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If you have diabetes and plan to have a baby, you should try to get your blood glucose levels close to your target range before you get pregnant. High blood glucose, also called blood sugar, can harm your baby during the first weeks of pregnancy, even before you know you are pregnant. If you have diabetes and are already pregnant, see your doctor as soon as possible to make a plan to manage your diabetes.
Working with your health care team and following your diabetes management plan can help you have a healthy pregnancy and a healthy baby.
If you develop diabetes for the first time while you are pregnant, you have gestational diabetes. High blood glucose levels can be harmful during this early stage and can increase the chance that your baby will have birth defects, such as heart defects or defects of the brain or spine. High blood glucose levels during pregnancy can also increase the chance that your baby will be born too early, weigh too much, or have breathing problems or low blood glucose right after birth. High blood glucose also can increase the chance that you will have a miscarriage or a stillborn baby.
Hormonal and other changes in your body during pregnancy affect your blood glucose levels, so you might need to change how you manage your diabetes. If you have been taking an oral diabetes medicine, you may need to switch to insulin. As you get closer to your due date, your management plan might change again. Pregnancy can worsen certain long-term diabetes problems, such as eye problems and kidney diseaseespecially if your blood glucose levels are too high.
You also have a greater chance of developing preeclampsia, sometimes called toxemia, which is when you develop high blood pressure and too much protein in your urine during the second half of pregnancy. Preeclampsia can cause serious or life-threatening problems for you and your baby. The only cure for preeclampsia is to give birth. If you have preeclampsia and have reached 37 weeks of pregnancy, your doctor may want to deliver your baby early. Before 37 weeks, you and your doctor may consider other options to help your baby develop as much as possible before he or she is born.
If you have diabetes, keeping your blood glucose as close to normal as possible before and during your pregnancy is important to stay healthy and have a healthy baby. Getting checkups before and during pregnancy, following your diabetes meal plan, being physically active as your health care team advises, and taking diabetes medicines if you need to will help you manage your diabetes.
Stopping smoking and taking vitamins as your doctor advises also can help you and your baby stay healthy. Regular visits with members of a health care team who are experts in diabetes and pregnancy will ensure that you and your baby get the best care. Your health care team may include. You are the most important member of the team. Your health care team can give you expert advice, but you are the one who must manage your diabetes every day. Have a complete checkup before you get pregnant or as soon as Ladies have it your way know you are pregnant.
Your doctor should check for.
Pregnancy can make some diabetes health problems worse. To help prevent this, your health care team may recommend adjusting your treatment before you get pregnant. Smoking can increase your chance of having a stillborn baby or a baby born too early. Smoking can increase diabetes-related health problems such as eye disease, heart disease, and kidney disease. If you smoke or use other tobacco products, stop. For tips on quitting, go to Smokefree. Your dietitian can help you learn what to eat, how much to eat, and when to eat to reach or stay at a healthy weight before you get pregnant.
Together, you and your dietitian will create a meal plan to fit your needs, schedule, food preferences, medical conditions, medicines, and physical activity routine. During pregnancy, some women need to make changes in their meal plan, such as adding extra calories, protein, and other nutrients.
You will need to see your dietitian every few months during pregnancy as your dietary needs change. Physical activity can help you reach your target blood glucose s. Being physically active can also help keep your blood pressure and cholesterol levels in a healthy range, relieve stress, strengthen your heart and bones, improve muscle strength, and keep your ts flexible. Before getting pregnant, make physical activity a regular part of your life. Aim for 30 minutes of activity 5 days of the week.
Read tips on how to eat better and be more active while you are pregnant and after your baby is born. When you drink, the Ladies have it your way also affects your baby.
Alcohol can lead to serious, lifelong health problems for your baby. Some medicines are not safe during pregnancy and you should stop taking them before you get pregnant. Tell your doctor about all the medicines you take, such as those for high cholesterol and high blood pressure. Your doctor can tell you which medicines to stop taking, and may prescribe a different medicine that is safe to use during pregnancy. Doctors most often prescribe insulin for both type 1 and type 2 diabetes during pregnancy.
You may need less insulin during your first trimester but probably will need more as you go through pregnancy. Your insulin needs may double or even triple as you get closer to your due date. Your health care team will work with you to create an insulin routine to meet your changing needs. You should take a multivitamin or supplement that contains at least micrograms mcg of folic acid.
Once you become pregnant, you should take mcg daily. How often you check your blood glucose levels may change during pregnancy. You may need to check them more often than you do now. Ask your health care team how often and at what times you should check your blood glucose levels. Your blood glucose targets will change during pregnancy. Your health care team also may want you to check your ketone levels if your blood glucose is too high. Ask your health care team which targets are right for you. You can also use an electronic blood glucose tracking system on your computer or mobile device.
Record the every time you check your blood glucose. Your blood glucose records can help you and your health care team decide whether your diabetes care plan is working. You also can make notes about your insulin and ketones. Take your tracker with you when you visit your health care team. Ask your doctor what targets are right for you. of the A1C test reflect your average blood glucose levels during the past 3 months. Most women with diabetes should aim for an A1C as close to normal as possible—ideally below 6. Your doctor can help you set A1C targets that are best for you.
Ketones in your urine or blood mean your Ladies have it your way is using fat for energy instead of glucose. You can prevent serious health problems by checking for ketones. Your doctor might recommend you test your urine or blood daily for ketones or when your blood glucose is above a certain level, such as If you use an insulin pumpyour doctor might advise you to test for ketones when your blood glucose level is higher than expected.
Your health care team can teach you how and when to test your urine or blood for ketones. Talk with your doctor about what to do if you have ketones. Your doctor might suggest making changes in the amount of insulin you take or when you take it. Your doctor also may recommend a change in meals or snacks if you need to consume more carbohydrates.
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Diabetes Diabetes Overview What is Diabetes? How can my diabetes affect me during pregnancy? What health problems could I develop during pregnancy because of my diabetes? How can I prepare for pregnancy if I have diabetes?
What do I need to know about blood glucose testing before and during pregnancy? Clinical Trials If you have diabetes and plan to have a baby, you should try to get your blood glucose levels close to your target range before you get pregnant. Plan to manage your blood glucose before you get pregnant. How can diabetes affect my baby?
Work with your health care team Regular visits with members of a health care team who are experts in diabetes and pregnancy will ensure that you and your baby get the best care. Your health care team may include a medical doctor who specializes in diabetes care, such as an endocrinologist or a diabetologist an obstetrician with experience treating women with diabetes a diabetes educator who can help you manage your diabetes a nurse practitioner who provides prenatal care during your pregnancy a registered dietitian to help with meal planning specialists who diagnose and treat diabetes-related problems, such as vision problems, kidney disease, and heart disease a social worker or psychologist to help you cope with stress, worry, and the extra demands of pregnancy You are the most important member of the team.
Talk with your health care team before you get pregnant. Get a checkup Have a complete checkup before you get pregnant or as soon as you know you are pregnant. Your doctor should check for high blood pressure eye disease heart and blood vessel disease nerve damage kidney disease thyroid disease Pregnancy can make some diabetes health problems worse.
Be physically active Physical activity can help you reach your target blood glucose s. Talk with your health care team about what activities are best for you during your pregnancy. Adjust your medicines Some medicines are not safe during pregnancy and you should stop taking them before you get pregnant.
During your pregnancy, you may need to check your blood glucose levels more often. Target blood glucose levels during pregnancy Recommended daily target blood glucose s for most pregnant women with diabetes are Before meals, at bedtime, and overnight: 90 or less 1 hour after eating: to or less 2 hours after eating: or less 3 Ask your doctor what targets are right for you.
What are clinical trials, and are they right for you? What clinical trials are open?Ladies have it your way
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