Class A2 diabetes is the classification for insulin controlled gestational diabetes. Gestational diabetes is a condition in which a woman, not previously diagnosed with diabetes, begins exhibiting high glucose levels during pregnancy. In most cases a modification of diet is enough to control glucose levels, but in some cases insulin and/or other medications are required. This is considered class A2 diabetes.

Typically, mothers who get gestational diabetes in pregnancy have perfectly normal babies, especially if they keep their blood sugar levels under control. However, there are increased risks for the baby that you should be aware of. The baby may have low blood sugar levels, jaundice, or be large for their gestational age which can lead to delivery complication.

Women who have gestational diabetes generally do not show symptoms. The condition is usually caught by the screenings performed during pregnancy. There are, however, risk factors that make you more likely to have class A1 or Class A2 diabetes. These are:

  • A previous diagnosis of gestational diabetes or pre-diabetes
  • A pervious diagnosis of impaired glucose tolerance or impaired fasting glycaemia
  • A family history which reveals a parent or sibling with type 2 diabetes
  • Maternal Age. A woman’s risk factors increase with age
  • Ethnic Background. People at a higher risk include African Americans, Afro-Caribbeans, Native Americans, Pacific Islanders, and South Asians.

 

Class A2 Gestational Diabetes Treatment

 

Once diagnosed with Class A2 Diabetes (insulin-dependent diabetes) it is important to begin monitoring your blood sugar levels to avoid any complications during your pregnancy or delivery. You may need to purchase a blood glucose meter and some testing strips. For gestational diabetes class A2, you should begin checking your blood sugar 4 or 5 times a day, particularly first thing in the morning and after meals.

Some lifestyle changes will need to take place. Making the right food choices is absolutely the best thing that you can do for yourself and your baby. Do not try to lose weight, but try to prevent excess weight gain. Fruits, vegetables, and whole grains should be the central components of your diet. Limit refined carbohydrates, including sweets, and try to avoid excess fats. Keep in mind that your meals will have to be scheduled around your insulin and other medications.

Exercise is important in any pregnancy, and it helps to relieve some of the most common discomforts of pregnancy such as back pain, swelling, and trouble sleeping. This is the easiest way to keep your blood sugar levels normal as well. Be sure to speak to your doctor about which exercises are safe for you. Also, play it safe by drinking plenty of water and having something nearby to eat in case your blood sugar level drops too low.