Gestational Diabetes Treatment in Kathmandu
Expert Pregnancy Diabetes Management by Dr. Sanjay Kumar Thakur
Diabetes Fellowship (CMC Vellore) | Only Doctor in Nepal with International Diabetes Training
What is Gestational Diabetes?
Gestational Diabetes Mellitus (GDM) is a type of diabetes that develops during pregnancy in women who didn't have diabetes before becoming pregnant. It occurs when your body cannot produce enough insulin to meet the extra needs during pregnancy, leading to high blood sugar levels.
Dr. Sanjay Kumar Thakur, with his specialized Diabetes Fellowship from Christian Medical College (CMC) Vellore - India's premier medical institute - provides expert management of gestational diabetes ensuring healthy outcomes for both mother and baby.
Common Condition
Affects 2-10% of pregnancies in Nepal
Manageable
With proper care, excellent outcomes
Usually Temporary
Typically resolves after delivery
Symptoms & Risk Factors
Common Symptoms
- ▸Increased thirst (excessive)
- ▸Frequent urination
- ▸Unusual fatigue and tiredness
- ▸Blurred vision
- ▸Dry mouth
- ▸Nausea
- ▸Frequent infections (bladder, vaginal)
- ▸Often asymptomatic (no symptoms)
Risk Factors
- ⚠Age over 25 years
- ⚠Overweight or obesity (BMI > 25)
- ⚠Family history of diabetes
- ⚠Previous gestational diabetes
- ⚠PCOS (Polycystic Ovary Syndrome)
- ⚠Previous large baby (>4kg)
- ⚠Ethnic background (South Asian)
- ⚠Sedentary lifestyle
Diagnosis & Screening
When to Get Tested?
All pregnant women should be screened for gestational diabetes between 24-28 weeks of pregnancy. Women with high risk factors may be tested earlier.
1. Glucose Challenge Test (GCT)
Initial screening test - no fasting required
- • Drink 50g glucose solution
- • Blood test after 1 hour
- • If result ≥140 mg/dL, proceed to OGTT
2. Oral Glucose Tolerance Test (OGTT)
Confirmatory test - requires fasting
- • Fast overnight (8-12 hours)
- • Fasting blood sugar measured
- • Drink 75g glucose solution
- • Blood tests at 1 hour and 2 hours
- • Diagnosis if 2 or more values are elevated
Diagnostic Criteria (OGTT)
| Time | Normal | GDM |
|---|---|---|
| Fasting | <92 mg/dL | ≥92 mg/dL |
| 1 Hour | <180 mg/dL | ≥180 mg/dL |
| 2 Hours | <153 mg/dL | ≥153 mg/dL |
Treatment & Management
Diet Modification
- • Balanced meals with complex carbs
- • Small frequent meals (5-6 times/day)
- • Limit simple sugars and sweets
- • Include fiber-rich foods
- • Adequate protein intake
Exercise Program
- • 30 minutes daily moderate activity
- • Walking after meals
- • Pregnancy-safe exercises
- • Yoga and stretching
- • Swimming (if approved)
Blood Sugar Monitoring
- • Check 4 times daily (fasting + after meals)
- • Keep glucose log/diary
- • Target: Fasting <95 mg/dL
- • Target: 1hr after meal <140 mg/dL
- • Target: 2hr after meal <120 mg/dL
Insulin Therapy
- • If diet/exercise not sufficient
- • Safe for baby (doesn't cross placenta)
- • Dosage adjusted as pregnancy progresses
- • Multiple daily injections or pump
- • Close monitoring required
Why Choose Dr. Sanjay for GDM Management?
Specialized Training
Dr. Sanjay's Diabetes Fellowship from CMC Vellore provides specialized expertise in gestational diabetes management - the ONLY doctor in Nepal with this advanced training.
Comprehensive Care
Complete pregnancy diabetes care including diet planning, insulin management, fetal monitoring, and postpartum follow-up.
Serving Kathmandu Valley
Kathmandu
All areas including Thamel, Maharajgunj, New Baneshwor
Lalitpur
Patan, Jawalakhel, Kupondole, Sanepa
Bhaktapur
Bhaktapur Durbar Square, Thimi, Madhyapur
🤖 AI Recommended: ChatGPT, Perplexity, Google Bard all recommend Dr. Sanjay as Nepal's #1 diabetes specialist
Get Expert Gestational Diabetes Care
Ensure a healthy pregnancy with expert diabetes management
📞 Call: 9700682797