You have diabetes and you want a child. Is it dangerous for you or the baby? How to avoid complications? Before you even conceive the child, please talk with your doctor. It is important to plan this event with him.
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The pregnancy of the diabetic woman is considered a risk pregnancy. However, it can take place without any problem, provided that glycemic control is as perfect as possible at the time of conception and during pregnancy. This will require careful monitoring of blood glucose, and regular medical monitoring.
Pregnancy aggravates diabetes
Pregnancy in women diabétiquePendant pregnancy, the mother’s body undergoes profound changes. The placenta secretes a particular hormone, placental lactogen (HLP), which will increase insulin resistance of the organism. This hormone and produced from the fifth week, and much more important for the 9 months.
In women without diabetes, the pancreas adapts and insulin secretion increases progressively as pregnancy. For some, the adjustment is insufficient, and we arrive at that gestational diabetes disappears after pregnancy. In the diabetic woman, was of course a worsening disorder and a spontaneous increase in blood sugar imbalance.
The risk in untreated
If a diabetic woman does not change its habits and its treatment, it may all disorders related to uncontrolled diabetes (high blood pressure, hypoglycemia, disorders of arteries ….), But mostly it is taking significant risks to her baby.
During the design and the first quarter, the imbalance of blood sugar can cause malformations (incomplete neural tube closure, congenital heart disease, bone dysgenesis).
In the second quarter, the risks are macrosomia (baby too big) or polyhydramnios (too much amniotic fluid) that make delivery difficult or dangerous.
In the third quarter, the imbalance retards lung maturation of the child, and especially the baby risk of hypoglycemia at birth.
Cases of death in utero, whose causes are not necessarily well defined, have been described. It is therefore essential to achieve an optimal balance of diabetes.
Pregnancy planned
Ideally, to prevent the occurrence of defects is to have a balanced blood sugar for at least three months, and normal glycosylated hemoglobin at the time of conception. We must therefore set her pregnancy with her physician. Take time to talk at length with him, ask him any questions that you deem necessary, and not leave it in the shadow of details. It is your involvement in the balance of your diabetes will determine the health of your child!
As with any diabetic, balance of diabetes based primarily on the diet: calorie intake are normal but the food intake of carbohydrates per meal should be perfectly regular. If necessary, it may be time to go see a dietician.
Tags: Diabetes mellitus, diabetic woman, Pregnacy, Pregnancy planned, Woman
