Pregnancy is a time of profound physical and emotional changes, and when diabetes enters the equation, it adds another layer of complexity. Women with diabetes need to be proactive in managing their condition and optimising their health before conception. If blood sugar is not under control, it could lead to complications, such as birth defects, premature delivery, hypoglycemia, miscarriage, or stillbirth.
Dr Rashmi Baliyan, Gynaecologist and Obstetrician Consultant, Primus Super Speciality Hospital, listed tips to follow when planning a pregnancy with diabetes.
According to a study published by the HHS Author Manuscripts, pre-existing diabetes during pregnancy is complicated and carries a high risk for both the mother and the baby. However, these risks can be reduced by carefully monitoring other medical conditions, such as optimising glycemic control and using medication as prescribed.
Tips To Follow When Planning Pregnancy With Diabetes
Preconception planning
It's crucial to work with your healthcare team before getting pregnant. They can help optimise your blood sugar control and adjust your medications, if necessary. Aim for well-managed diabetes with near-normal blood sugar levels before conception.
Blood sugar monitoring
Dr Baliyan said, “Regular monitoring of blood sugar levels is essential during pregnancy. Your healthcare provider will guide you on target ranges and frequency of testing. Close monitoring allows for timely adjustments to insulin or oral medications to maintain stable blood sugar levels.”
Also Read: Seizures During Pregnancy? This May Be A Sign Of Eclampsia, Know More About This Condition
Diet and nutrition
Follow a balanced and nutritious meal plan recommended by a registered dietitian. You should emphasise consuming a range of complete foods, such as fruits, vegetables, lean proteins, and whole grains. Dr Baliyan added, “Monitoring carbohydrate intake and distributing it evenly throughout the day. Avoid excessive sugary foods and beverages.”
Medication management
Dr Baliyan suggested reviewing your medications with your healthcare provider to ensure they are safe for pregnancy. Some diabetes medications may need to be adjusted or switched to safer alternatives. Insulin is commonly used during pregnancy as it does not cross the placenta and is considered safe for the baby.
Regular prenatal care
Attend regular prenatal check-ups to monitor the progress of your pregnancy and assess your health. Your healthcare team will monitor your blood sugar control, blood pressure, and any potential complications associated with diabetes.
Physical activity
Dr Baliyan informed, “Follow your healthcare provider's advice and exercise regularly. Exercise helps control blood sugar levels and promotes overall health. You should discuss appropriate activities and intensity levels with your healthcare team.”
Also Read: Pregnancy Care: Expert Explains Benefits Of Walking
Managing risks and complications
Diabetes during pregnancy can increase the risk of certain complications, such as gestational diabetes, preeclampsia, or preterm birth. Close monitoring and management can help minimise these risks. Your healthcare team will guide you through any necessary interventions.
Emotional support
Pregnancy can be emotionally challenging, especially when managing diabetes. Seek support from your healthcare team, family, or support groups to address any concerns or anxieties you may have.
Disclaimer
This article contains information provided by a registered healthcare professional and is for informational purposes only. However, each person's situation is unique, and it's important to work closely with your healthcare provider who specialises in diabetes and pregnancy.
