The pregnancy of a diabetic woman requires a very strict control of blood sugar levels during the 9 months of pregnancy to avoid possible complications.
In addition, some studies also indicate that the daily use of a 5 mg supplement of folic acid may be beneficial, 3 months before becoming pregnant and until the 12th week of pregnancy, with a dose well above the 400 mcg daily recommended for non-pregnant women. diabetic.
Care that diabetics should take during pregnancy
The care that diabetics should take during pregnancy are mainly:
- Consult the doctor every 15 days;
- Record blood sugar values daily, as many times as the doctor indicates;
- Take all medicines according to the doctor’s guidance;
- Perform the insulin test 4 times a day;
- Take the glycemic curve exam every month;
- Perform the fundus examination every 3 months;
- Have a balanced diet low in sugars;
- Take walks regularly, especially after meals.
The better your blood sugar control, the less likely it is that the mother and baby will have problems during pregnancy.
What can happen if diabetes is not controlled
When diabetes is not controlled the mother has infections more easily and pre-eclampsia can occur, which is the increase in pressure that can cause seizures or coma in the pregnant woman and even the death of the baby or the pregnant woman.
In uncontrolled diabetes during pregnancy, babies, as they are born very large, may have breathing problems, malformations and be diabetic or obese in adolescents.
Find out more about the consequences for the baby when the mother’s diabetes is not controlled at: What are the consequences for the baby, child of a diabetic mother?
How is the delivery of diabetic women
The delivery of the diabetic woman normally takes place if the diabetes is controlled, and it can be normal or cesarean delivery, depending on how the pregnancy is going and the size of the baby. However, healing usually takes longer, as excess blood sugar hinders the healing process.
When the baby is very large, during normal delivery there is a greater likelihood of injury to the shoulder at birth and the mother will have a higher risk of injury to the perineum, so it is important to advise the doctor to decide the type of delivery.
After birth, babies of diabetic women, as they may develop a picture of hypoglycemia, sometimes stay in the Neonatal ICU for at least 6 to 12 hours, to have better medical surveillance.