If a diabetic woman is pregnant and is about to give birth to a child, then the metabolic disorder should be managed properly. Diabetes in pregnancy is associated with risks not only for the woman but also to the fetus. Additionally, diabetic retinopathy can worsen along with problems like congenital malformations, birth injury, perinatal mortality and many more. So, with this in mind, here are some guidelines which can be referred when the fetus is developing gradually.
Go for preconception counseling
All women of childbearing age should be aware of the importance of glycemic control much before conception. As per the studies, the risk of anencephaly, congenital heart diseases, and microcephaly is relatively on the higher side due to the increase in A1C. If the disorder is not controlled, then the lady would have to go through abortion instantly. So, as time passes by, the counseling visits should include routine rubella, HIV tests and pap smear. Diabetes-specific management should also include thyroid stimulating hormone, creatinine and other tests for checking the urine albumin-to-creatinine ratio.
The risk of uncontrolled diabetes comprises of fetal demise, anomalies, and neonatal hyperbilirubinemia among the rest. Apart from everything else, the women should maintain weight or else it can adversely affect her as well as the child.
Monitor glucose levels regularly
In order to manage gestational diabetes, it’s important to monitor the glucose level in the bloodstream. As you seek assistance from the doctor, you can very well understand the blood glucose pattern. This would help you go for a treatment or switch to a different diet altogether. In case it’s tough to control the sugar level through exercises or any other physical activity, then you should take medicines. While the tablets might not be appropriate for the condition, insulin injections and metformin can help in managing gestational diabetes substantially. If you can’t spare time for a checkup, then you can measure the level with a glucose meter.
Switch to a nutritious diet
If weight is the prime concern for woman, then she should include carbohydrate rich food items during a meal. Moreover, the foods should contain calcium, iron and folic acid. She must avoid enjoying drinks which contain a large amount of sugar. Among the choices, it’s safe to eat multigrain bread, pasta, lentils, and chickpeas. Make sure to use olive or polyunsaturated oils which leafy vegetables are cooked for a few minutes. If she likes eating rice, then ensure that grain has a low glycaemic index. Do consult a dietician to know more about nutrients that can keep the baby healthy. The lady should always eat food items in small amounts time and again during the day.
As far as drinks are concerned, it’s advisable to drink water mixed with lemon juice. However, caffeinated and carbonated drinks can lead to caffeinated and affect the mood time and again. Instead of natural sugars, the lady can include alternative sweeteners which won’t affect the body.
Indulge in physical activities
Moderate or intense physical activity can really help to manage the blood glucose level. In case the woman is comfortable with a set of exercises, then she should ensure to perform them slowly so that they don’t have to deal with injuries. But, before moving on to any kind of physical activity, it’s always a good idea of speaking with the obstetrician. Besides, a brisk walk or stroll is a great way to move body parts which is ultimately good for managing diabetes. She could either walk to a local outlet or use the stairs instead of the elevator.
Finally, after giving birth to the infant, the woman should check the glucose level through the Oral Glucose Tolerance Test (OGTT). It’s recommended to check the level every two to three years, or in case the person is feeling sick. For mitigating the risk of developing Type 2 diabetes, the lady should maintain weight and be physically active all day long.