to the content page, and all information is medically reviewed by the clinic’s education team.
6. Justifiability
Any claims relating to the benefits/performance of a specific treatment, commercial product or service will be supported by appropriate, balanced evidence in the manner outlined above.
Please note that there are no guarantees that every medical treatment or surgery will satisfactorily cure or repair every condition for every person every single time.
Regarding any before and after pictures displayed on our website, the following are true:
The person in the before picture and the after picture are the same.
The pictures were not digitally modified or enhanced.
Each surgery produces unique results for each patient, and no one can guarantee the same result for every person visiting our website.
The Clinic has the explicit consent of its patients to take their pictures and publish them on your website.
7. Transparency
The designers of this Website will always seek to provide information in the clearest possible manner and provide contact addresses for visitors that seek further information or support. The Webmaster’s e-mail address is private@drsteverad.com.
8. Financial Disclosure No third-party commercial or non-commercial organizations have ever provided this website’s economic support or services. If that ever changes, it will be identified, including the identities of commercial and non-commercial organizations contributing funding, services, or material for the site.
9. Advertising policy
The Clinic does not accept any advertising from any company or individual and never has.
If that ever changes, the source of funding will be clearly stated, and a brief description of our advertising policy adopted by the site owners will be displayed on the site. If advertising and/or other promotional material is ever presented to website visitors, it will be in a manner and context that facilitates differentiation between it and the original material created by the institution operating the site.
Additional Web Site Terms and Conditions of Use
1. Terms
By accessing this website, you agree to be bound by its Terms and Conditions of Use, applicable laws and regulations, and compliance. If you disagree with the stated terms and conditions, you are prohibited from using or accessing this site. The materials contained in this site are secured by relevant copyright and trademark law.
2. Use License
Permission is allowed to temporarily download one duplicate of the materials (data or programming) on the Clinic’s site for individual and non-business use only. This is just a permit of license and not an exchange of title, and under this permit, you may not:
modify or copy the materials;
use the materials for any commercial use or any public presentation (business or non-business);
attempt to decompile or rebuild any product or material contained on the Clinic’s site;
remove any copyright or other restrictive documentations from the materials or
transfer the materials to someone else or even “mirror” the materials on another server.
This permit might consequently be terminated if you disregard any of these confinements and may be ended by the Clinic whenever deemed necessary. After permit termination or when your viewing permit is terminated, you must destroy any downloaded materials in your ownership, whether in electronic or printed form.
3. Disclaimer The materials on the Clinic’s site are given “as is.” The Clinic makes no guarantees, communicated or suggested, and thus renounces and nullifies every other warranty, including without impediment, inferred guarantees, or states of merchantability, fitness for a specific reason, or non-encroachment of licensed property or other infringement of rights. Further, the Clinic does not warrant or make any representations concerning the precision, likely results, or unwavering quality of the utilization of the materials on its Internet site or generally identifying with such materials or on any destinations connected to this website.
4. Constraints On no occasion should the Clinic or its suppliers be subject to any harm (counting, without constraint, harms for loss of information or benefit, or because of business interference) emerging out of the utilization or powerlessness to utilize the materials on the Clinic’s Internet webpage, regardless of the possibility that the Clinic or an approved agent has been told orally or in written of the likelihood of such harm? Since a few purviews don’t permit constraints on inferred guarantees or impediments of obligation for weighty or coincidental harms, these confinements may not make a difference to you.
5. Amendments and Errata The materials on the clinic’s site could incorporate typographical or photographic mistakes. The Clinic does not warrant that any materials on its site are exact, finished, or current. The Clinic may roll out improvements to the materials on its site whenever without notification. The Clinic does not, then again, make any dedication to update the materials.
6. Links The Clinic has not checked on the majority of the websites or links connected to its website and is not in charge of the substance of any such connected webpage. Incorporating any connection does not infer support by the Clinic of the site. Utilization of any such connected site is at the user’s own risk.
7. Site Terms of Use Modifications The Clinic may update these terms of utilization for its website without notification. By utilizing this site, you consent to be bound by the then-current form of these Terms and Conditions of Use.
8. Governing Law Any case identifying with the Clinic’s site should be administered by the laws of the country of the United States of America and the General Terms and Conditions applicable to the Use of a Web Site.
About Good Faith Estimates
Dear Patient,
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, examinations, office visits prescription drugs, and equipment (items or services reasonably expected to be furnished by this practice).
Make sure your health care provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit https://www.cms.gov/nosurprises. To speak to our billing department, please call (844) 473-6100.
Thank you.
Dr. Rad and your friends at the Los Angeles Fetal & Maternal Care Center
Open Payments Database Notice
For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.
The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at https://openpaymentsdata.cms.gov.
Review Policy
The Los Angeles Fetal & Maternal Care Center is dedicated to transparently publishing customer feedback and reviews. This policy applies to reviews submitted by patients through first- and third-party review sites monitored on this platform. We reserve the right to remove posts, comments, or reviews that violate our content policies and/or are suspected to be fraudulent.
Request a Consultation
If you need immediate help or require an urgent appointment, please call us at (323) 678-5544.
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