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Should a diabetic woman get pregnant

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All pregnancies have the chance for complications, but having Type 1 makes you more susceptible to specific ones. Here are the most important things to do in order to lower those risks:. Check your number and check often. This will decrease the chance of excessive sugars being given to your baby.

SEE VIDEO BY TOPIC: How Diabetics Should Prepare Prior to Pregnancy

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SEE VIDEO BY TOPIC: Diabetes and Pregnancy in Urdu

Type 1 or Type 2 Diabetes and Pregnancy

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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.

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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

Back to Your pregnancy and baby guide. Most pregnant women with diabetes will go on to have a healthy baby, but there are some possible complications you should be aware of. The information on this page is for women who were diagnosed with type 1 or type 2 diabetes before they got pregnant.

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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.

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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.

Pregnancy if You Have Diabetes

Top of the page Decision Point. You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. You can have a healthy pregnancy if your blood sugar is in a target range before you get pregnant and you don't have high blood pressure or problems from diabetes, such as kidney disease. Keeping your blood sugar at a target level lowers your risk of birth defects, miscarriage, and other problems.

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.

Diabetes can cause problems during pregnancy for women and their developing babies. Poor control of diabetes during pregnancy increases the chances for birth defects and other problems for the pregnancy. It can also cause serious complications for the woman.

Does diabetes affect fertility?

Pregnancy and diabetes doesn't have to be a risky combination. By preparing for pregnancy, you can boost the odds of delivering a healthy baby. Here's how.

Blood sugar that is not well controlled in a pregnant woman with Type 1 or Type 2 diabetes could lead to problems for the woman and the baby:. The organs of the baby form during the first two months of pregnancy, often before a woman knows that she is pregnant. Blood sugar that is not in control can affect those organs while they are being formed and cause serious birth defects in the developing baby, such as those of the brain, spine, and heart. Besides causing discomfort to the woman during the last few months of pregnancy, an extra large baby can lead to problems during delivery for both the mother and the baby. The mother might need a C-Section to deliver the baby. The baby can be born with nerve damage due to pressure on the shoulder during delivery.

Diabetes: Should I Get Pregnant?

Being well-prepared for pregnancy can help reduce the risk of complications, keep you healthy throughout your pregnancy, and give your baby a good start in life. Hormonal changes during pregnancy make diabetes even more challenging. The majority of women who properly control their diabetes before and during pregnancy have successful pregnancies, and give birth to beautiful, healthy babies. Women with diabetes have a higher risk of miscarriage and of having a baby with birth defects heart and kidney defects, for example. If your blood glucose sugar levels are poorly controlled, you should avoid becoming pregnant until your healthcare team has helped you improve your blood sugar control. With the intensification of treatment for women with diabetes, the mortality of newborns has decreased significantly, but remains slightly higher in women with poorly controlled diabetes, especially if they have episodes of ketosis, ketoacidosis or hypertension during pregnancy. Strict blood sugar control from preconception to delivery and close monitoring by a multidisciplinary team in a specialized centre can greatly reduce most of these risks.

Pregnant wiman with doctor getting her blood sugar checked. Diabetes can cause problems during pregnancy for women and their developing babies. Sometimes a woman with gestational diabetes must also take insulin. For most women.

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.

I have diabetes. What should I know before I 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.

Diabetes and getting pregnant

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.

There was a time when women who had diabetes were strongly advised to avoid getting pregnant.

When you have type 2 diabetes, steps you take before becoming pregnant are as important as your prenatal care. Learn how to get in the best possible shape before you conceive. It used to be that women with type 2 diabetes were discouraged from becoming pregnant. These days, with careful pregnancy planning and monitoring of blood glucose levels, you can have a safe pregnancy and a healthy baby.

Pregnancy in Women with Type 1 or Type 2 Diabetes

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