'Congratulations! You're pregnant!' Almost all women long to hear these words and nothing should come in the way, even diabetes. So, if you are a Type 1 or Type 2 diabetic, here are a few things you should keep in mind to have a healthy baby.

1. Your blood sugar must be monitored regularly-
The most important thing you can do to have a healthy baby is to keep your blood sugar as close to normal before and during your pregnancy. Testing is recommended a minimum of four times a day. Glucose passes through the mother's blood to the fetus and hence if your blood sugar fluctuates, so will your baby's. High blood sugar levels are especially harmful during the first 8 weeks of pregnancy when the baby's brain, heart, kidneys and lungs are formed.

2. Your pregnancy is considered high risk-
High blood sugar levels can increase the risk of a miscarriage as well as the risks of your baby being born with birth defects. Diabetes can also increase the risk of developing preeclampsia during the second half of your pregnancy. This could result in a C section or premature birth. Thus, maintain regular checkups and keep your doctor in the loop of all your activities.

3. You should watch out for signs of ketosis-
When you have low blood sugar, the body produces ketones that can be passed on from you to your baby. This production of ketones is a result of the body's burning of fat instead of glucose to provide energy and can develop a condition called ketosis. Symptoms you should watch out for are stomach aches, nausea, fatigue, muscle stiffness, frequent urination and fruity breath.

4. You need Vitamins and Supplements-
Most women require vitamin and mineral supplements at the time of pregnancy. Of these, folic acid, iron, calcium and vitamin D are the most important. These supplements help in the healthy growth of the baby.

5. You should exercise regularly-
Maintaining a regular physical activity routine is very important for diabetics who are expecting a baby. This will help you regularize your blood sugar, relieve stress and strengthen your heart. Avoid activities that increase your risk of falling and aim for at least thirty minutes of daily exercise such as walking, swimming or yoga.

6. Check your medication-
Some medication can be detrimental during pregnancy such as cholesterol and blood pressure medication. Consult your doctor to find a suitable alternative if needed. You may also need to change the kind of insulin you take and its frequency and amount. As you get closer to the delivery date, your insulin requirement may even double or triple.

The key to preventing complications during pregnancy is controlling your diabetes. So take your insulin regularly, maintain regular checkups and eat healthy. You need to be seen by your obstetrician more frequently. Your pregnancy will be monitored closely by more frequent ultrasounds and NST. If your sugar level remains under control and pregnancy is advancing well, a natural onset of pains is aimed for and normal delivery is expected.

Diabetes - How To Handle It While Pregnancy?

Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.

When are you at a risk for gestational diabetes?

Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.

If you are overweight, you are more susceptible to developing gestational diabetes.

What causes gestational diabetes?

During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.

Complications:

Increase in Birth Weight   Extra glucose crosses through the placenta which instigates the baby s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.

Premature Birth and Respiratory Diseases   High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.

High Blood Pressure   Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby s health.

Treatment:

Book an appointment with a dietitian and follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.

Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.

Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition.

Causes and Treatment of Gestational Diabetes

Gestational diabetes, as the name suggests, occurs during gestation or pregnancy when the blood sugar levels exceed the normal level. Gestational diabetes, like other form of diabetes, affects how your body cells use glucose or sugar during pregnancy, and usually disappears after you ve given birth.

Causes and symptoms to look out for!
During gestation, the placenta produces hormones that lead to the accumulation of blood glucose. Under normal condition, the pancreas forms enough insulin to counter the buildup of blood glucose. The level of blood sugar rises when the pancreas fails to produce adequate insulin to manage your blood sugar.

Usually, women with gestational diabetes do not show symptoms. So, the presence of the condition can go unnoticed if they are not diagnosed during routine checkups and screening tests. Nevertheless, if the condition goes out of control, you may feel tired, feel thirsty or hungry, or feel the urge to urinate more often.

What are the risk factors?
About 2-10% of pregnant women are affected by gestational diabetes every year. The following factors are likely to put you at risk of developing gestational diabetes-

Excess body weight- You may develop gestational diabetes if you were overweight or had gained excess weight (BMI equal to or greater than 30) before getting pregnant
Family history- Women who have a family history of diabetes are likely to have gestational diabetes.
Age- Women aged more than 25 years are at a greater risk of developing this condition.
Diabetic history- A slightly raised blood sugar level may act as the precursor to Type-2 diabetes, which in turn increases your chance of getting affected by gestational diabetes.
Previous pregnancy- Women who ve previously given birth to a child weighing more than 4.1 Kg (9 pounds), or have delivered a stillborn child are likely to have gestational diabetes.
What is the treatment for gestational diabetes?
Urine tests are performed to check for ketones. In a non-diabetic person, glucagon, insulin and other hormones avert ketone levels in your blood from soaring up too high. Once you re diagnosed with gestational diabetes, it s important that you consult your doctor for treatment. Uncontrolled blood sugar level can affect you and your baby s health after birth. This condition can be treated in the following ways-

Keep a check on your blood sugar- During pregnancy, your doctor will have you tested for gestational diabetes 4-5times a day to keep a tab on your blood glucose level. For this, a small drop of blood is first drawn from the finger using a needle. The sample of blood is then placed on the test strip inserted into a device called the blood glucose meter to measure and monitor the level of blood sugar in your body.
Medication- Anti-diabetic medications and insulin are prescribed to control the amount of glucose or sugar in the bloodstream. Your doctor may also suggest oral medications like Diabeta and Glynase to manage your blood glucose level.
Healthy diet- Diabetic diet- one that helps control blood sugar levels- is highly prescribed by doctors during pregnancy. Cut down on carbohydrates and sugar, and switch to food items that provide your body sufficient nutrients and calories.
Post treatment the blood sugar levels usually come down to normal within 4-6 weeks of giving birth.

Gestational Diabetes - Know The Risk Factors!

Pregnancy brings with it a set of challenges, and for a diabetic woman, these only increase further. Earlier, the risks of dealing with pregnancy and diabetes as a combination were too high. However, over the last few decades, things have changed. The age at which women are choosing to have a baby has gone up. On the other hand, the age of onset of diabetes has come down drastically.
These days, there are many diabetic women who go through pregnancy smoothly without major complications. Of course, there is extra care and precaution required, but it is not something that cannot be planned and managed well between the doctor and the mother-to-be.

The following are some rough guidelines for a pregnant diabetic woman.
Potential complications

It increases the risk of polycystic ovaries, thereby making it difficult to conceive.
Fluctuating sugar levels can be a reason for not being able to conceive, as the body does not see itself as healthy.
It increased the chances of miscarriage.
There are higher chances of birth defects in the developing baby due to very high sugar levels in the first trimester.
Preparation
If you are planning for a pregnancy, meet with your doctor to review your sugar levels. Chalk out a plan with your doctor, taking into account your diet and nutrition, exercise, lifestyle, and medications.

Diet: Ensure you cautiously decide what and how to eat ahead of your pregnancy. Moving away from refined carbohydrates and processed foods towards wholesome food items like whole grains, fresh fruits and vegetables will make a difference.
Exercise: Build an exercise routine to suit your body and keep yourself active. It is very important to stay active so that diabetes is under control.
Lifestyle: Quit smoking and reduce alcohol use. This helps in managing stress also, which can help keep diabetes under check.
Medications: Check with your doctor on the medicines you are taking and if dose adjustments are required to get sugar levels under control, plan them out.
During pregnancy, constant monitoring and vigilance is required to ensure diabetes is under control.

Let your gynecologist know about your condition (stable/fluctuating), and if you are doubtful about them being able to handle your condition, do not hesitate to change.
Many consider switching to oral medications as the risk of transmission to the baby is less and the control over sugar levels is better.
Constant monitoring for daily blood sugars is essential.
A regular, healthy lifestyle in terms of eating and sleeping should help keep the sugars under check.
Constant monitoring of the baby is essential to ensure its normal growth with no developmental defects.
Read up and train yourself on how to deal with low or high sugar levels. Happy sugary pregnancy!

Diabetes During Pregnancy - Know The Best Ways To Control It!

Diabetes during pregnancy is known as gestational diabetes. It is interesting to note that the chances of getting gestational diabetes, is one of the most common complication of pregnancy. It has increased by almost 40%. Also, gestational diabetes not only affects the health of the mother, but also the health of the baby. What usually happens with gestational diabetes is that the blood sugar level, of both the mother and the baby go above the normal level. Ayurveda can help treat this disease. Here are the most common Ayurveda remedies for gestational diabetes.

1. Gurmaar
Gurmaar, called "The Sugar Killer" is also known as Gymnema sylvestre in medical jargon. Gurmaar also contains gymnemic acid molecules, which are crucial because they have an anti-diabetic effect. They work by combining with glucose molecules, which are in the blood stream. These stop the glucose from entering the bloodstream. 

2. Karela
Karela is commonly known as bitter gourd and its biological name is Momordica charantia. It has anti-diabetic properties and also contains many other micronutrients, which are crucial in preventing the complications which arise from gestational diabetes.

3. Vizaysaar
Vizaysaar comes from the bark of a tree whose biological name is Pterocarpus marsupium. It is very useful for diabetes. If you immerse the wood of Vizaysaar in water overnight and then drink it, your blood sugar levels are expected to fall.

4. Saptrangi
Saptrangi is biologically known as Salacia oblonga. Just like Vizaysaar, it is a tree whose bark is immersed in water and then drunk by the patient suffering from diabetes. You will know that the water is ready for drinking when it turns brown, which usually happens overnight. It is also being studied in Western herbal schools in addition to Ayurveda nowadays.

5. Tulsi
Tulsi is a holy plant in Hindu mythology and is known as Ocimum sanctum in biological terms. It is worshiped as a holy plant because it has tremendous medicinal properties including treating many types of cancers, cough, cold, sore throat as well as reducing blood sugar.

6. Ashwagandha
The medical name for ashwagandha is Withania somnifera. It is another great remedy for diabetes.

Ayurveda and Gestational Diabetes

World Diabetes Day is celebrated on 14 November, each year. It is the primary global awareness campaign for diabetes as it is one of the major problem of today's time. With an upsurge in the number of people suffering from diabetes, the sole aim of celebrating this day is to create awareness about this disease and suggest preventive measures to those who have not acquired it and provide tips to manage it to those who are living with it. 

So, here are 15 health tips that will help you manage your diabete effectively: 

You should quit smoking as it is very bad for diabetes patients. Smoking leads to narrowing of the blood vessels, which reduces proper blood circulation.
You have to track your exercise patterns. Take actual notes about your exercise habits and make necessary changes based on the record.
Eliminate fast food from your diet. Avoid eating out at restaurants and avoid taking extra salt, sugar and calories. You should cook your meals at home with light ingredients and less salt and sugar.
Diabetes severely affects your vision and blindness is and blindness is a serious problem which may occur. Hence, get your vision checked regularly to prevent retinopathy.
Avoid having quick coffees. Fancy cups of coffee are full of sugar, which lead to glucose and insulin fluctuation in your body.
You must stay active and fit. This is the most important lifestyle choice for any diabetic patient. By exercising, you will maintain a good shape, your metabolism gets boosted and the insulin production increases as well.
You should use a pedometer to calculate how much you are moving each day while exercising.
Try to consume fruits and vegetables. By trying new vegetables and fruits, you will be able to keep your blood sugar under check and see how your body reacts.
You must increase your amount of fibre intake. Fibre is important for diabetic patients, which keeps the digestive processes to run smoothly. Your cholesterol level decreases and blood sugar levels may reduce if you take enough fibre.
You should chew gum as it keeps your mouth busy. It makes you crave for less food.
You should eat on smaller plates. This is a psychological trick which makes you consume less amount of food and your sugar and calorie levels are maintained.
Before taking any food item or eating out, gather information about them. Learn about diabetes friendly food options at restaurants and check which products you should avoid buying from the market.
You should get your blood sugar levels checked regularly. You should check it several times a day to learn how your body responds to food.
Circulation problems may cause issues with your feet, which may lead to a lack of sensation, cuts and scrapes. Check your feet regularly to notice changes.
Instead of having 2,3 large meals a day, you should take several small meals throughout the day. This will keep your body s digestive processes active thereby increasing insulin sensitivity.

World Diabetes Day Special - 15 Ways to Effectively Manage Your Diabetes

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

Consult for Gestational Diabetes - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES