The problem of gestation and delivery of women suffering from diabetes is very relevant. Until recently, pregnancy with diabetes was almost impossible. Misuse of pregnancy and lack of control over the health of women, lack of quality equipment led the long-awaited pregnancy to miscarriage . Recently, the number of pregnant women suffering from diabetes mellitus, who manage to give birth to a healthy child, has increased. Modern medicine suggests that diabetes is not a contraindication to pregnancy, it is enough to maintain a normal level of glycemia throughout the term. What can be achieved with modern means of self-monitoring or the introduction of insulin during pregnancy.
Diabetes and pregnancy
The problem of diabetes and pregnancy is associated with obstetric complications, high perinatal morbidity, painful consequences for the mother and fetus and mortality. The results of the urine test, which the woman must take before every reception at the gynecologist, will help to identify diabetes during pregnancy, and also to track its dynamics.
How to reduce blood sugar?
In order to reduce blood sugar in a pregnant woman with diabetes, you must follow a strict diet and increase physical activity. There are also medicinal methods of reducing the level of sugar, we will consider all methods in more detail.
How to eat with diabetes?
There are two sources that increase blood sugar:
- liver, storing glycogen (glucose stores);
- food rich in carbohydrates.
Restricting the intake of carbohydrate food, we contribute to the breakdown of glycogen in the liver and, after the release of glucose into the blood, the sugar is maintained within normal limits. The main rule of the diet for diabetes is divided meals (5 - 6 times a day), so that the supply of energy and nutrients is uniform and there were no sudden jumps of sugar in the blood. Of course, it is necessary to exclude simple carbohydrates from the diet, such as sugar, jam, honey, sweets, cakes, etc. The amount of complex carbohydrates should not exceed half of the total amount of food taken. A dietitian doctor can help develop an individual menu and calculate the required number of calories.
Physical activity in diabetes
Subject to the diet, pregnant women are recommended exercise. It can be active walking several hours 3-4 times a week or daily walks by the hour in the open air. You can also enroll in the pool or aqua aerobics, which will help not only cope with the disease, but also lose weight.
Insulin during pregnancy
If diet and exercise do not bring the desired result, you need to see a doctor for the appointment of insulin. It is absolutely harmless to the fetus and the mother and is not addictive, it can be painlessly canceled immediately after birth. In the case of insulin therapy
Based on the obstetric history, the condition of the woman and the fetus, the method of delivery is chosen. As practice shows, the frequency of natural delivery in such cases reaches 50%. Therefore, despite a complex and restless pregnancy, there is a high probability of bearing and giving birth to a healthy child. Despite the large body weight, children born to mothers with diabetes are considered premature and need special care.