Diabetes I and IIShould I become pregnant if my diabetes is not under control?
While some pregnant women will develop gestational diabetes during their pregnancy, there are other women who already suffer from diabetes mellitus I or II before becoming pregnant. Women that suffer from diabetes are generally considered high risk obstetrical patients. However, because of medical advances and proper prenatal care, most diabetic patients that follow their doctors orders will have succesfful pregnancies with little or no complications. Although pregnancy does not bring on retinal or kidney damage for diabetic mothers, it can cause pre-existing damage to become worse.
Many doctors do not recommend getting pregnant unless your blood glucose levels have been properly controlled for 3-6 months. Because high blood sugar levels and ketones do pass through the placenta, the risks of birth defects in the baby is increased when the mother has diabetes. It is during the first six weeks of pregnancy that the vital organs begin to form in a fetus. Many women do not know they are pregnant during this time. In order to prevent birth defects to the baby's developing syste, it is crucial that diabetic women keep their blood glucose levels in control. If you are trying to conceive or there is a possibility that you could get pregnant, take a hold of your diabetes to avoid serious birth defects. More than likely you will have to measure your blood sugar levels periodically throughout the day and some women may need insulin injections. Always report any questionable numbers to your caregiver. Following a healthy diet and getting proper amounts of exercise are important. Your healthcare provider may wish to see you more often during your pregnancy to monitor your blood sugar levels and check the development and health of the baby. Because pregnancy can cause retinal (eye) and kidney problems to become worse in a diabetic patient, it is important to follow your caregivers directions and get proper evaluations and treatments.
If a diabetic woman does not have a good control on her blood glucose levels early on in the pregnancy, there is a greater chance of miscarriage. In the later weeks of pregnancy, the chances of having a stillbirth are increased with poor blood sugar control. A diabetic mother has a better chance of developing preeclampsia during her pregnancy as well, which could lead to early delivery. Diabetic mothers are more likely to deliver extremely large babies because of the extra amounts of sugar that are in their blood. With large babies, the chances of delivering via cesarean section are also increased. This is because the baby is simply too large to pass through the birth canal and the risk of injury is high.
After delivery, mothers with diabetes should be monitored closely. Diabetic mothers will experience the same type of changes after the birth of their baby, but their blood sugar levels can vary. Many diabetics will find that they do not need insulin injections directly following delivery. However, most diabetics will notice that their insulin requirements will be back to normal within 48 hours of delivery. It is important to respond to these needs and continue taking care of yourself. Insulin requirements may also be lower if you are breastfeeding, but you will need to monitor your levels closely to make sure your levels are correct.
Because the baby depends on the mother for nutrition, the baby will receive the extra sugar that is produced as well. The fetus' pancreas will respond to the extra sugar and make increased amounts of insulin. After delivery, babies that are born to diabetic mothers have a difficult time decreasing the amount of insulin their bodies produce. Newborns are likely to experience breathing difficulties, low levels of calcium, jaundice and heart problems. There is also a greater chance of the child developing diabetes in their lifetime.
Comments: Diabetes I and II
Comments 1 to 24 of about 28.
683 days ago.
hello everyone i am 27 and pregnant with baby # 3 but due to me being a typ 1 diabetic i am high-risk my ac1 was a19 but now its dow to 12 still have some work to do its just sad because my sugar levels only get normal when im pregnant but my risk of misscargoe is great due to my diabetes i have lost three pregnancies befor this one and i am doing whatever i have to to get better . i have been doing much better sugar's are down under the 200 range just taking it one day at a time. I am 11 weeks and 5 days today i see my O.B on tuesday hopeing for good news wish me luck. wish everyone the best in their pregnancies bethgturner
723 days ago.
I am a Type I diabetic and have not had perfect control, but I've done my best to control it and I have three healthy children. I hope to have more! A1C of 8.1 the first time I got pregnant, but hasn't been above 7.0 since then. I write a blog about it: diabeticbirth.blogspot.com. firstname.lastname@example.org
816 days ago.
I'm 38, type 2 diabetic and currently 16 weeks pregnant with my 5th child. My sugars went down in the first 3 months (12 weeks), but since are starting to rise and I find I need a bit more insulin lately to compensate. Luckily seeing an ob/gyn who specializes in high risk and diabetic pregnancies and a dietician. LuckyCOMommy
1080 days ago.
Here I go again... currently 5 weeks pregnant and am on insulin already! I have type II and have been able to control my sugars naturally but when I am pregnant my blood sugars go NUTS so I chose to start insulin early this time. I was seeing 150's for my morning fasting numbers before insulin and that scared me! Today my fasting was 108, much better!! Gretchenfirstbaby
1338 days ago.
hi everyone, i'm currently in my 8th week and have type II diabetes. I am only on metformin right now but was told that it might change at 20-25 weeks. I am very under control. I just took a class called sweet success and they keep really good track of me. i have to call in and give my numbers once a week and have my A1C done once a month. so glad that they are helping me, especially with a really good diet that lets me eat and keeps me under control. I was also told to walk as much as i can. well excersize. thank god my husband bought me a treadmill. hope everyone is doing good with there diabetes and pregnancy newmomat30
1366 days ago.
Hi, I am 30 years old and currently 29 weeks pregnant with my first child. Not my first pregnancy though. Had a miscarriage when I was 24 and found out at my 3 month ultrasound. This pregnancy just felt different from the get go. 14 weeks of morning, noon and night sickness!! But we will soon meet our new little man, and I couldn't be more excited. I really never thought kid were in the cards for me. I've been type 1 diabetic for 19+ years, and had not great control. My first 2 trimesters were a breeze, but now, I find it so hard, I'm always upping my insulin, and hungary a lot. The babes is over 3 lbs. already, but I've gained less than 20lbs so far. Does anyone else have the problem of almost doubling their standard insulin intake? SaraMaree
1408 days ago.
Hey all, I am currently 11 weeks pregnant and have type 1 diabetes. Being pregnant and diabetic scares me, even though I have been diabetic 17 years! I got pregnant early this year unexpectedly and lost the baby at 8 weeks, mainly due to my terrible sugar control! The hospital put me on an insulin pump and a bit over a month after that first miscarriage I got pregnant again but didn't realise due to it being so soon after we lost the first bub. Everything seems to be going ok this time, helped I think by making a real effort to look after myself and my sugars after we lost baby 1. Best of luck to all expectant diabetic mothers out there x ~Bridget~
1535 days ago.
I just wanted to stop by and leave a positive messege. They found sugar in my urine very early in my pregnancy. My tests came back high that I had diabetes. They were unsure if it was gestational or type 2. I was put on insulin and metformin. Through out my pregnancy I became extremely insulin resistant. I was on very high doses of insulin that just kept increasing. The last week of my pregnancy my insulin doses went down to the point I didnt need insulin anymore. I gave birth by c-section to a healthy baby girl weighing 6.8lbs. She was tested for the first three days of her birth to make sure she was not diabetic or had any glucose issues. They all came back negative. My baby girl is now 6 months old and she is doing great. I on the other hand do have type 2 diabetes. I just wanted to let you all know that you can have a healthy baby as long as you control your sugar levels. : ) SunshineMaria
1574 days ago.
Hi all, I am currently 8 weeks pregnant w/ my 2nd child. I have had Type 1 Diabetes since I was 2 years old (31 years now). I have excellent control, but it is hard to be pregnant w/ diabetes. Lots of work! I keep my sugars under 90, but they will occassionally bump into the low 100's, which freaks me out. I am currently in the low blood sugar phase of pregnancy which is a pain, but also means that I get to sneak in a few extra treats that I won't see for the rest of the pregnancy. lol shola
1620 days ago.
hallo. i'm a type 2 diabetic. i was diagnosed last year and i hav a 2 yr old daughter - i had pre-eclampsia during my first pregnancy. i had a positive pregnancy test two weeks ago, according to my lmp i should be in my 6th week of pregnancy but at a check-up last wk the gynae picked up a smaller thn 6wk sac on my scan and sent me for hcg level tests - my hcg levels are rising very slowly... i am very scared... going for another scan on wed this week but i am afraid tht my diabetes and meds for diabetes and hypertension could hav caused the embryo to stop growing. :( claire dakin
1625 days ago.
for all the ladys that are trying to have a baby i would say it will happen it was 7 yrs i was trying for my girl after a lot of heart ack and then it was another 2yrs then i had me son my blood sugars are not lever and i have a lot of prob with this good luck to use all xxxxx claire dakin
1625 days ago.
bambeeno82 just to say iam type 1 but also take tables and i have 2 kids one 2yrs one 5 yrs and both of mine come at 36 weeks both by c/s but both are very healthy and well
1669 days ago.
hi i am linda and type 2 diabetic. i am 9/10 weeks pregnant. my diabetes is under control but recently the levels have been increasing. i had two miscarriage before and i really want this baby. if any one has any advice and can help me with what to eat and what not to eat i will be thankful. velluto
1700 days ago.
I am 39 yrs..type 2 diabetes...nov 10 had blood test came positive..(4 to 5 weeks) today had u/s the ob/gyn saw nothing but an empty sac order blood test...will call with results tomorrow...but I was send home with the expectation that i will miscarry..and lose my baby...please help. Could this be a misdiagnosis?? bambeeno82
1715 days ago.
Hey everyone....I'm a type 2 diabetic currently being controlled through diet and medication as well as 27 weeks preggers. Does anyone know if most diabetic women tend to deliver earlier rather than after 38 weeks? Shellby26
1739 days ago.
I am 25 yrs old and i am type 2 diabetic. I have take pills and insulin shots twice a day. I have been with my fiance for 2 yrs now and we have been trying. I really want a baby and i have just about tried everything. Also, my period is irregular and i have not seen a doctor about it. I think the last time i saw my period was in march and it began spotting last month.i just do not know what to do anymore. periza
1767 days ago.
hello, i´m a type 2 diabetic. i´m 24, 25 in 2 months. and i´ve been trying to get pregnant for about 2 years now, last year i had an ectopic pregnancy and haven´t gotten pregnant since. i´d apreciate any advice or suggestions on how to achive my goal. plus my sugar levels never seem to get leveled, i´m always over 200 and when ever it goes under that i start to feel bad. nursemommy3
1778 days ago.
Hi ladies, I'm a type 1 diabetic I'm pregnant with #3 and I was wondering if anyone had a high protein come back with their 24 hr urine, mine has gone up since i had it done at 16 wks (im 27 wks now). My a1c is great , the baby is great I'm just a little concerned with th jump in numbers. Dnaye44
1798 days ago.
Hi there! I am new to this site and really feel like this could be helpful as I am feeling so alone. I am type 1 diabetic and just recently found out I was pregnant, I havent shared this news with anyone but my husband b/c this will be pregnancy #6 and have miscarried always, as recent as this past March, now I had an ultrasound done and they found nothing and mentioned it may be ectopic! I am trying to stay positive but it is SO HARD! Im hoping its just too early to see anything yet as I am only about 5weeks. Any thoughts? kristentipton
1807 days ago.
I am 12 weeks pregnant and this is my second child. I am type 2 but after my first child my pancreas went capoot! I am not on an insulin pump and I LOVE LOVE LOVE it! I was not aware that I was pregnant and my A1c was 11.5 at 4 weeks. I have been a wreck and I have my nuchael screening next Friday. I am having a hard time with will power and sweets. ALL I WANT IS COFFEE AND SWEETS! I was an angel with my first and this one is totally different. I am trying so hard but the sugars always seems to come back high. I think some of it is stress as well! How is everyone else? maebeth
1828 days ago.
Hi ladies. I'm 34 weeks 5 days and very concerned. I had a c-section scheduled at 38 weeks 3 days, but my doctor told me today that I might need to deliver earlier due to my amniotic fluid levels and she suspects I might have a staff infection as there are some cuts on my left leg that won't heal. I get the results on the staff infection on Friday. My immune system is really low as it is and my diabetes isn't helping. Anyone else experienced this and have advice? preciousmummy
1833 days ago.
hi im a insulin diabetic and have 4 injections a day i am currently 12 weeks pregnant after miscarriage in dec 08, this is second pregnancy with being a diabetic my first was miscarriage i would be grateful for any advice or just a chat about experiences if anyone would like to share with me please. my levels use to high (16 up) now there below 5 somedays. love to hear from you soon xx amandahann83
1834 days ago.
I have been Type 1 diabetic since I was 7 years old and am now 25. I am currently 7 weeks pregnant with my 3rd child. I have 2 girls who were both born a little early and weighed in at 10 lbs12oz (37 weeks) and 9lbs 1oz (36 weeks).... I'm just looking for some new people out there that know what I'm going through. maebeth
1840 days ago.
sleepymomma- glad things are going well for you and hope it continues. As for me, I'm struggling more than ever with amniotic fluid levels and baby's size. It's frustrating to try so hard and not slow the baby's size or fluid levels. Only another 5 1/2 weeks. sleepymomma
1845 days ago.
Maebeth, no luckily so far, this baby is just the right size. We will probably have a scheduled induction in about 10 weeks.