{"id":45854,"date":"2017-10-05T06:16:50","date_gmt":"2017-10-05T06:16:50","guid":{"rendered":"https:\/\/www.biphoo.com\/bipnews\/?p=45854"},"modified":"2017-10-05T06:16:50","modified_gmt":"2017-10-05T06:16:50","slug":"what-to-know-about-pregnancy-when-youre-diabetic","status":"publish","type":"post","link":"https:\/\/www.biphoo.com\/bipnews\/health\/what-to-know-about-pregnancy-when-youre-diabetic.html","title":{"rendered":"What to Know About Pregnancy When You’re Diabetic"},"content":{"rendered":"

What to Know About Pregnancy When You’re Diabetic<\/span><\/strong><\/span><\/h2>\n

What to Know About Pregnancy When You’re Diabetic:- If you have diabetes and you\u2019re pregnant \u2013 or you\u2019d like to become pregnant \u2013 here\u2019s a bottom-line message.<\/span><\/p>\n

\u201cWomen with diabetes are more likely to have a healthy pregnancy if they prepare for pregnancy before they conceive,\u201d says Lory Gonzalez, a nurse educator and certified diabetes educator at the Diabetes Research Institute at the University of Miami Miller School of Medicine.<\/span><\/p>\n

That means healthy eating, physical activity and good blood sugar control before you even become pregnant.<\/span><\/p>\n

If your health and blood sugar aren\u2019t in great shape and you become pregnant, you could have serious complications. That may include high blood pressure (a dangerous condition also known as pre-eclampsia), an emergency C-section due to the baby\u2019s large size, more infections and worsening of common diabetes health problems. There\u2019s even the risk for a miscarriage or stillbirth. Tight blood sugar control is so important because your baby’s organs are forming in those early weeks of pregnancy, before you may even know that you’re pregnant.<\/span><\/p>\n

Naturally, there\u2019s a lot on your mind when you\u2019re pregnant, and there\u2019s even more to consider if you have diabetes. The good news is that you can ask for help even before you get pregnant. \u201cMake an appointment with a diabetes educator and\/or a maternal fetal medicine specialist for a refresher and reminder about the American Diabetes Association diet and to ask any questions,\u201d recommends Dr. Lara Friel, an author for Merckmanuals.com and an assistant professor in the department of obstetrics, gynecology and reproductive sciences at the University of Texas Health Science Center at McGovern Medical School in Houston. Those health professionals can set you on the right course for pre-pregnancy health.<\/span><\/p>\n

Next, keep these tips in mind for a healthier baby.<\/span><\/p>\n

Check your blood sugar numbers frequently, even before you get pregnant. \u201cPrior to getting pregnant, a woman needs to control her blood sugars and is usually advised to reach a certain hemoglobin A1C level before getting off birth control to ensure the blood sugars are close to normal when conception begins,\u201d says Mercy T. Molina, a registered dietitian and certified diabetes educator at the Diabetes Research Institute at the University of Miami Miller School of Medicine. Blood glucose recommendations before getting pregnant are generally 70 to 100 milligrams per deciliter before meals and below 140 mg\/dL at two hours after a meal. Your hemoglobin A1C should be 7 percent or sometimes lower, as directed by your endocrinologist, Gonzalez says.<\/span><\/p>\n

During pregnancy, the optimal blood sugar levels are 60 to 90 mg\/dL when you wake up and haven\u2019t eaten, below 105 mg\/dL before lunch and dinner and below 120 mg\/dL at two hours after meals.<\/span><\/p>\n

Frequent blood sugar checks may be inconvenient, but they\u2019re important for both your health and the health of your baby.<\/span><\/p>\n

Ask for help from your health team. Getting your blood sugar numbers consistently low can be a challenge, but again, you can get guidance from health professionals. \u201cWorking with a certified diabetes education team of a nurse and a nutritionist will ensure that a woman is following her treatment plan, monitoring her blood sugars, achieving her blood sugar targets and following a healthy meal plan,\u201d Molina says.<\/span><\/p>\n

Eat regularly, but don\u2019t overeat. \u201cMost people can put off eating if they are busy with something else,\u201d Friel says. \u201cHowever, food is a big part of a diabetic\u2019s treatment and is necessary to maintain blood sugar levels.\u201d Although you shouldn\u2019t skip meals, that also doesn\u2019t mean you should raid the fridge. In fact, if you\u2019re already overweight, you may need little to no increase in your calories while pregnant, says endocrinologist Dr. Saima Farghani, on staff at CentraState Medical Center in Freehold, New Jersey. Stick to nutrient-dense food choices and avoid what Farghani calls \u201cman-made carbohydrates\u201d like cereals, cookies, snacks and chips. Instead, aim to eat foods with complex carbohydrates such as oatmeal and fruits and vegetables and healthy fats like avocados and nuts.<\/span><\/p>\n

Exercise if it\u2019s OK with your doctor. Regular exercise will help you feel better and build your strength for having a baby. Most women can stick to the guideline for all adults of 150 minutes a week or 30 minutes, five days a week. (If you\u2019re having trouble fitting in 30-minute periods of exercise, you can break that into 10- to 15-minute bursts throughout the day.) One exception to this is if you did not exercise before getting pregnant. In that case, work up slowly to longer exercise time periods and do so under your doctor\u2019s guidance, Farghani says. Of course, always listen to your doctor\u2019s advice regarding exercise while pregnant. If you\u2019re on bedrest, you won\u2019t be able to exercise regularly.<\/span><\/p>\n

You’ll also want to plan what kind of physical activity you’re doing. Avoid exercises that require bouncing, are high-impact or that cause your back to arch backwards. \u201cWalking, swimming, cycling or prenatal yoga are your best bets,\u201d Gonzalez says.<\/span><\/p>\n

Check with your doctor about diabetes medications you should continue to use. Generally speaking, many of the medications you take for diabetes can be continued while you\u2019re pregnant. In fact, you may need changes to your diabetes medications while you\u2019re pregnant as your insulin resistance increases. However, there may be some limitations, so it\u2019s always important to verify with your doctor what you can safely take. Also let your doctor know about herbal or dietary supplements so you can make sure you take only what is necessary, Gonzalez advises.<\/span><\/p>\n

Follow these tips if you have gestational diabetes as well \u2013 and monitor your risk for diabetes after you have your baby. Gestational diabetes is the kind of diabetes that develops when you are pregnant, but then it goes away once you have the baby. \u201cApproximately 50 percent of women with gestational diabetes will develop diabetes in the next 10 years,\u201d Friel says. The children of women with gestational diabetes also are at higher risk for diabetes development. Make sure you see your doctor regularly to test your diabetes risk after giving birth.<\/span><\/p>\n

Source:-\u00a0https:\/\/health.usnews.com\/health-care\/patient-advice\/articles\/2017-10-03\/what-to-know-about-pregnancy-when-youre-diabetic<\/span><\/p>\n

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