Diabetes mellitus in pregnant woman (in the course of pregnancy) - control, forum, description

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Pregnancy in diabetes mellitusAccording to the World Health Organization reports the diabetes mellitus progress follow the worst scenario possible. They have shown exceptionally fast growth of number of sick people, dangerous to human life complications, the high percentile of disability and deaths among the diabetics as well as the significant decrease of age of the patients qualify the diabetes mellitus as the most agile medical and social problem. The last from listed factors highlighted one more problem in this connection - the pregnancy in diabetes mellitus.

Up to the mid of 80's of the 20th century the problem solution was simple: the diabetic women was advised to avoid pregnancy and have children. That time the problem was not vital as the average age of the patients was over the childbearing period. Today this is not a solution because the disease got "younger" a lot.

Pregnancy and Diabetes Mellitus.

Till the insulin injection was invented, it was an unattainable luxury for the diabetics to have children. Only 5% of them got pregnant, and 60% of those had dead babes before the birth. The insulin treatment gave them a hope. It is necessary to know that the diabetes mellitus is divided into two groups:

1. The diabetes found during the pregnancy or gestational diabetes. It appears in 50% of all pregnant women and it disappears after the birth frequently.

2. Pre-gestational diabetes is the diabetes mellitus of the 1st type, or sometimes of the 2nd type, and it diagnosed before the pregnancy.

It is the case of pre-gestational diabetes should be a thoughtful and planned step for any woman, who should be supervised constantly by the endocrinologist.

Women from risk group should control the sugar level half year before the planned pregnancy:

1. Both parents or a twin of the future mom are diabetics;

2. Woman has already babes and their weight upon the birth exceeded 4.5 kg;

3. Her medical history reports habitual abortion or fetal hydrops;

4. She has an excessive body weight;

5. She has sugar in the urine.

The Diabetes Symptoms of Pregnant Women.

All symptoms and signs of pregnant women may be divided into two groups. The first is common for all diabetics:

The second group of symptoms of the disease progress are pertained to pregnant women only:

The particularities of disease flow depends on the diabetes mellitus type. The 1st type has very explicit and progressing symptoms, which are hard to overlook. The clinical picture of diabetes mellitus of 2nd type changes slowly, without any acute hypoglycemic conditions and vivid symptoms. Skin itching, furunculosis, paradontosis, weak eyesight, skin fungous diseases are frequent irritant of the patients.

The Pregnancy Control in diabetes mellitus.

A healthy baby birth from a diabetic mother may be possible if appropriate medical control will be established and she will follow the rules, prescribed by doctors. The start is the full indoor examination of the pregnant woman: gynaecological, endocrinologic and therapeutic. In case of any complications the other professionals may be involved: cardiologists, nephrologists, phlebologists and neurologists.It the phase when they must make a decision if it is possible to keep the fetus. Unfortunately, there are few factors increasing the risk not only of hard pathologies of fetus, but also the danger of mother life to such level, when the birth of healthy baby and its mother normal health are almost impossible. These factors are:

1. Progressing complications of kidneys or blood vessels;

2. Resistance to insulin and lability of diabetes development;

3. The diabetes mellitus is found not only in the mother but also in father;

4. The combination of diabetes and rhesus incompatibility of mother and fetus;

5. The active form of tuberculosis of the mother.

In case the fetus development is allowed the following tactics of the pregnancy comes in effect: attendance pattern, repetition factor of stationary and dispensary examinations, treatment intensity. If the childbearing goes without serious complications, the second planned hospital admission is appointed to 20-24th week. Once again, the correction of insulin dose and treatment take place. The third correction is made in hospital and it happens at 32-34th week and it the period when the doctors can monitor the fetus development and mother condition constantly, and pick the birth term as well as the ways of baby birth.

The Diet for Pregnant Women in Diabetes Mellitus.

The correct and timely treatment is the key factor of successful pregnancy flow and birth if the mother suffers from diabetes mellitus. However, without a balanced diet, achieving of success is not possible. The diet should be developed by the endocrinologist taking in account a woman's individual blood sugar level, age, weight, height and other complications found in diabetes. In first trimester daily food capacity should be 1800 kcal, while during the second and third the food consumption should be doubled, which is something like 2100 kcal per day. The diet should be individual, but there are common indications for the right diet:

Certainly, the parentage does not come easy to the diabetic women, but it is possible to have a healthy baby. The proper approach to pregnancy control, obeying to doctors' advises and be positive about personal abilities are the keys to success.