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Pregnancy Diabetes and It's Types
Pregnancy Diabetes is a very important area, which needs special attention and very close supervision both by Obstetrician and Diabetes physician. Diabetic pregnancies are mainly of two types. First one is women with known diabetes either type 1 or 2 becoming pregnant called pre-gestational Diabetes. The other is diabetes for the first time detected in the current pregnancy what is called Gestational Diabetes. Your Obstetrician will check this as part of routine antenatal check up. Most of the cases you do not require insulin after delivery. Your blood sugar should be checked 6 weeks after delivery (GTT) to make sure that Diabetes has disappeared.
Who
are
at
risk
of
developing
Diabetes
in
Pregnancy?
Any of the following conditions can be a risk for developing diabetes in pregnancy: obesity, family history of diabetes, high blood pressure, birth of big baby in the last pregnancy, pregnancy after 35 years of age, history of unexplained loss of baby in uterus before. This high risk women should be carefully looked for diabetes by frequent monitoring rather than waiting for symptoms of diabetes to appear.
Why is it important to treat Diabetes in Pregnancy?
It is important to treat Diabetes in pregnancy for a safe confinement. Some potential risks to the foetus if sugars are uncontrolled include:
The
baby"s
body
is
larger
than
normal—called
macrosomia.
A
large
baby
may
need
to
be
delivered
by
cesarean
section,
instead
of
naturally
through
the
vagina.
The
baby"s
blood
sugar
is
too
low—called
hypoglycemia.
Starting
to
breastfeed
right
away
can
help
get
more
glucose
to
the
baby.
The
baby
may
also
need
to
get
glucose
through
a
tube
into
his
or
her
blood.
The
baby"s
skin
turns
yellowish
and
the
whites
of
the
eyes
may
change
color—called
jaundice.
This
condition
is
easily
treated
and
is
not
serious
if
treated.
The
baby
may
have
trouble
breathing
and
need
oxygen
or
other
help—called
Respiratory
Distress
Syndrome.
The
baby
may
have
low
mineral
levels
in
the
blood.
This
problem
can
causes
muscle
twitching
or
cramping,
but
can
be
treated
by
giving
the
baby
extra
minerals
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