Gestational diabetes does not end at childbirth

A few days ago, Belén, a 45-year-old woman, came to the office. Immersed in the care of her two daughters of 7 and 5 years, she told me: “I am very tired. Maybe it’s because of the life I lead, with so much stress and little rest”.

After a thorough physical examination and a detailed anamnesis, we proposed to perform a blood test, since more than five years had passed since the last one.

We both remembered that she had had diabetes in her second pregnancy, although “that was cured”.

gestational diabetes

We met to review the results of the analysis and to see how she was doing. The blood test was conclusive: a glucose of 139 mg/dl and a glycosylated hemoglobin (HbA1c) of 6.8%. (Diabetes Journals. ADA). There was no doubt, Belén had type 2 diabetes and telling her was going to be difficult. She looked at me with a face of disbelief: “Nothing hurts me, Igotz. It can’t be.

And indeed, this is usually the case. Type 2 diabetes mellitus usually arrives without warning, and it does not hurt. It is a silent disease, and when it arrives it does so to stay. It is a chronic disease and unfortunately, the cause of multiple complications.