What does gestational diabetes mean? Aggуdom… I'm diabetic, but I want a kid. How can I give birth? Will my child be healthy? Why does my woman tell me to count for cesarean section?
The essence of a healthy metabolic stateThese inquiries may be diminished in general, as soon as possible proper care of diabetes. The diabetic body is defensive and does not allow the mother to become pregnant.
In addition to normal metabolism, the pleural mucous membrane is a "soft" bed that can be fertilized by the egg, which is then suppressed by the small newbie, the mucous membrane. High blood sugar affects the condition of the bladder and stops blistering.
The risk to the fetus of miscarriage and premature birth in diabetics can be up to three times the normal risk. That's right cared for by diabetes however, women's fertility and pregnancy are the same as normal pregnancies - the reassuring fact sounds Dr. Tуth Бgnes, an endocrinologist in Belgeon, who is the chief medical officer for the Diabetologic Specialist and more than 25 years old at the MÁV Hospital and Central Order Center (prospective State Health Center).
In case of gestational diabetes, close monitoring is required
She summarizes the most important information we have asked and enthusiastically talks about her experiences to respond to inquiries from prospective mothers. Above all, it emphasizes the importance of a normal metabolic state at conception and that if one does not do all that is necessary, the child will play with his or her health and life.
What Is Pregnancy Diabetes?Pregnant Diabetes Mellitus (GDM) is a different type of severe metabolic disorder that causes high blood sugar levels to begin or be known first in pregnancy. Gestational diabetes test we speak when, according to a standard WHO standard test, a pregnant woman's blood glucose levels of 7.8 mMol / l are overdosed after consuming 75 grams of glucose. GDM is only in a state of transition during pregnancy.
If you had diabetes in the past, and they knew, pregestation - pre-pregnancy - diabetes beszйlьnk. THE gestational diabetes concept does not exclude the possibility that pre-pregnancy diabetes mellitus existed. However, this will only be revealed in the aftermath of another heavy sugar test on the baby. Even if your blood sugar levels remain high, you may find that you were diabetic before you became pregnant. From the point of view of determining whether or not someone was diabetic before pregnancy, it makes no difference.
Those who are aware of the criteria for diabetes will find that values between 7.8 and 11 mM are still not considered diabetic. WHO defines these values as so-called reduced glucose tolerance, in which case the body is able to absorb sugar from the blood at a slower rate than normal. Diabetes mellitus is above 11.0 mMol / l. However, we need to be stricter in pregnant women.
After a meal, your blood sugar starts to rise and then slowly decrease. Normally, blood sugar does not reach a certain threshold. Too much sugar can be dangerous to the blood vessels. Therefore, with the help of the hormone insulin, the cells rapidly take up glucose molecules from the blood, preventing the blood glucose levels from reaching their safety limits.
For two reasons, blood sugar may run short of the limits if too little insulin is produced, it stops Type 1 diabetes or if the cells do not obey the orders for insulin glucose uptake, In type 2 diabetes.
During pregnancy, because the developing placenta helps the mother and the fetus to form a close unit, the mother's body needs to produce twice as much insulin as one other. When the mother is in the 22-24. weekly reaches a certain weight, it may turn out to be incapable of increasing production: gestational diabetes. Normal starting pregnancies are 4-7,7 percent so.
Returning to the GDM criteria, a little baby is strictly justified because of the abnormal developmental abnormalities in the need for premature or overweight babies. Blood glucose is one hour after eating, this peak should not be above 7 mM in a baby.
How to Get a Diabetic Woman to Have a Childbirth?Previously, the diabetic women they did not become pregnant or incapable of carrying the pregnancy. We now know that there is a chance of becoming pregnant and having a healthy baby if the metabolism and hormonal status of the woman is normal. First of all, it's wonderful! With this knowledge, having an unintended, unexpected childbirth is simply unavoidable for diabetics.
The essence is the intended conception. A diabetic woman should visit a woman about three months before conception and go to a diabetic for pregnancy to ensure that she has enough of the substance to eat (because she only has normoglycemia).
This means that the level of HbA1c (HbA1C shows the amount of blood sugar bound to the blood), should be between 3.5 and 7 mMol / l from day 3 to day 3 to minimize fetal damage.
Fetal organs develop during the first six weeks of pregnancy, at which point the mother is sensitive to high levels of high blood sugar. (HbA1c is 6.5% normal, 7-8% warns of an increased risk of developmental abnormalities, and 9 of them would advise them to terminate pregnancy.)
Some types of diabetes in the case of a prospective mother, she is already living with insulin. THE Type 2 diabetic women - with or without insulin therapy - you must plan your pregnancy in the same way. Because of the potential risk to the fetus from taking pills, you should not use this pill during pregnancy, in which case you should switch to insulin. About the baby who she. have been undergoing pregestation care, insulin should be reset within the first three months.
The detection of gestational diabetes is not dangerous, as described in Sections 22-24. weekly glucose-loaded glucose test?The timing of the test is based on the fact that GDM usually develops after a certain stage of the placenta and a certain amount of maternal weight gain, but in fact, blood sugar can be high before that. However, there is a risk of premature birth and other disorders. Mostly pre-screened mothers at risk from GDM are: overweight, known fat metabolism, age over 35 years, or, if the baby is older than 4 kilos, had a history of gestational diabetes or high blood pressure.
I usually tell these mothers that as soon as the idea of a new baby crunch crashes in their brain, they should start dieting right away. In this case, the pregnancy is 9-12. We recommend that you have your blood glucose test weekly.
What is the difference between treating a diabetic toddler and a non-pregnant diabetic?I have already mentioned that you cannot take tablets. There is little experience with synthetic insulins that can be used by pregnant women. Dieting is a must for any diabetic, but the expectant mother should also make sure that she does not consume less than 150 grams of carbohydrate per day to avoid starvation of acetone in the urine, as such morbid starvation inhibits the development of the baby.
When the post-treatment glucose level rises above 7.0 mMol / l, insulin insulin is blown again. Often, one to three times fast-acting insulin, there is not always a need for an overnight insulin.
It is true that not only pregnant women, but most of all, they need to pay attention to the post-morning blood glucose values, in which case the blood sugar tends to run low. This stress hormone, cortisol, comes from the daily rhythm. Hormone levels are higher in the morning, so sugar levels tend to go higher after relatively less carbohydrate intake. It is important, however, that the little mothers who are a pregnancy diabetes related to the phenomenon first. That is why we recommend that you set up a morning aftermath if you regularly measure higher blood sugar in the morning.
On the other hand, it is a small fact that lower blood glucose values are measured before eating, up to 2.7-3 mMol / l. This is not dangerous. If you don't complain, you don't have to be scared. Of course, for the sake of the health of the baby and the mother, we are always looking to maintain an ideal metabolic status, that is to say a blood sugar level of 3.5 and 7 mMol / l. It is important to know that home-made sugar beet sugar is not laboratory accurate, a couple of tenths of a difference is possible.
What is your experience with abortion and abortion?The most serious risk for a maternal body is that the fetus may die or develop malformations due to malfunctioning of the placenta and various fetal abnormalities. Termination of pregnancy is a very difficult decision.
In any case, professionally poor carbohydrate metabolism may be warranted, and therefore, legislation allows for pregnancy termination. Now that hasn't happened little diabetic baby he should have made such a decision. I had a case where abortion was recommended for thyroid medicine, but my mother did not agree. Nine very exciting days later, he gave birth to healthy children.
Therefore, it must be said that you can never know in advance the dangers of having a baby in the womb, which is a dangerous metabolic condition. From behavioral disorders to mental disability, many things can happen.
What does it mean if a diabetic baby is recommended to have a baby with a baby?The cupcover may be justified mainly by the size of the baby. With the right amount of carbohydrate metabolism, women can be born under the same conditions as healthy women. There are high-risk pregnancies, such as family predisposition, pregnancy, maternal age, and the course of the previous pregnancy.
When I started working with pregnant mothers, the proportion of pregnant mothers with sugar was about 40%. With proper care, today there is no difference between diabetic and non-diabetic patients. However, cesarean section also works! Diabetes is not a barrier to surgery today, but after and after diabetic condition requires special attention. Increased risk of wound infection, slower wound healing.
You can read the second part of the article here.