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Testing for Keytones

A gestational diabetes diagnosis will automatically put a mother in the high risk pregnancy category.  It does not mean that the baby will be born with some kind of birth defect or health problem.  But, it does mean that the doctor, health care team, and mom will all have to do their parts to monitor the pregnancy.

However, since it will become a daily habit to remain cognizant of health issues and do any testing required, mom will have to make sure the blood sugar tests are done as often as necessary.  In addition, the level of keytones in the blood will probably have to be checked as well.

The test is relatively easy.  When the mom-to-be urinates first thing in the morning, it will be necessary to hold a chemical strip under the stream.  If there is not enough insulin in to take care of the glucose in the blood, the body will start burning fat to make up for the deficit.  When this happens, keytones spill into the bloodstream.  So, when the urine hits that little strip, it will change color.  If it is too dark, it will be necessary to call the doctor, because trouble could be on the horizon, if the problem is not addressed immediately.

Keytones usually appear if mom is not eating enough to properly take care of gestational diabetes.  Of course, if mom is one of those unlucky ladies that are sick throughout the pregnancy, it could mean she is not holding enough food down to take care of herself and the baby.  The doctor can address either issues and give mom medication or nutritional information to improve health and control the keytones.

Ultrasound

Women diagnosed with a metabolic disorder will likely need multiple ultrasounds before coming to term.  Because of gestational diabetes, babies usually gain weight more rapidly than other children.  The doctor will want to monitor the growth and development of the baby, to make sure everything is as it should be.

If the baby gains too much weight, it may be necessary to schedule a cesarean to protect the well being of both mom and child.  Just because the baby reaches a healthy weight, it does not mean it can survive well outside of the womb.  For example, the lungs may still be underdeveloped.  So, by the time he/she is ready to venture out into the world, the baby can be much bigger than average.

Movement

In order to monitor the well being of a baby on a daily basis, the doctor may ask mom to count the number of times her child moves in a two hour period of time. Three or more movements during that timeframe are considered normal.  However, if the baby does not move enough, or moves too much, it is time to call the doctor. 

Amniocentesis

Usually, this test is done on older mothers, to determine whether the baby will be born with any genetic abnormalities.  But, when testing on moms with gestational diabetes, it also serves to determine if the baby has lungs that are developed enough to survive outside of the womb.  A doctor may recommend this procedure to determine when to perform a cesarean or induce labor.  It may be better for mom and baby, if the birth is expedited.

In order to perform the test, the doctor will extract a little of the fluid around the baby.  It is amazing what it will reveal about the health of the baby.  In most cases, it is quickly done.  Nevertheless, there is a chance of inducing labor in the mother.  So, the doctor will discuss the procedure before mom agrees to the test.

Non-stress

Especially as mom nears the end of her pregnancy, the doctor may order a non-stress test.  No pain or discomfort is involved.  A belt with electronic monitors is placed around mom’s belly. While mom simply relaxes, the test will record contractions.  Although it is perfectly normal to have Braxton Hicks contractions, in preparation for the actually birth, sometimes the mom-to-be is actually in labor and does not even know it yet.

Of course

Naturally, a mom with gestational diabetes will have to keep track of her blood pressure and weight gain.  It is not difficult; but, it is also very important; so, do what it takes to make sure it is part of the daily routine-without fail.

In short, high risks pregnancies require additional tests, whether it is gestational diabetes or something else. When the extra concerns gets frustrating, relax and remember the ultimate goal. A little baby is counting on mom to do whatever it takes, so he/she has a better chance of being born healthy.