Pregnancy, Diabetes and You, Part I

Foreword

Expectant Mothers

If this is your first child, you have probably already heard a lot of stories about problems that can occur in pregnancy, if you have diabetes. Although nobody can guarantee that your pregnancy is perfectly normal, but we can assure you that today, the prospects for expectant mothers with diabetes are much better than they were 15 to 20 years. With good control of blood sugar are likely to deliver a healthy baby are almost identical to those of nondiabetic mothers.

Read This and subsequent related texts and apply where you the information given to them. So you can prepare us better for the happy event.

Pregnancy and Contraception

Did you insoulin depended diabetes and want to start family; Have you heard stories about diabetes and pregnancy you were terrified; If yes, then there are two tips to get from a professional - do not listen and do not worry. Diabetic women are so fertile and the others and there are all grounds to assume that someone will enjoy your pregnancy and you get a completely normal and healthy infant.

All you need is enough hard work from you and from those you care for.

Diabetes and pregnancy in the past year

There is no doubt that in the past, diabetic women who wanted to start a family had to face many serious difficulties.

The first obstacle exceeded with the discovery of insulin, which meant - thanks to this - that diabetic mothers survived. Half, however, babies had to die. Indeed, just 25 years before the 1/4 of infants from diabetic mothers or were born dead or die within the first weeks of its short life.

Soon it emerged that the level of glucose in the blood of the mother was often high and pierced by the placenta (the organ which is connected to the umbilical cord and nourishes the fetus) to the baby, while insulin could not do that.

Thus, high blood sugar causes children to produce very large amounts of insulin to the tabs, which led to growing body of children. Although the babies were older, many parts of the body was slow and many died from respiratory difficulties, which normally affects only premature infants.

Over the years they have made several improvements, including better care of infants and method of assessment of the situation of the baby while still in the womb, but undoubtedly the greatest benefit related to the finding that tight diabetic control is the key to developing a healthy the baby. Unfortunately, it emerged that there was a high rate of abnormalities at birth when infants whose mothers have diabetes.

We now know that this can be reduced to the level applicable to the general population with good control in the early stages of pregnancy. A baby may fully formed in the first few weeks of pregnancy, even before they show a positive pregnancy test, so the best investment that a diabetic woman can do on behalf of the unborn child is to thoroughly check 3 months before the time of Warrant.

Visit your doctor before pregnancy

In many centers now operate clinics stages before pregnancy where you can get advice and information on local care program. Blood pressure will be checked, as well as your immunity to measles and function of your thyroid gland. Your eyes should be examined and assessed the function of your kidneys.

Also expect to be asked about any previous pregnancies, births, illnesses or other problems may be related to your ability to capture or your pregnancy. Additionally you should be given the opportunity to discuss diet with your dietitian.

Most importantly, you will be given advice about the advantages of a fairly strict diabetic control will mean more frequent measurements of glucose in your blood. Ideally you should aim to have blood sugar levels as close to normal levels before taking meals.

When you and your doctor determine that the control you are good and that HbA1c (glykoziliomeni, a test that gets the average glucose levels in your blood for the last 2 to 3 months and so gives an accurate indication of diabetic control you) is satisfactory, then you can stop using contraception. You must do a pregnancy test once you have 2 weeks to delay your period. If the test is negative and you still do not see time, wait a week and press again the test. Once you have positive contact with your doctor.

If your hospital has no clinical exam before pregnancy and had gynecological problems in the past, you should ask to talk to your obstetrician monitor before you conceive. It may also at this stage to find a reassuring conversation with the special nurse diabetic subjects. If you have neglected somewhat in control, now is the time to enhance your. Ask to test the HbA1c glykoziliomeni so you know who is testing you.

Care during pregnancy

The care during pregnancy varies from place to place, but you can usually see the diabetologist and obstetrician in a clinical monitoring before childbirth. The first visit usually will become an ultrasound. This is a harmless, painless procedure allows your doctor to check your baby.

It's wonderful to be able to see your baby from the first few weeks! The first ultrasound will show you the approximate date of conception. Second ultrasound may be done at 20 weeks for testing irregularities and subsequent ultrasounds will see how the baby's development.

Some women may have problems with hypoglycemia. If this happens to you, make sure you always have a robust supply of sugary foods. In urgent cases, make sure your partner - or anyone you care - has been supplying glucagon and knows how to use it.

There is no evidence that hypoglycemia can impair a baby. Ketones but is dangerous for your baby if you accumulate for many hours. You should check for ketones if blood glucose level in blood is high, if you were sick or if you are sick and to tell your doctor immediately if you have more than a small quantity. Vomiting or morning sickness is more common in diabetic than nondiabetic, but if you are vomiting should get more carbohydrate exchanges (even in liquid form) and check for ketones.

You may also find that the amount of insulin you need, often increases while approaching the 24th week. Around 30 weeks obstetricians will regulate heart rate and movements of your baby and decide to be born at full gestation or earlier. The odds may need caesarean is more elevated compared with nondiabetic pregnant women. But a growing number of diabetic women gives birth naturally.

Your baby after birth

Due to the good control during pregnancy, most babies look and behave normally and you can breastfeed if you wish. Sometimes a little "chubby" may have some slight hypoglycemia or jaundice, but these minor problems are temporary and easily treated. The baby will not be diabetic, you just have an increased chance of developing diabetes during their lives.

Diabetes in pregnancy

Diabetes in pregnancy is the name given to describe the protodiagnosketai diabetes during pregnancy.

This is because pregnancy increases the need for insulin and some women do not have the resources to produce the extra insulin. Obesity increases the need for insulin, so the overweight are at greater risk.

Often the level of sugar in the blood of the mother is slightly increased, and so may not be symptoms.

Mild symptoms are difficult to assess during pregnancy because many nondiabetic pregnant women feel tired, thirsty and have frequent urination. It is important for the good of the baby's blood sugar to be as normal is for the same reasons as for women with insulin-dependent diabetes. For most women with diabetes during pregnancy, the only requirement is to stop eating sweet foods and increase consumption of foods with fiber in their diet.

Is home measurement of blood glucose and if, in the diet, levels of blood glucose is high then you need insulin for the rest of the pregnancy.

Most women find that they are capable exceeded by insulin after birth as long as their body continues to produce enough insulin for normal purposes. Most women have a normal glucose stress test 6 weeks later. A few will continue to have diabetes. However, there is an increased risk of developing diabetes in the future women who had diabetes during pregnancy. Usually non-insulin dependent diabetes, but the risk is reduced by avoiding obesity.

Contraception

Ideally pregnancies should be planned, but as you see from reading the article is very important to do good planning if you are diabetic. So you should use contraceptives in the intermediate pregnancies.

The most popular method of contraception, the "pill" contains 2 female hormones: estrogen and progesterone. This preparation prevents ovulation (ie acts by stopping production of eggs. Professional medical worried about taking the pill in diabetic women because of increased risk of vascular disease (mainly heart attacks) but now the pill contains very low dose of estrogen so perhaps there is no risk. Preferable but not avoid it.

Condoms used alone are not insured contraceptive method but if used in conjunction with transvaginal condom, which is applied by a physician on insured.

Transvaginal condom is placed just like a tampon. The IUDs are suitable for some people.If you had one for over 2 years is unlikely to become pregnant. Do not ever remove it without medical advice.

After completing their family, many couples choose sterilization. This does not cause any difference in general health and sexual or other emotions. Should be considered permanent and thus should be chosen after much thought and discussion.

If you want advice on contraception do not be afraid to ask your doctor - most of them are so old school or unapproachable as likely to think!