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| Categories: Diabetes in everyday life |
| Diabetes in everyday life | |
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Diabetes and pregnancy
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Fundamental :
Nowadays there should not be a problem for a woman who suffers from diabetes to give birth to a healthy child. But during pregnancy there are risks concerning malformation [More informations] and therefore one should be more attentive and disciplined. That is why it is absolutely necessary that the blood glucose level before and during pregnancy is on a normal level. The diabetic should know how to keep her blood glucose stable. More on possible consequences of high blood sugar level in pregnancy can be found here. The kidney function and the eyeground should be checked more often and in case of any irregularities these should be treated as soon as possible. The HbA1c should be on a normal basis.
Medical care :
As a pregnant diabetic you should be examined regularly by:-
your diabetologist (every 2-4 weeks)
- your gynaecologist (every 2 weeks)
- you oculist (about 3 times during pregnancy)
Problems that might occur :
- Nausea and sickness in the morning
- The need for insulin will change during pregnancy
- Hypoglycaemia might be recognised later during pregnancy
- Higher blood glucose level in the morning
The birth :
- The blood glucose level is checked every 30 minutes to every hour and is balanced by infusion (insulin or glucose)
- The cardiac sound of the child is observed more often to reduce the risk of complications
- After the birth your need of insulin will rapidly sink. After about a week it should be as normal as before pregnancy.
- For assurance the child will stay on stationary observation for one or two days because badly recognised and handled diabetes can have impact on the child after birth. [more information]
- Concerning breastfeed there normally are no problems.
Furthermore, we recommend a book by Carola Deparade : "Ich bin Diabetikerin - und freue mich auf mein Kind" ("I am a diabetic, looking forward to having a child) published in Kirchheim-Verlag Mainz, as well as our page : The risk of becoming a type 1 diabetic as a baby and Maternal diabetes and malformation and Diabetes and the menstruation. |
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