8. Polycystic Ovary Syndrome (PCOS): A Hidden Culprit in Gestational Diabetes
Polycystic Ovary Syndrome (PCOS) is a significant health condition that intertwines closely with the risk of developing gestational diabetes. This chapter delves into how PCOS, a common hormonal disorder among women of reproductive age, can elevate the risk of gestational diabetes.
PCOS is characterized by irregular menstrual cycles, excessive androgen levels, and polycystic ovaries. These symptoms disrupt the normal functioning of the ovaries, leading to various complications, one of which is an increased risk of gestational diabetes. The connection lies in the insulin resistance often seen in women with PCOS, a key factor in the development of gestational diabetes.
Insulin resistance in PCOS means the body’s cells don’t respond effectively to insulin, leading to higher blood sugar levels. This resistance is not only a concern for diabetes outside of pregnancy but also sets the stage for gestational diabetes during pregnancy.
Furthermore, women with PCOS often struggle with obesity, another risk factor for gestational diabetes. The interplay between PCOS, weight, and insulin resistance forms a complex web that significantly impacts gestational diabetes risk.
Managing PCOS before and during pregnancy is crucial. It involves a multidisciplinary approach, including lifestyle changes, dietary modifications, and sometimes medication. By managing PCOS effectively, the risk of developing gestational diabetes can be significantly reduced, leading to healthier outcomes for both the mother and the baby. (8)
