Diabetes Pregnancy what to do?

Preconception Consultation

When a couple decides to have children and the female has diabetes pregnancy can be delicate so our advice is as arrange a preconception consultation with your doctor. During such a visit, your doctor can advise you how to best proceed to make sure that conception can occur, as well as it being a healthy and successful pregnancy. Therefore good communication is essential between yourself and your doctor, but most importantly your needs should be tailored to meet your requirements.

Your first action should be to aim for near normal glucose levels. It is safely achievable, for women with diabetes to aim to keep fasting blood glucose between 3.5 - 5.9mmol/litre and 1 hour postprandial blood glucose below 7.8 mmol/litre during your pregnancy.

If you are diabetic then the most essential thing you must do is to get your blood glucose levels as close to normal as possible, ideally really controlled for a three months period prior before you become pregnant. Even more important is to maintain them at that level for at least the critical first three months of diabetes pregnancy. This when the baby is developing rapidly and the time during which congenital malformations can occur if glucose levels are too high. Although ideally your control should be maintained throughout your pregnancy.

Studies have shown in diabetes pregnancy when the HbA1c level is within 1% of normal, the rates of congenital deformities and spontaneous abortion are no different from those in women without diabetes. Above that and the incidence rises and so do the risks.You'll need to monitor your glucose levels frequently - it is not unusual for pregnant women to perform self-monitoring of blood glucose (SMBG) 6 to 8 times a day. The ADA recommends these goals for blood glucose control during pregnancy:

Gestational diabetes pregnancy.

This can develop in women who have not previously had diabetes and it affects 2-7% of pregnant women. It can lead to problems for the mother and baby if it isn’t properly controlled. It often occurs at around the 24th week and usually goes away after delivery, but you do have a 20% - 50% of developing Type II diabetes within 5 to 10 years. But as Type II is a lifestyle disease you can reverse this and most definitely increase your chances of never getting Type II with the right lifestyle choices. At around the 27th-29th week you should have a glucose screen or glucose tolerance test.

During pregnancy, various hormones block the usual action of insulin, this ensures that the growing baby receives enough sugars. Therefore, your body needs to produce more insulin to cope with these changes. This condition develops when your body can’t meet the extra insulin demands of the pregnancy.

Miscarriage isn't the only issue that is derived from high blood sugar levels during pregnancy. Uncontrolled sugar may also lead to premature delivery as well as birth defects. Sometimes, high sugar levels leads to overtly large babies, which carry the potential of injuries to both mother and child during delivery.

But even when conception takes place in spite of your condition, poor control of blood sugar can lead to recurrent miscarriages. Miscarriage occurs because the high levels of blood sugar are toxic to the developing embryo. This makes it crucial to explore your condition as a cause for both infertility and recurrent miscarriage, and this is one of the first things a good diagnostician or doctor should explore. Also, both partners should be tested.

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But many couples want to go for a more natural pregnancy and avoid the side effects of the prescribed drugs, there are many natural drugs to take, but being diabetic you must be very careful and if you are going down that route, do so with advice from your specialist nurse or doctor. But many diabetic women have achieved a diabetes pregnancy by trying the natural way, the successes have been phenomenal and if you are not pregnant within two months you get your money back in full, try yourself by clicking here.