If you are planning for a family, learn how
to take care of your blood sugar before and
during pregnancy so you can have a healthy baby, whether you had diabetes before
you got pregnant or you developed diabetes during your pregnancy. Tight blood glucose control, helps to ensure
the best chance of a successful pregnancy and can avoid long-term health
problems for both you and baby. For that, you will need to keep a close eye on your blood sugar levels.
WHAT IS
Normal Blood sugar in pregnancy?
TIME
|
AMOUNT
|
Fasting (Before meal)
|
Less than 95 mg/dl
|
2 hours after meal
|
Less than 120 mg/dl
|
A1c
|
Less than or around 6.0%
|
WHAT IS
GESTATIONAL DIABETES?
It
is temporary diabetes develop during pregnancy known as diabetes. It happens in about 3 in 100 to 9
in 100 pregnant women.
What are the symptoms?
Nondiabetic pregnant women are being tested for gestational
diabetes between 24 and 28 weeks of pregnancy, as there are no common symptoms of gestational diabetes. Most women do
not know they have it until they are get tested
- causes of BLOOD SUGAR DURING PREGNANCY
- Overweight and obesity; i.e., a body mass index (BMI) of 25
- Having gestational diabetes or insulin resistance in the past
- Experiencing an unexplained stillbirth or a birth defect in a previous pregnancy
- If any immediate family member (parents or siblings) suffering from diabetes
- Have had gestational diabetes before
- Having a previous birth of a large baby (9 pounds or more)
- Having any health issue like heart disease, high blood pressure, or high cholesterol
- Very less physical activity
How blood
sugarcane Monitoring In PREGNANCY:
For every type of diabetes, if you are pregnant you
need to see your doctor at least once a month, perhaps as often as once a week.
You may need to test your blood several times a day. Generally, these
times are fasting (first thing in the morning before you eat) and 2 hours after
each meal. Occasionally, you may be asked to test more frequently during the
day or at night. As each person is an individual, your health care provider can
advise the schedule best for you.
HOW DOES DIABETES AFFECT
THE BABY?
- Large Birth Weight: Birth injury may occur due to the baby's large size and difficulty being born
- Premature Birth
- Rebound Hypoglycemia
- Electrolyte ImbalancesCongenital Malformation
- Type 1 diabetes often occurs in children or young adults, but it can start at any age.
- Birth defects: Birth defects are more likely in babies of diabetic mothers. Some birth defects are serious enough to cause stillbirth. Birth defects usually occur in the first trimester of pregnancy. Babies of diabetic mothers may have major birth defects in the heart and blood vessels, brain and spine, urinary system and kidneys, and digestive system.
- Macrosomia: This is the term for a baby that is much larger than normal. All of the nutrients the baby gets comes directly from the mother's blood. If the mother's blood has too much sugar, the pancreas of the baby makes more insulin to use this glucose. This causes fat to form and the baby grows very large.
- Hypoglycemia: The baby may have low levels of blood glucose right after delivery. This problem occurs if the mother's blood glucose levels have been high for a long time. This leads to a lot of insulin in the baby’s blood. After delivery, the baby continues to have a high insulin level, but no longer has the glucose from the mother. This causes the newborn's blood glucose level to get very low. The baby's blood glucose level can check after birth. If the level is too low, the baby may need glucose in an IV.
- Trouble respiratory: Too much insulin or too much glucose in a baby's system may keep the lungs from growing fully. This can cause breathing problems in babies. This is more likely in babies born before 37 weeks of pregnancy.
- Preeclampsia: Women with Type 1 or Type 2 diabetes are at
increased risk for preeclampsia during pregnancy. To lower the risk, they
should take low-dose aspirin (60 to 150 mg a day) from the end of the first trimester
until the baby is born.
- A higher chance of needing a C-section
- Miscarriage
- High blood pressure or preeclampsia
- Pre-term birth
PREVENTION for BLOOD
SUGAR DURING PREGNANCY:
There are many things that can
do to keep your blood sugar level from turning into a roller coaster. Lifestyle
changes are not always easy, but the payoff is so worth it. For 80 percent of
women with gestational diabetes, lifestyle changes will keep blood sugar levels
close to normal.
Maintain a
healthy weight
Ideally, you will start
your pregnancy at a healthy weight, which is a BMI of less than 25. If you
are overweight when you become pregnant, be sure to consult with your
health-care professional, that how much weight gain is reasonable during your
pregnancy. Start pregnancy at a healthy
weight. If you are planning to get pregnant, losing extra weight
beforehand may help you have a healthier pregnancy. Focus on making lasting
changes to your eating habits that can help you through pregnancy, such as
eating more vegetables and fruits.
Eat healthy
food
Good nutrition can help
prevent or control diabetes. Eating regular meals and snacks helps keep your
blood sugar level steady. Three major meals and 2-3 snacks are recommended for
pregnant women.
Although there’s no
"ideal" diet, recommendations for pregnant women consist of at least
2.5 ounces (70 grams) of protein daily, the least amount of six ounces (175
grams) of complex carbohydrates (from vegetables and fruits), and at least one
ounce (28 grams) of fiber. Avoid simple carbohydrates like candy, sugary
sodas, cookies, cakes, and baked goods. Working with your health-care A professional or a registered dietician will help you figure out an optimal meal
and snack plan.
Keep yourself
more active
Another key to preventing
diabetes is regular physical activity, such as walking. The recommendations for
pregnant women are not any different from the standard advice for adults – get
30 minutes of moderate aerobic activity most days of the week; i.e., about 150
minutes weekly. It is also a good idea to reduce the amount of time you
spend sitting still – get up and move around every 30 minutes or so.
Get regular
prenatal checks
These checks can help you
and your health-care professional find problems early. If you are taking
insulin for gestational diabetes, then your health-care professional might
recommend weekly testing starting at 32 weeks' gestation to keep closer track
of your baby's health.
If you are pregnant and have type 1 diabetes, your doctor
might sometimes ask you to check your blood sugar in the middle of the night,
around 3 a.m. You should check your fasting urine ketones every day, too.
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