Decision to have children is a big life changing choice that has to be taken by a couple. However, in the case of a woman who has diabetes it is a decision that entails a lot of thought and cautious preparation.
Many women who have diabetes (Type 1, Type 2 and Gestational diabetes) ultimately have healthy pregnancies and healthy babies. It would not be a straightforward pregnancy and requires a lot of commitment on the part of the mother.
Categories of Diabetes
Type 1 Diabetes
This develops when the body is not able to manufacture any insulin. It habitually begins in childhood, and generally women with this type of diabetes will be conscious of their condition before they become pregnant.
Individuals with type 1 diabetes need to take insulin to manage their blood glucose.
According to the level of the blood sugar, they will have to alter the dosage of insulin they need to take in a day.
Risk for the Baby
The possible risks in the babies are that, they might not be able to develop generally and might end up having congenital abnormalities, predominantly heart and nervous system abnormalities. There are chances of them being still born and might also develop conditions of obesity and diabetes later in life.
Type 2 Diabetes
Develops when the body is not able to make enough insulin, or when the insulin that is formed does not work correctly. This occurs in people who are overweight and typically detected in women aged 40 or over. This can take place in women who are young also, women who are thinking of starting a family would be aware of this condition.
Management of the Condition
This condition can be treated with medicines to lower the level of blood glucose, but in some pregnant women the insulin injections are required.
The Jeopardy That Causes the Baby
Babies born to mothers with this condition, are prone to be born large, which augments the risk of a complicated birth and ending up in a caesarean section.Mothers to be are at a higher risk of miscarriage.
How to Control Pre-Existing Diabetics in Pregnancy
Women who are thinking of starting a family should ensure that their diabetes is well controlled before becoming pregnant.
They should take in a higher dosage of folic acid, in contrast to other pregnant women. Conceived mothers should have regular blood tests and do screening for their eyes and kidneys to avoid future problems.
Gestational diabetes mellitus (GDM) is a sort of diabetes which, transpires during pregnancy, typically during the second or third trimester. In several women GDM becomes apparent because, the body is incapable of generating adequate insulin, required when a women has conceived.
On the contrary in some women GDM occurs during the initial three months of pregnancy, this condition would have been present even before pregnancy.
There are no specific indications, for this medical condition, in order to detect if an expectant mother has gestational diabetes, they have to undergo a glucose test when they are amid 24 and 28 weeks pregnant.
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Handling the Patients With GDM
The echelon of glucose should, be guarded by diet and would have to maintain a balanced diet, intake of sugar and control of foods that are high in sugar, has to be limited. If the blood glucose is not restricted by diet, then the mother’s have to take medicines or injections to care for your diabetes
How Does This Concern the Baby
The risk of gestational diabetes to the newborn is lesser than in expectant mothers, with Type 1 or Type 2 diabetes. The extent of risk depends, on the duration, the blood glucose echelon posts to be high and the how high it has been. Babies have a greater danger of malformations.
In most of the cases the gestational diabetes goes off after the birth of the newborn, doctors test the glucose levels before discharging the patient. If the level of glucose is normal, then the medications or insulin can be discontinued after the delivery. Gestational diabetes, diagnosed in Mother’s to be, have a thirty percentage of possibility of having Type 2 diabetes at some stage in their life.
The good news is that, with the current modern expert help that is available in the field of medicine, most women with diabetes have a healthy baby. The risk of the pregnancy can be reduced by controlling the level of glucose.
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