Doctor insights on:
What Can I Do To Prepare For Pregnancy If I Am Diabetic
Control your glucose: It is very important to get your glucose levels in control before pregnancy as high blood sugar levels in very early pregnancy are associated with some birth defects. Please see this handout for more information: http://www.Otispregnancy.Org/files/diabetes.Pdf. ...Read moreSee 1 more doctor answer
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Certainly: In women with gestational diabetes and type 2 diabetes, the sugar in your blood directly affects the size of your baby. If your blood sugar level is high, the baby gets too much nourishment and overgrows. This can lead to a condition called macrosomia or "fat" baby. Macrosomia causes problems for both you and your baby. ...Read more
Gestational diabetes: Often pregnancy will reveal a tendency in the mother to metabolize sugar poorly. The diagnosis is gestational (pregnancy-related) diabetes. This usually resolves after the pregnancy is over. However, there are women in whom the underlying diabetes becomes more chronic. ...Read more
Worsens it: Just as important, your diabetes can affect your pregnancy. You need stricter control to help prevent birth defects, macrosomia (large infant), birth or maternal injuries, fetal death, and maternal diabetes worsening; leading to renal problems (kidney failure), other organ damage, or other health issues...The good news is that all of these problems can be improved or avoided with proper care. ...Read more
Gestational diabetes: Gestational diabetes is a condition where women develop high blood sugar during pregnancy without a prior history of diabetes. It is often without symptoms, but can be picked up during routine pre-natal screening. There is some risk to the baby if it is not treated, and there is some risk of the mother having diabetes after birth. ...Read more
Yes: Yes it is done all the time. ...Read more
Diabetes in pregnanc: If you have gestational diabetes, you should control your sugars really well during pregnancy otherwise the baby may be born big, develop diabetes later in life, more prone for respiratory distress syndrome etc. For the mother, gain in weight, preeclampsia and eclampsia and high blood pressure may manifest. ...Read moreSee 1 more doctor answer
FBG and OGTT: Fbg is fasting blood glucose (sugar) and ogtt is an oral glucose tolerance test. For the ogtt, a woman comes in fasting, drinks a sweet liquid with a set amount of glucose. Blood is drawn just before the woman drinks the glucose solution, and at several time points afterwards for up to 3 hours (~ 4 draws total). Having a high glucose for two of the readings means she has gestational diabetes. ...Read more
Protein: The goal is to maintain steady, stable blood sugars and avoid the spikes and falls that occur with simple carb intake. Every meal should have a protein, it helps maintain blood sugar levels. Avoid the "whites": sugar, rice and white bread. Eat complex carbs instead, brown rice and whole grain breads. Veggies are great, but watch the fruits, they can be high in sugar. ...Read moreSee 1 more doctor answer
Stay in control!: It's very important to have good control over diabetes at all times. Good control is necessary for a healthy pregnancy and also for a healthy baby. Fetal development can be negatively impacted when diabetes is not well-controlled during pregnancy. Poor control may also result in a too large baby making delivery more of a challenge. ...Read more
Many: Diabetes can affect the developing baby throughout the pregnancy. In early pregnancy, a mother's diabetes can result in birth defects and an increased rate of miscarriage. Many of the birth defects that occur affect major organs such as the brain and heart. During the 2nd & 3rd trimester, a mother's diabetes can lead to over-nutrition & excess growth of the baby. ...Read moreSee 1 more doctor answer
Yes: One large prospective trial showed that a sulfonylurea pill for gestational diabetes didn't cross the placenta and controlled sugars (used after 11 weeks gestation). The am coll of ob/gyn doesn't fully endorse it, so most physicians use insulin. Data on metformin is retrospective, so i agree with the other respondent that a discussion of these issues with your physician is very important. ...Read moreSee 3 more doctor answers
Lots: Complications of diabetes during pregnancy include miscarriage, dka, fetal growth restriction, macrosomia, birth defects, preeclampsia, polyhydramnios, preterm birth, stillbirth, and newborn abnormalities. Having diabetes during pregnancy is considered high risk. ...Read moreSee 1 more doctor answer
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