If you have type 2 diabetes, you can still have a healthy pregnancy — but there are some things to consider to reduce possible risks and ensure that you and your baby are healthy. “Preeclampsia is when a pregnant woman has high blood pressure and signs that some of her organs, like her kidneys and liver, may not be working properly,” explains the. Your doctor might want you to implement some things before you get pregnant. The more sugar there is in. Diabetes mellitus Typ 2. If your sugar drops to a dangerously low level, an alarm will sound, activating an insulin pump. As a woman with diabetes, you and your baby simply cannot afford to indulge on cravings for loaves of bread, daily pizza, or entire cartons of ice cream. Instead, make room for one indulgence per day or every other day by eating a diet that is mostly healthy throughout the rest of the day. https://doi.org/10.1007/s11428-022-00988-0, DOI: https://doi.org/10.1007/s11428-022-00988-0. The baby’s blood sugar must be watched for several hours after delivery. Google Scholar, Song C, Kyu Y, Li C et al (2017) Long-term risk of diabetes in women at varying durations after gestational diabetes: a systematic review and meta-analysis with more than 2 million women. In: Macintosh M (Hrsg) Pregnancy in Women with Type 1 and Type 2 Diabetes in 2002–2003, England, Wales and Northern Ireland. Eine exakte Differenzierung der Schwangeren in Typ-1-Diabetes und Typ-2-Diabetes ist anhand zur Verfügung stehender Daten aus Deutschland nicht möglich. Am J Med Genet 112:335–337, Wu Y, Liu B, Sun Y et al (2020) Association of maternal prepregnancy diabetes and gestational diabetes mellitus with congenital anomalies of the newborn. Klima & Nachhaltigkeit. Correspondence to 1.4 Versorgungsbereich . If you do already take insulin, your doses will change throughout your pregnancy. "+a;var y=document.createElement("script");y.type="text/javascript";y.async=true;y.src=x;var z=document.getElementsByTagName("script")[0];z.parentNode.insertBefore(y, z);})(); Type 2 diabetes during pregnency is very stressful. J Clin Endocrinol Metab 103:1612–1621, Tarry-Adkins JL, Aiken CE, Ozanne SE (2019) Neonatal, infant, and childhood growth following metformin versus insulin treatment for gestational diabetes: a systematic review and meta-analysis. Before you get pregnant, talk with your medical team or midwife to see whether you can still take them during pregnancy. Learn more about Institutional subscriptions, American College of Obstetricians and Gynecologists (ACOG) (2005) ACOG Committee Opinion number 315, September 2005. Diabetes Care 43:2983–2990, Correa A, Botto L, Liu Y et al (2003) Do multivitamin supplements attenuate the risk for diabetes-associated birth defects? 01):S14–S31, Harreiter J, Simmons D, Desoye G et al (2016) IADPSG and WHO 2013 gestational diabetes mellitus criteria identify obese women with marked insulin resistance in early pregnancy. Centers for Disease Control and Prevention. You can review and change the way we collect information below. She is the author of several diabetes books: Pregnancy with Type 1 Diabetes, Dealing with Diabetes Burnout, Emotional Eating with Diabetes, When I Go Low. . Sometimes it’s because it simply hasn’t been studied yet, so it cannot be deemed by the FDA (Food and Drug Administration) as safe to use during pregnancy. PubMed  All information these cookies collect is aggregated and therefore anonymous. From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When You're Expecting. Nach Abschluss der Prüfung wird diese Beschreibung entsprechend aktualisiert. Die Stoffwechselerkrankung entsteht ähnlich wie ein Typ-2-Diabetes und wird deshalb als Vorstufe dieser Diabetesform gesehen. Pregnancy increases the pressure on your blood vessels which means it can actually worsen pre-existing retinopathy. Eating a healthy diet is important when you have type 2 diabetes. https://doi.org/10.1007/s11428-018-0352-9, DOI: https://doi.org/10.1007/s11428-018-0352-9. https://doi.org/10.1007/s00394-017-1461-8, Padmanabhan S, McLean M, Cheung W (2014) Falling insulin requirements are associated with adverse obstetric outcomes in women with preexisting diabetes. Walking every day for at least 30 minutes during those later stages of pregnancy will do you and your baby so much good: If you do take insulin, you may find you’ll want to cut back the insulin dose for that meal if you plan to walk afterward. Stillbirth means that after 20 weeks, the baby dies in the womb. In addition to being sure your diabetes medicine is on target, you'll need to be extremely careful about any other medications you take. You likely already know how important it is for a woman with diabetes to manage her blood sugars carefully during pregnancy, but it’s actually just as important before you become pregnant, too. Diabetologia 59:2099–2105, Riskin-Masgiah S, Auslander R, Almog R (2014) The quality of periconception medical care in women with diabetes needs improvement. But if you start your pregnancy overweight or obese, it will be extra important to set a weight gain goal with your practitioner and to stick to it (think: slow and steady). If you’re considering getting pregnant, talk with your endocrinologist as well as your OB-GYN. Schwangerschaftswoche auf Schwangerschaftsdiabetes zu testen, weil viele keine der genannten Risikofaktoren aufweisen. Price excludes VAT (USA) Diabetologe 14, 319–324 (2018). Having type 2 diabetes, especially uncontrolled type 2 diabetes, can put you at risk for certain complications during pregnancy. Translation: You'll need to have checkups and more routine tests, which aside from any inconvenience is a good thing overall. What to Expect supports Group Black Opens a new window and its mission to increase greater diversity in media voices and media ownership. Frauen mit Schwangerschaftsdiabetes entwickeln später im Leben häufiger einen Diabetes mellitus Typ 2. If you were insulin-dependent before pregnancy, you may be more subject to low blood sugar episodes (hypoglycemia) than when you weren't pregnant, especially in the first trimester — so careful monitoring is a must. Current health. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. And don't leave home without packing the right snacks. Other factors may come into play, however, including causes that could have contributed to your diabetes diagnosis. Getting enough sleep and rest is important, especially in the third trimester. Over the past 15 years, she has written for most major diabetes websites, including Beyond Type 1, Beyond Type 2, DiabetesMine, Healthline, Diabetes Daily, Diathrive and more. Ohne Behandlung kann eine Präeklampsie Mutter und Kind schaden. Hinzu kommen nicht selten Adipositas, prekäre Lebensverhältnisse, unzureichende Kontrazeption und die Einnahme potenziell fetotoxischer Medikamente. If you’re pregnant…, A stroke occurs when blood flow is blocked to a part of the brain. Das Gespräch mit Ihren Ärzten ersetzt die . They help us to know which pages are the most and least popular and see how visitors move around the site. Women with type 2 diabetes require regular diabetes monitoring and they should receive diabetes care from experienced teams if they are planning to have children. Medications are divided into these categories regarding safety during pregnancy: Category A: “Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).”, Category B: “Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.”, Example: metformin commonly used in type 2 diabetes management, Category C: “Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant the use of the drug in pregnant women despite potential risks.”, Example: gabapentin commonly used for diabetic neuropathy, Category D: “There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant the use of the drug in pregnant women despite potential risks.”, Category X: “Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in the use of the drug in pregnant women clearly outweigh potential benefits.”. Zugegriffen: 12. https://doi.org/10.1002/14651858.CD012696.pub2, American Diabetes Association (ADA) (2020) 14. If your blood sugars are persistently high during your pregnancy, and your A1c is over 7 percent, you can anticipate that your baby will likely be “chubbier” than average. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in In the second trimester, high fetal glucose levels can lead to macrosomia , a condition where a baby receives too many nutrients in the womb and is born . How does diabetes during pregnancy affect babies? Google Scholar, Sutherland HW, Pritchard CW (1987) Increased incidence of spontaneous abortion in pregnancies complicated by maternal diabetes mellitus. Thinking about having a baby? Diabetologia 55:3193–3203, Mackin ST, Nelson SM, Wild SH et al (2019) Factors associated with stillbirth in women with diabetes. Diabet Med 31:1681–1689, Article  Pregestational diabetes occurs when you have diabetes before becoming pregnant. Today,…, Is type 2 diabetes reversible? Dr. rer. Miscarriages and stillbirths can happen for many reasons. (Remember to always carry fast-acting glucose with you for, If your blood sugars are persistently high during your pregnancy, and your A1c is over 7 percent, you can anticipate that your baby will likely be “chubbier” than average. Type 2 diabetes is the most common form of diabetes, according to the American Diabetes Association. Seriously low blood sugar can be avoided if women watch their blood sugar closely and treat low blood sugar early. Der Anteil von Frauen mit Typ-2-Diabetes mit Schwangerschaften nimmt zu. Google Scholar, Zeitler P, Hirst K, Pyle L, TODAY Study Group (2012) A clinical trial to maintain glycemic control in youth with type 2 diabetes. © 2023 Springer Nature Switzerland AG. Diabetologia 60:1668–1677, Obeid R, Schön C, Wilhelm M et al (2017) The effectiveness of daily supplementation with 400 or 800 µg/day folate in reaching protective red blood folate concentrations in non-pregnant women: a randomized trial. Der Schwangerschaftsdiabetes (Gestationsdiabetes) gilt als die häufigste Begleiterkrankung einer Schwangerschaft. Diabetes Care 37:678–685, Article  Bitte stellen Sie sicher, dass Sie jeweils die neueste Version lesen und zitieren. A moderate exercise program will give you more energy, help regulate your blood sugar, keep your weight gain on track and get you in good shape for delivery. In this article, we’ll discuss everything you need to know about pregnancy with type 2 diabetes, from preparing for pregnancy to your postpartum self-care. Thanks for the tip that my blood sugar levels and A1c during the 6 months prior to becoming pregnant will have a tremendous impact on both my ability to become pregnant and on the health of my baby. Aim for a goal of 80/20: 80 percent healthy, 20 percent less-than-healthy. Das Berliner Diabeteszentrum für Schwangere hat sich auf die Beratung und Behandlung werdender Mütter mit Schwangerschaftsdiabetes und mit bekanntem Typ-1 oder Typ-2 Diabetes mellitus spezialisiert. A miscarriage is a loss of the pregnancy before 20 weeks. A C-section is a surgery to deliver the baby through the mother’s belly. Since Hindi is my native, I ready a lot of hindi contents on pregnancy such as kidhealthcenter.com and few others. Be upfront with them about the status of your diabetes, how it affects your health, and if there’s anything you struggle with presently. Special sensors and pumps, a simple finger-prick method or tracking apps can all be helpful in monitoring and regulating your sugar intake. Centers for Disease Control and Prevention. If you start having any symptoms that’re out of the ordinary, call your doctor immediately. Gaining too much weight can put you at risk of other pregnancy complications, so be sure to keep an eye on the scale. The term “high-risk” has such negative connotations but for women with diabetes, this is an essential resource for your pregnancy and the wellbeing of your baby. Type 1 diabetes mellitus is an autoimmune disorder leading to destruction of insulin-producing cell in the pancreas; type 2 diabetes mellitus is associated with obesity and results from a combination of insulin resistance and insufficient insulin production. Mit einer guten Blutzuckereinstellung und den richtigen Therapie-Settings ist es absolut möglich, eine Schwangerschaft mit Typ 1 Diabetes sehr gut zu meistern. Editor: Christine Gordon/Catherine Donaldson-Evans. Diabetes kindgerecht erklären und spielerisch kennenlernen Beim Spielen kann man Kindern Typ-1-Diabetes wunderbar erklären und greifbar machen. to pregnancy, using a glucose meter for these 9 months will help you see how your nutrition, medications, and exercise are helping you keep your blood sugar levels in the safest range possible during your pregnancy. Schwangere mit Typ-2-Diabetes bereiten große Sorgen, und die Zahl derartiger Fälle nimmt deutlich zu. Blood glucose levels rise because there’s not enough insulin being made to keep levels normal. Thinking about having a baby? Diabet Med 20:734–738, Poston L, Caleyachetty R, Cnattingius S et al (2016) Preconceptional and maternal obesity: epidemiology and health consequences. 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. / Alltag mit Diabetes. Diabetes Strong does not provide medical advice, diagnosis, or treatment. Die betroffenen Frauen sind häufig nicht in spezialisierter Betreuung, sie erhalten überwiegend keine perikonzeptionelle Beratung und nehmen nur selten präkonzeptionell Folsäure ein. Die Blutzuckerzielwerte, die man während einer Schwangerschaft erreichen soll, machten mir Angst, denn ich hatte Sorge, diese Zielwerte nicht erreichen zu können. Heavier babies make delivery more difficult (there's a higher chance of childbirth complications and/or cesarean delivery when baby is very large). PubMed Google Scholar. Along with regular blood screenings, here are some of the exams you can expect: Last but not least, health providers know diabetics are at somewhat higher risk for preeclampsia, so your doctor will watch you closely for early signs of the condition. Let your breastfeeding goals be a motivation to continue taking good care of your diabetes even after your baby is born. It ought to be a prescription for every woman with any type of diabetes — or perhaps every woman who is pregnant even if they don’t have diabetes: walking every day during pregnancy. Mehr er­fah­ren 2. Vor allem erhöhte Blutzuckerwerte in der Schwangerschaft können zu Folgeschäden bei der Mutter sowie zu Fehlbildungen und anderen Schädigungen vor allem an Herz, Nervensystem und Lungen beim Kind führen. When pregnant, it’s especially crucial to make sure your blood sugar is at an appropriate number. An adorably chubby baby can also mean he or she is simply too big to deliver safely vaginally. Early (Preterm) Birth. Any woman with any type of diabetes should have their eyes thoroughly examined prior to becoming pregnant. Your baby’s blood sugar will be tested several times after being born to determine if they need a bottle of glucose or if breastfeeding immediately will be adequate. Metformin (Glucophage) and glyburide (Glynase, Diabeta) are both category B drugs which means they are likely safe to continue taking but haven’t been studied in pregnant humans, only pregnant animals. The first nutrition goal for any woman — and especially a woman with diabetes — during pregnancy is to eat a diet of mostly whole foods. your institution, https://doi.org/10.1007/s00125-017-4206-6, https://doi.org/10.1136/bmjopen-2015-009494, https://doi.org/10.1007/s00394-017-1461-8. It doesn’t have to be a marathon! vs less strict during pregnancy (konkrete BZ-Bereiche, gesamte Schwanger-schaft vs einzelne Trimena noch diskutieren) O: kindliche Fehlbildungen, Frühgeburten oder perinatalen Komplikationen . Jaundice is a very common medical condition in babies born earlier than 39 weeks, which is a highly likely event for a woman with type 2 diabetes. While some people can control their type 2 diabetes with diet and exercise, others take medications to help control blood sugar. In addition to having your A1c level measured frequently during pregnancy, this is a time in your life when you should absolutely be checking your blood sugar at home several times a day.
Einhell Brushless Akkuschrauber Test, словарь немецкий русский, Oakley Radar Ev Path Damen, Articles S