I am a diabetic and I want to become pregnant. What are the risks and what should I do?
I am a diabetic and I want to become pregnant. What are the risks and what should I do?
Yes, because pregnancy in a woman with diabetes is a risk pregnancy. You must plan the pregnancy to modify treatment before the start and allow for a medical follow up of a multidisciplinary network (obstetrical, diabetology or ophthalmologic). A woman with diabetes should be well balanced from 2 to 3 months before conception and throughout pregnancy. Under these conditions, the evolution is usually favorable.
Treatment aims to prevent exposure to many risks:
-maternal risks:-acute decompensation of diabetes-visual disturbances, by worsening of retinopathy-infections, especially urinary-Hypertension-obstérical risk:-miscarriage-fetal risks:-malformations-metabolic and respiratory complications at birth.If diabetes is Type 1: you will have to intensify the insulin therapy as needed, while respecting the diabetic diet.If diabetes is type 2: you will have to replace oral medications by insulin. You will learn how to do your shots. The diabetic diet is also essential.Gestational diabetes: If diabetes is discovered during pregnancy, we will seek a balance by a diabetic diet in the first place. The glucose (blood sugar) will be monitored weekly via a blood test. If diet alone is not effective, we will add insulin.For pregnant women taking insulin, diabetes monitoring is twofold:-multi-day self-control at home-medical every 15 days (at least).
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Victor Hugo