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PREGNANT WHILE WE HAVE DIABETES

PREGNANT WHILE WE HAVE DIABETES
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Women with diabetes could have healthy babies, but it takes planning ahead and effort. Pregnancy can make both high and low blood glucose levels happen more often. It can make diabetic eye disease and diabetic kidney disease worse. High glucose levels during pregnancy are dangerous for the baby, too. So, If you don't want to become pregnant, it is important to talk with your health care provider about birth control.

Protect The Baby and Yourself

Keeping your glucose levels near normal before and during pregnancy can help protect you and your baby. That's why it's so important to plan your pregnancies ahead of time.

If you want to have a baby, discuss it with your health care provider. Work with your diabetes care team to get and keep your blood glucose in the normal or near-normal range before you become pregnant. Your glucose records and your hemoglobin A1c test results will show when you have maintained a safe range for a period of time.

You may need to change your meal plan and your usual physical activity, and you may need to take more frequent insulin shots. Testing your glucose several times a day will help you see how well you're balancing things. Record the test results in your logbook or on a log sheet.

Get a complete check of your eyes and kidneys before you try to become pregnant. Don't smoke, drink alcohol, or use drugs, because doing these things can harm you and your be born baby.

Have Diabetes During Pregnancy

Some women have diabetes only when they're pregnant. This condition, which is called gestational diabetes , can be controlled just like other kinds of diabetes. Glucose control is the key. Your health care team can help you take charge of gestational diabetes.

How Will Diabetes Affect to Pregnancy ?

During the pregnancy, placenta will produces a few hormones that also affect how insulin works. That's why, if you already have diabetes, pregnancy should make your sugar levels more hard to control. The hormonal changes while pregnancy can also cause diabetes, this is also know as gestational diabetes and typically resolves after delivery. Cause bye this risk, all women are tested for diabetes while pregnancy, usually around 24 weeks gestation.

When you experience high (called hyperglycemia) or low (called hypoglycemia) blood sugars, so does the fetus in your uterus. That's why if diabetes during pregnancy is not well controlled, it should cause serious complications while pregnancy and delivery, including very rarely fetal death. You should be aware of the problems include:

  • Birth defects, such as heart defects, kidney problems, gastrointestinal problems and spinal defects.
  • Have a very big baby, making vaginal delivery difficult and possibly making a Cesarean delivery necessary.
  • Neonatal low blood sugar, this is caused by the sudden drop in the baby's insulin levels after delivery.
  • Respiratory distress at baby birth, caused by slower lung development.
  • Increased risk of pre-eclampsia, a condition characterized by high blood pressure and risk of seizures and possibly requiring early delivery.
  • Increased risk of urinary tract infections, which if untreated, can spread to the kidneys, causing harm to the mother and fetus.
  • Too much amniotic fluid also know as hydramnios, which can cause preterm labor (labor before 37 weeks).

Pregnant women with a history of diabetes should have some pre-pregnancy complications that may progress, increase complications or affect the fetus while pregnancy. Diabetic kidney disease (nephropathy), eye involvement (retinopathy) and coronary artery disease (heart vessel blockage) require particular attention before and during pregnancy to ensure a healthy delivery. In same cases, such as if the pregnant woman has severe coronary artery involvement, pregnancy may be too risky for that woman, as she is at high risk for a heart attack.

However, with good prenatal care, almost all women with diabetes can have successful pregnancies and healthy babies.

The best way to reduce the risk of any complications is to maintain excellent pre-pregnancy health and to commit to regular prenatal care in order to control blood sugars throughout pregnancy.

Diabetes Control for Women's Health

Some women with diabetes may have specials problems, such as bladder and kidney infections. If you have an infection, it needs to be treated right away. Call your doctor. Some women with diabetes may also have trouble with sexual function. Discomfort caused by vaginal itching or dryness can be treated.

Ask your doctor how often you should get a pap smear and a mammogram (breast X-ray). Regular pap smears and mammograms help detect cervical and breast cancer early. All women --- whether or not they have diabetes --- need to keep up with these tests.

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