Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre-pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with the pregnancy if you happen to have diabetes.

Complications: Pregnancy with diabetes can cause severe complications if blood sugar levels are not controlled properly before pregnancy. This can cause diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.

Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life-threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.



Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.

Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Diabetes in Pregnancy - How to Tackle it?

Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition, which causes high or unstable blood sugar levels in the body.

When a patient suffers from low blood sugar it is called hypoglycemia and if the blood sugar levels are too high, it is called hyperglycemia. Both are extremely harmful for a patient.

Type 1 and type 2 and gestational diabetes:

Type 1

In type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have type 1 diabetes. Patients with type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.

Type 2

Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.

Gestational diabetes

Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.

Symptoms of diabetes

 Frequent urination
 Extreme hunger or thirst
 Weight loss
 Problems with vision
 Tingling or numbness of the extremities.
 Unexplained fatigue
 Dry skin
 Cuts or sores that heal slowly
 High number of infections

Who is at greatest risk for developing diabetes?

People who:

 Are 45 or over
 Are overweight
 Are habitually physically inactive
 Have previously been identified as having ifg (impaired fasting glucose) or igt (impaired glucose tolerance)
 Have a family history of diabetes
 Are members of certain ethnic groups (including asian american, african american, hispanic american, and native american)
 Have had gestational diabetes or have given birth to a child weighing more than 9 pounds
 Have elevated blood pressure
 Have an hdl cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
 Have polycystic ovary syndrome
 Have a history of vascular disease

What is pre-diabetes?

Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing type 2 diabetes and heart disease. Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.

Diabetes: At A Glance

Diabetes is a metabolic disorder, chiefly caused by insulin fluctuation in the body. A study shows that, 1 out of 3 people suffering from diabetes are likely to develop a skin condition sooner or later; and in some cases, these skin problems serve as symptoms of diabetes. Although these skin problems can be cured easily if treated early, proper care must be administered at all times. Here are 7 skin conditions that affect diabetics:

1. Bacterial infection

Although anyone can get a bacterial infection, people suffering from diabetes are likelier to contract them. Usual bacterial skin problems that tend to trouble diabetics are boils, lumps near the eyelids, nail infections and carbuncles. Diabetics are also prone to infections deep in the skin and of the underlying tissues. The affected area is usually warm, red and swollen.

2. Fungal infections

People who have diabetes have an increased risk of contracting the fungal infection, especially the one known as candida Albicans. The fungus tends to create a red, itchy rash, which is surrounded by blisters and scales. These are usually found in warm places of the body like the armpits, or between the fingers of the hand or perhaps even the toes. Common fungal infections in diabetic people include athlete's foot, jock itch and ringworm.

3. Tingling and itching

Among the many causes of itching, diabetes is one. Yeast infection, dry skin and poor circulation are the primary causes of itching among patients of diabetes. Usually, the lower part of the leg tends to itch the most, if poor circulation is to be blamed.

4. Skin problems related to neuropathy

Diabetes can be the cause of nerve damage in some cases; and neuropathy is a common symptom of diabetes. This type of damage can cause a loss of sensation in a part of the body. On event of an injury, one may not be able to feel it. As a result, an open sore or wound, if left unattended, can develop into an infection.

5. Digital sclerosis

Digital sclerosis, a condition marked by tight, waxy, thick skin that develops on the back of the hand, is common among people who have type 1 diabetes. In this condition, the joints of the fingers get stiff and, thus, lose their mobility and elasticity. Skin of the toes, forehead and knees may also get affected.

6) xerosis

Xerosis is another common skin condition that accompanies diabetes. In this condition, the skin becomes very dry and itchy.

7) acanthosis nigricans

Acanthosis nigricans is the condition where diabetics get darkening of skin leading to skin tags around neck and armpits.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: Does Hormonal Imbalance Hint the Risk of Diabetes?
 

7 Skin Problems Diabetes Gives You

What complications are associated with diabetes?

Diabetes is a serious disorder which happens when your body has an unreasonably high level of blood sugar, which further leads to harmful effects. Diabetes has a wide variety of complications associated with it, and they start to build up slowly and gradually. Some of the common complications are:

Retinopathy

In simple words, diabetes leads to eye damage by making the eye exposed and prone to severe eye disorders like cataracts and glaucoma. If you have retinopathy, then you may also have face the consequence loss of vision or permanent blindness.

Skin conditions

During diabetes, your skin health is bound to degrade to a large extent. Your skin will become thin in texture and more prone to cuts and breakages due to internal skin cell damage. Thus, the skin gets more exposed to the bacterial and viral infections and its healing process also slows down as the cell division takes longer than usual.

Nephropathy

Nephropathy refers to kidney damage which is caused due to diabetes. The kidneys act as a filter system to the body and they filter out waste materials from the blood. Diabetes causes damage to the blood vessels of the kidneys which may further result in serious kidney disorders and may increase the risks of a sudden kidney failure.

Cardiovascular diseases

This means that if you are having excessive diabetes, then you are at a risk of having a major heart attack or a heart stroke. Additionally, increased blood sugar levels also lead to other heart-related diseases like chest pain, narrowing of arteries etc.

Neuropathy

It is a complication related to the nervous system of your body. The complication generally occurs in the legs as there is a numbness, burning or tingling sensation in the legs. This happens due to the extra sugar in the body, which damages the walls of the blood vessels. In the worst case scenario, you can lose sensation in the legs.

However, it is always desirable that you go and visit a doctor if the conditions persist for a longer time. Additionally, you can also depend upon some domestic care measures to bring your blood sugar levels under control.



What complications are associated with diabetes?

There was an era where we had deadly infections like plague and polio causing death of thousands of people. We still have occasional outbreak of swine flu, but by and large, infections are quite controlled. The new killer diseases are caused because of the lifestyle we have adapted and the damage we have done to the environment. High intake of processed foods, artificial chemicals in our foods, sedentary lifestyle with very minimal to no physical activity, couching over the computers; the list is quite long. All these have led to diseases like diabetes and cancer that were not so common about say few decades ago.

Detailed observation has revealed that both these new epidemiologic diseases have a close correlation. There are factors, which induce diabetes and diabetes in turn and in some cases, diabetes inducing agents, can cause cancer also. It has also been observed that mortality is severely increased if diabetic patients are diagnosed with cancer. There are two types of diabetes. While type 1 is mostly hereditary, type 2 is lifestyle induced and the age at which this is being diagnosed is taking a severe plunge. Adolescents and teenagers are being diagnosed for diabetes. Cancer, on the other hand, is of various types (leukaemia, melanoma, etc.) and can affect various organs (lung, breast, prostate, stomach, liver, etc.).

The medical community is yet to decipher the disease pattern of both these conditions. While there is no definite correlation between diabetes and all types of cancer, some types of cancer are definitely correlated with a definite reason identified, pancreatic and liver cancer for instance. The high amounts of insulin that diabetic patients are exposed to causes changes in liver and pancreas including fatty liver and cirrhosis, here the incidence of cancer is higher. The linkage is not very clear in lung and intestinal cancers and also there is no link between prostate cancer and diabetes.

Diabetes is considered as a state of chronic inflammation and leads to conditions like hyperinsulinemia (higher levels of insulin in the blood) hyperglycemia (higher levels of sugar in the blood). These are believed to aggravate the neoplastic process of cancer formation, thereby inducing cancer at a greater pace and also increasing the mortality rates.

The following are risk factors that are applicable to both age, physical activity, diet, obesity, drinking and smoking. It is also possible that onset of one can be followed by the other. As noted earlier, more detailed research is awaited to establish a definite linkage, but the correlation cannot be ignored at all.

Both these new epidemics are here to stay and since they have a common set of factors, we need to work on ways to contain them.

Diabetes and Cancer: The New Epidemic?

How to prevent Diabetes

Prevention is better than cure, and this is the absolute truth when it comes to battling Diabetes

If you want to prevent Diabetes from occurring within in your family and friends than you should understand and remember the basics of it.

Diabetes mellitus is neither a singular nor isolated form of occurrence. It a group of diseases, marked by high blood sugar levels which occurs when our body is unable to produce and utilize insulin optimally. Insulin is a hormone produced by the pancreas and it is important to maintain blood sugar. 

Common symptoms of Diabetes include 

1. Increased thirst and Urination

2. Increased Hunger

3. Weight loss

4. Fatigue

5. Blurred Vision

6. Extreme craving (for fatty and sugary food items)

Uncontrolled Diabetes can lead to complications such as Blindness, Loss of Memory, Kidney malfunction, Fatty Liver, Heart Disease, Nerve Damage leading to Amputations.

Type 2 Diabetes is most common variety. it develops when the body fails to utilize the insulin properly and is most commonly now found in overweight children. 

Here are 5 ways you can prevent it 

1. Curb it young: Forget the myth that children cannot get diabetes. Today, children as young as 12 years of age are suffering from Type 2 Diabetes. Introduce a healthy diet routine for the children as well as for adults in the family. Children are known to emulate what they learn from their elders and thus it is imperative that inculcate healthy eating habits in them right from childhood.

2. Stay Stress-free:  Reduce stress in daily life. Stress causes sudden surges in insulin levels.

3. Workout: Exercising regularly helps to keep diabetes at bay.

4. Say No to junk food: Keep Junk Foods restricted to once or maybe twice a month. These days almost all restaurants offer healthy but tasty options to choose from and therefore family or business outings can no longer be an excuse to indulge in heavy, calorific food that is devoid of any real nutrition.

5. Mind your weight: If you are more than 5 Kgs overweight, then please consider going on a diet immediately to reduce sugar levels in your body. Not only would you feel more energetic but also more ‘alive!’

If you would like to consult with me privately, please click on 'Consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.



Don't wait any longer, manage your Diabetes Management online with a Lybrate doctor today

Consult for Diabetes Management - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES