Can You Be Pregnant When Blood Sugar Is Not Under Control
Among diabetic patients, diabetic women of childbearing age as a special group of people are under great psychological pressure in the face of fertility problems. Can they get pregnant without controlling their blood sugar? Can they give birth to a baby safely?
First of all, it must be clear that you can't get pregnant without controlling your blood sugar.
Hyperglycemia during pregnancy will seriously endanger the health of pregnant women and newborns. The influence of gestational hyperglycemia on parturients: It will significantly increase the risk of obstetric complications such as pregnancy induced hypertension, polyhydramnios, premature rupture of membranes, premature delivery and stillbirth, and increase the incidence of diabetic complications such as diabetic acidosis, infection, Diabetic Nephropathy and diabetic retinopathy. Influences on neonates: increased risk of macrosomia, fetal distress, neonatal asphyxia, hypoglycemia, hyperbilirubinemia, neonatal hypocalcemia, etc.
However, it is not true that patients with diabetes cannot give birth. Studies have confirmed that the above risk of diabetes is related to the blood glucose level during pregnancy, so it is particularly important to do a good job in blood glucose control and select the ideal timing of pregnancy.
Diabetic women of childbearing age should plan for pregnancy. In order to prevent spontaneous abortion and the occurrence of major congenital malformations, the level of HbA1c should be as close to normal as possible before pregnancy, on the premise of avoiding obvious hypoglycemia.
The stability of blood glucose is particularly important for the safety of mother and child. How to control blood sugar level during pregnancy?
Dietary adjustment to control blood glucose during pregnancy
In terms of diet, diabetic mothers-to-be must follow the diet customized by a dietitian to adjust their diet and control their weight so as to prevent various complications. The optimal weight gain for diabetic pregnant women during pregnancy is 5 to 6 kg. Pregnant women with gestational diabetes mellitus should eat less and eat more meals so as to avoid the rapid rise of postprandial blood sugar. Usually 5-6 meals a day, breakfast accounts for 10-50% of the total calories, lunch and dinner account for 30% respectively, and extra meals (morning, afternoon and evening) account for 5-10% respectively.
Reasonable exercise to control blood sugar during pregnancy
Because moderate exercise can increase insulin sensitivity, promote the use of glucose, increase intracellular glucose metabolism, reduce free fatty acids, thereby reducing blood sugar and reducing insulin use, expectant mothers should also take appropriate exercise to increase the body's sensitivity to insulin, and promote the metabolism of sugar. Walking, pregnant women's gymnastics and other aerobic exercise is more suitable for expectant mothers. However, pregnant women should pay attention to avoiding fasting and strenuous exercise.
Insulin therapy to control blood sugar during pregnancy
The goal of insulin therapy is to mimic the normal release of human insulin as much as possible to provide the body of pregnant women with the necessary insulin to stabilize blood sugar levels. Doctors will accurately calculate insulin dosage according to pregnant women's condition, gestational weeks, body shape and blood sugar value, guide individual blood sugar control program, and adjust it according to the blood sugar results as appropriate. Generally, it needs to be used until the delivery of pregnant women. Insulin is a macromolecule protein that cannot pass through the placenta. Therefore, there is no need to worry about the effect of insulin therapy on the fetus.
Therefore, women of childbearing age with diabetes mellitus should reasonably control their blood sugar level and choose the ideal time of pregnancy to ensure the safety of mothers and infants.
***Please seek professional medical advise for the diagnosis or treatment of any ailment, disease or medical condition. This article is not intended to be a substitute for the advice of a licensed medical professional.***