A pregnant lady can become Diabetic for the first time or a Diabetic lady can become pregnant. Both situations are bad for the mother and the baby. An already diabetic lady has to have planned pregnancy as she has to be on insulin at the time of conception. She has to definitely on diet control. When diabetes is confirmed in a pregnant lady diet control and if needed insulin has to be started. She may need only very small amount of insulin. The pregnant lady needs special care. There is chance for the babies born to diabetic mothers become diabetic. Thus it is said that diabetes begets diabetes.
The incidence of diabetes in pregnancy is increasing along with increase of diabetes in the community. Obesity among young ladies is very much there. The life style is more sedentary. High calorie food is plenty. All contribute to pregnancy diabetes. Pregnancy as such is Diabetogenic. More and more ladies are becoming diabetic during pregnancy and sometimes permanently diabetic after delivery. This is a grave situation.
Uncontrolled diabetes in pregnancy may result in big babies, premature delivery, problems for the mother, and problems for babies. Good blood sugar control is absolutely essential. Normal blood sugar is far less in pregnancy compared to normal population. Fasting blood sugar is to be around 100mgs/dl and PPBS below 120 mgs/dl. HBA1C 5.7%.. This is for normal sized baby and problem free mother. Ultra sound scanning has to be more and as advised by obstetrician. Very good care can prevent pregnancy related complications to a great extent.Good interaction between the treating doctors is absolutely essential. Follow the instructions carefully.
Carelessness after delivery can leave you permanently diabetic. Test for blood sugar as advised by the treating physician. And follow instructions. Avoid weight gain which is more common following post-natal care. Always keep in mind that pregnancy diabetes has its own inherent problems. Blame game is not a solution because all is not well with pregnancy diabetes.