Can you get pregnant with diabetes
The answer is yes.
The blood sugar of diabetic patients is higher than normal, whether the patient is suitable for pregnancy depending on the patient's blood sugar and their other related health conditions. In general, diabetics with diabetes have a higher incidence of miscarriage than normal pregnant women and a higher incidence of diabetic hypertensive syndrome of pregnancy. In the case of slightly high blood sugar and related conditions, pregnancy and regular observation and close attention to blood sugar changes, is also feasible.
Generally speaking, if a diabetic gets pregnant and has a baby, the problem of high blood glucose can easily bring some harm to the healthy development of the fetus if the blood glucose problem is not well controlled in the early stage. That is, high blood sugar before pregnancy or early pregnancy, will affect the normal development of the embryo, resulting in fetal malformation. In severe cases, the fetus will also stop developing, leading to miscarriage. High blood glucose in pregnant women will reduce the supply of oxygen from the placenta to the fetus, leading to intrauterine oxygen deprivation, and in severe cases, fetal death in the womb. If you don't have good glycemic control during pregnancy, the fetus is susceptible to hyperinsulinemia.
Therefore, you should first schedule a pre-pregnancy checkup with a nurse practitioner, obstetrician/gynecologist, or diabetes instructor before you plan to become pregnant. You need to know about the various special dangers, the dangers to the baby, and the knowledge and methods on how to control your blood sugar before and during pregnancy.
Does diabetes affect pregnancy
Diabetes can have a serious effect on pregnancy.
Diabetes combined with pregnancy, which occurs or is found during pregnancy with varying degrees of severity of reduced glucose tolerance, not only jeopardizes the health of the mother, but also has a great impact on the baby, which is a high-risk pregnancy.
The effect of diabetes on pregnant women
Pregnant women are prone to pregnancy complications, the incidence of which is four to eight times higher than that of the average pregnant woman, and the incidence of eclampsia and complications is also high.
Pregnant women are prone to urinary tract infections during pregnancy and labor, and even develop sepsis.
Prolonged labor often occurs in women or postpartum hemorrhage due to poor contractions after delivery.
It increases the number of infections, such as fungal female privates, intrauterine infections, pyelonephritis and puerperal infections, which are often more difficult to control and tend to induce ketoacidosis.
Produces unexplained excess amniotic fluid, the incidence of excess amniotic fluid is as high as 8% to 30%, excess amniotic fluid is prone to premature rupture of membranes, leading to preterm labor.
The effect of diabetes on the fetus
The incidence of macrosomia is two to three times higher than that of an average pregnancy, and macrosomia is prone to malposition, cephalo-pelvic disproportion, and shoulder dystocia, which leads to weak contractions in pregnant mothers, and increases the rate of obstructed labor and cesarean delivery.
Newborns have significantly more complications and are prone to obesity, diabetes, hypoglycemia, and hypocalcemia.
What are the risks of pregnancy in diabetics
Pregnancy in diabetics can lead to the following problems:
1. High incidence of amniotic fluid overload;
2. Fetuses are usually bigger than average, some even weighing more than 5 kilograms, so malposition and obstructed labor are common;
3. Metabolic changes in pregnancy are complicated. Complex, so the control of diabetes during pregnancy is also more difficult, poor control is prone to acidosis and jeopardize the life of the mother and child;
4, long-term diabetes on the vascular system and the kidneys have an impact on, so the complication of chronic hypertension and pregnancy toxicity is more.
5, the possibility of congenital malformation of the fetus is 10 times more than normal pregnant women, especially 6 to 7 weeks of pregnancy when the embryo formation period, the two months of pregnant women in the body of the glucose is not controlled, easy to lead to fetal neural tube, kidneys, cardiac malformation.
Can you have a child if you are pregnant with diabetes
You can have a child if you are pregnant with diabetes.
It should be noted that, because during pregnancy blood sugar may continue to rise, the mother and the fetus have a certain degree of harm, easy to lead to gestational hypertension syndrome, prone to the phenomenon of fetal death in the womb, so diabetic patients need to play insulin to control blood glucose during pregnancy; furthermore, pregnant mothers suffering from diabetes, the fetus tends to be larger, prone to difficult labor, even if the smooth delivery of the baby, but also prone to the newborn baby The newborn is prone to hypoglycemia, or the phenomenon of huge children.
What to do if you're pregnant with diabetes
In order to ensure the safety of mother and child, diabetics should pay attention to the following points after pregnancy.
1. Use less salty foods that are higher in carbohydrates to keep blood glucose concentration at a slightly higher level than normal, thus preventing hypoglycemic shock and acidosis.
2, every one to two weeks for a pregnancy checkup, follow the doctor's instructions for the cardiovascular system and renal function experiments, to observe the changes in blood vessels and kidneys, but also frequent urinalysis, to observe the situation of diabetes and urinary protein.
3, should be hospitalized two to three weeks before the expected date of delivery, so that on the one hand, better control of diabetes, on the other hand, you can also give due consideration to how to ensure the safety of delivery.
What to pay attention to diabetic pregnancy
Diabetic pregnancy has risks
Diabetic in pregnancy are to pay attention to, in order to bear the nutritional needs of fetal development, the body will produce some of the hormones secreted mainly for the fetus, there is a promotion of insulin secretion and antagonism of the role of insulin, these roles are conducive to the fetus to obtain nutrients, but also lead to the complexity of diabetes, such as difficulty in controlling blood glucose, the occurrence of ketoacidosis. For example, it is difficult to control blood sugar, ketoacidosis, hypoglycemia, fundus retinopathy as well as aggravation of renal lesions, excessive amniotic fluid, obstructed labor, gestational hypertension and so on.
Stop taking drugs, switch to insulin
Stop all oral hypoglycemic drugs, switch to insulin injections, frequent monitoring of blood glucose, according to the blood glucose, adjust the dose, be sure to make the blood glucose stabilized in the normal range, 2 hours after the meal 7.8 mmol / liter. Also closely observe the weight changes, if the weight gain is too fast or remain unchanged, you should ask the obstetrics and endocrinology experts to check. When you go out, you should also take your medication with you and apply it on time. When you go out, you should carry some snacks and easy-to-absorb sugars with you in case of hypoglycemia and take them in time.
Diabetics should start intensive insulin treatment six weeks before conception to make blood glucose and glycated hemoglobin as normal as possible. Throughout the pregnancy, the ideal blood glucose control should be, abdominal blood glucose 5.8 postprandial 6.7 glycated hemoglobin 6.0%, to provide a good environment for the conception and the growth and development of the fetus.
Blood glucose control generally choose non-teratogenic insulin, because pregnancy is a special period, insulin dosage should also be adjusted.
Dietary regulation
Regulation of diet remains one of the most important measures in the treatment of pregnant women with diabetes, not only to ensure that the pregnant woman's own energy, but also to provide nutrition for the fetus. If excessive control of diet, will affect fetal growth and development, the birth of low birth weight babies. Arbitrary eating without regulation will increase and destabilize blood glucose, which is also detrimental to the mother and fetus. Diabetic diet in pregnancy is very important.
Therefore, the dietary treatment of pregnancy, both similar to non-pregnancy, but there are differences: the amount of food to be adapted to relaxation than non-pregnancy, according to each kilogram of body weight of 30-36 kcal per day to calculate the total calorie, of which rice, pasta staple food accounted for 50-60%, protein accounted for about 20% of the milk, poultry, eggs, fish and blood-based, less meat, fat Less than 30%. Cooking with vegetable oil, eat more green leafy vegetables, it is best to divide the total daily food into multiple meals. Fruits can eat low sugar strawberries, kiwi, do not eat sugar cane, bananas, longan, ban desserts, cane sugar, do not drink coffee and coffee-containing beverages, ethyl alcohol and tobacco.
Precautions:
Pay attention not to eat while watching TV, this habit is very bad, easy to eat a lot of food unknowingly, resulting in excess nutrients;
It is best to choose the lower calorie fruits as a snack, do not eat cookies, candies, fried food and other high-calorie foods;
Pay attention to the regular diet, eat on time, control the amount of food, eat less! Eat foods high in sugar and fat content, such as fried foods, nuts and plant seeds.
Rice, pasta and other staple foods do not exceed the daily standard intake, animal food selection of relatively low-fat chicken, fish, shrimp, eggs, milk, and the appropriate addition of legumes, which can ensure the supply of protein, but also to control the amount of fat, eat more vegetables and fruits, choose the less sugary fruits, not only to alleviate the hunger pangs, but also to increase the intake of vitamins and organic matter.
Keeping regular exercise
Regular exercise can maintain normal blood glucose level, which is helpful to both mother and fetus. However, it is also important not to do exercise that is too heavy a load and to be safe. Walking is a good way to do this. Do a half hour of exercise every day so that your heartbeat does not exceed 140-160 beats per minute. If you feel dizzy, have back pain, or other bad symptoms of pregnancy after exercising, stop exercising and get checked out by your doctor.
Guaranteeing sleep
As a pregnant woman, you should never tire yourself out by visiting friends and relatives on a whim, nor should you compromise your sleep by socializing. Because the lack of sleep not only affects the mental state of pregnant women, but also affects the neural development of the brain and weight gain of the fetus.
Avoid mental tension
Family and friends get together, there will inevitably be entertainment programs, such as playing cards, mahjong, pregnant women are best to avoid. Because first of all, a high degree of mental tension will have a direct impact on the mood of the fetus in the womb, and secondly, sitting for a long time will make the lower limbs varicose veins, increase the degree of swelling and may cause gestational hypertension, and then the bacteria on the mahjong will also make the disease from the mouth, is not conducive to the health of mothers and babies.
Avoid emotional excitement
Since we have to deal with all kinds of people in our daily life, it is natural that various unexpected situations may occur. Therefore, pregnant women should be prepared to maintain a calm state of mind, not because of some trivial and emotional excitement, triggering unnecessary trouble.
Less crowded places
Pregnant women should minimize their presence in public **** places. Because of the season, it is the time when the virus stupid, pregnant women in and out of shopping malls, plazas and other public **** occasions, it is very easy to get infected with viruses or cold and flu aggravate diabetes, and can affect the development of the fetus.
So, diabetics can get pregnant, the key is to do a good job of preparing for pregnancy and controlling blood sugar before getting pregnant. In pregnancy good also want to change the bad habits, so that the pregnant woman and the fetus are beneficial.
1, the food to be eaten with caution during pregnancy
1, aloe vera: Chinese Society of Food Science and Technology to provide information, pregnant women if excessive consumption of aloe vera juice, easy to cause abdominal pain, vomiting, blood, and even lead to miscarriage.
2, crab: crab taste delicious, but its nature of cold, have blood stasis function, so pregnant women have adverse effects, should be eaten with caution.
3, Job's tears: Chinese medicine believes that Job's tears are slippery, and the smooth muscle of the uterus has an excitatory effect, which can promote uterine contraction, with the possibility of inducing miscarriage, it should be eaten with caution.
4, amaranth: amaranth is cold and slippery, for the uterus has a significant role in excitation, can make the uterus contraction increased, the intensity of increase, easy to cause miscarriage, it should be eaten with caution.
6, apricots and almonds: due to pregnancy, fetal heat is heavier, so the prenatal general should eat light food, and apricot heat, a food apricot too much, but also can cause fire, so pregnant women should be eaten with caution.
7, turtle: due to the cold and salty nature of the turtle, has a strong through the blood, the efficacy of stasis, so there is a certain abortion, so pregnant women should be careful to eat.
8, chili peppers: eat a moderate amount of chili peppers on the human intake of comprehensive nutrients have benefits. But too much chili will stimulate the stomach and intestines, cause constipation, accelerate blood flow. If you have a placenta previa, you should absolutely prohibit the consumption of food.
9, pepper, anise, cinnamon, five spice powder: these are hot spices, easy to consume intestinal water, so that intestinal secretion of fluid to reduce the intestinal dryness and constipation, pregnant women should eat as little as possible or not eat.