How to manage diabetes during pregnancy?

Diabetes mellitus is one of the most important cases in which the body is not able to control blood glucose levels due to lack of insulin or its ineffectiveness. Diabetes is the most common medical condition during pregnancy, occurring in 3.3% of births.

What are the causes and symptoms of diabetes?
In general, diabetes is divided into two main types. Type 1 diabetes is an autoimmune disease that requires daily intake of insulin. Symptoms of type 1 diabetes may include increased thirst and frequent urination, persistent hunger, weight loss, blurred vision and severe fatigue. This type of diabetes is often diagnosed in childhood and in young adults. About 5 to 10 percent of diagnostic cases are involved.

Type 2 diabetes is the most common type of diabetes, which accounts for about 90 to 95% of cases of diabetes in the United States. Symptoms of type 2 diabetes include bladder or kidney infections that slowly improve, increased thirst and frequent urination, hunger and persistent fatigue. This type of diabetes is often associated with age, obesity, family history, previous history of gestational diabetes, physical inactivity, and can be common in certain ethnic groups.

GDM Gestational Diabetes. Blood glucose levels are rising and other symptoms of diabetes are seen during pregnancy. Gestational diabetes is seen in women who have no history of diabetes and have not had any type of diabetes. Of every 100 pregnant women, 3 to 9 people develop gestational diabetes.

How do pre-diabetes or diabetics already exist in pregnancy?
Whether you're trying to get pregnant or have your pregnancy dropped, ultimately, diabetes treatment during pregnancy is the best key to your health and your child.

Try regular medical visits to adjust your blood glucose level. Regular medical check-ups and accurate blood glucose control are essential to your health and your child's health.
Ask for nutritionists to have a good diet. Use an appropriate nutrition to control your blood glucose before and after ovulation.
If you have a medicine for diabetes or have a specific physical condition, be sure to tell a gynecologist.
If you have diabetes, check with two gynecologists and gynecologists.
Keep up your physical activity. To have a safe pregnancy, it's best to have physical activity.
Reduce blood glucose (hypoglycemia) and increase blood glucose (hyperglycemia) and how can they affect pregnancy?
Reducing your blood sugar or increasing your blood glucose is both a condition that occurs in women with pre-diabetes. Hypoglycemia occurs when a high level of blood glucose is reduced. When the blood sugar level is low, the body can not receive its energy.

In this case, you may experience the following:
Experience blurred vision
Having fatigue without reason
Concerned about sudden changes in mood
Hypoglycemia or low blood sugar can be triggered by:
Decrease the amount of meal or remove it
Eat too little meals
Excessive physical activity
Typically, low blood sugar is treated by eating or drinking sugary and sweet substances like orange juice. Hyperglycemia or high blood sugar occur when the body does not have enough insulin or can not properly use it.

In this case, you may experience the following:
Everytime thirst
Sudden weight loss
High blood sugar can be initiated by:
Lack of balance in spending meals
Disorder of insulin
Stress
Sickness
Not having physical activity
Typically, high blood sugar is treated by adjusting the dose of insulin.

Is there a risk of having diabetes in preterm infants?
When the mother is diabetic, there are several potential negative health risks for the baby.

Macrosomia macrosomia. The condition is that the baby gets too big due to the excessive passage of insulin from the placenta. A large baby can complicate natural labor and can increase the risk of harm to the baby during birth.

Hypoglycaemia or low blood glucose. Due to high levels of insulin, a baby may be born shortly after birth. Blood glucose control can help reduce your baby's risk of low blood sugar.

Jaundice Yellow and eye color, which can sometimes be associated with gestational diabetes. Pediatricians will take the necessary steps to reduce the incidence of this condition for the baby.

What else can you do?
There are a few other things to keep in mind:

During the delivery process, blood glucose should be constantly monitored for a safe delivery. The medical team will take all the necessary steps to reduce your concern.
Complete postpartum care. To do this, and to achieve the ideal weight, include daily exercise and proper nutrition in your daily schedule. Postpartum physical care is critical to managing glucose levels and maintaining well-being.
Use the best food to feed your baby after your baby's birth. Some studies indicate a reduced risk of diabetes in breast-feeding babies.
Every year, thousands of women are able to manage their diabetes properly during pregnancy. Remember to manage your blood glucose levels. Use proper nutrition and exercise. Use regular medical checkups. Sustained management of diabetes is an important key to health and success for future pregnancies.

References:

  1. http://americanpregnancy.org/pregnancy-complications/diabetes-during-pregnancy/
  2. https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=90&ContentID=P02444

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Fatemeh Ghorbani

Fatemeh Ghorbani

فاطمه قربانی هستم، لیسانس ژنتیک، به علوم نوین پزشکی و ایمونولوژی علاقمندم. از شما دوست گرامی بخاطر مطالعه این مقاله و همچنین مجموعه تریتا بخاطر فرصت انتشار مطالبم در راستای کمک به ارتقای دانش کمال تشکر دارم. شاد باشید و سلامت

my name is Fatemeh Ghorbani, I have a B.S in genetics and interested in immunology and medical science. I believe that, even into the smallest acts, should be put our heart, mind and soul. Thank you for reading my article