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Starting a surrogacy journey is a meaningful and exciting step, both for surrogates and intended parents. It brings the promise of creating a family and the joy that comes with it. However, like any pregnancy, surrogacy can have its challenges, and one common complication is gestational diabetes. Understanding this condition and how to manage it is essential for a healthy and positive experience. With the right knowledge and support, surrogates and intended parents can confidently navigate this journey together.

What is Gestational Diabetes?

Gestational diabetes is a type of diabetes that develops during pregnancy. It occurs when the body cannot produce enough insulin to manage the increased blood sugar levels brought on by the hormones your placenta makes. These hormonal changes cause insulin resistance, making it difficult for the body to use insulin effectively.

Gestational diabetes is typically diagnosed through glucose screening tests conducted during pregnancy, usually between 24 and 28 weeks. According to the CDC, gestational diabetes affects 5% to 9% of pregnancies in the United States every year. Early diagnosis and management are crucial to ensure the health of both the surrogate and the baby.

Impact of Gestational Diabetes on Surrogacy

Understanding the potential risks and complications, as well as the eligibility criteria for surrogates with a history of this condition, is crucial for ensuring a healthy and successful pregnancy. 

Here are the specific impacts of gestational diabetes on surrogacy:

Potential Risks and Complications

  • Early Labor and Delivery: Gestational diabetes can increase the risk of early labor, leading to delivery before the due date. This can pose health risks to both the surrogate and the baby, including respiratory distress and developmental delays.
  • Increased Birth Weight: Babies born to mothers with gestational diabetes are often larger than average, a condition known as macrosomia. This can complicate delivery, increasing the likelihood of a cesarean section or birth injuries.
  • Long-Term Risks: Both the surrogate and the baby face long-term health risks if gestational diabetes is not managed properly. Surrogates may have a higher risk of developing type 2 diabetes in the future, while children born to mothers with gestational diabetes may also have an increased risk of obesity and diabetes later in life.

Eligibility for Surrogacy

Women with a history of gestational diabetes can still become surrogates if their condition was controlled by diet alone. However, if they needed to take medication for it, they will be disqualified. Those eligible must also meet specific criteria, including maintaining a healthy weight, having well-managed blood sugar levels, and undergoing thorough medical evaluations to ensure they are fit for another pregnancy.

Medical clearance is crucial for surrogates with a history of gestational diabetes. Continuous monitoring of blood sugar levels, regular check-ups with healthcare providers and adherence to a healthy lifestyle are essential to manage the condition effectively and ensure a safe pregnancy for both the surrogate and the baby.

Managing Gestational Diabetes During Surrogacy

Pregnant woman checking blood sugar level by using Digital Glucose meter, health care, medicine, diabetes, glycemia concept

Proper diet, regular exercise, and vigilant medical monitoring are key components in controlling gestational diabetes. Here are several tips for managing gestational diabetes during surrogacy:

Diet and Nutrition

A well-balanced diet is crucial for controlling blood sugar levels. Consuming a variety of nutrient-dense foods helps maintain stable glucose levels and supports overall health.

Surrogates should focus on eating whole grains, lean proteins, and plenty of fruits and vegetables. It’s important to limit the intake of refined sugars and carbohydrates. Meal planning can include small, frequent meals to avoid spikes in blood sugar levels.

Exercise and Physical Activity

Regular exercise helps the body use insulin more effectively, which can help control blood sugar levels. It also promotes overall health and well-being. Safe and suitable exercises include walking, swimming, and prenatal yoga. These activities are generally low-impact and help maintain fitness without putting excessive strain on the body.

Monitoring and Medical Care

Continuous monitoring is essential to manage gestational diabetes effectively. Surrogates should regularly check their blood sugar levels and urine ketones to ensure they are within a healthy range. Blood sugar levels are typically checked using a glucose meter. Here’s how:

  1. Wash and dry your hands thoroughly.
  2. Insert a test strip into the glucose meter.
  3. Prick the side of your fingertip with a lancet (a small, sharp needle).
  4. Squeeze out a drop of blood and place it on the test strip.
  5. Wait for the meter to display your blood sugar level.

Checking urine ketones involves using ketone test strips. Here’s how:

  1. Collect a urine sample in a clean container.
  2. Dip the ketone strip into the urine sample.
  3. Wait for the strip to change color according to the test instructions.
  4. Compare the color on the strip to the color chart provided with the test kit to determine ketone levels.

In some cases, diet and exercise may not be enough to control blood sugar levels. Medical interventions, such as insulin therapy, may be necessary. Regular consultations with healthcare providers are crucial to adjust treatment plans as needed.

Preventing Gestational Diabetes

By focusing on pre-surrogacy health and lifestyle and understanding the importance of early screening and intervention, surrogates can significantly reduce their risk of developing gestational diabetes.

Pre-Surrogacy Health and Lifestyle

Achieving and maintaining a healthy weight before and during surrogacy is one of the most effective ways to reduce the risk of gestational diabetes. Excess body weight can increase insulin resistance, making it harder for the body to regulate blood sugar levels.

Adopting a balanced diet rich in whole grains, lean proteins, fresh fruits and vegetables is crucial. Avoiding excessive intake of refined sugars and carbohydrates can help maintain stable blood sugar levels. Regular physical activity is also important in maintaining a healthy weight and improving insulin sensitivity.

Early Screening and Intervention

Early screening for gestational diabetes, usually between 24 and 28 weeks of pregnancy, allows for timely detection and management of the condition. Early detection helps in planning appropriate dietary and lifestyle interventions to control blood sugar levels effectively.

Early intervention can significantly reduce the risks associated with gestational diabetes, such as preterm labor, high birth weight, and long-term health issues for both the surrogate and the baby. Proactive management includes regular monitoring of blood sugar levels, maintaining a healthy diet, engaging in regular physical activity, and following medical advice meticulously.

Working With Surrogacy Agencies and Medical Professionals

Diabetes concept. Doctor is monitoring blood glucose level of diabetic patient.

Choosing the right surrogacy agency and having access to comprehensive medical support are critical factors in managing gestational diabetes effectively during the surrogacy journey. Here’s how agencies and medical professionals can support surrogates dealing with this condition.

Choosing the Right Agency

Reputable surrogacy agencies provide robust support systems for surrogates. These systems include educational resources, access to experienced coordinators who understand the unique challenges of pregnancy, and connections to specialized healthcare providers. Selecting an agency with comprehensive medical support is crucial for ensuring a healthy and successful surrogacy journey. For those managing specific conditions like gestational diabetes, these resources become even more important.

When selecting an agency, choosing one that offers comprehensive medical support is crucial. This means the agency should have a network of medical professionals who can provide regular monitoring, dietary and exercise guidance, and immediate intervention if complications arise. Agencies like Joy of Life ensure that surrogates receive consistent, high-quality medical care throughout their pregnancy.

Medical Support and Resources

Medical professionals play a vital role in managing gestational diabetes during surrogacy. Obstetricians, endocrinologists, and dietitians work together to create a personalized care plan for the surrogate. This multidisciplinary approach ensures that blood sugar levels are closely monitored and managed through diet, exercise, and, if necessary, medication.

Surrogates have access to various resources and support systems, including:

  • Educational Materials: Information on how to manage gestational diabetes, including dietary guidelines and exercise recommendations.
  • Support Groups: Connecting with other surrogates who have experienced gestational diabetes can provide emotional support and practical advice.
  • Regular Medical Check-ups: Frequent appointments with healthcare providers to monitor the surrogate’s health and the baby’s development.
  • 24/7 Support: Access to medical advice at any time, ensuring that any concerns or complications can be addressed promptly.

By choosing the right agency and leveraging the expertise of medical professionals, surrogates can effectively manage gestational diabetes and ensure a healthy and successful surrogacy journey.

Embark on a Surrogacy Journey with Joy of Life

A pregnant woman in a pink outfit sitting in a pink room, resting against a large pink and white ball.

Managing gestational diabetes during surrogacy requires the right support and care. At Joy of Life, we provide comprehensive guidance and resources to ensure a healthy journey for both surrogates and intended parents. 

Our dedicated team is here to support you every step of the way. If you’re ready to start your surrogacy journey with confidence and care, get started by applying to become a surrogate or an intended parent today.

Joy Millan

Author Joy Millan

I’m Joy, the founder and CEO of Joy of Life. With a professional background as a fertility clinician, I’ve spent thousands of hours working with surrogates and intended parents alike. As a mother of two, I often wished for more support and a deeper commitment to care for those embarking on non-traditional family-building journeys. This is why I established Joy of Life: to create a more robust, compassionate experience in parenthood for both parties involved with surrogacy. In 2021, I stepped back from daily operations at Joy of Life to fight cancer. Fortunately, the combined 20 years of experience from our incredible team has allowed me to focus on my health & recovery. I continue to provide company guidance and serve as the head liaison for our network of doctors, clinicians and caregivers.

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