Pregnancy
and Diabetes
By Mike Herman
There are two types of diabetes that need to be considered by
women who are, or are planning to become, pregnant:
1. Diabetes
that pre-exists a pregnancy.
and
2. Diabetes
that developes during her pregnancy, which is commonly referred
to as "gestational diabetes".
Diabetics
– those with pre-existing diabetes or those who develop
gestational diabetes – often deliver larger babies. This
is a result of the additional sugar, being produced by the mother,
being passed through the umbilical cord into the blood stream
of the baby where insulin then converts it into fat.
Pre-existing
Diabetes
As long as
diabetes is properly controlled there is no reason why a woman
with diabetes can not have an uncomplicated pregnancy. It is when
the diabetes is not controlled that problems and complications
occur. Complications can lead to problems with the pregnancy,
including, miscarriage, premature delivery and stillbirth and
can also lead to the women developing high blood pressure.
It is strongly
advised that diabetic women begin taking folic acid both before
and after conception so as to avoid the baby developing birth
defects. Folic acid should be taken all women who are pregnant,
and is often included with gestational vitamins prescribed by
doctors.
Oral medications
that are used to control type 2 diabetes are not approved for
use during pregnancy so any woman who is using these drugs will
need to switch to insulin before conceiving and during her pregnancy.
Gestational
Diabetes
Gestational
diabetes is diabetes that develops during pregnancy. Changing
hormones and weight gain makes it hard for the body to keep up
with the need of insulin. In the past, it has been viewed as a
disease that wasn't damaging and usually disappeared after the
birth of the baby. However, now it is considered a warning sign
for both the mother and the baby of metabolic changes that may
affect them for life.
Why does gestational
diabetes occur? The placenta produces a hormone that goes against
the affect of insulin on blood sugar. Women who have a history
of diabetes in the family are also more sensitive to this hormone.
Mothers who have experienced gestational diabetes should research
and be aware of what the symptoms of Type 1 or Type 2 diabetes
are and be aware of the steps to take to avoid or delay this disease.
About 200,000
women develop gestational diabetes each year in the United States.
The statistics are that five to ten percent of women will continue
with Type 2 diabetes after the birth of the baby. Twenty to fifty
percent may develop Type 2 diabetes later in life. Children of
mothers with gestational diabetes are more at risk for obesity
and developing diabetes as teens or adults.
Studies show
that it is possible to reduce the risks by watching their diet.
In fact, women who went on to control their weight, increase their
exercise, and watch their diet and as a result had a 58 percent
decrease in their risk for developing diabetes.
Women in the
26-28 weeks of pregnancy are routinely checked for blood glucose
levels. If a woman does develop gestational diabetes and it is
not treated or controlled it may lead to difficulties and problems
including, delayed maturity level, stillbirth, and poor placenta
function.
Women who
are already overweight when becoming pregnant, or had gestational
diabetes during a previous pregnancy, have a greater chance of
developing gestational diabetes.
Other potential
risk causes come from race, nationality, and cultural differences.
Some of these causes could be related to economic differences
and the difference in diets.
The women
found to be at a higher risk are American Indians, Asian Americans,
African-Americans, Pacific islanders, and Hispanics.
If you are
pregnant your diet is important as is exercise, both for your
health and the health of your baby.
Drinking plenty
of water, with a diet high in fiber and low fats are necessary
for a healthy diet. Refined sugar should be cut out if possible,
if not, cut out as much as possible. Watch your fat intake also.
Eat plenty of fresh vegetables and low fat proteins. Also don't
forget to be taking a pre-natal vitamin.
If you are
already exercising when you become pregnant, it is important you
remain active within the limits of what your body and doctor allow.
Low impact exercising, yoga, or water aerobics are choices for
those women who are not on a regular exercise program.
Also those
women who do develop gestational diabetes have a much greater
chance of developing type 2 diabetes later in life.
Mike Herman
Is a Successful Webmaster and Publisher of 4HealthConcerns.com
Find More Information Pregnant Women With Diabetes That You Can
Research While Relaxing at Home in Your Pajamas.
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