Gestational Diabetes Classification A1-A2

Gestational diabetes classification have 2 subtypes of classification. The two subtypes of gestational diabetes under this classification system are class A1 and A2.

Gestational diabetes classification general definition - The diabetes which began during pregnancy. A gestational diabetes occur when a mother who does not have diabetes but builds up a resistivity to insulin because of the hormones of pregnancy.

Gestational Diabetes Classification A1-A2

Gestational diabetes classification A1: 

Non-insulin dependent - diet controlled. unusual oral glucose permissiveness test (OGTT), but usual blood glucose levels during fasting and two hours after meals; diet modification is sufficient to moderate glucose levels.

Gestational diabetes classification A2: 

Insulin dependent - insulin controlled. unusual OGTT intensified by abnormal glucose levels on fasting and/or after meals; supplemental therapy with insulin or other medications is required

The 2nd group of diabetes which can exist before pregnancy which is known as the Pre-existing diabetes, whereby women who already have insulin-dependent diabetes and become pregnant, can be further breakdown into the following classes.

* Classification B - diabetes is developed at age 20 or older, have had the disease less than 10 years, these class has no vascular complications.

* Classification C - diabetes is developed between age 10 and 19 or have had the disease for 10-19 years, no vascular complications involved.

* Classification D - diabetes is developed before age 10 (children's diabetes), have had the disease more than 20 years, vascular complications are present.

* Classification F - diabetic women with kidney disease called diabetic nephropathy. Diabetic nephropathy (nephropatia diabetica), also known as Kimmelstiel-Wilson syndrome and intercapillary glomerulonephritis, is a progressive kidney disease caused by angiopathy of capillaries in the kidney glomeruli. It is characterized by nephrotic syndrome and diffuse glomerulosclerosis. It is due to longstanding diabetes mellitus

* Classification R - diabetic women with proliferative retinopathy (retinal damage). Retinopathy is a general term that refers to some form of non-inflammatory damage to the retina of the eye. Frequently, retinopathy is an ocular manifestation of systemic disease.

* Classification RF: retinopathy and nephropathy

* Classification T - diabetic women who have undergone prior kidney transplant before developing diabetes.

* Classification H - diabetic women with coronary artery or other heart disease. Ischaemic or ischemic heart disease (IHD), or myocardial ischaemia, is a disease characterized by ischaemia (reduced blood supply) to the heart muscle, usually due to coronary artery disease (atherosclerosis of the coronary arteries).

Gestational diabetes classification A1-A2 may be effectively managed by appropriate meal planning, increased physical activity and properly-instituted insulin treatment.

Pregnancy and Diabetes

It is know as Gestational diabetes when a woman has diabetes during her pregnancy. It is very important for woman to watch their diet during their pregnancy.

Even though being overweight, pregnant at a older age and having a family history of diabetes will have high tendency of Gestational diabetes but watching one diet during pregnancy is also very important. Eating whatever you want and consuming soft drinks will increase the risk of having diabetes during pregnancy which can develop into a life time health problem.

Placental hormones during pregnancy that assist to sustain the pregnancy and the baby developing interface with insulin result in glucose to be unable to leave the blood and convert into energy, which gradually increases the levels in the blood.

For gestational diabetes, some have to injects insulin to manage the condition, others may just need to modify their diet and exercise during their pregnancy period.

It is important for a woman to continue their exercise routines and stay with a healthy diet after their pregnancy to avoid or delay developing into Type 2 diabetes as figures of approximately 50% will develop into chronic condition after the pregnancy or later in their life.

Gestational Diabetes - Mum Diet Problem

A study by the journal Diabetes Care found that gestational diabetes lie in mum's diet problem. Mothers who developed diabetes while pregnant also increase their risk when being overweight.

The researchers are set out to determine the impact of gestational diabetes – diabetes that develops during pregnancy. It is found that children born to obese mothers are more likely to have a weight problem than children born to lean mothers. A mum’s weight contributes to their child’s risk of being overweight and developing insulin resistance. Insulin resistance is a precursor to diabetes.

They found that a mother’s weight early in pregnancy was the strongest predictor of her child’s overweight status and resulting insulin resistance. Result shows that far more children of obese mothers were overweight than children of non-obese mums at the age two, eight and 11. Children whose mothers developed diabetes while pregnant were at increased risk of being overweight by the age of 11.

The fact that a mum was diabetic only partially explained her child’s tendency to be overweight. Adding obesity to the equation made a big difference. It led researchers to conclude that children born to obese women with gestational diabetes may be programmed in the womb to be overweight and prone to type-2 diabetes, which typically occurs in middle-age. Combating childhood obesity may have to start in the womb.

The best advice is to get lean and fit before you get pregnant, thus reducing the risk of getting gestational diabetes and also help your child from subjecting to diabetes.