Planning for pregnancy with diabetes patient: glycemic control before pregnancy
Previously, ask women with diabetes to refrain from pregnancy. If pregnant, did not live long. Even after the availability of insulin in the early twenties of the twentieth century, the number of successful pregnancies among women with diabetes are much lower than in women without diabetes.
We must distinguish between types 1 and 2 diabetes and gestational diabetes. Unlike types 1 and 2 diabetes, which arise before or after pregnancy, gestational diabetes occurs during pregnancy, the second or third quarter.
This form of diabetes increased production of estrogen and progesterone during pregnancy. Gestational diabetes also differs from others as it disappears immediately after birth. But exposure to gestational diabetes increases the risk of type 2 diabetes.
More than half of women with gestational diabetes gestational subsequent type 2 diabetes.
In some rare cases, some women with type 1 diabetes during pregnancy. In most cases, it is diagnosed primarily as gestational diabetes.
But unlike gestational diabetes, no improved blood sugar levels after birth, but remain high and need insulin to control it.
Blood sugar and children’s health
Blood glucose control is very important to the health of unborn children.During the first eight weeks of training — when you are the heart of the child and his lungs and kidneys and brain – the fetus more prone to birth defects or miscarriage if the mother’s blood sugar is too high.
Also, high blood acid (acidosis of diabetes) can cause abortion.
Later in pregnancy, your blood sugar can lead outside of control to premature birth or dead. Also, excessive blood sugar makes children grow more than usual and become more complicated.
Unlike mother, had a child and was suffering from low blood sugar. Other potential complications and recall yellow skin (jaundice) as a result of the accumulation of old blood cells that have not been disposed of quickly enough in the liver of the child. However, these problems can be handled easily for good luck.
And subsequent risks to the mother as a result of uncontrolled blood sugar control during pregnancy recall high blood pressure and exacerbate existing diabetes complications, especially eye disease (retinopathy).
Planning for pregnancy
To prevent your exposure you and your baby to the complications associated with diabetes, it is important to control your blood sugar before pregnancy.
Can diabetes control program, being developed with your doctor and health care team can help you reach a good blood sugar control and prepare your body for a healthy pregnancy.
This program generally involves the following:
Lets you use contraception before pregnancy, choose the safest and most convenient time to have a child.
And while testing the HbA1c (hemoglobin A-1C) almost levels together, your doctor may recommend stop using contraception. In fact, the test is the measurement of your blood sugar
A comprehensive physical examination
Helps physical examination to identify the potential risks of complications associated with pregnancy, such as high blood pressure and eye disease or Neurology or kidneys.
Because pregnancy may exacerbate problems of diabetes, these problems must be addressed before pregnancy.
Regular monitoring of blood sugar
Ongoing surveillance is your blood sugar is one of the most important things can be done to reduce the risk of exposure you and your baby to the complications associated with diabetes.
It is assumed that encourages you to your doctor, before and after pregnancy, test your blood sugar several times per day and adjust insulin dose accordingly.
You should check your blood sugar level before each meal, and after an hour or two of each meal and when you go to bed. Your doctor may also recommend to check your blood sugar at midnight.
Healthy eating helps you maintain blood sugar levels almost together.You may have to work with a dietitian to modify your program to address problems of pregnancy, including nausea, vomiting, constipation and craving food.
Artificial sweeteners are considered a problem for mothers with diabetes. The effects of saccharin on the fetus are unknown, so they prefer to avoid products containing saccharin during pregnancy.
Several years ago, she advises that women with diabetes not exercising during pregnancy for fear of the impact of exercise on children’s health.
Today, doctors recommend all people to exercise every day to improve their health, including pregnant women with diabetes. It is important to test your blood sugar before and after workouts to avoid hypoglycaemia.
To prevent potential problems
Can blood sugar control can prevent complications of pregnancy, but may also control your risk of hypoglycaemia. So your body gets used to the fact that your blood sugar in a specified range.
When your blood sugar drops below this range, your body reacts in a way. Involve signs warning of hypoglycaemia on shivering, sweating, and volatile movements, confusion, headaches, hunger, pallor, and fluctuations in mood and behavior.
Possible causes of hypoglycemia include plenty of exercise, exercise or eating too much insulin, or not eating enough food and not eating on time.
On the other hand, could happen to high blood sugar, is another problem arising from court control, if your body does not get enough insulin, or excessive eating, or practiced exercises less than usual.
And can result in stress or illness such as a cold or the flu, to high blood sugar. Symptoms may involve the piss and increased thirst and fatigue.
Diabetic acidosis also is another problem you should beware of them. It is caused by increased levels of ketones, acid in the blood result while missing your sugar and your body starts to dismantle the fat for energy.May accumulate ketones, are a byproduct of the metabolism of fat in your blood and endanger your health – and children’s health.
Can regular visits to a health care team to help you keep your diabetes control program under control during pregnancy.
During the first 10 to 12 weeks of pregnancy, you’ll visit the doctor regularly, maybe once every week or two. At this stage, your baby’s core members, and your blood sugar should be as close as possible to the normal rate.
And frequent surveillance of blood glucose can help you. Since the need your body to insulin may drop slightly during this phase, you should pay attention to the signs of hypoglycaemia. If the rotor actually bothers you morning, talk to your doctor about the use of medications for nausea.
In the second chapter, the subject most women for photography to check the health of the child. Watch as the doctor weight.
Throughout pregnancy, should increase your weight weighing between 15 and 30, as your weight before pregnancy.
Indeed, women with extra weight that the channel not to gain weight over 15 weighing (7 kg).
For women of normal weight, recommended usually increase between 20 to 30 weighing (9 – 13 kg).
If you are on insulin, expect to increase your insulin gradually until the twentieth week of pregnancy and then accelerate dramatically. The hormones produced by the placenta to help the child grow insulin effect crashes.
As a result, increase your insulin drastically. At this stage of pregnancy, you should also review the eye specialist. The damage to the small blood vessels in the eyes may worsen during pregnancy due to the extra hormones produced by the placenta.
When you enter your pregnancy in the last three months, your doctor is watching closely in search of possible complications that may occur in this last phase of pregnancy: high blood pressure, swollen ankles as a result of accumulation of fluid and kidney problems.
Have you submit another ultrasound imaging to assess the size and health of the child.You should also check your eyes to check for any damage to the eyes.At this stage, a potential problem in your health or your baby’s health that lead to premature baby.
The birth of a child
Health care team helps you determine the optimal time and safest way for baby. Usually recommends the baby at home with a midwife or nurse because of the growing possibility of problems as a result of diabetes.
As long as your blood sugar level stays normal or not seeing you or child of any complications, you can expect natural births through the vagina.
And during labor, you should monitor your blood sugar frequently to prevent reduction or significant increase in blood sugar levels. As your body works with a large force, likely to have the least amount of insulin.
But if there are complications, had a child by caesarean section through the open incision in the lower abdomen and uterine walls. Regardless of the method, the result will be a kid intact for most women who try thought to control blood sugar.
After the birth of a child, needs insulin. But you need several weeks or months before completion of the changes your body and return to the previous system of insulin I was before pregnancy.
Intensive insulin therapy relieves birth defects
American society for studies of diabetes among women with type 1 diabetes who began a programme of intensive therapy to insulin (blood sugar control) before pregnancy, only 1 percent of children from birth defects, compared with 10 percent of children born to mothers who have intensive insulin therapy after pregnancy.
Treatment involves intensive insulin amendments repeated doses of insulin to maintain normal blood sugar levels.
As the changes in your body during pregnancy affect your blood sugar and make diabetes control more difficult. And with pregnancy, the placenta secretes hormones reduce the ability of insulin to lower blood sugar.
This means that you may need to double or triple the amount of insulin that you currently eat, and may need to receive insulin injections with greater frequency. Please see your doctor always before making any modifications in your insulin regime.
Questions and answers
If you suffer from diabetes, what are the chances upon him?
Genetic issues specialist can help you predict your child’s risk for type 1 or 2 diabetes.
According to the American Association of diabetes, a child born to a mother aged 25 or older diagnosed with type 1 diabetes at risk about the same-1 percent – like a child born from the people without diabetes.
This risk increases to 4 percent if the age of mothers younger than 25 years old at the birth of the child.
In the case of a father suffering from type 1 diabetes, the risk rises to 6 percent.
If both parents are suffering from type 1 diabetes before the age of 11, double jeopardy.
On the other hand, tends in type 2 diabetes to go in.
And likely to be lifestyle habits associated with food and exercise more influence of genetic factors in vulnerability your child to type 2 diabetes until age of majority.
Yes. The breastfeeding provides many benefits for children. In addition, helps you lose some weight you gained during pregnancy.
Remember that blood sugar levels drop during lactation and breastfeeding when you can sleep late in the night that depletes your resource of sugar.
So, you may have to modify insulin doses, especially at night. Can your doctor or diabetes Counsellor help you modify the insulin system to allow you to breastfeed.