How is Diabetes in Pregnancy?

Pregnancy in diabetes can be an ordeal for you and your loved ones. But still surmountable! We in advance with some statistical data and recommendations that will help you avoid complications.

During diabetes varies considerably during pregnancy. Identify several stages of changes in the expectant mother:

   1. The first trimester is different lower blood sugar levels, so it is necessary to reduce the insulin dose to 1 / 3;
   2. At 13 weeks on the rise in blood sugar that can cause severe condition of the woman until the coma. In this period should be carefully monitored glucose levels and consequently increase the dose of insulin;
   3. With 32 weeks the blood sugar level again begins to decline and the insulin dose was reduced to 70 - 80%;
   4. During childbirth due to the stress experienced by women may develop hyperglycemia, or because of severe physical fatigue of the body - hypoglycemia;
   5. After birth, the blood sugar level drops sharply and reaches a level that was before pregnancy, only 10.7 day post-partum period.

During pregnancy, hospitalization of women with diabetes, usually occurs during the first weeks of pregnancy to ensure timely diagnosis and compensation of diabetes. At 20-24 week could worsen the health of women and also require hospitalization. Last time when we should expect hospitalization, begins with 32 weeks, the cause may be a need for re-compensation of diabetes, and timing of delivery.

Pregnancy is bad for the woman with diabetes mellitus. Observed exacerbation of pyelonephritis, vascular diseases, the appearance of edema, increased blood pressure. Sometimes seizures may occur. Pregnancy in patients with diabetes can cause a lot of complications, even death of the mother or fetus due to diabetic kidney damage.

Miscarriage may occur in 15-30% of cases at 20-27 weeks of pregnancy. But do not despair, with proper and careful treatment of the probability of the threat of miscarriage, many pregnant women with diabetes is not higher than that in healthy women. Very frequent premature labor in diabetic patients. Cases of fetal death are most likely at 36-38 week. This may be an exacerbation of diabetes, preeclampsia and a large mass of the fetus. Probability of stillbirth was 29%.

Childbirth can be severe due to the fact that children of women with diabetes are born large (an increase of up to 60 cm, and body weight - 4.5 kg). Often the injuries as child and parent. Increases the frequency of postpartum infection, there is insufficient lactation in women with diabetes.

With poor treatment and complications of diabetes birth place prematurely (37 weeks). Often require surgical intervention and the use of caesarean section. But happily flowing pregnancy in compensated diabetes usually ends up normal, timely deliveries without the use of caesarean section. Importantly, to closely monitor the course of the disease and carry a full course of treatment prescribed by the attending physician, endocrinologist.