With proper planning, you can have a normal pregnancy and a healthy baby. The most important thing is to keep the glucose level as your doctor has suggested and strict control over the A1C goal for several months before becoming pregnant.
The blood glucose level usually does not cause health problems for the baby. However, an occasional episode of high blood glucose can affect you and it is important to note that the first trimester is a critical time for the development of fetal health.
There is an improved risk of losing the unborn baby during the first three months of maternity. If the mother has high blood sugar levels, the fetus may develop breathing problems or deformities in the spine, skeleton, kidneys, heart and / or circulatory system.
From the fourth to the ninth month, the main risks are a large baby (known as macrodome) or stillbirth. About 30% of babies born to diabetic mothers have macrodome. However, apart from their size, these babies are usually healthy.
• Vision and renal complications vision problems due to retinopathy can worsen during pregnancy. Moreover, severe women suffer from hypertension in the third trimester of pregnancy. Keeping the blood glucose level and strict control before and during maternity can help prevent these problems.
• Problems during birth if the baby is larger than normal, this can give an early birth or cause a cesarean delivery.
• Hypoglycemia; this doesn’t harm the baby, but repeated episodes of hypoglycemia may lead to problems in the health of the mother.
First: Keep your blood glucose before and during pregnancy normal to protect the health and welfare of the baby. The level of glucose and A1C should be managed for a few months before being pregnant.
The American Diabetes Association (ADA) recommends that women achieve the following glucose levels:
• Blood glucose 80-110 mg / dL before meals.
• Blood glucose less than 155 mg / dL two hours after meals.
• During the period before perception and the first trimester, obtain the lowest possible level of A1C.
Second: During maternity, your doctor will check your A1C level more frequently. Your target can be achieving A1C less than 6%.
Third: You should visit your doctor and get ultrasounds more regularly than women without diabetes. These controls ensure a healthy maternity.