Pathological Pregnancy: Diabetes

Grossesse and diabetesare not incompatible, you simply establish a very strict monitoring throughout your pregnancy.

What’s happening

If you are diabetic, you are familiar with your treatment, your diet, your rate of blood glucose…. And if you want to be a MOM, all of these data will change! Indeed, the placenta secret from the fifth week of pregnancy a hormone called placental lactogene (HLP) which increases the body’s insulin-resistance throughout these 9 months.

This hormone will cause disorders and blood glucose imbalance, if you do not change your treatment, which can cause risks for your baby: 
-In the first quarter : risk of neurological, heart or bone malformations.
-Second quarter : your child may become too big (macrosomia) and your amniotic fluid too abundant (hydramnios), which can cause a delivery difficult and even dangerous.
-Q3: blood glucose imbalance can lead to lung problems and cause low blood sugar at birth.

Preventing complications

As soon as your desire for pregnancy, you must plan your follow-up with your doctor. Your blood glucose must be stable for at least three months at design time. So you must balance your contributions with your sugar level, and regularly monitor your weight and your vision.

Your treatment

Insulin, of course. If you are a type 2 diabetic, treated by oral anti-diabetics, you need injections of insulin; the anti-diabetics are indeed incompatible with pregnancy. The best thing is to stop treatment even before conception, or right from your pregnancy announcement.
If you are insulin-dependent, you will have to adapt and increase your treatment throughout the pregnancy. Your doctor can then help you and direct you to a specialized structure that will teach you to master these new habits.

Your delivery

Your blood sugar levels and your baby will be very monitored during your delivery. And immediately after childbirth, once the placenta is expelled, the HLP disappears from your organization, bringing back your diabetes “to normal”, with the same values of pre-pregnancy. But your diabetes is likely to stay volatile for the first weeks.
 If you were under oral anti-diabetics, you can resume them immediately after birth, unless you are breast-feeding; 
 If you were already insulin-dependent, gradually lower your dose. Breastfeeding on insulin is without risk.

 

Gallery

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