checklist of what to do in 1st trimester type 1 diabetes
On this page:
- How tin diabetes touch on my babe?
- How can my diabetes affect me during pregnancy?
- What health problems could I develop during pregnancy because of my diabetes?
- How tin can I prepare for pregnancy if I have diabetes?
- What practise I need to know well-nigh blood glucose testing before and during pregnancy?
- What tests volition cheque my baby'due south health during pregnancy?
- Clinical Trials
If you lot take diabetes and plan to take a infant, you lot should try to get your blood glucose levels close to your target range before you go significant.
Staying in your target range during pregnancy, which may exist unlike than when you aren't pregnant, is besides of import. High blood glucose, besides chosen claret saccharide, can harm your infant during the starting time weeks of pregnancy, even before yous know you are meaning. If you have diabetes and are already pregnant, see your doctor as soon equally possible to make a program to manage your diabetes. Working with your health care team and following your diabetes management plan tin can assist you accept a salubrious pregnancy and a salubrious infant.
If you lot develop diabetes for the first fourth dimension while you are pregnant, you have gestational diabetes.
How can diabetes affect my infant?
A baby'southward organs, such as the brain, centre, kidneys, and lungs, start forming during the first 8 weeks of pregnancy. Loftier blood glucose levels can be harmful during this early stage and can increment the chance that your baby will accept birth defects, such equally heart defects or defects of the brain or spine.
High blood glucose levels during pregnancy can also increment the take chances that your baby will be born too early, weigh as well much, or have breathing problems or low blood glucose right after birth.
Loftier blood glucose also tin increment the hazard that yous will have a miscarriage or a stillborn babe.ane Stillborn means the baby dies in the womb during the second one-half of pregnancy.
How tin can my diabetes touch me during pregnancy?
Hormonal and other changes in your trunk during pregnancy affect your claret glucose levels, and so yous might need to modify how you manage your diabetes. Even if you've had diabetes for years, you may need to alter your meal plan, concrete activity routine, and medicines. If y'all have been taking an oral diabetes medicine, you may need to switch to insulin. As yous get closer to your due date, your management programme might change over again.
What health problems could I develop during pregnancy because of my diabetes?
Pregnancy tin worsen certain long-term diabetes problems, such every bit eye bug and kidney disease, particularly if your blood glucose levels are too high.
You also have a greater chance of developing preeclampsia, sometimes called toxemia, which is when you lot 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 take preeclampsia and take reached 37 weeks of pregnancy, your doctor may want to deliver your baby early. Earlier 37 weeks, you lot and your dr. may consider other options to aid your baby develop as much as possible before he or she is born.
How can I ready for pregnancy if I take diabetes?
If yous have diabetes, keeping your blood glucose as shut to normal as possible earlier and during your pregnancy is of import to stay healthy and accept a healthy baby. Getting checkups before and during pregnancy, following your diabetes meal plan, being physically active as your health care squad advises, and taking diabetes medicines if you lot demand to will help y'all manage your diabetes. Stopping smoking and taking vitamins as your medico advises also tin help you lot and your baby stay healthy.
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 lot and your infant get the best care. Your health care squad may include
- a medical doctor who specializes in diabetes care, such every bit an endocrinologist or a diabetologist
- an obstetrician with experience treating women with diabetes
- a diabetes educator who can help y'all manage your diabetes
- a nurse practitioner who provides prenatal care during your pregnancy
- a registered dietitian to help with repast planning
- specialists who diagnose and treat diabetes-related problems, such as vision problems, kidney affliction, and eye disease
- a social worker or psychologist to help you cope with stress, worry, and the extra demands of pregnancy
Yous are the most important fellow member of the team. Your wellness care squad can give you practiced advice, but y'all are the one who must manage your diabetes every day.
Get a checkup
Take a consummate checkup before you go pregnant or as presently as you know you lot are significant. Your doctor should check for
- high blood force per unit area
- eye affliction
- eye and blood vessel disease
- nerve damage
- kidney disease
- thyroid disease
Pregnancy can make some diabetes wellness problems worse. To help prevent this, your health intendance team may recommend adjusting your treatment earlier you get pregnant.
Don't smoke
Smoking tin increase your chance of having a stillborn baby or a baby built-in as well early.ii Smoking is especially harmful for people with diabetes. Smoking tin increase diabetes-related health problems such as heart disease, middle disease, and kidney disease.
If you smoke or apply other tobacco products, finish. Ask for help then you don't have to practise it alone. You can commencement past calling the national quitline at 1-800-QUITNOW or ane-800-784-8669. For tips on quitting, become to Smokefree.gov.
Run across a registered dietitian nutritionist
If you don't already meet a dietitian, yous should beginning seeing ane before you get pregnant. Your dietitian can help you larn what to swallow, how much to eat, and when to eat to achieve or stay at a salubrious weight earlier 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 activeness routine.
During pregnancy, some women need to brand changes in their meal program, such as adding actress calories, protein, and other nutrients. You volition demand to see your dietitian every few months during pregnancy as your dietary needs change.
Be physically active
Physical activity can assist you reach your target blood glucose numbers. Being physically active tin can also help keep your blood pressure level and cholesterol levels in a healthy range, relieve stress, strengthen your heart and basic, better musculus strength, and keep your joints flexible.
Before getting significant, make concrete activity a regular part of your life. Aim for 30 minutes of activeness 5 days of the week.
Talk with your wellness care team nigh what activities are all-time for you during your pregnancy.
Read tips on how to eat amend and be more than agile while you are meaning and after your baby is built-in.
Avoid alcohol
You should avoid drinking alcoholic beverages while you're trying to get pregnant and throughout pregnancy. When yous potable, the alcohol also affects your baby. Booze tin lead to serious, lifelong health problems for your baby.
Adjust your medicines
Some medicines are not prophylactic during pregnancy and y'all should terminate taking them before you go meaning. Tell your doctor about all the medicines you take, such as those for loftier cholesterol and loftier blood pressure. Your dr. can tell you lot which medicines to stop taking, and may prescribe a different medicine that is safe to utilise during pregnancy.
Doctors most oft prescribe insulin for both blazon one and type 2 diabetes during pregnancy.3 If y'all're already taking insulin, you lot might demand to change the kind, the corporeality, or how and when you have it. You may demand less insulin during your starting time trimester but probably will need more than as y'all go through pregnancy. Your insulin needs may double or even triple equally you get closer to your due date. Your wellness intendance team will work with you to create an insulin routine to meet your changing needs.
Accept vitamin and mineral supplements
Folic acid is an important vitamin for you to take before and during pregnancy to protect your baby's wellness. You lot'll need to first taking folic acid at least 1 month before you get pregnant. You should take a multivitamin or supplement that contains at least 400 micrograms (mcg) of folic acid. In one case you become significant, you should take 600 mcg daily.4 Inquire your doc if you should have other vitamins or minerals, such as iron or calcium supplements, or a multivitamin.
What practise I need to know near blood glucose testing earlier and during pregnancy?
How often you cheque your claret glucose levels may alter during pregnancy. Yous may need to check them more than often than y'all do now. If you didn't need to check your blood glucose before pregnancy, yous will probably need to showtime. Ask your wellness intendance team how often and at what times yous should cheque your blood glucose levels. Your blood glucose targets will alter during pregnancy. Your health intendance team besides may want you to check your ketone levels if your blood glucose is also high.
Target claret glucose levels before pregnancy
When you're planning to become meaning, your daily blood glucose targets may exist different than your previous targets. Inquire your wellness intendance team which targets are right for you.
You lot tin can keep runway of your blood glucose levels using My Daily Blood Glucose Record (PDF, 44 KB) . You lot can also use an electronic blood glucose tracking system on your calculator or mobile device. Record the results every time you check your claret glucose. Your blood glucose records can aid y'all and your wellness care team decide whether your diabetes care program is working. You as well tin can brand notes virtually your insulin and ketones. Have your tracker with you when you visit your health care team.
Target blood glucose levels during pregnancy
Recommended daily target blood glucose numbers for most pregnant women with diabetes are
- Before meals, at bedtime, and overnight: 90 or less
- 1 hour afterwards eating: 130 to 140 or less
- 2 hours subsequently eating: 120 or less3
Ask your doctor what targets are right for you. If y'all have blazon ane diabetes, your targets may exist college so you don't develop low blood glucose, also chosen hypoglycemia.
A1C numbers
Another fashion to meet whether you lot're meeting your targets is to have an A1C blood test. Results of the A1C exam reverberate your average blood glucose levels during the past 3 months. Nearly women with diabetes should aim for an A1C as close to normal as possible—ideally below half dozen.v percent—before getting pregnant.iii Subsequently the first 3 months of pregnancy, your target may be every bit low as half-dozen percent.3 These targets may be dissimilar than A1C goals yous've had in the past. Your dr. can assist y'all gear up A1C targets that are best for you lot.
Ketone levels
When your blood glucose is also high or if you're not eating enough, your body might make ketones. Ketones in your urine or blood hateful your body is using fat for energy instead of glucose. Called-for large amounts of fatty instead of glucose can be harmful to your health and your baby'due south wellness.
You tin can forbid serious wellness issues by checking for ketones. Your medico might recommend you exam your urine or claret daily for ketones or when your blood glucose is above a certain level, such as 200. If yous employ an insulin pump, your doctor might advise you to test for ketones when your blood glucose level is college than expected. Your wellness care team can teach you how and when to examination your urine or blood for ketones.
Talk with your doc nigh what to do if y'all accept ketones. Your medico might suggest making changes in the corporeality of insulin you accept or when y'all take it. Your doctor also may recommend a change in meals or snacks if you lot need to eat more carbohydrates.
What tests will check my babe's health during pregnancy?
Yous will take tests throughout your pregnancy, such equally blood tests and ultrasounds, to check your baby's health. Talk with your health intendance squad nigh what prenatal tests you'll have and when you might have them.
References
Clinical Trials
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and other components of the National Institutes of Wellness (NIH) carry and support enquiry into many diseases and atmospheric condition.
What are clinical trials, and are they right for you?
Clinical trials are office of clinical research and at the heart of all medical advances. Clinical trials look at new means to prevent, detect, or treat disease. Researchers also use clinical trials to wait at other aspects of care, such as improving the quality of life for people with chronic illnesses. Find out if clinical trials are right for you.
What clinical trials are open?
Clinical trials that are currently open up and are recruiting can exist viewed at www.ClinicalTrials.gov.
Source: https://www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy
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