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Can a diabetic woman become pregnant

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Back to Your pregnancy and baby guide. Most pregnant women with diabetes will go on to have a healthy baby, but there are some possible complications you should be aware of. The information on this page is for women who were diagnosed with type 1 or type 2 diabetes before they got pregnant. It doesn't cover gestational diabetes — high blood sugar that develops during pregnancy and usually goes away after the baby is born.

SEE VIDEO BY TOPIC: Risks of a Diabetic Pregnancy

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Prenatal Care

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Back to Your pregnancy and baby guide. Most pregnant women with diabetes will go on to have a healthy baby, but there are some possible complications you should be aware of. The information on this page is for women who were diagnosed with type 1 or type 2 diabetes before they got pregnant.

It doesn't cover gestational diabetes — high blood sugar that develops during pregnancy and usually goes away after the baby is born. They will advise you about what to do. Find out more about pregnancy and coronavirus. People with diabetes are at risk of developing problems with their eyes diabetic retinopathy and kidneys diabetic nephropathy.

Some people with type 1 diabetes can develop diabetic ketoacidosis , where harmful chemicals called ketones build up in the blood.

There's also a slightly higher chance of your baby being born with birth defects, particularly heart and nervous system abnormalities, or being stillborn or dying soon after birth.

But managing your diabetes well, before and during your pregnancy, will help to reduce these risks. The best way to reduce the risks to you and your baby is to ensure your diabetes is well controlled before you become pregnant. Before you start trying for a baby, ask your GP or diabetes specialist diabetologist for advice. You should be referred to a diabetic pre-conception clinic for support. Find diabetes support services near you. You should be offered a blood test, called an HbA1c test, every month.

This measures the level of glucose in your blood. It's best if the level is no more than 6. If you can't get your level below 6. You should continue using contraceptives until you get your blood glucose under control. Your GP or diabetes specialist can advise you on how best to do this.

If you have type 1 diabetes, you should be given testing strips and a monitor to test your blood ketone levels, to check for diabetic ketoacidosis. You should use these if your blood glucose levels are high, or if you are vomiting or have diarrhoea. Women with diabetes should take a higher dose of 5 milligrams mg of folic acid each day while trying to get pregnant and until they are 12 weeks pregnant. Your doctor will have to prescribe this, as 5mg tablets are not available over the counter.

Taking folic acid helps to prevent your baby from developing birth defects, such as spina bifida. If you usually take tablets to control your diabetes, you'll normally be advised to switch to insulin injections, either with or without a drug called metformin. If you already use insulin injections to control your diabetes, you may need to switch to a different type of insulin. If you take drugs for conditions related to your diabetes, such as high blood pressure, these may have to be changed.

It's very important to attend any appointments made for you so that your care team can monitor your condition and react to any changes that could affect your or your baby's health. You will need to monitor your blood glucose levels more frequently during pregnancy, especially since nausea and vomiting morning sickness can affect them.

Your GP or midwife will be able to advise you on this. Keeping your blood glucose levels low may mean you have more low-blood-sugar hypoglycaemic attacks "hypos". These are harmless for your baby, but you and your partner need to know how to cope with them.

Talk to your doctor or diabetes specialist. You will be offered regular diabetic eye screening during your pregnancy. This is to check for signs of diabetic eye disease diabetic retinopathy. Screening is very important when you are pregnant because the risk of serious eye problems is greater in pregnancy.

If you decide not to have the test, you should tell the clinician looking after your diabetes care during pregnancy. If you have diabetes, it's strongly recommended that you give birth in a hospital with the support of a consultant-led maternity team.

Your doctors may recommend having your labour started early induced because there may be an increased risk of complications for you or your baby if your pregnancy carries on for too long.

If your baby is larger than expected, your doctors might discuss your options for the delivery and may suggest an elective caesarean section. Your blood glucose should be measured every hour during labour and birth. You may be given a drip in your arm with insulin and glucose if there are problems. Feed your baby as soon as possible after the birth — within 30 minutes — to help keep your baby's blood glucose at a safe level.

Your baby will have a heel prick blood test a few hours after they're born to check if their blood glucose level is too low. If your baby's blood glucose can't be kept at a safe level, or they are having problems feeding, they may need extra care.

Your baby may need to be fed through a tube or given a drip to increase their blood glucose. Read more about special care for babies. When your pregnancy is over, you won't need as much insulin to control your blood glucose. You can decrease your insulin to your pre-pregnancy dose or return to the tablets you were taking before you became pregnant. Talk to your doctor about this. You should be offered a test to check your blood glucose levels before you go home and at your 6-week postnatal check.

You should also be given advice on diet and exercise. Page last reviewed: 12 April Next review due: 12 April Diabetes and pregnancy - Your pregnancy and baby guide Secondary navigation Getting pregnant Secrets to success Healthy diet Planning: things to think about Foods to avoid Alcohol Keep to a healthy weight Vitamins and supplements Exercise.

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Does diabetes affect fertility?

Diabetes can cause problems during pregnancy for women and their developing babies. Poor control of diabetes during pregnancy increases the chances for birth defects and other problems for the pregnancy. It can also cause serious complications for the woman. Proper health care before and during pregnancy can help prevent birth defects and other health problems.

Blood sugar that is not well controlled in a pregnant woman with Type 1 or Type 2 diabetes could lead to problems for the woman and the baby:. The organs of the baby form during the first two months of pregnancy, often before a woman knows that she is pregnant. Blood sugar that is not in control can affect those organs while they are being formed and cause serious birth defects in the developing baby, such as those of the brain, spine, and heart.

Many people believe that getting pregnant when they already have diabetes is not possible because of the struggles women in the past may have faced, which preceded more modern treatments, monitoring tools, and knowledge. Today, however, being diabetic does not mean that your pregnancy is destined for struggle, complications, or miscarriage. That said, you do need to be proactive in your diabetes care prior to pregnancy to optimize you and your baby's health and prevent possible complications, like birth defects. If you want to "try," it's strongly recommended that you get blood sugar levels under control three to six months before trying to conceive.

Preexisting diabetes

If you have type 1 or 2 diabetes, it is very important to talk to your healthcare team if you are thinking about having a baby. There are some things that are best done before you get pregnant that will reduce your risk of pregnancy complications and baby loss. If you have type 1 or 2 diabetes, you need to be as healthy as possible before you conceive, and while you are pregnant. The first thing to do is talk to your GP or diabetes team. You should get information about how diabetes affects pregnancy and how pregnancy affects diabetes. You will also be given details of local support you can have during pregnancy, including emergency contact numbers. Having diabetes should not affect your fertility your ability to get pregnant. Talk to your doctor if you have any concerns about your fertility.

Diabetes and getting pregnant

Diabetes is a condition where the body is unable to keep blood sugar levels in the normal range. There are three types: type 1 diabetes, type 2 diabetes and gestational diabetes. Insulin is the hormone that controls blood sugar levels, keeping them in the healthy range. In type 1 diabetes, the pancreas is unable to make enough insulin. Daily medication insulin is therefore needed to control blood sugar levels.

Worried about the coronavirus? Here's what you should know.

Diabetes Diabetes and getting pregnant. Having a chronic condition such as diabetes diabetes mellitus takes careful monitoring of your health at the best of times, and this becomes even more crucial during pregnancy, a time when your body changes dramatically. Most women who have pre-existing diabetes who become pregnant have type 1 diabetes once called insulin-dependent or juvenile diabetes , although some may have type 2 once called non-insulin dependent or maturity-onset diabetes.

I have diabetes. What should I know before I get pregnant?

Please sign in or sign up for a March of Dimes account to proceed. Women with diabetes can and do have healthy pregnancies and healthy babies. Managing diabetes can help reduce your risk for complications.

COVID is an emerging, rapidly evolving situation. Get the latest public health information from CDC: www. If you have diabetes and plan to have a baby, you should try to get your blood glucose levels close to your target range before you get pregnant. High blood glucose, also called blood sugar, can harm your baby during the first weeks of pregnancy, even before you know you are pregnant. If you have diabetes and are already pregnant, see your doctor as soon as possible to make a plan to manage your diabetes.

Preexisting Diabetes and Planning Pregnancy

Log in Sign up. Before you begin Get ready for pregnancy Food, weight and fertility. Community groups. Home Getting pregnant Before you begin Existing health problems. Morag Martindale GP and expert in baby and women's health. If you have type 1 or type 2 diabetes there are steps you can take to prepare yourself for pregnancy. You will need to be very careful to monitor your blood sugar glucose levels, though.

GP and expert in baby and women's health. If you have type 1 or type 2 diabetes there are steps you can take to prepare yourself for pregnancy. Rest assured.

There was a time when women who had diabetes were strongly advised to avoid getting pregnant. Attempting to produce a biologically-related family was just too dangerous [source: Brucker ]. Fortunately, diabetic women are no longer given that heartbreaking direction from caregivers. Diabetics can, and routinely do, get pregnant and give birth to healthy children.

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If you have type 1 or type 2 diabetes and are planning a family, you should plan your pregnancy as much as possible. Controlling your blood sugars before conception and throughout pregnancy gives you the best chance of having a trouble-free pregnancy and birth and a healthy baby. Women with diabetes will need to closely monitor their blood sugar levels during their pregnancy. If you develop diabetes during pregnancy, it is called gestational diabetes.

Pregnancy if You Have Diabetes

Pregnancy and diabetes doesn't have to be a risky combination. By preparing for pregnancy, you can boost the odds of delivering a healthy baby. Here's how.

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