While diabetes complicates pregnancy, rest assured that if you are a woman with diabetes, you can have a healthy baby and remain healthy during your pregnancy — but it will take some planning and teamwork! Women who already have diabetes should consult with their healthcare team and take special precautions before, during, and after pregnancy. Other women may be diagnosed with gestational diabetes while pregnant and should also take special precautions during pregnancy. To alleviate some of your questions and concerns, we've provided helpful information for you below.
Pregnancy
If you have diabetes and are planning on becoming pregnant, or are already pregnant, keeping your blood glucose (sugar) in the target range is more important than ever. Before, during and after your pregnancy, you will have to check your blood glucose frequently and keep a record of your results. Ask your healthcare team to help you find a nutrition and exercise plan during your pregnancy that will keep your insulin in balance.
When you're pregnant, high blood glucose levels can lead to increased birth-weights and a more difficult delivery. To protect your baby, getting your glucose levels under control before you become pregnant is very important. It's recommended that your blood glucose levels be under control for 3 to 6 months prior to becoming pregnant.
Getting Extra TLC
Every mother-to-be needs help, and that's even more important for expectant moms with diabetes. That's why when you're pregnant, you should assemble a healthcare team: your doctor, obstetrician, diabetes educator, and a registered dietitian who are knowledgeable about diabetes care can help you through your pregnancy. A pediatrician (for children), or neonatologist (for infants), or an endocrinologist can treat your baby upon delivery.
The changes that occur in your body during pregnancy will affect your blood glucose level, so it's important that you do frequent checks at home. Keeping your diabetes under control may take more work than usual, but doing so will protect you and your baby. During pregnancy, your healthcare team may advise you to make changes to your insulin program, medications, diet plan, and exercise program. It's important to listen to your own body and talk to your healthcare team about how you're feeling.
During delivery, both you and your baby will need extra attention, and your healthcare professionals will be working with you to keep your blood glucose level under control. Although during pregnancy your insulin needs will increase, during labor your insulin needs will drop. Reading books about delivery and taking a class are good ways to prepare yourself and your partner for what will happen during delivery.
Motherhood
Recovering from pregnancy and delivery may make your blood glucose more difficult to control, so even though you'll have your hands full caring for your new baby, it's important to take care of yourself, too. Keep monitoring your blood glucose and stick to healthy diet and exercise habits that will help you stabilize your blood glucose levels.
