Dr. Nabakanta Sharma

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.

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.

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.

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.

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.

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.

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 a normal delivery is expected.

Hello friends,

I am Dr Anubhav Gupta and I am a consultant plastic surgeon at Sir Ganga Ram Hospital. Today we are going to talk about a topic, which usually we see all around us every day in there and out. That is the common household injury that is an injury which we sustain in our household, our kids sustain and everybody of us must or might have this kind of injuries during our lifetime. So, if we are to look broadly, what kind of injuries we sustain at home, you can say some of them are like called kitchen injuries, injuries which are sustained in the kitchen. What they can be, they can be a simple cut by a knife or finger coming into the grinder by a kid or even burns, by hot water spilling and sometimes the oil spilling off, so one is the cut injury and other is the burns. Now, cut injuries can be anywhere in our body, cut injuries are usually in the hand because we are working with the knife with our hands. So one thing which I am going to emphasize here is that, in any injury of the hand we should not take it lightly because our hand is a network of lot of tendons, nerves, ligaments and they are pretty superficial hairs, so any injury, suppose the injury is there in the wrist, it should always be evaluating because there is a lot of function of nerve which is going from here to here. So whenever you have an injury by a knife at home, you should always consult an expert preferably a plastic surgeon. So this is one kind of injury, many times our fingers can come into certain machine and there are cut off, so they if brought properly preserved in time can be put back and you should then there is cut part is there you should be preserved inside a clean cloth and should be put on the ice, not directly but inside a polythene then on ice you should rush to your nearby plastic surgeon and there is a possibility that the cut part can be put together by microvascular surgical technique, now this is one type of injury. The Other type of injury which is common sees the children hand and fingers come into bed boxes, doors this kind of injuries can also be evaluated and the treatment as early as possible. Then many times we slip and we fall, we have multiple injuries, we break a bone, there are wounds, many times kids running around hitting the bed and they have cut all over their face. So these injuries should also be if you want a less scar, if you want a better result you should consult your plastic surgeon. And if there is a hand injury which is not neglected something which is followed in the head we should not neglect. Even if you have slightest of a doubt for example if there is a vomiting, if there is a bleed from the nose or there is some sort of conversion or patient has gone as loss of consciousness, so you should consult a neurosurgeon also. So these are the kind of slip injuries, then sometimes there is a fall of heavy object or fall of things over you, they also should be evaluated. The other injuries if we have seen in children as zipper injuries to the penis that also should not be neglected and immediate action if the skin deep should be taken and whatever surgical intervention is required that should be done. All in all, it is always said that prevention is better than cure. So you should always be very careful when you are around at home and you should not let the kids roam around here and there and they should be supervised and so we can prevent these injuries.

Swelling can be lessened by placing a cold compress. Take all medication prescribed by doctors.