Can woman with diabetes get pregnant
Diabetes Diabetes and getting pregnant. Having a chronic condition such as diabetes diabetes mellitus takes careful monitoring of your health at the best of times, and this becomes even more crucial during pregnancy, a time when your body changes dramatically. Most women who have pre-existing diabetes who become pregnant have type 1 diabetes once called insulin-dependent or juvenile diabetes , although some may have type 2 once called non-insulin dependent or maturity-onset diabetes. Another type of diabetes called gestational diabetes is a temporary type of diabetes that occurs in pregnant women who have never had diabetes before and it usually goes away after the baby is born. What it does mean is that you will probably have to work closely with your doctor and other healthcare professionals to ensure you manage your diabetes well during your pregnancy. Seeing your doctor for pre-pregnancy planning is an important step in ensuring the best outcome for you and your baby.
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Diabetes and getting pregnant
If you have diabetes and plan to have a baby, you should try to get your blood glucose levels close to your target range before you get pregnant. High blood glucose, also called blood sugar, can harm your baby during the first weeks of pregnancy, even before you know you are pregnant. If you have diabetes and are already pregnant, see your doctor as soon as possible to make a plan to manage your diabetes.
Working with your health care team and following your diabetes management plan can help you have a healthy pregnancy and a healthy baby. If you develop diabetes for the first time while you are pregnant, you have gestational diabetes. High blood glucose levels can be harmful during this early stage and can increase the chance that your baby will have birth defects, such as heart defects or defects of the brain or spine. High blood glucose levels during pregnancy can also increase the chance that your baby will be born too early, weigh too much, or have breathing problems or low blood glucose right after birth.
High blood glucose also can increase the chance that you will have a miscarriage or a stillborn baby. Hormonal and other changes in your body during pregnancy affect your blood glucose levels, so you might need to change how you manage your diabetes.
If you have been taking an oral diabetes medicine, you may need to switch to insulin. As you get closer to your due date, your management plan might change again.
Pregnancy can worsen certain long-term diabetes problems, such as eye problems and kidney disease , especially if your blood glucose levels are too high.
You also have a greater chance of developing preeclampsia, sometimes called toxemia, which is when you develop high blood pressure and too much protein in your urine during the second half of pregnancy. Preeclampsia can cause serious or life-threatening problems for you and your baby. The only cure for preeclampsia is to give birth. If you have preeclampsia and have reached 37 weeks of pregnancy, your doctor may want to deliver your baby early. Before 37 weeks, you and your doctor may consider other options to help your baby develop as much as possible before he or she is born.
If you have diabetes, keeping your blood glucose as close to normal as possible before and during your pregnancy is important to stay healthy and have a healthy baby.
Getting checkups before and during pregnancy, following your diabetes meal plan, being physically active as your health care team advises, and taking diabetes medicines if you need to will help you manage your diabetes.
Stopping smoking and taking vitamins as your doctor advises also can help you and your baby stay healthy. Regular visits with members of a health care team who are experts in diabetes and pregnancy will ensure that you and your baby get the best care. Your health care team may include.
You are the most important member of the team. Your health care team can give you expert advice, but you are the one who must manage your diabetes every day. Have a complete checkup before you get pregnant or as soon as you know you are pregnant.
Your doctor should check for. Pregnancy can make some diabetes health problems worse. To help prevent this, your health care team may recommend adjusting your treatment before you get pregnant. Smoking can increase your chance of having a stillborn baby or a baby born too early. Smoking can increase diabetes-related health problems such as eye disease, heart disease, and kidney disease. If you smoke or use other tobacco products, stop. For tips on quitting, go to Smokefree.
Your dietitian can help you learn what to eat, how much to eat, and when to eat to reach or stay at a healthy weight before you get pregnant. Together, you and your dietitian will create a meal plan to fit your needs, schedule, food preferences, medical conditions, medicines, and physical activity routine.
During pregnancy, some women need to make changes in their meal plan, such as adding extra calories, protein, and other nutrients. You will need to see your dietitian every few months during pregnancy as your dietary needs change. Physical activity can help you reach your target blood glucose numbers.
Being physically active can also help keep your blood pressure and cholesterol levels in a healthy range, relieve stress, strengthen your heart and bones, improve muscle strength, and keep your joints flexible. Before getting pregnant, make physical activity a regular part of your life.
Aim for 30 minutes of activity 5 days of the week. Read tips on how to eat better and be more active while you are pregnant and after your baby is born. When you drink, the alcohol also affects your baby. Alcohol can lead to serious, lifelong health problems for your baby. Some medicines are not safe during pregnancy and you should stop taking them before you get pregnant. Tell your doctor about all the medicines you take, such as those for high cholesterol and high blood pressure.
Your doctor can tell you which medicines to stop taking, and may prescribe a different medicine that is safe to use during pregnancy. Doctors most often prescribe insulin for both type 1 and type 2 diabetes during pregnancy.
You may need less insulin during your first trimester but probably will need more as you go through pregnancy. Your insulin needs may double or even triple as you get closer to your due date. Your health care team will work with you to create an insulin routine to meet your changing needs.
You should take a multivitamin or supplement that contains at least micrograms mcg of folic acid. Once you become pregnant, you should take mcg daily. How often you check your blood glucose levels may change during pregnancy. You may need to check them more often than you do now. Ask your health care team how often and at what times you should check your blood glucose levels.
Your blood glucose targets will change during pregnancy. Your health care team also may want you to check your ketone levels if your blood glucose is too high. Ask your health care team which targets are right for you. You can also use an electronic blood glucose tracking system on your computer or mobile device. Record the results every time you check your blood glucose. Your blood glucose records can help you and your health care team decide whether your diabetes care plan is working.
You also can make notes about your insulin and ketones. Take your tracker with you when you visit your health care team. Ask your doctor what targets are right for you. Results of the A1C test reflect your average blood glucose levels during the past 3 months.
Most women with diabetes should aim for an A1C as close to normal as possible—ideally below 6. Your doctor can help you set A1C targets that are best for you. Ketones in your urine or blood mean your body is using fat for energy instead of glucose.
You can prevent serious health problems by checking for ketones. Your doctor might recommend you test your urine or blood daily for ketones or when your blood glucose is above a certain level, such as If you use an insulin pump , your doctor might advise you to test for ketones when your blood glucose level is higher than expected. Your health care team can teach you how and when to test your urine or blood for ketones.
Talk with your doctor about what to do if you have ketones. Your doctor might suggest making changes in the amount of insulin you take or when you take it. Your doctor also may recommend a change in meals or snacks if you need to consume more carbohydrates. Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses.
Find out if clinical trials are right for you. Clinical trials that are currently open and are recruiting can be viewed at www. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Diabetes Diabetes Overview What is Diabetes? How can my diabetes affect me during pregnancy? What health problems could I develop during pregnancy because of my diabetes?
How can I prepare for pregnancy if I have diabetes? What do I need to know about blood glucose testing before and during pregnancy? Clinical Trials If you have diabetes and plan to have a baby, you should try to get your blood glucose levels close to your target range before you get pregnant. Plan to manage your blood glucose before you get pregnant. How can diabetes affect my baby? Work with your health care team Regular visits with members of a health care team who are experts in diabetes and pregnancy will ensure that you and your baby get the best care.
Your health care team may include a medical doctor who specializes in diabetes care, such as an endocrinologist or a diabetologist an obstetrician with experience treating women with diabetes a diabetes educator who can help you manage your diabetes a nurse practitioner who provides prenatal care during your pregnancy a registered dietitian to help with meal planning specialists who diagnose and treat diabetes-related problems, such as vision problems, kidney disease, and heart disease a social worker or psychologist to help you cope with stress, worry, and the extra demands of pregnancy You are the most important member of the team.
Talk with your health care team before you get pregnant. Get a checkup Have a complete checkup before you get pregnant or as soon as you know you are pregnant. Your doctor should check for high blood pressure eye disease heart and blood vessel disease nerve damage kidney disease thyroid disease Pregnancy can make some diabetes health problems worse.
Be physically active Physical activity can help you reach your target blood glucose numbers. Talk with your health care team about what activities are best for you during your pregnancy. Adjust your medicines Some medicines are not safe during pregnancy and you should stop taking them before you get pregnant.
During your pregnancy, you may need to check your blood glucose levels more often. Target blood glucose levels during pregnancy Recommended daily target blood glucose numbers for most pregnant women with diabetes are Before meals, at bedtime, and overnight: 90 or less 1 hour after eating: to or less 2 hours after eating: or less 3 Ask your doctor what targets are right for you.
Planning a pregnancy with type 1 or 2 diabetes
If you have type 1 or type 2 diabetes and are planning a family, you should plan your pregnancy as much as possible. Controlling your blood sugars before conception and throughout pregnancy gives you the best chance of having a trouble-free pregnancy and birth and a healthy baby. Women with diabetes will need to closely monitor their blood sugar levels during their pregnancy. If you develop diabetes during pregnancy, it is called gestational diabetes. If you can, visit your doctor or diabetes educator at least 6 months before you start trying to fall pregnant.
If you have type 1 or 2 diabetes, it is very important to talk to your healthcare team if you are thinking about having a baby. There are some things that are best done before you get pregnant that will reduce your risk of pregnancy complications and baby loss. If you have type 1 or 2 diabetes, you need to be as healthy as possible before you conceive, and while you are pregnant. The first thing to do is talk to your GP or diabetes team. You should get information about how diabetes affects pregnancy and how pregnancy affects diabetes.
Pregnancy if You Have Diabetes
Diabetes is a condition where the body is unable to keep blood sugar levels in the normal range. There are three types: type 1 diabetes, type 2 diabetes and gestational diabetes. Insulin is the hormone that controls blood sugar levels, keeping them in the healthy range. In type 1 diabetes, the pancreas is unable to make enough insulin. Daily medication insulin is therefore needed to control blood sugar levels. Type 2 diabetes is a progressive condition. It occurs over time, as the pancreas gradually becomes unable to produce enough insulin to keep blood sugar levels in the normal range, and the body becomes resistant to the effects of insulin. Together, this results in high blood sugar levels. Depending on the severity, type 2 diabetes can be managed with diet and exercise and medication. Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after giving birth.
Preexisting Diabetes and Planning Pregnancy
Many people believe that getting pregnant when they already have diabetes is not possible because of the struggles women in the past may have faced, which preceded more modern treatments, monitoring tools, and knowledge. Today, however, being diabetic does not mean that your pregnancy is destined for struggle, complications, or miscarriage. That said, you do need to be proactive in your diabetes care prior to pregnancy to optimize you and your baby's health and prevent possible complications, like birth defects. If you want to "try," it's strongly recommended that you get blood sugar levels under control three to six months before trying to conceive.
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