The Affects of Pregnancy on Diabetes
A woman with diabetes can be significantly affected during a
pregnancy. Insulin requirements can be drastically altered from the
physiological changes brought about by a pregnancy. There is also the chance
that pregnancy can quicken the progress of vascular disease that is a
secondary condition brought on by diabetes.
Insulin requirements for the pregnant woman are always changing making it
more difficult to control the disease. During the early parts of the first
trimester insulin needs frequently decrease. Levels of hPL, an insulin
antagonist, are low; energy demands of the embryo are low; and the woman may
be consuming less food because of nausea and vomiting. Nausea and vomiting
may also cause dietary fluctuations, which can increase the risk of
hypoglycemia or insulin shock.
Insulin requirements usually begin to rise late in the first trimester as
glucose use and glycogen storage by the woman and fetus increase. As a
result of placental maturation and production of hPL and other hormones, the
requirements for insulin may double or quadruple by the end of pregnancy.
During labor energy needs increase which may require an increase in insulin
to balance glucose that is given intravenously. After the baby is born and
the placenta is delivered insulin needs decrease abruptly with the loss of
hPL in the mother's circulatory system.
There are also other factors that will contribute to the difficulty in
controlling diabetes during pregnancy. As the pregnancy progresses the renal
threshold for glucose decreases. There is an increased risk of ketoacidosis,
which may occur at lower serum glucose levels in a pregnant woman with
diabetes than a non-pregnant woman with diabetes. The vascular disease that
comes with diabetes may progress during a pregnancy. High blood pressure may
occur. Nephropathy may result from renal blood vessel impairment, and
retinopathy may develop from occlusion of the microscopic blood vessels of
the eye.
The primary concern for the pregnant woman who has diabetes is control of
circulating blood glucose levels. If control can be achieved and maintained,
diabetes generally does not worsen during pregnancy. The woman's health
status may even improve because of close medical supervision.
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Overcoming Gestational Diabetes
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| Mild Glucose Abnormalities in Pregnancy Linked to Postpartum ... - Medscape (subscription) Fri, 10 Oct 2008 22:15:10 GMT Mild Glucose Abnormalities in Pregnancy Linked to Postpartum ...Medscape (subscription) - Oct 10, 2008The results, according to the authors, suggest that antepartum screening for gestational diabetes is useful in gauging a woman's future risk of pre-diabetes ...
| | | Gestational diabetes diagnosis breakthrough - Irish Health Fri, 10 Oct 2008 08:22:29 GMT Irish HealthGestational diabetes diagnosis breakthroughIrish Health, Ireland - Oct 10, 2008Researchers have found that women who develop diabetes during pregnancy – a condition known as gestational diabetes – have reduced levels of a specific ...
| | | Levels Of Key Hormone During First Trimester Of Pregnancy Could ... - Science Daily (press release) Wed, 08 Oct 2008 22:56:49 GMT Levels Of Key Hormone During First Trimester Of Pregnancy Could ...Science Daily (press release) - Oct 8, 2008ScienceDaily (Oct. 7, 2008) — New research shows women who develop diabetes during pregnancy (gestational diabetes mellitus) have reduced levels of an ...
| | | Gestational Diabetes Risk Higher for Asian-White Couples - Washington Post Fri, 03 Oct 2008 20:48:37 GMT TheMedGuruGestational Diabetes Risk Higher for Asian-White CouplesWashington Post, United States - Oct 3, 2008FRIDAY, Oct. 3 (HealthDay News) -- Couples made up of one Asian and one white partner may face an increased risk of gestational diabetes and a higher risk ...Interracial Asian-White Couples Have Distinct Risks For ... Medical News Today (press release)Asian Women With White Partners Face Pregnancy Risks TopNewsAsian-White couples face higher pregnancy related risks TheMedGuruall 20 news articles
| | | Obesity concerns getting bigger - Medicine Hat News Fri, 10 Oct 2008 05:12:16 GMT Obesity concerns getting biggerMedicine Hat News, Canada - Oct 9, 2008But there has also been a provincial increase in child and youth obesity rates, as well as gestational diabetes in pregnant mothers. With diabetes and risk ...
| | | Pregnancy curiosity - Science News Wed, 01 Oct 2008 12:35:42 GMT Pregnancy curiosityScience News - Oct 1, 2008By Nathan Seppa Asians have a known increased risk of gestational diabetes, but a new study finds that a pregnant woman in a mixed-race Asian-Caucasian ...Asian-white couples have distinct pregnancy risks Los Angeles TimesAsian-White Couples Face Distinct Pregnancy Risks, Stanford ... MarketWatchPregnancy Risks Differ for Interracial Couples MedPage TodayReuters - Bizjournals.comall 35 news articles
| | | Metformin May Help Delay or Prevent Diabetes in Women Who Had ... - Medscape (subscription) Fri, 03 Oct 2008 00:26:02 GMT Metformin May Help Delay or Prevent Diabetes in Women Who Had ...Medscape (subscription) - Oct 2, 2008Identify effective treatments to prevent diabetes according to women's history of gestational diabetes mellitus. Disclosure: Laurie Barclay, MD, ...
| | | Type 1 diabetes screening clinic held in Windsor - Canada.com Fri, 26 Sep 2008 00:24:44 GMT Type 1 diabetes screening clinic held in WindsorCanada.com, Canada - Sep 25, 2008Hickson said he wanted to screen his sons because his wife had gestational diabetes while pregnant and her brother also has diabetes. ...
| | | Mom’s diabetes risky for babies - NDTV.com Sat, 27 Sep 2008 04:10:25 GMT Mom’s diabetes risky for babiesNDTV.com, India - Sep 26, 2008To examine associations between pre-pregnancy diabetes and gestational diabetes and birth defects, researchers from America studied 17925 infants as a part ...
| | | Why Your Race Matters to Your Health - U.S. News & World Report Wed, 01 Oct 2008 17:43:40 GMT Health NewstrackWhy Your Race Matters to Your HealthU.S. News & World Report, DC - Oct 1, 2008What's intriguing is that white women married to Asian men also had higher rates of gestational diabetes compared with those married to white men, ...Pregnancy Risks Differ by Race eFluxMediaStudy explores pregnancy risks for Asian-white couples Chicago TribuneAsian-White Couples Face Higher Pregnancy Risks dBTechnoUnited Press Internationalall 11 news articles
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