One of the most important decisions a couple takes is to start a family. It fills them with hope and joy of new future, but if the attempts have been unsuccessful for more than six months, it can take a toll on the relationship and the mental health of the couple. This is the time to seek fertility specialist who will be appropriate to analyze the situation and provide proper guidance. Read on to find out the exact indications to see a fertility specialist:

1. If a woman who is under the age of 35 is unable to get pregnant even after a year of having regular unprotected sex
2. A woman who has had more than three miscarriages
3. Someone who has suffered from blocked fallopian tubes and is in need of surgery
4. One who experiences irregular ovulation
5. A couple who has suffered from genital infections
6. A pregnant woman who has consumed an estrogen derivative
7. A man who has been diagnosed with low semen count, also known as poor motility
8. A couple who has not been diagnosed with any irregularity but is infertile

Which specialist should you visit?

If you or your partner or both have shown signs of infertility, then visiting the following specialists can be helpful:

Specialists for men

Urologists and Andrologists are specialists who treat men for infertility. Urologists conduct an analysis of semen quality, semen count, hormone levels, reproductive organs and abnormalities in bladder and kidneys. Andrologists are medical professionals who specialize in hormonal conditions and physiology of male infertility.

Specialists for women

Hormonal imbalance is one of the potent obstacles to pregnancy. If a general obstetrician/gynecologist has not been able to successfully treat a woman then she can visit a reproductive endocrinologist who specializes in hormonal disorders. Depending upon the nature of the problem, she can also visit a reproductive surgeon who deals with uterine abnormalities, endometriosis, and reproductive organ surgery.

When Should a Couple See a Fertility Specialist?

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 a condition wherein one suffers from high blood sugar levels. Gestational diabetes is a form of diabetes which occurs only during pregnancy. It is certainly possible to bear a healthy child, provided certain lifestyle modifications are adhered to. Once the baby is born, the condition usually tends to disappear. However, this does make you prone to Type 2 diabetes (a condition wherein the body is unable to utilize the insulin effectively).

High blood sugar levels during pregnancy can affect the baby. It usually gives rise to complications such as high blood sugar levels in the baby, impaired functioning of the pancreas in order to produce insulin, and excess sugar deposits in the form of fats. The baby might also become predisposed to jaundice and other breathing difficulties.

Causes:

Pregnancy causes the placenta to produce hormones that impair the functioning of insulin. The pancreas too does not produce the required amount of insulin. Both these factors contribute to the rise of sugar levels in the body.

There are certain factors which may put you at risk of being affected by gestational diabetes  

Obesity

A family history of diabetes

Past history of the condition

Treatment:

There are measures one can adopt to reduce risks of this disorder. Shed the extra pounds and maintain optimal weight levels. An active lifestyle would ensure proper utilization of the insulin by the body. The main goal of treating gestational diabetes is to get the blood sugar levels back to normal. This can be done by:

Insulin Shots: Insulin shots help normalize and regulate high blood sugar levels. Another advantage is that these shots do not affect the baby.

Diet: A healthy eating plan helps prevent sudden surge in blood sugar. You have to be conscious of the type of foods you eat and be mindful of the portions you eat. Processed foods should be avoided; instead the focus should be on natural foods.

Being Physical Active: Pregnancy does put certain restrictions on your mobility and your ability to perform certain exercises. Hence, an exercise plan should be designed accordingly. In times such as these, cardio vascular exercises, such as brisk walking, swimming or Yoga should be enjoying maximum priority in your list of the doable exercises.

Gestational Diabetes - High Blood Sugar During Pregnancy

'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?

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?

Blood sugar control is the core of the diabetes treatment plan as by losing control over your blood sugar, you risk serious complications related to health. Frequent or ongoing irregular blood sugar levels can damage your blood vessels, nerves and organs. Irregular Blood Sugar Level is a major concern and can affect diabetic as well as general people.

The most common causes of uncontrolled blood sugar level are:
1. Skipping Insulin or oral glucose medicines.
2. Eating too many carbohydrates in general.
3. Have an infection
4. Exercising less or not at all.

Symptoms of increased sugar level in body
1. Increased Thirst: If you feel unusually thirsty and feel the urge to drink more than usual, you should check your sugar levels.
2. Frequent Urination: Excessive urination occurs when glucose builds up in your blood, and your kidney begins to work harder to get rid of the extra glucose. The excess sugar is thrown away from the body through urine.
3. Fatigue: Extreme tiredness or fatigue is common symptoms of uncontrolled blood sugar. If you do not have sufficient amount of insulin in your body, or if the insulin is not processed properly, then it stays in our blood. Hence, it does not get used up for energy.
4. Blurry Vision: High blood sugar levels can lead to swollen lenses in your eyes due to fluid leaking in, according to Joslin Diabetes Center. This changes the shape of the lens and makes it unable to focus properly, resulting in blurry vision.

How you can control the level of sugar in your body

Diet: Eat right. Consult a diabetes educator or dietician to help you figure out a healthy diet that works for you. Do share all your sugar levels, your preference with them. This would enable them to make a proper and more suitable diet plan for you, which will help you in keeping your blood sugar under control.
Exercise: To keep your blood sugar control, do exercise regularly. Exercise will increase your insulin activity, after which you don t need to as much insulin to help your body in processing carbohydrates.
Medication: Insulin is a hormone that is normally produced in the body. But for people with abnormal blood sugar level, it is either not working as it should or the body has stopped producing it. People with abnormal Blood sugar level may need to take insulin in order to keep their blood glucose levels in a healthy range. Insulin helps your body to use glucose properly.
Blood Glucose Monitoring: Monitor your blood glucose levels regularly in order to know how much insulin you require, especially before you take a meal. Keeping a check on your blood glucose levels will help you in adjusting your insulin medication as well as your meals, so that your blood sugar remains stable.

High Blood Sugar Level in Body - How Can You Control It?

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