Monday, 4 April 2016

World Health Day- Beat Diabetes



We have covered in the last three days things that would concern most patients with diabetes. We would today like to talk about how diabetes affects women who are pregnant.

It is imperative to plan pregnancy well in advance and avoid surprise pregnancies if being treated for DM. Elevated glucose levels and chemicals associated with DM like ketones can reach the foetus and affect cell growth and function. Patients diagnosed with Type 1 diabetes should be more careful as diet and Insulin should be regulated closely. Also Type 1 patients must get their Thyroid levels checked regularly. Fasting glucose should range between 60 and 119 mg/dl and post meal after 1 hr should be between 100- 149 mg/dl.

The effects of uncontrolled diabetes can be serious both for the foetus and mother. A few of them are:

For the baby:
Respiratory Distress
Prolonged Jaundice
Over-sized baby
Congenital defects on organ development

For the mother:
Miscarriage
Worsening of other diabetic conditions affecting various organs like eye, brain etc.

Because pregnancy makes mothers body partially resistant to Insulin, need to supplement body’s internal production is the treatment of choice. Moreover medication for lowering glucose in blood are not recommended during pregnancy therefore physicians will put the expecting mother on Insulin pumps straight away. Diet and weight control are definitely helpful always

Many expecting mothers who had no history of DM develop the condition around the 24th week. Placenta affects the mothers body by making her cells Insulin resistant. In response her pancreas produce excessive Insulin to rein in her sugar level but sometimes cannot cope up. This Insulin cannot pass the placental barrier but the glucose can, putting a lot of stress on the child’s pancreas. Children born under such conditions can be overweight and may have a higher chance of being diabetic in future. Respiratory distress is also common. Regular testing and control can manage the situation well for both the mother and child. Treatment can include Insulin or diet and exercise. Safe levels of glucose during pregnancy have been recommended as:

Before a meal (pre-prandial): 95 mg/dl
2-hours after a meal (postprandial): 120 mg/dl or less

Although the condition resolves soon after birth but there is a high chance that the patient may develop DM again in the next pregnancy. Many women develop DM later in life, therefore diet and weight should be controlled.

Written By- Our Panel of Medical Experts

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1 comment:

  1. World Health Day celebration is a fantastic way to engage your employees. Here are some world health day activities at work you can use for your workplace celebration.

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