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Diabetes in pregnancy is classified into two types- Overt Diabetes which is seen in women who are diabetic even before the onset of pregnancy and Gestational Diabetes in which diabetes is detected in the course of pregnancy.

The insulin requirements during pregnancy increases alot because of very large increase in insulin antagonising hormones like Human placental lactogen, progesterone and cortisol. It is also increased because of the production enzymes like placental insulinase by the placenta which increases the degradation of insulin. The patient should be watched carefully otherwise it may lead to ketosis. Good medical and obstetric care throughout pregnancy results in favourable outcome. However the following complications may occur.

There is an increased risk of abortion among patients with uncontrollable diabetes. Fetal malformations and preterm delivery is a risk factor among overt diabetics. Moreover diabetic women may develop pregnancy induced hypertension and urinary tract infection. There is a chance of developing Hydramnios among uncontrollable diabetic women which may be due to large placenta, fetal malformation, etc.

Gestational diabetes can be diognised by undergoing screening test for diabetes which should be performed between 24 and 28 weeks of pregnancy. If the test is found to be positive then they should undergo Glucose Tolerance Test. Risk factors for screening for gestational diabetes include- Maternal obesity (120% increase in the body weight when compared to ideal weight), previous large baby (above 4kh), previous unexplained still births, previous abnormal glucose tolerance test, Hydramnios or macrosomia in the present pregnancy.

Because of the risk of sudden intra-uterine death in the third trimester, diabetic women have traditionally been delivered at 36-38 weeks either by caesarian section or by vaginal delivery following induction. Today improved metabolic control makes later delivery possible and most are now delivered between 38 and 39 weeks gestation.

NOTE- Good antenatal care and intervetion at the appropriate time will improve the outcome.

Prenatal counselling and proper guidance will decrease the incidence of fetal malformations and fetal loss.:)
 

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Diabetes in pregnancy is classified into two types- Overt Diabetes which is seen in women who are diabetic even before the onset of pregnancy and Gestational Diabetes in which diabetes is detected in the course of pregnancy.

The insulin requirements during pregnancy increases alot because of very large increase in insulin antagonising hormones like Human placental lactogen, progesterone and cortisol. It is also increased because of the production enzymes like placental insulinase by the placenta which increases the degradation of insulin. The patient should be watched carefully otherwise it may lead to ketosis. Good medical and obstetric care throughout pregnancy results in favourable outcome. However the following complications may occur.

There is an increased risk of abortion among patients with uncontrollable diabetes. Fetal malformations and preterm delivery is a risk factor among overt diabetics. Moreover diabetic women may develop pregnancy induced hypertension and urinary tract infection. There is a chance of developing Hydramnios among uncontrollable diabetic women which may be due to large placenta, fetal malformation, etc.

Gestational diabetes can be diognised by undergoing screening test for diabetes which should be performed between 24 and 28 weeks of pregnancy. If the test is found to be positive then they should undergo Glucose Tolerance Test. Risk factors for screening for gestational diabetes include- Maternal obesity (120% increase in the body weight when compared to ideal weight), previous large baby (above 4kh), previous unexplained still births, previous abnormal glucose tolerance test, Hydramnios or macrosomia in the present pregnancy.

Because of the risk of sudden intra-uterine death in the third trimester, diabetic women have traditionally been delivered at 36-38 weeks either by caesarian section or by vaginal delivery following induction. Today improved metabolic control makes later delivery possible and most are now delivered between 38 and 39 weeks gestation.

NOTE- Good antenatal care and intervetion at the appropriate time will improve the outcome.

Prenatal counselling and proper guidance will decrease the incidence of fetal malformations and fetal loss.:)


Thanks for your knowledge on Brett. Im on first date of my pregnancy and I'm to regular dosage of insulin. I found your article very resourceful.
 

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my wife is pregnant and we whent to a doctor with the test result and the doctor
said that we should make another one sow we can be sure of the test results
glicose-6.3
and it's in the average but we are scared what we should do?
please advice as sow we can proceed
my wife is pregnant in the 24 week of pregnancy
thanks man
regards
 

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Hello: :)

I'm Happy that you are in a Dr's Good care. If another test is required as he suggests, then it would be a Good idea to repeat it.
Congratulations!
 

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glicose level 10

Hello: :)

I'm Happy that you are in a Dr's Good care. If another test is required as he suggests, then it would be a Good idea to repeat it.
Congratulations!
we made another test with glicose and the level is 10 sow we are a bit scared about my wife and baby
the reason is that it could make some trouble or ?
and suggestion will be welcomed
10x regards
 

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Hello Sasko: :)

Please try not to panic. I realize that it is not easy but Your Wife needs to feel as calm as possible. Feeling stressed raises most Diabetics blood sugar. Hopefully she feels comfortable with her Dr.

Did your Wife's Dr. suggest that she start taking Insulin? That is what most Drs. here prescribe to help lower the Woman's blood sugar.

She should eat a balanced diet but with less starchy foods and preferrably no sugary foods. Exchanging some of the starchy foods with vegetables will help to lower her blood sugar. She could eat a fruit with a protein like a piece of cheese. Protein such as meat, eggs, cottage cheese, other cheeses, a tablespoon of peanutbutter, etc. does not raise the blood sugar much. Olive oil is a Good oil to use. Having about 45 grams of carbs per meal is Good and 15 grams of carbs per snack if she counts carbs.

Taking a daily walk or another easy exercise is healthy for Mom and Baby. She should have Folic Acid and other vitamins suggested by her Dr. Her daily intake of 6-8 glasses of water is important for a Diabetic.
 

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we whent again to the doctor and we should have a 10 gramms glicosa test sow the doctor can make a better diagnose
sow we hope it will be better for bouth of them
thanks for you'r reply
chat with you on monday when we see the results
regards and have a nice weekend
 

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does if everuthing goes well "can the wife become a diabetic" or?
we are worry sow please tell us sow we can proceed with some tretmant in time
thanks
 

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No one can say for sure since various risk factors may be involved with different Families and pregnancies. If she has Gestational Diabetes(becoming Diabetic while pregnant)she will most likely not be a Diabetic after she gives birth.

If she becomes pregnant with a second Child then the Diabetes may not disappear after the second Baby is born. Also within 10 years, the Woman will probably become a Diabetic again and this time it will not leave. This happens in most cases but not all cases.

The Best thing to do is to eat healthy and get some exercise daily. We cannot tell you what treatment that she should take since we are not her Dr. or medical professionals.

Thank you. Please enjoy your week-end.
 

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hello,
Can someone tell me something about pregnancy and diabet complications.I know that the pregnancy has to be planned.
 

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Hi Everyone. I am 3 months pregnant (maybe not even that far along... there is some discrepancy as to my due date) and when I did a urine test my glucose levels were SUPER HIGH. They did a blood test and my number came to 278. I bought a meter and my numbers were between 178 and 280 throughout the day. The balanced gestational diabetic diet didn't work for me. I was able to get my numbers under control from 95-155 by drinking 1 T of apple cider vinegar after each meal and in the morning and at night and by just eating proteins and vegetables and just the TINIEST amount of carbs. I do find though that if my numbers are at 155 and I skip a snack and they go down to 95 I get super shaky and exhausted! Is this normal?? I sometimes wonder that my numbers are supposed to be high since I felt healthier when they were normal. Is that the most ridiculous thing you'd ever heard or do you think its a possibility? Also, even though I've got the numbers pretty much under control... do you think i should still see a specialist? If so, what kind of specialist should I see? Diabetologist, OBGYN -endocrynologist....????

Thanks.
 

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Hi Everyone. I am 3 months pregnant (maybe not even that far along... there is some discrepancy as to my due date) and when I did a urine test my glucose levels were SUPER HIGH. They did a blood test and my number came to 278. I bought a meter and my numbers were between 178 and 280 throughout the day. The balanced gestational diabetic diet didn't work for me. I was able to get my numbers under control from 95-155 by drinking 1 T of apple cider vinegar after each meal and in the morning and at night and by just eating proteins and vegetables and just the TINIEST amount of carbs. I do find though that if my numbers are at 155 and I skip a snack and they go down to 95 I get super shaky and exhausted! Is this normal?? I sometimes wonder that my numbers are supposed to be high since I felt healthier when they were normal. Is that the most ridiculous thing you'd ever heard or do you think its a possibility? Also, even though I've got the numbers pretty much under control... do you think i should still see a specialist? If so, what kind of specialist should I see? Diabetologist, OBGYN -endocrynologist....????

Thanks.
Hi as a Type 1 diabetic I would recommend that you get in to a diabetic anti natal clinic not sure if they have them over there but most major hospitals here have them. they will advise you on bsl control and diet and keep a close eye on everything. Low blood sugar can come on suddenly as I discovered and even wearing a medi alert no one offered to help even the transit security guards just lucky the cab driver realised something was amiss. So please get the care you need as complications can arise from swinging bsl's.
Goodluck and here's to a healthy baby:)
 

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Hi as a Type 1 diabetic I would recommend that you get in to a diabetic anti natal clinic not sure if they have them over there but most major hospitals here have them. they will advise you on bsl control and diet and keep a close eye on everything. Low blood sugar can come on suddenly as I discovered and even wearing a medi alert no one offered to help even the transit security guards just lucky the cab driver realised something was amiss. So please get the care you need as complications can arise from swinging bsl's.
Goodluck and here's to a healthy baby:)
Thanks so much. I actually did end up getting to an endocrinologist and he put me on insulin, which helped but I realized once I got my bs under control I have been able to control them with diet and no insulin. The main things that I changed were cutting out dairy and saturated fats and adding fiber to every meal (wheat bran, flax seed, beans...etc). I still have to drink 2 T apple cider vinegar before bed to keep my numbers under 90 (otherwise, they are 95-105).
 

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Wow - where did you learn about taking vinegar to lower numbers? That is fascinating! My wife is 31 weeks, taking oral meds twice a day plus one insulin shot at night, and is still having a hard time keeping those morning fasting bsl under 100 even (the docs want them 90 or under). We're delivering by c-section at 38 weeks, but I worry about complications, so I'm thinking of having her do the vinegar if it really works!
 

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Wow - where did you learn about taking vinegar to lower numbers? That is fascinating! My wife is 31 weeks, taking oral meds twice a day plus one insulin shot at night, and is still having a hard time keeping those morning fasting bsl under 100 even (the docs want them 90 or under). We're delivering by c-section at 38 weeks, but I worry about complications, so I'm thinking of having her do the vinegar if it really works!
Yes, it is NOT easy to keep that morning number down. Here are some tips that I have learned along the way:

1. whatever the number is BEFORE you go to bed helps determine how high it is when you wake up. SO follow this little riddle and you will see a difference "for breakfast, eat like a king. for lunch eat like a prince. for dinner eat like a pauper." meaning HUGE breakfast, medium lunch and small dinner (so you wake up a little hungry in the morning). My rule of thumb is that I don't eat ANYTHING after 7pm.

Also, eat low carbs at dinnertime (and watch that saturated fat!!! If she can have one of her carbs be a bean, that's the best. Beans are a carb but they are really helpful in countering diabetes. I think its all of the fiber). If your number is over 120 at around 8pm then go for a walk before bed or do some yoga or stretches or run up and down the stairs...Something that will burn up those carbs so its nice and low when you go to sleep (your number should be in the 90's when you go to bed).

But, yes... vinegar helps to break down the sugars so a shot of APPLE CIDER vinegar (not just plain white vinegar) will definitely help. It doesn't taste good but neither does tequila, so I just pretend I'm at a bar taking a shot of tequila. haha. The mental image helps me get over the taste and I just drink lots of water after to wash away the taste. Just like you do with tequila... you eventually get used to the taste and it doesn't bother you anymore.

Here is an article from my favorite diabetes website (they have some great low carb recipe's)

...this site won't let me post a link so to find the site type dlife into your search engine - you'll find the dlife site. When you get to the dlife site, type vinegar in the search and you'll find the article.

Hope that helps! Good luck with everything. It won't be long and you'll be cuddling your little baby and all of this will be behind you!
 

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SO follow this little riddle and you will see a difference "for breakfast, eat like a king. for lunch eat like a prince. for dinner eat like a pauper." meaning HUGE breakfast, medium lunch and small dinner (so you wake up a little hungry in the morning). My rule of thumb is that I don't eat ANYTHING after 7pm.
I'm wondering if this isn't a YMMV sort of thing. I was never able to have a huge breakfast - still can't. I'm more a night eater, and while it's surely not a good idea to overload my stomach the way I used to, I do need a snack in the evening. It doesn't seem to affect my morning readings as long as I'm generally making wise food choices (meaning tried 'n true for me.)

My body also seems to prefer small bites throughout the day to keep my bs on an even keel.
 

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I'm wondering if this isn't a YMMV sort of thing. I was never able to have a huge breakfast - still can't. I'm more a night eater, and while it's surely not a good idea to overload my stomach the way I used to, I do need a snack in the evening. It doesn't seem to affect my morning readings as long as I'm generally making wise food choices (meaning tried 'n true for me.)

My body also seems to prefer small bites throughout the day to keep my bs on an even keel.
I'm not sure what YMMV means.

The diet I mentioned goes against the gestational diabetic diet which says to not eat a lot of carbs in the morning and eat more as the day goes on BUT that diet never worked for me. Nomatter what I was waking up with 140's. Then, I read the 30 day diabetes miracle and it's philosophy was completely different and TOTALLY worked for me. Now my morning numbers are under control.

Every body is different though and so what works for me might not work for you.
 
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