Health for Her
Diabetes in pregnancy
Diabetes is the disease of active age the number of
diabetes are increasing rapidly and in India about 15
million are estimated to be suffering from the
disease and about the same number have adult diabetes.
Young women in their reproductive life may also suffer
from diabetes or pregnancy stress may increase their
blood glucose level, which is called as Gestational
diabetes mellitus. Insulin hormone is secreted by
pancreas. Deficiency of insulin or lack of response of
tissues to insulin causes diabetes in which blood
glucose level increases, glucose may appear in urine,
along with increase in thirst, appetite and weight and
weight loss. Because of diabetes many organs like heart,
brain, nerves, eyes, kidney etc are damaged in long run.
Before use of insulin for treatment in the long run,
successful, uneventful pregnancy was rare event in
diabetic women. They use to conceive with difficulty.
Those who did conceive, the outcome was often used to be
Pregnant diabetic ladies have
greater chances of Ketosis as compared to
non-diabetic women. These women should never do
fasting as eighteen hours fasting by pregnant women
is equivalent to seventy two hours fasting of
In pregnancy the risk of
involvement of eyes due to diabetes increase many
fold and damage to eye is rapid.
If women are diabetic ,the
chances of pre-eclampsia in which they suffer from
high blood pressure, swelling in body and appearance
of protein is increased which leads to serious
condition if not treated promptly.
Chances of abortion, pre term
delivery in diabetic pregnant women increases many
Diabetes decreases the body
resistance and they have increased risk of
infections during pregnancy or/and during delivery
or after delivery which may be life threatening.
Risk for the Foetus:
Diabetic women usually have
larger babies (500gm heavier and 2-3 cm larger)
which can create grave problems during pregnancy and
If women are suffering from
diabetes from long time before getting pregnant, it
leads to arteriosclerosis, decreased blood flow and
the baby may be very small.
Foetus can die in motherís
The babies of a diabetic mother
may develop birth defects, brain disorders and low
intelligence. with strict control of diabetes about
97 percent of Foetus can survive.
Baby born to diabetic women have
increased chances of lung diseases, which is often
Baby of diabetic may have
increased chances to have very high hemoglobin in
blood, jaundice or calcium level in blood.
Baby of diabetic mother may
develop muscle weakness.
Babies may be born before full
maturation and development and these premature
babies may die soon. After birth due to infections
or other causes.
Baby of a diabetic mother may
have increased chances to have hypoglycemia (low
blood glucose level), which leads to convulsion.
When abnormal glucose level is first time detected
during pregnancy and it returns to normal following
termination of pregnancy or 2-3 weeks after delivery.
risk of gestation diabetes in those who are over 30
year, obese, have a close blood relative who is diabetic
,in previous pregnancies baby may have been born dead or
given birth to larger babies. Every pregnant woman
should have blood glucose measurement in 1st three month
and then in 24th, 28th week of pregnancy. If women are
suffering from gestational diabetes their blood glucose
should be measured every 8 to 10 days and they should be
given 6 to 10 units of Insulin injection before
breakfast every day so that problems to them and their
baby can be minimized.
Pre- gestational Diabetes:
If women have diabetes and get
pregnant ,the risk of eye, kidney damage, eclampsia
increases and problems to Foetus can occur. Blood
glucose level of these women should be tightly
controlled by insulin injections to have successful
outcome of pregnancy Oral hypoglycemic pills should
not be used to control diabetes in pregnant women.
In these women, daily measurement of blood glucose
should be done and dosage of Insulin must be
adjusted so that fasting glucose level one hour
after meals should not exceed beyond 129mg/dl and
glycosylated hemoglobin A-C should be maintained
less than 8%.
Diabetic women of childbearing
age have to be careful in planning the family. Child
bearing must be complete before 30 years of age.
Diabetic women should avoid oral
pills or loops, cupper-T as birth control measures.
Before getting pregnant they
should normalize the blood glucose level by Insulin
injections, which will decrease the birth risks and
death in the babies.
In first trimester of pregnancy,
Careful control of blood glucose by Insulin is
necessary to prevent problems both in mother and
In second trimester, alphas
foetopsorein should be measured at 16 to 20 weeks to
detect neural tube defects and other abnormalities.
If found that Foetus is suffering from these nay
defect, abortion can be advised.
In third trimester at least
weekly blood glucose should be measured to detect
pre- eclampsia and other problems in women and baby
at the earliest so that appropriate measures can be
If diabetic women have excellent
blood glucose control, the pregnancy can be
continued up to full term and normal delivery is
possible but in more than half diabetic women
cessarian section is required.
In diabetic women delivery must
be in hospital only.
In diabetic women after one baby,
sterilization is advised.
Pregnancy poses grave threat to
life of both mother and baby in diabetic women.
Before use of insulin to control diabetes,
successful pregnancy was a rare. Only very tight
control of blood glucose by injections of insulin
can avoid these problems to some extent. Now with
tight control of glucose, most problems in women can
solve but baby may still be in danger. Diabetic
women should be advised about the risk to them and
the baby before they plan pregnancy and should be
ready to take all the precautions and risk.
Ayurvedic Supplements for
Diabetes in pregnancy:
regularly as it is anti Diabetes
and as it is completely herbal, it is safe for regular
usage. A regular dosage of Neemguard will prove
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