Pregnancy is a very special experience in any woman’s life. It’s normally believed that pregnancy is risky for women with diabetes.
In this article, we will discuss a preconception planning for the woman with diabetes and we will refer to some best quality resources on managing gestational diabetes.
If you have diabetes, how you should plan for your pregnancy.
a. You should first discuss with your family physician, dietician and obstetrician who is familiar with the special challenges of a diabetic pregnancy.
b. Hyperglycemia increases the risk of a miscarriage or of birth defects in the baby. You need to manage excellent blood glucose control before conception.
c. Do a thorough medical check up because high and prolonged blood sugar might have impacted your eyes, kidneys. This thorough physical examination will help medical professionals to assess your body's readiness to take on the demands of pregnancy.
You need to aim for near-normal glucose levels
Bring down blood glucose levels as close to normal as possible -- ideally for three months before you become pregnant. Maintain this level for 1st three months because baby is rapidly developing this time. If you able to manage HbA1c level within 1% of normal, the rates of congenital deformities and spontaneous abortion are no different from those in women without diabetes.
What should be your blood glucose level?
Test your blood glucose level before measl and 70-100 mg/dl (3.9 - 5.6 mmol/l) should be your whole blood glucose reading.
Test your blood glucose level 2 hours after meals and whole blood glucose reading should be under 140 mg/dl (<7.8 style="font-weight: bold;">Diabetes treatment program is nothing but a strict self-management plan. This will include:
1. Following an appropriate diet chart and meal plan
2. Monitoring of blood glucose at home using a proper testing equipment
3. Administering insulin injections
4. Managing and treating hypoglycemia is must
5. Follow prescribed regular exercise diligently
6. Undergo HbA1c tests at 1- to 2-month intervals until your blood glucose levels are stable.
Your doctor will advise when you can stop contraception and go ahead and proceed with trying to become pregnant. If you haven't been able to attain the desired levels, your doctor will advise you on the risks of getting pregnant with high glucose levels. Then you should discuss the risks of proceeding with a pregnancy with your doctor and with each other.
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