If I Had Blood Pressure Problems in a Previous Pregnancy Will I Have Them Again
On this page:
- How can diabetes impact my babe?
- How can my diabetes touch me during pregnancy?
- What health problems could I develop during pregnancy because of my diabetes?
- How can I gear up for pregnancy if I take diabetes?
- What do I need to know nearly claret glucose testing before and during pregnancy?
- What tests volition check my infant'due south health during pregnancy?
- Clinical Trials
If you have diabetes and plan to have a babe, you should endeavor to become your blood glucose levels close to your target range before you become pregnant.
Staying in your target range during pregnancy, which may be different than when you aren't pregnant, is too important. High claret glucose, likewise called blood sugar, can harm your baby during the get-go weeks of pregnancy, even earlier you lot know you are pregnant. If you have diabetes and are already pregnant, run into your doc as shortly as possible to make a programme to manage your diabetes. Working with your wellness care squad and post-obit your diabetes management plan can help you lot accept a good for you pregnancy and a good for you baby.
If you develop diabetes for the offset time while you are pregnant, you have gestational diabetes.
How can diabetes touch my baby?
A babe's organs, such equally the brain, heart, kidneys, and lungs, start forming during the outset viii weeks of pregnancy. High claret glucose levels can be harmful during this early on stage and can increment the chance that your babe will have nascence defects, such every bit middle defects or defects of the brain or spine.
High blood glucose levels during pregnancy can as well increase the take a chance that your baby volition be born too early, weigh also much, or have animate problems or low blood glucose right afterwards birth.
Loftier claret glucose also can increment the hazard that you will have a miscarriage or a stillborn baby.ane Stillborn means the baby dies in the womb during the 2d half of pregnancy.
How tin my diabetes touch on me during pregnancy?
Hormonal and other changes in your body during pregnancy affect your blood glucose levels, so you might need to change how you manage your diabetes. Even if you've had diabetes for years, yous may need to change your meal program, physical activity routine, and medicines. If you accept been taking an oral diabetes medicine, you may need to switch to insulin. As you lot get closer to your due engagement, your management plan might alter again.
What health problems could I develop during pregnancy because of my diabetes?
Pregnancy can worsen certain long-term diabetes problems, such equally eye issues and kidney disease, especially if your claret glucose levels are as well high.
You also have a greater chance of developing preeclampsia, sometimes called toxemia, which is when you develop loftier claret pressure and too much protein in your urine during the second half of pregnancy. Preeclampsia tin can cause serious or life-threatening problems for yous and your baby. The only cure for preeclampsia is to requite nascence. If you have preeclampsia and accept reached 37 weeks of pregnancy, your doctor may want to deliver your baby early. Before 37 weeks, you lot and your physician may consider other options to aid your baby develop as much as possible earlier he or she is born.
How can I gear up for pregnancy if I have diabetes?
If you have diabetes, keeping your blood glucose as close to normal as possible before and during your pregnancy is important to stay good for you and accept a healthy baby. Getting checkups earlier and during pregnancy, following your diabetes meal plan, being physically active every bit your wellness intendance team advises, and taking diabetes medicines if you demand to will help y'all manage your diabetes. Stopping smoking and taking vitamins every bit your doctor advises also tin can help you and your baby stay healthy.
Piece of work with your health intendance team
Regular visits with members of a wellness care team who are experts in diabetes and pregnancy volition ensure that you and your baby go the best care. Your health care squad may include
- a medical physician who specializes in diabetes intendance, such as an endocrinologist or a diabetologist
- an obstetrician with experience treating women with diabetes
- a diabetes educator who tin can aid you lot manage your diabetes
- a nurse practitioner who provides prenatal intendance during your pregnancy
- a registered dietitian to assist with meal planning
- specialists who diagnose and treat diabetes-related problems, such equally vision problems, kidney affliction, and center disease
- a social worker or psychologist to help you cope with stress, worry, and the extra demands of pregnancy
You are the near of import member of the team. Your health intendance squad can give you good advice, but you are the one who must manage your diabetes every day.
Become a checkup
Take a complete checkup before you get pregnant or as soon as yous know you are pregnant. Your doctor should check for
- loftier blood pressure
- centre disease
- centre and blood vessel disease
- nerve damage
- kidney illness
- thyroid disease
Pregnancy tin can brand some diabetes health problems worse. To help prevent this, your health intendance team may recommend adjusting your treatment earlier you become pregnant.
Don't smoke
Smoking can increase your chance of having a stillborn baby or a infant built-in too early.2 Smoking is especially harmful for people with diabetes. Smoking can increase diabetes-related health bug such every bit eye illness, center disease, and kidney disease.
If you smoke or use other tobacco products, finish. Inquire for assist so you don't take to do it alone. You tin start by calling the national quitline at i-800-QUITNOW or 1-800-784-8669. For tips on quitting, go to Smokefree.gov.
See a registered dietitian nutritionist
If you don't already meet a dietitian, you should start seeing 1 earlier you go significant. Your dietitian can assistance you larn what to eat, how much to eat, and when to swallow to reach or stay at a healthy weight before you lot get pregnant. Together, you and your dietitian will create a meal plan to fit your needs, schedule, food preferences, medical weather condition, medicines, and concrete activity routine.
During pregnancy, some women need to make changes in their meal program, such as calculation extra calories, protein, and other nutrients. You will need to see your dietitian every few months during pregnancy as your dietary needs change.
Exist physically agile
Physical activity tin can assistance you reach your target claret glucose numbers. Being physically active tin can likewise help keep your blood pressure level and cholesterol levels in a healthy range, salve stress, strengthen your eye and bones, improve muscle strength, and keep your joints flexible.
Before getting meaning, make physical activity a regular part of your life. Aim for 30 minutes of activity 5 days of the week.
Talk with your health care squad near what activities are best for you during your pregnancy.
Read tips on how to consume better and be more active while you are pregnant and after your baby is born.
Avoid alcohol
Y'all should avert drinking alcoholic beverages while you lot're trying to get significant and throughout pregnancy. When y'all drink, the booze too affects your baby. Alcohol can lead to serious, lifelong health problems for your baby.
Adapt your medicines
Some medicines are not safe during pregnancy and y'all should stop taking them before you get pregnant. Tell your doctor about all the medicines y'all take, such every bit those for high cholesterol and high blood force per unit area. Your medico can tell you which medicines to stop taking, and may prescribe a unlike medicine that is safety to utilize during pregnancy.
Doctors nearly often prescribe insulin for both blazon 1 and type 2 diabetes during pregnancy.3 If you're already taking insulin, you might need to change the kind, the amount, or how and when you take it. You may need less insulin during your get-go trimester simply probably volition demand more than as you lot go through pregnancy. Your insulin needs may double or even triple as you become closer to your due appointment. Your health care team volition work with you lot to create an insulin routine to see your changing needs.
Accept vitamin and mineral supplements
Folic acid is an of import vitamin for yous to accept earlier and during pregnancy to protect your baby'southward health. You'll need to start taking folic acid at least 1 month before you get significant. You should take a multivitamin or supplement that contains at least 400 micrograms (mcg) of folic acid. Once you become pregnant, you should take 600 mcg daily.4 Ask your md if you should accept other vitamins or minerals, such every bit iron or calcium supplements, or a multivitamin.
What do I need to know almost blood glucose testing earlier and during pregnancy?
How oft you bank check your blood glucose levels may change during pregnancy. You lot may need to check them more often than y'all practise now. If you lot didn't need to check your blood glucose before pregnancy, you will probably demand to starting time. Ask your health care team how frequently and at what times you should check your blood glucose levels. Your claret glucose targets will change during pregnancy. Your health intendance squad also may want you to cheque your ketone levels if your blood glucose is too high.
Target blood glucose levels before pregnancy
When you're planning to become significant, your daily blood glucose targets may be dissimilar than your previous targets. Ask your wellness intendance team which targets are right for you lot.
You lot tin go along rail of your blood glucose levels using My Daily Blood Glucose Record (PDF, 44 KB) . Yous tin also use an electronic blood glucose tracking arrangement on your computer or mobile device. Record the results every fourth dimension you check your blood glucose. Your blood glucose records can assist yous and your health care team decide whether your diabetes care plan is working. Yous besides can make notes about your insulin and ketones. Take your tracker with you when you visit your health care team.
Target blood glucose levels during pregnancy
Recommended daily target blood glucose numbers for most significant women with diabetes are
- Earlier meals, at bedtime, and overnight: 90 or less
- 1 hour after eating: 130 to 140 or less
- 2 hours after eating: 120 or lessiii
Enquire your doctor what targets are right for you lot. If you have blazon ane diabetes, your targets may be higher so you don't develop low blood glucose, also chosen hypoglycemia.
A1C numbers
Another way to see whether you're coming together your targets is to have an A1C claret exam. Results of the A1C exam reflect your boilerplate claret glucose levels during the by 3 months. Most women with diabetes should aim for an A1C as close to normal every bit possible—ideally beneath half-dozen.5 percent—earlier getting pregnant.three After the first three months of pregnancy, your target may exist as depression as vi percent.3 These targets may be dissimilar than A1C goals yous've had in the past. Your doctor can help y'all set A1C targets that are best for yous.
Ketone levels
When your blood glucose is too high or if you're not eating enough, your body might make ketones. Ketones in your urine or blood mean your torso is using fatty for energy instead of glucose. Burning large amounts of fat instead of glucose tin can be harmful to your wellness and your infant'southward health.
You can forbid serious wellness problems past checking for ketones. Your md might recommend you test your urine or blood daily for ketones or when your blood glucose is above a certain level, such as 200. If you use an insulin pump, your physician might propose y'all to test for ketones when your claret glucose level is higher than expected. Your health care squad can teach you how and when to test your urine or blood for ketones.
Talk with your md most what to practice if you lot take ketones. Your medico might suggest making changes in the corporeality of insulin you accept or when you have it. Your doc also may recommend a alter in meals or snacks if you need to consume more carbohydrates.
What tests will check my infant's health during pregnancy?
You lot volition take tests throughout your pregnancy, such as blood tests and ultrasounds, to check your baby's health. Talk with your health care team about what prenatal tests yous'll accept and when you might have them.
References
Clinical Trials
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and other components of the National Institutes of Wellness (NIH) conduct and support research into many diseases and atmospheric condition.
What are clinical trials, and are they right for you?
Clinical trials are part of clinical inquiry and at the eye of all medical advances. Clinical trials look at new ways to forbid, notice, or treat disease. Researchers also employ clinical trials to await at other aspects of care, such as improving the quality of life for people with chronic illnesses. Detect out if clinical trials are right for you lot.
What clinical trials are open up?
Clinical trials that are currently open and are recruiting can exist viewed at world wide web.ClinicalTrials.gov.
Source: https://www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy
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