The Potential Risks to be Diabetic and Pregnant

 

Pregnancy and Diabetes

Video taken from the channel: Lee Health


 

Pregnancy and Diabetes

Video taken from the channel: Howard County General Hospital


 

Are there any risks with diabetes during Pregnancy?

Video taken from the channel: Narayana Health


 

How Diabetics Should Prepare Prior to Pregnancy

Video taken from the channel: Ohio State Wexner Medical Center


 

Diabetes and Pregnancy Risks

Video taken from the channel: Lee Health


 

High Risk Pregnancy: Diabetes

Video taken from the channel: Swedish


 

Risks of a Diabetic Pregnancy

Video taken from the channel: Beth Israel Deaconess Medical Center (BIDMC)


Blood Sugar Control High blood sugar levels early in the pregnancy (before 13 weeks) can cause birth defects. They also can increase the risks of. Pregnancy can worsen certain long-term diabetes problems, such as eye problems and kidney disease, especially if your blood glucose levels are too high.

Poor control during pregnancy can also affect intellectual and psychomotor development. Risks to Mother: Elevated blood sugar levels in pregnancy can also have long-term effects, including worsening of retinopathy and nephropathy. Reasons You Might Need a Biophysical Profile (BPP) During Pregnancy Was this page helpful?

Consistently high blood sugars and a high A1C (3-month average) are the most likely way type 1 diabetes would make getting pregnant more challenging. Women with diabetes can and do have healthy pregnancies and healthy babies. Managing diabetes can help reduce your risk for complications. Untreated diabetes increases your risk for pregnancy complications, like high blood pressure, depression, premature birth, birth defects and pregnancy loss. If your blood sugar isn’t well controlled during the earliest days of pregnancy, your risk of miscarriage and your baby’s risk of birth defects — particularly those affecting the brain, spinal cord and heart — increase.

Your health care provider will help you establish your target blood sugar range. Also, high blood sugar levels during pregnancy and labor increase the risk of a baby developing low blood sugar (hypoglycemia) after delivery. That’s because the baby’s body produces extra insulin in response to the mother’s excess glucose. Insulin lowers the amount of sugar in the blood. Blood sugar that is not well controlled in a pregnant woman with Type 1 or Type 2 diabetes could lead to problems for the woman and the baby: Birth Defects The organs of the baby form during the first two months of pregnancy, often before a woman knows that she is pregnant.

High blood sugar during the first 13 weeks can cause birth defects, lead to miscarriage, and put you at risk for diabetes complications. Your medications: You’ll. Pregnant women over the age of 35 and having their first baby have been termed as being advanced maternal age (AMA) or older mothers, or they are being referred to.

List of related literature:

Patients with type 1 diabetes are at greater risk for maternal complications (diabetic ketoacidosis, glucosuria, hyperglycemia, polyhydramnios, pre-eclampsia, pregnancyinduced hypertension, preterm labor, retinopathy, urinary tract infections, postpartum uterine atony).

“Netter's Obstetrics and Gynecology E-Book” by Roger P. Smith
from Netter’s Obstetrics and Gynecology E-Book
by Roger P. Smith
Elsevier Health Sciences, 2008

Risks during pregnancy for the woman with type 1 or type 2 diabetes include an increased incidence of hypoglycemia (blood glucose less than 60) as a result of stricter control (Reece, Homko, & Hagay, 1995; Rosenn & Miodovnik, 2000b).

“Perinatal Nursing” by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women's Health, Obstetric, and Neonatal Nurses
from Perinatal Nursing
by Kathleen Rice Simpson, Patricia A. Creehan, Association of Women’s Health, Obstetric, and Neonatal Nurses
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

This form of diabetes usually disappears when the pregnancy is completed, but 5 to 10% of women are diagnosed with type 2 diabetes after delivery, and having had gestational diabetes increases the risk of developing type 2 diabetes later in life (see Chapter 4).21 Gestational diabetes increases risks to the baby.

“Nutrition: Science and Applications” by Lori A. Smolin, Mary B. Grosvenor
from Nutrition: Science and Applications
by Lori A. Smolin, Mary B. Grosvenor
Wiley, 2019

There are short-term risks to the mother as well particularly from hypoglycemia because of the combination of medical and patient attempts to maintain a low blood glucose in preparation for a pregnancy and during the pregnancy.

“High Risk Pregnancy E-Book: Management Options Expert Consult” by David K. James, Philip J. Steer, Carl P. Weiner, Bernard Gonik
from High Risk Pregnancy E-Book: Management Options Expert Consult
by David K. James, Philip J. Steer, et. al.
Elsevier Health Sciences, 2010

Severe hypoglycemia occurs in 30% to 40% of pregnant women with type 1 diabetes in the first 20 weeks of pregnancy, most often between midnight and 8:00 AM.

“Endocrine Secrets E-book” by Michael T. McDermott
from Endocrine Secrets E-book
by Michael T. McDermott
Elsevier Health Sciences, 2013

The consequences for the mother include increased risk for miscarriage, preterm birth, increased risk for needing a C-section, and increased risk for developing high blood pressure and type 2 diabetes.

“The Ketogenic Bible: The Authoritative Guide to Ketosis” by Jacob Wilson, Ryan Lowery
from The Ketogenic Bible: The Authoritative Guide to Ketosis
by Jacob Wilson, Ryan Lowery
Victory Belt Publishing, 2017

Infants born to mothers with gestational diabetes are at risk of macrosomia, intrauterine growth restriction, polyhydramnios, neonatal hypoglycaemia and respiratory distress syndrome.

“Crash Course: 1000 SBAs and EMQs for Medical Finals” by Philip Xiu, Shreelata T Datta, Juhu Joseph, Vidhya Nair
from Crash Course: 1000 SBAs and EMQs for Medical Finals
by Philip Xiu, Shreelata T Datta, et. al.
Elsevier Health Sciences, 2018

The risk of developing preeclampsia is proportional to the duration of diabetes before pregnancy, the preexistence of nephropathy and hypertension, and the level of glycemic control when the pregnancy began.74 More than one-third of pregnant women who have had diabetes for longer than 20 years develop this condition.

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Charles J. Lockwood, Thomas Moore, Michael F Greene, Joshua Copel, Robert M Silver
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Charles J. Lockwood, et. al.
Elsevier Health Sciences, 2018

Pregnant women with type 1 diabetes are at high risk and need to be monitored closely by a team of specialists, including a high-risk obstetrician, endocrinologist, nephrologist, ophthalmologist, dietitian, and diabetes nurse educator.

“Primary Care E-Book: A Collaborative Practice” by Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnn Trybulski
from Primary Care E-Book: A Collaborative Practice
by Terry Mahan Buttaro, Patricia Polgar-Bailey, et. al.
Elsevier Health Sciences, 2012

However, with early prenatal intervention and careful control of blood glucose levels, these risks can be reduced to the same level as in nondiabetic pregnancies.35 Pregnancy can require frequent adjustments of both diet and insulin to keep blood glucose in check.

“Nutrition” by Paul M. Insel, Don Ross, Kimberley McMahon, Melissa Bernstein
from Nutrition
by Paul M. Insel, Don Ross, et. al.
Jones & Bartlett Learning, 2016

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Gestational Diabetes – Risks for Moms after Pregnancy

    Read More: https://www.toevolution.com/blog/view/3816/gestational-diabetes-%E2%80%93-risks-for-moms-after-pregnancy

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