The Doc Replies

Our expert answers your medical questions

What is gestational diabetes?

Gestational diabetes is diabetes that develops during pregnancy.

It usually happens in the later stages when the body is not able to make enough insulin to meet the extra needs of pregnancy.

You are at an increased risk of gestational diabetes if you are overweight, have a family history of diabetes or have previously had a large baby.

Symptoms are thirst, dry mouth, passing more urine and tiredness, although these symptoms can occur during pregnancy anyhow.

It is important to identify if it is gestational diabetes, however as it can cause complications.

The baby can grow larger than usual and/or too much fluid can build up around him or her in the womb.

Gestational diabetes can also increase the risk of high blood pressure and premature birth.

Treatment includes diet, exercise and sometimes you will need either tablets or insulin.

Your baby will be closely monitored before and after birth and labour may need to be induced slightly early.

My toddler has been diagnosed with asthma. Will he still be able to run and play?

Yes, he will. Sometimes exercise can trigger asthma symptoms but if the asthma is treated it should be fine. Make sure he always has his reliever inhaler and that sport coaches know about his condition.

A lot of professional athletes have asthma, so those with the condition can participate in sports to a very high level.

I have done a round of cognitive behavioural therapy (CBT) but while it helped some my anxiety continues. What do I do?

CBT is not a quick fix, and it is unrealistic to think that once you realise that you have negative thought patterns that you will immediately stop thinking that way.

Stick with it and keep practising what you have learned. In some situations, anxiety is natural and normal, and you will not be able to completely eliminate it. If you have a fear of something in particular, exposure therapy could be helpful.