'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?

Many studies have shown that excessive caffeine intake affects your chances of conceiving by influencing the ovulation, hormone, and the fallopian tubes but the opinions on this issue are divided. However, research on this topic mostly indicates that, though caffeine can give you a kickstart in the morning, it can have quite a reverse effect on your efforts to conceive.

How intake of excessive caffeine reduces your chances of conceiving?

The fallopian tubes are responsible for carrying the eggs from ovaries to the uterus by rhythmic movements and too much caffeine can affect this movement and cause disruption in the journey of the eggs. Moreover, consuming more caffeine has also been associated with baby's growth restriction, miscarriages, and weight issues. It is preferable to get rid of caffeine altogether from your diet when you are trying to conceive but if you are an avid coffee drinker then you might want to cut back or replace your caffeine intake with milk and syrup which is far more healthy and beneficial.

Which foods and beverages do you need to avoid?

There are so many caffeinated foods and beverages, that it is almost impossible to avoid them. But it is better to take note of them so that you can regulate your caffeine intake. Coffee, tea, soft drinks, energy drinks are obvious sources of caffeine as they are supposed to give you energy. Some herbal teas also contain caffeine. Chocolate, ice creams and candies with coffee flavors, over the counter drugs for allergies, cold and headache also contain caffeine so it is important to read the ingredients list before consuming any of them.

To higher your chances of getting pregnant, it is important to cut back on caffeine. Most doctors are of the opinion that exceeding 50 mg of caffeine intake daily can seriously hamper your chances of conceiving.

How Excessive Caffeine can Stop you from Becoming Pregnant

Vaginal discharge or odor is one of the most common conditions in women, yet the least talked about or taken help for. It is of vital importance that more and more women become aware of the condition and stop neglecting it. It is this neglect towards the condition that leads to some ancillary side effects and the increase in the complexity of the situation. Before things take a turn for the bad, it is imperative that you take help from concerned medical specialists and fight the condition during its initial days itself.

Why consult a specialist?
Treating the condition as soon as you notice it leads you to stem other diseases and infections that may be caused as a side effect. Also, vaginal discharge and foul odor can become not only the cause of discomfort for your day to day life, but also a great hindrance in your private life. Don t let a curable condition hamper your personal life and most importantly your conjugal life. Visiting a doctor will help you get rid of both the excessive discharge and foul order. All you have to do is shred that mental neglect and confining attitude, step out of the home and make way to the doctor s clinic.

What causes vaginal discharge?
Some of the most common causes of vaginal discharge include-

Yeast Infection: Vaginal yeast infection is by far the most common cause of vaginal discharge. This relatively common condition is caused by fungus. This factor is characterised by itchiness, irritation and swelling.
Urethritis: Another cause influencing excessing vaginal discharge includes Urethritis. This condition is influenced by the inflammation and irritation in the tube carrying urine, also referred to as the urethra.
Gonorrhea: Gonorrhea is an alarming cause of vaginal discharge. This disease is sexually transmitted and affects warm and wet areas of the body.
Other causes of vaginal discharge include pregnancy, anxiety, cervix inflammation, cervical cancer or history of the same.
Causes of vaginal foul odor:
Some of the most common causes of vaginal odor are-

Infection: Fungal infection is a major cause of vaginal odor.
Sweat: Accumulation of sweat in wet and humid areas of the body leads to a certain amount of odor. The same goes for the vagina.
Hormonal change: Change in hormone and discharges also lead to a foul-smelling vagina.
Overused tampon: Using a tampon for a longer period than prescribed can also lead to accumulation of periodical blood and bacteria, leading to foul smell from the vagina.
Treating vaginal discharge and foul odor:
In case that vaginal discharge and a foul odor is becoming a major concern in your life and making things uncomfortable for you, it is the time that you make your way to a medical specialist. Other preventive practices often suggested by doctors include- wearing loose clothes, not wearing a tampon for a long time, losing weight, consulting a doctor before starting a specific treatment or medication, etc.

Vaginal Discharge and Foul Odour - Know the Reason Why?

There are two types of abortion, namely medical and surgical. In case of medical abortion, pills are taken to terminate the pregnancy; whereas surgical abortion is done if the pregnancy has reached an advanced stage when pills are ineffective. While generally there are no health risks or negative effects of abortion on fertility, there are rare cases of complications, which can give rise to severe symptoms post abortion. Following is the information you need to know about abortion and its effects on fertility:

When to seek medical assistance
It is advisable to seek medical help if you have the following symptoms post abortion:

Persistent pain in the lower abdomen, which lingers even after taking medication
Excessive bleeding
A high temperature
Possible effects of surgical abortion on fertility

Infection After Abortion: Infections post abortion like Pelvic Inflammatory Disease (PID) if left untreated for long can spread and harm your reproductive organs, thereby impacting your fertility. It can cause complications like infertility or ectopic pregnancy.
Damage to the cervix during abortion: Damage to the cervix during an abortion can cause cervical incompetence and consequently increase the risk of miscarriage.
Damage to the womb during abortion: There are chances of damage of the womb (uterus) during abortion, resulting in scarring, which can cause fertility issues if not corrected. This is more likely in case you had multiple abortions.
Apart from the above-mentioned complications, there are a number of other complications, which can happen due to abortion, preterm birth, vaginal bleeding during pregnancy and low birth weight, etc. Further, infertility can also be a possible side effect of abortion pills, which happens due to scarring of the uterus during the procedure of forcible elimination of the fetus. In all such cases it is advisable to schedule regular check-ups with your gynaecologist.

Abortion And Infertility - Know More About it!

Roti vs. Rice- What should you have your meals with?

The nutritional conflict between rice and roti is age-old, as primary staples of every Indian cuisine.  White rice and wheat chapattis are both infused with considerable amounts of protein, calorie, fat as well as fibre. This overlap makes it tougher to choose just one as an accompaniment with your meals.
The health-conscious can take a sigh of relief with this list of effective benefits of the two. Let’s pit them against each other!

#1: If you opt for a lighter meal…Choose rice!
Boiled white rice is easier to chew and digest as it is low in fibres. For those with issues of diarrhoea, colitis, an upset stomach or morning sickness, rice is a favourable choice. If you are suffering from chronic gastrointestinal distress, rice is recommended for you.
Tip- You can consume a bowl of steamed rice with sautéed vegetables for a wholesome meal!

#2: If you are looking for muscle growth…Choose roti!
Rotis is the best food accompaniment for vegan and vegetarian bodybuilders. At home, you can mix variants of whole grains to harness the benefits of calcium and other minerals. Wheat chapattis made of whole grain consist of complex carbohydrates that boost your energy.
Tip- For reducing your portions, have two servings of roti (without ghee) with a large bowl of home-cooked yellow dal.

#3: If you have a heart condition… Choose rice!
For you to keep your heart healthy, the consumption of rice is vital. Brown as well as white rice is full of fibres and high in magnesium, niacin, phosphorus that can prevent heart problems.  Rice helps you in lowering bad cholesterol levels.
Tip- Substitute your regular white rice in the khichdi or biryani recipe with brown rice. (Contains fibrous bran and germ layer)

#4: If you want to feel fuller… Choose roti!
For weight watchers, who want the feeling of satiety for longer period should include rotis in their meal. Wheat rotis take longer to digest which helps in maintaining blood sugar levels. This quality also makes it a good alternative for diabetic individuals. Wheat rotis are nutritious and contain vitamins B1, B2, B3, B6 and B9 that help in keeping you strong.
Tip- While kneading the wheat dough for the rotis, you can add soya powder to increase its protein content.
To escape the dilemma of choosing between these two healthy and tasty staple sides, try switching to whole-wheat rotis and brown rice. Savour both, guilt-free!

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

 Roti vs. Rice- What should you have your meals with?

Why is breastfeeding so good for your baby and you

Breast milk is the best for babies and the benefits of breastfeeding are one too many. Breast milk not only supplies your baby with its requirement of vitamins and nutrients, but also gets the substances which fight diseases, making your baby healthy and strong. 
Benefits of breastfeeding are:

1. Protects Your Body - Breastfeeding induces some changes in your body which you might not be very delighted to accept, but are for the sake of your baby. Did you know, these very changes benefit you as well. Studies have proved that women who breastfeed are protected against breast and ovarian cancer. The longer you feed, the more protected you are.
2. Reduces Stress - Adding to the benefits of breastfeeding you can derive, is the fact that it helps you reduce stress. It also lessens your risk of postpartum depression. Breastfeeding has been found to be relaxing since it releases the hormone called oxytocin. This release also helps the uterus contract.
3. Averts Risk For Baby - A breastfed baby has lower risk of sudden infant death syndrome.
4. Reduces Obesity Risk In Baby - Breastfed babies have lower chances of obesity. They are good at judging when their tummies are full and therefore stop drinking on time. This leads to healthy growth pattern. Compared to babies who are fed on formula, breastfed babies gain weight at slower speed, hence reducing chances of obesity later in life.
5. Increases Cognitive Skills - Multiple researches have shown that there is a direct relationship between cognitive development and breastfeeding.
6. Enhances Baby’s Immunity - Breastfeed babies are also said to be better protected from developing allergies as immune factors like secretory igA is present only in breast milk. It creates a protective layer on the babys intestinal tract. Babies who aren't breastfeed are known to fall sick pretty frequently as formula diet doesn't build their immunity as mother's milk does.

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.

Why Is Breastfeeding Is A Saviour For Your Baby & You | World Breastfeeding Week

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