Steps For Managing Preexisting Diabetes During Pregnancy

Here are a few steps that women should take if they have preexisting diabetes when they become pregnant.

There are many increased risks for women who suffer from diabetes before they ever get pregnant. It is important that women with diabetes learn how to manage their illness before getting pregnant in order to have the healthiest pregnancy possible. Women who have preexisting diabetes in pregnancy have an increased risk to suffer from preeclampsia, cesarean delivery, and macrosomia. Women should certainly talk with their doctor about their preexisting diabetes to help have the most successful and healthy pregnancy possible.

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The risks of preexisting diabetes can be mitigated with optimization of glycemic control, appropriate medication regimens, and the use of a multidisciplinary team. About 9% of births are being complicated by preexisting diabetes that includes bothering Type 1 and Type 2.  It is important to figure out how to control your preexisting diabetes to help alleviate as many complications as you can. Here are a few steps to help you manage your Type 1 and Type 2 diabetes when you become pregnant.

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Step 1: Appropriate Pregnancy Planning: You should make sure that your diabetes is controlled before becoming pregnant. Prior to conception, women with diabetes should make sure that their numbers are healthy. They should be referred to a maternal-fetal medicine specialist for counseling and intensified fetal surveillance during pregnancy.  Women should give their best efforts to make sure that they optimize their weight and have glycemic control. Also, women with Type 1 diabetes should be screened for thyroid-stimulating levels.

Step 2: Insulin: The use of Insulin in pregnancy is the first line of therapy that can help women with preexisting diabetes. Close glucose monitoring is also necessary to make sure that women are having healthy levels. Unhealthy glucose levels can drastically impact the health of the fetus. Multiple daily injections, as well as insulin pump therapy, are both effective approaches for insulin management. Oral agents should not be used during pregnancy!

What to Expect

Step 3: Women who have preexisting diabetes are strongly encouraged to breastfeed their baby for as long as possible. Breastfeeding will encourage your body to lose weight that can greatly help control your Type 2 diabetes.

If you have diabetes and you are planning to become pregnant then it is essential to speak with your doctor about the best steps that need to be taken to have a healthy pregnancy. A doctor can walk you through all of your options and encourage you to do everything you can to make sure that during your pregnancy you create a healthy little baby!

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