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!

How to Prevent Your Child from Developing Type 2 Diabetes?

Type 2 diabetes (T2DM) is a chronic metabolic disorder that prevents the body from processing sugar or glucose. The disorder causes insufficient production of the hormone Insulin (responsible for regulating sugar into the different parts of your body); or the body's failure to respond to the hormone produced. Although no cure is available for T2DM, there are several ways in which you can help prevent Type 2 diabetes in your child. These are:

1. Get your child to indulge in some physical activity

Spending about 60 minutes of the day on physical activity can help your child to ward off Type 2 diabetes. In terms of screen time, it shouldn't be over 2 hours a day. By doing so, he or she ends up building his or her muscles as well as gets rid of extra fat from the body. An active life would also help your child to maintain an optimal body weight with obesity being a cause of this form of diabetes. Whether it's a sport like swimming, cricket or basketball, or even walking and dancing, physical activity in any form can help in preventing your child from developing Type 2 diabetes.

2. Plan a well-balanced diet for your child

Encouraging your child to have healthy foods and making right food choices can also lower his or her chances of getting this metabolic disorder. Foods high in fiber like whole grain cereals and bread, lentils, fruits, and vegetables should be consumed. Similarly, foods low in trans and saturated fats like lean meat, chicken, yogurt and cheese should be included in your child's diet. Processed foods, as well as sugary drinks, should be no-no when it comes to your child's diet.

3. Adopting proper eating habits

It is not only making the right food choices that are important but eating right as well is vital for preventing the onset of diabetes. Having meals with fix portion sizes is a habit that you need to develop in your child. Ideally, half the plate should be filled with vegetables and fruits; a quarter with lean protein like chicken; and the remaining with whole grain. To accompany the meal, make your child have one cup of no-fat or low-fat milk. Desserts like ice cream and cookies should be allowed only once or twice a week.



How to Prevent Your Child from Developing Type 2 Diabetes?

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

Are you experiencing high blood sugar during pregnancy? This condition is known as gestational diabetes. It is associated with hormonal changes, which occur in your body during pregnancy. Women who are overweight, above the age of 25, and have a family history of diabetes are more likely to experience gestational diabetes. In most cases, the blood sugar levels return to normal after giving birth, and proper management enables you to keep away from any complications during pregnancy as well. 

Here are ways by which you can control your sugar levels during pregnancy:

Develop an ideal diet plan. You should consult a registered dietitian for framing a diet, which is specific to your condition. Your overall health, age, and other health conditions, if present, are taken into consideration while shaping your diet plan.
Cut down your consumption of sugary food items and drinks. Avoid having candies, soda, cakes, cookies, and all food products, which contain simple sugar in large amounts. This can boost your blood sugar levels rapidly and worsen gestational diabetes.
Have three to four small meals regularly, and also eat snacks in between. Eating frequently prevents the crashing of your blood sugar levels between meals.
Reduce your amount of carbohydrate intake. Instead, consume a lot of food rich in fiber like fruits, vegetables, and whole grain.
Drink a lot of water every day. Sufficient hydration of your body is important for stabilizing your blood sugar levels to keep away from complications during pregnancy.
Undertake regular, light activity after your doctor s approval. Activities like walking and swimming help in keeping your blood sugar under control. Exercising during pregnancy is also important for weight loss after giving birth.
Buy a glucose meter and get your blood sugar levels checked frequently. Most common meters require you to prick your finger with a needle and drop your blood on a strip for testing. You can make changes in your diet and medication for preventing a hypoglycemic episode, based on your regular results.
If your doctor recommends it, you should test your urine ketones. Ketones occur in your urine, while your body burns fat to produce energy. These are harmful for your growing baby.
Apart from these, you should take insulin strictly according to your doctor s instructions. Your doctor will instruct you in detail about how and when to administer insulin. You will also be provided with information on storing insulin at a safe place.


High Sugar During Pregnancy - Tips To Help You Control 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

Gestational diabetes is also known as gestational mellitus diabetes (gdm). It is a prevalent disorder which affects pregnant women and the main cause of this condition is the imbalance in the functioning of the insulin, which mainly happens due to the presence of human placental lactogen. Expecting mothers show a raise in their blood sugar level, especially during the last trimester of their pregnancy. Women who do not have a medical history of diabetes can also be affected with this condition.

Prominent symptoms of gestational pregnancy include:
Gestational diabetes does not have any prominent symptoms; it can only be diagnosed through proper and professional screening of blood sugar level. You should immediately consult a doctor if you have any of the following symptoms:
1. Increased level of blood sugar
2. Trouble to concentrate
3. Recurrent headaches
4. Increased thirst
5. Blurry vision
6. Sudden weight loss
7. Decrease in low blood sugar level
8. Anxiety
9. Dizziness
10. Pangs of hunger
11. Pale skin and dry skin
12. Excessive sweating
13. Persistent weakness

How can you manage gestational diabetes?
Modification of lifestyle pattern, healthy food habits and moderate physical exercise can help minimize the risk of gestational diabetes in expecting mothers.
In order to manage gestational diabetes, the following things should be followed:
1. The treatment when accompanied with balanced diet and routine exercises, reduces the occurrence of health problems in both mother and child.
2. A routine screening for type ii diabetes should be conducted throughout the pregnancy, to ensure early detection and treatment of the same.
3. A diet rich in fiber and whole grains minimizes the risk of diabetes in pregnancy, fresh fruits and vegetables are also known to check the blood sugar level in expecting mother, minimizing the occurrence of health problem in both mother and child.
4. Giving up the use of cigarettes and other forms of tobacco may reduce the chances of gestational diabetes in female smokers.

How does gestational diabetes affect pregnancy?
Gestational diabetes is harmful for both the expecting mother and the child. It increases the risk of complications in pregnancy that can prove to be fatal.
Potential risks of gestational pregnancy include:
1. Increased risk of needing a c-section
2. Miscarriage
3. Preeclampsia and high blood pressure
4. Preterm chance of birth.

Gestational Diabetes

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