How to Have a Healthy Pregnancy with Diabetes: Tips for Managing Blood Sugar
How to Have a Healthy Pregnancy with Diabetes
Although your pregnancy may be considered high risk, you can achieve a healthy pregnancy with careful planning and extra attention to your diabetes. If you have diabetes, the healthiest pregnancies are planned pregnancies. It is very important that you wait to get pregnant until your blood sugar is well controlled. You may need to use contraceptives to make sure that you do not get pregnant until you are ready.
Part of preparing for a healthy pregnancy may include changing the medicines you use to control your diabetes. If you are not already on insulin, consult with your diabetes doctor to see if insulin is appropriate for you. If your blood sugar is too high during the early weeks of pregnancy, your baby is at higher risk for birth defects such as heart problems, brain and spine deformities, and other problems as well.
If you become pregnant before you are ready, you should immediately contact your diabetes doctor to get help controlling your blood sugar. Do not wait until your first prenatal appointment to ask for help. The earlier you can achieve and maintain normal blood sugar, the better for you and your baby.
Risks during Pregnancy
Diabetes during pregnancy poses additional risks to the baby, such as growing too large, which may cause problems during delivery or increase the chance of having a C-section. There’s also a higher risk of developing diabetes later in life and premature birth. Mothers with diabetes may also be at risk for high blood pressure, preeclampsia, placental abruption, and kidney problems. If you already have complications from diabetes, these might get worse during pregnancy and will require close monitoring.
By controlling your blood sugar, you can reduce the chance of complications and have as healthy a pregnancy as possible. You will have a team of healthcare professionals assisting you throughout the pregnancy, including an endocrinologist or an obstetrician who specializes in the care of diabetes during pregnancy, an obstetrician who specializes in high-risk pregnancies, and a registered dietitian.
Monitoring and Controlling Blood Sugar
It is very important that you closely monitor your blood sugar throughout your pregnancy. This includes checking your blood sugar every morning and after every meal, and sometimes more often depending on the type of diabetes you have and which medications you take. You will review blood sugars with your diabetes specialist each week. Since medication requirements will change throughout your pregnancy, it’s important to keep every appointment with your doctors to ensure that your diabetes stays well controlled and to monitor your baby closely. If problems are detected early, you and your baby can get help if needed.
Diet and Exercise
Diet and exercise are vital to controlling blood sugar during your pregnancy. You should eat a healthy and consistent diet, reducing or avoiding simple sugars, and balancing your intake of other major food groups. A dietitian can help you develop a meal plan for healthy eating during your pregnancy. You should also get regular moderate exercise, such as brisk walking or yoga. Some gyms have exercise classes specialized for pregnant women.
Many women who have diabetes have safe pregnancies and healthy babies by closely monitoring their blood sugar and adopting other habits to improve their wellness.
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