One of the most important things to keep in mind when planning to have a baby is to control your blood sugar. This means that if the blood sugar level is higher than normal, you have to be careful before planning a pregnancy. The same goes for blood pressure. Although a pregnant woman's routine tests for blood pressure and sugar are all monitored, it is important to be careful if you have a family history of diabetes.
Diabetes and Pregnancy :
It is important to control blood sugar before pregnancy, not after pregnancy. Medications that are known as 'Safe' drugs during pregnancy should be taken. If someone starts treatment for diabetes at this time, they are usually prescribed insulin or Metformin. Both are safe for pregnancy. Doctors recommend having children only if you are below HBA1c level 6. Because tests have shown that if a pregnant mother has high sugar levels, she may have congenital malformations after birth.
Many people try to control diabetes by taking a variety of medications without consulting a doctor, which is absolutely not a good idea. If sugar control drugs pass through the placenta to the fetus, Hypoglycemia can cause harm to the baby. So insulin in injections and metformin in oral medicine — these are the two drugs are usually recommend.
Be careful when you have time :
The periodsional period, that is, when the mother's body begins to prepare before conception, is also the time to control sugar-pressure. Within the first three months of pregnancy, the baby's heart, lungs, eyes, and brain all begin to develop. The sooner a pregnant mother controls her blood sugar, the less likely she is to have congenital malformations.
If the mother has diabetes, the baby may have Macrosomia, which means he can grow in size. Excessive water retention around the baby, problems with the spine, leakage in the heart, acute respiratory distress syndrome and other complications can occur at birth. In many cases, uncontrolled diabetes can be the cause of death of a child during pregnancy. So it is important to get tested in time.
Gestational diabetes :
Many people get sugar for the first time during pregnancy. There are no pre-existing symptoms of gestational diabetes. It is very important to monitor blood sugar levels, especially during pregnancy, for those who have a diabetic family or who are obese. A glucose challenge test is done, where the patient is given 75 grams of glucose on an empty stomach and tested for PPBS (Post Prandial Blood Sugar) two hours apart. If that level is above 150, then that condition is called Impaired Glucose Tolerance. The placenta secretes a variety of hormones and prevents insulin from working in the mother's body. Therefore, the chances of getting gestational diabetes during pregnancy also increases. In that case, following the diet of diabetic patients, the patient is given tasks like walking for a while after eating. Even if it does not decrease, then medicine is given.
It comes back again and again :
Although diabetes occurs in pregnancy, after the birth of a child, in most cases, the diabetes is under control again. However, if you do not change your lifestyle, diabetes can return at the age of 40-45.
Emergency pressure control :
Most women do not have high blood pressure at the age at which they usually conceive. If the blood pressure in the routine test is high, then the patient is diagnosed with kidney problems, urea-creatinine levels are correct, there is a history of high blood pressure in the family, etc. In this case also the medicine that is safe in pregnancy is given. For example, angiotensin-converting enzyme drugs cannot be given at this time. It can interfere with the growth of the baby's kidneys. So at this time calcium channel blocker national medicine is given. Increased blood pressure during pregnancy can lead to toxemia. Therefore, regular monitoring of blood pressure is as important as sugar. So be careful when you have time, get tested.