Diabetes and pregnancy
There are two important issues regarding diabetes and pregnancy. The first one with diabetes who wish to become pregnant and give birth to a healthy baby to term and delivery (pre-diabetes mellitus). And the second question concerns the development of diabetes, gestational age at a woman who previously had no symptoms of the disease.
For the first problem: It 'important that every woman with pre-diabetes or who wish to become pregnant, or who are pregnant, his close controlglucose levels, it is especially important during the early months of pregnancy. The risk of serious birth defects have increased by poor control of pre-diabetes, and also proposed to be a major cause of abortion.
Women who develop diabetes, gestational age, usually have no increased risk of birth defects, although it is important that blood sugar levels are carefully monitored and controlled to reduce the risk of stillbirth.
All diabetic women who are pregnant tendgive children much larger than the average. E 'known that children grow older, because part of the extra sugar from the mother through the umbilical cord enters the bloodstream of the child. Insulin, then it converts sugar into fat cells. In many cases, these children big to be delivered by Caesarean section because they are too big for a vaginal birth.
Condition diabetes is properly controlled, there is no reason why women with diabetes should be given noSimple pregnancies and deliver healthy babies. This is complicated when diabetes is not controlled it can happen. Unfortunately, these complications lead to a miscarriage, hypertension, premature birth and stillbirth.
Pregnant women who have pre-diabetes will get a blood test for measuring glycated hemoglobin level before fertilization. This blood test gives an accurate measure of how the blood sugar levels were checked in the previousmonths, and this may indicate that the most secure way to conceive. This test can also be used during pregnancy to measure how well diabetes is controlled.
The current recommendation for all women to take folic acid before receiving that prevent the child with the development of neural tube defects. This advice is particularly important for women with diabetes, as diabetes can increase the risk for this type of birth defect.
Currently, the oral medications used for the management of type 2 diabetesis not approved for use during pregnancy. For this reason, women with these drugs is to switch to insulin before conception and during pregnancy.
Most pregnant women are tested for diabetes, gestational age at a time between 24 ° and 28 weeks of pregnancy. Those who develop this gestational diabetes, blood sugar levels usually return to normal after the birth of the child to explore.
Moderate exercise is believed to contribute to a better utilization of available cellsinsulin and recommended during pregnancy.
Blood glucose should be carefully monitored during pregnancy, as insulin requirements may differ materially from those needed for fertilization. Urine ketones can also, as the presence of this may be a sign that diabetes is not controlled properly controlled.
Both for the safety of mother and child is important that all precautions are taken when diabetes is detected in the mother. Otherwise,lead to a devastating problem.