By Dr. Arun Kumar Singh, Endocrinology,
As nowadays diabetes is occurring commonly in young adults, its not uncommon that many women have already diabetes when they are planning their pregnancy. Also, gestational diabetes is very common in our country. So, diabetes in pregnancy has become common problem in our country and other parts of the world as well. Here are things you should know about Diabetes in pregnancy.
- Women with diabetes should have planned pregnancy. They should discuss their plan of pregnancy with their treating doctor and make sure diabetes is well controlled before pregnancy. Also, they should be investigated for diabetes complications before pregnancy.
- Untreated diabetes results in adverse pregnancy outcomes like preterm delivery, obstructed labour, need for emergency cesarean section, neonatal hypoglycemia etc. Thats why it becomes necessary to diagnose each and every case of diabetes in pregnancy.
- Every non diabetic pregnant women should be investigated for diabetes as soon as pregnancy is confirmed. So that if there is pre existing undiagnosed diabetes, it can be diagnosed and treated timely.
- Those who test negative for diabetes in early pregnancy, should be investigated again at 24 to 28 weeks of pregnancy to detect gestational diabetes (GDM).
- Not all patients with GDM require medicines. In fact, most of these have very mild diabetes and can be well managed with healthy lifestyle alone.
- Medical treatment options are limited for diabetes in pregnancy. Insulin is best treatment option for most of patients who require medical treatment. sometimes mild degree of GDM can be controlled with tablets alone.
- Once diabetes is confirmed during pregnancy, very frequent monitoring of blood glucose should be done throughout pregnancy. Target levels of blood glucose are lower for diabetes in pregnancy compared to target levels in diabetes in non pregnant adults.
- Most of women with GDM have normal blood sugar levels after delivery. But they are at high risk of developing diabetes in future. to prevent same, they should stick to healthy lifestyle after delivery and should be investigated periodically for diabetes lifelong.