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Type 1 Diabetes in Pregnancy Calls for Reduced Care

Type 1 Diabetes in Pregnancy Calls for Reduced Care

Pregnancy is a special moment in a woman's life - all we want is an uncomplicated period for both the mother and the baby. In the patient with type 1 diabetes, gestation will need some care, such as planning and preparation.

Gynecologist and obstetrician, endocrinologist and nutritionist will form a team that will prepare the future mother for a safe childbirth

One of the greater care when a type 1 diabetic patient becomes pregnant is in relation to their sugar levels - glycemia and glycated hemoglobin. It is important to know if these levels are controlled, because when too high (glycated hemoglobin greater than 10%) increase the risk of the baby being born greater for his gestational age. At birth being overweight, there is a greater risk of problems during childbirth, malformations, and also hypoglycemia in the first hours of life.

Then planning. The control of blood glucose levels before pregnancy should be done more frequently - the idea is to make the patient as controlled as possible. Dietary scheduling is fundamental, since during pregnancy there is a change in the food pattern, and the choice of food is important to maintain good blood sugar control. Retinal evaluation should preferably be done when the couple decides to become pregnant, especially if it has not been performed for at least the previous three months. The same care is taken with the kidney exams.

During pregnancy, preparation is important. The diet should be followed to avoid excess weight gain. In type 1 diabetic patients, weight gain may force the woman to increase the insulin dose so that sugar levels do not go uncontrollable. In addition, there is a greater risk of increased insulin resistance with weight gain, which is not desired for the control of diabetes. Gynecologist and obstetrician, endocrinologist and nutritionist will form a team that, working together, will prepare the future mother for a safe birth.

The decision on the type of delivery for the future mother is taken together: pregnant and obstetrician . However, as a rule, the date of delivery is scheduled to avoid the risk of complications such as hypoglycemia or hyperglycemia.

After delivery, breastfeeding is always stimulated, and the baby will be evaluated with general and some more specific tests, such as the echocardiogram to check the development of the heart. The baby's glycemia will also be monitored along with that of the mother.

All of these careers will outline a strategy for the type 1 diabetic mother to be as quiet as possible. It's more of a beautiful love act of this important moment.


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