Global Medical Cures™ | Diabetes and Pregnancy
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
We have the answers to your questions like, what is gestational diabetes, how is gestational diabetes diagnosed, or what causes gestational diabetes?
Liberty Medical
If you suspect, or know, that you are pregnant, we hope you have already visited your
doctor!
Presuming that you have confirmed your suspicions and that this is your first child, or
that you wish to take better care of yourself during pregnancy than you did during your
other pregnancies; you have come to the right place!
Our goal is to give you all the information you will need to care for your health and the
health of your unborn child during your pregnancy.
To do that, we believe it is important for you to understand pregnancy, and what is
happening to your body as your baby develops and nears term.
Therefore, all the information we give you about taking care of yourself will be clarified
with information about what is happening to your body and why it is important to follow
the recommendations we give you and the recommendations and advice of your doctor.
First, and foremost, it is important to consult a doctor and to get on a schedule of visits
and testing to accommodate every stage of your pregnancy.
Gestational diabetes develops during pregnancy and causes high blood sugar levels, which can impact the health of the mother and baby. While the exact causes are unknown, hormones produced by the placenta during pregnancy can interfere with the mother's insulin levels and blood sugar regulation. Treatment options may include monitoring blood sugar levels several times per day, following a healthy diet and exercise plan, and potentially taking insulin if lifestyle changes are not enough to control blood sugar. Close monitoring of the baby's growth and development is also important to ensure healthy outcomes.
Gestational diabetes is a type of diabetes that develops during pregnancy. It occurs when hormones and weight gain during pregnancy make it difficult for the body to produce enough insulin to meet increased energy needs. Left untreated, it can increase risks for both mother and baby, such as the baby being large or having breathing problems. It is diagnosed through blood tests and treated by following a meal plan, exercising, and potentially taking insulin to control blood glucose levels. After pregnancy, most women no longer have diabetes, but they remain at higher risk for developing type 2 diabetes later in life.
Prenatal care is important for both mother and baby's health. It involves regular checkups with a doctor or midwife who monitors the health of the mother and baby through exams, tests, and advice. The first prenatal visit is extensive, including medical history questions and physical exams. Subsequent visits allow the doctor to check on development and address any health issues. Prenatal care helps ensure mothers and babies stay healthy through pregnancy and delivery.
Introduction
In Australia, at least 17,000 women develop gestational diabetes every year –
you are not alone! The number of women developing gestational diabetes is
expected to grow significantly over the next few decades.
Gestational diabetes is associated with an increased risk of complications
in pregnancy and birth, as well as a greater likelihood of mother and child
developing type 2 diabetes later in life. The good news is that with good
management of gestational diabetes, these risks are significantly reduced.
There have been huge advances in the knowledge about the management
and treatment of gestational diabetes and the importance of a healthy lifestyle
in keeping gestational diabetes and its complications under control. This
booklet aims to provide you with information about gestational diabetes, how
to look after your gestational diabetes and where to get assistance if you
need it.
The booklet is not designed to take the place of the valuable advice you will
receive from your diabetes team. It is designed to help you learn as much as
you can about gestational diabetes and the importance of managing your
gestational diabetes and continuing to enjoy a healthy lifestyle after you have
had your baby.
This document provides 10 tips for successful weight loss. The tips include eating a nutritious diet high in fruits and vegetables and low in processed foods and sugar, keeping a food diary, engaging in regular physical activity, eliminating liquid calories, controlling portion sizes, mindful eating, managing triggers and cues, meal planning, seeking social support, and maintaining a positive outlook. Losing 5-10% of body weight through calorie reduction can provide health benefits, and weight loss is primarily dependent on reducing calorie intake rather than specific diet plans.
This document contains answers to 18 frequently asked questions about gynecological issues. Dr. Sarita Kapoor provides advice on issues like irregular periods, infertility treatments, pregnancy-related questions, and more. The questions cover a range of women's health topics and Dr. Kapoor offers personalized medical guidance to help address each concern.
We have the answers to your questions like, what is gestational diabetes, how is gestational diabetes diagnosed, or what causes gestational diabetes?
Liberty Medical
If you suspect, or know, that you are pregnant, we hope you have already visited your
doctor!
Presuming that you have confirmed your suspicions and that this is your first child, or
that you wish to take better care of yourself during pregnancy than you did during your
other pregnancies; you have come to the right place!
Our goal is to give you all the information you will need to care for your health and the
health of your unborn child during your pregnancy.
To do that, we believe it is important for you to understand pregnancy, and what is
happening to your body as your baby develops and nears term.
Therefore, all the information we give you about taking care of yourself will be clarified
with information about what is happening to your body and why it is important to follow
the recommendations we give you and the recommendations and advice of your doctor.
First, and foremost, it is important to consult a doctor and to get on a schedule of visits
and testing to accommodate every stage of your pregnancy.
Gestational diabetes develops during pregnancy and causes high blood sugar levels, which can impact the health of the mother and baby. While the exact causes are unknown, hormones produced by the placenta during pregnancy can interfere with the mother's insulin levels and blood sugar regulation. Treatment options may include monitoring blood sugar levels several times per day, following a healthy diet and exercise plan, and potentially taking insulin if lifestyle changes are not enough to control blood sugar. Close monitoring of the baby's growth and development is also important to ensure healthy outcomes.
Gestational diabetes is a type of diabetes that develops during pregnancy. It occurs when hormones and weight gain during pregnancy make it difficult for the body to produce enough insulin to meet increased energy needs. Left untreated, it can increase risks for both mother and baby, such as the baby being large or having breathing problems. It is diagnosed through blood tests and treated by following a meal plan, exercising, and potentially taking insulin to control blood glucose levels. After pregnancy, most women no longer have diabetes, but they remain at higher risk for developing type 2 diabetes later in life.
Prenatal care is important for both mother and baby's health. It involves regular checkups with a doctor or midwife who monitors the health of the mother and baby through exams, tests, and advice. The first prenatal visit is extensive, including medical history questions and physical exams. Subsequent visits allow the doctor to check on development and address any health issues. Prenatal care helps ensure mothers and babies stay healthy through pregnancy and delivery.
Introduction
In Australia, at least 17,000 women develop gestational diabetes every year –
you are not alone! The number of women developing gestational diabetes is
expected to grow significantly over the next few decades.
Gestational diabetes is associated with an increased risk of complications
in pregnancy and birth, as well as a greater likelihood of mother and child
developing type 2 diabetes later in life. The good news is that with good
management of gestational diabetes, these risks are significantly reduced.
There have been huge advances in the knowledge about the management
and treatment of gestational diabetes and the importance of a healthy lifestyle
in keeping gestational diabetes and its complications under control. This
booklet aims to provide you with information about gestational diabetes, how
to look after your gestational diabetes and where to get assistance if you
need it.
The booklet is not designed to take the place of the valuable advice you will
receive from your diabetes team. It is designed to help you learn as much as
you can about gestational diabetes and the importance of managing your
gestational diabetes and continuing to enjoy a healthy lifestyle after you have
had your baby.
This document provides 10 tips for successful weight loss. The tips include eating a nutritious diet high in fruits and vegetables and low in processed foods and sugar, keeping a food diary, engaging in regular physical activity, eliminating liquid calories, controlling portion sizes, mindful eating, managing triggers and cues, meal planning, seeking social support, and maintaining a positive outlook. Losing 5-10% of body weight through calorie reduction can provide health benefits, and weight loss is primarily dependent on reducing calorie intake rather than specific diet plans.
This document contains answers to 18 frequently asked questions about gynecological issues. Dr. Sarita Kapoor provides advice on issues like irregular periods, infertility treatments, pregnancy-related questions, and more. The questions cover a range of women's health topics and Dr. Kapoor offers personalized medical guidance to help address each concern.
Being overweight or obese can lead to a range of health problems. Although many different “fad” diets are available, a balanced lifestyle and nutritious diet are the key to healthful living and better weight control.
This document provides information about vitamin D, including its role in bone and overall health, potential links to conditions like multiple sclerosis, diabetes, weight loss and depression, food and supplement sources, recommended intake amounts, deficiency symptoms and testing, drug interactions, and a possible link to reduced colon cancer risk. Screening and treatment of vitamin D deficiency is discussed.
The document provides 10 tips for successful weight loss: 1) Eat a varied, nutritious diet high in fruits/veggies and low in processed foods; 2) Keep a food diary to self-monitor intake; 3) Engage in regular physical activity for at least 150 minutes per week; 4) Eliminate liquid calories from soda/juice; 5) Measure servings and control portions; 6) Practice mindful eating; 7) Control triggers that encourage unnecessary eating; 8) Plan meals ahead of time; 9) Seek social support; and 10) Stay positive and persistent.
PRECONCEPTION COUNSELING A NEED OF THE HOUR IN INDIA Dr. Sharda Jain Lifecare Centre
Preconception counseling is important in India to improve maternal and child health outcomes. Key components of preconception counseling include assessing health risks, promoting healthy behaviors, and providing interventions to address issues like nutrition, chronic diseases, medications, reproductive history, and family history. The goals are to help women enter pregnancy healthy in order to prevent adverse outcomes like preterm birth and birth defects.
Prenatal care is important for both the health of the mother and baby. It allows doctors to monitor the health of the mother by checking her weight, blood pressure, and stomach size at each appointment. Prenatal care can also detect any medical conditions the baby may have. While prenatal care is important, many women do not receive it due to cost. However, assistance is available for low-income women through healthcare centers across the country. The article encourages all pregnant women to seek the recommended amount of prenatal care for a healthy pregnancy and baby.
This document provides guidance on prenatal care, including pre-conception counseling to address lifestyle factors, investigations and monitoring during pregnancy, exercises and diet, common symptoms, and travel safety. The goals of antenatal care are to monitor the progress of pregnancy, provide guidance for delivery preparation, enable early detection of abnormalities, and allow for corrective measures if needed. Prenatal care starts with confirmation of pregnancy and includes history taking, examinations, and basic investigations such as blood tests and ultrasounds.
This document discusses the postpartum care of mothers who had gestational diabetes during pregnancy and their infants. It outlines that infants should be monitored for hypoglycemia after delivery and breastfeeding should be encouraged. Mothers' blood glucose levels should be checked within 48 hours to rule out diabetes, and a glucose tolerance test is recommended at 6-12 weeks postpartum since many women develop impaired glucose tolerance or type 2 diabetes. Ongoing education on weight management, family planning, screening and risk factor control is important given the high risk of future diabetes.
This document provides guidance for staff on caring for students with diabetes in schools. It defines the two main types of diabetes, describes symptoms of high and low blood sugar, and outlines appropriate treatments. It also explains how to check blood sugar levels, administer insulin injections using syringes or pens, and properly dispose of medical waste. The goal is to ensure staff can safely manage students' diabetes needs.
10 Risk Factors That Every Pregnant Woman Should KnowAlicia Knapp
This document discusses 10 common risk factors that pregnant women should be aware of to help ensure a healthy pregnancy and baby. These include smoking, drinking alcohol, caffeine consumption, improper use of drugs and herbal remedies, poor nutrition, excessive exercise, lack of prenatal care, multiple sex partners, exposure to chemicals, and other health conditions. Regular visits with an obstetrician can help monitor these and other factors to support a healthy pregnancy outcome.
Childhood obesity is a medical condition where children weigh more than expected according to their age and height. It is caused by genetics, lack of physical activity, unhealthy eating habits, and medical or psychological conditions. Complications include type 2 diabetes, high cholesterol, high blood pressure, bullying, learning problems, and depression. Prevention involves limiting sugary drinks and eating outside food, providing fruits and vegetables, encouraging physical activity, limiting screen time, ensuring enough sleep, and making healthier choices.
The document discusses how a woman's ovarian health and egg supply impacts her future fertility. It notes that women are born with all the eggs they will ever have, and the number decreases significantly starting at age 30. It recommends that women of all ages discuss ovarian health and screening options with their doctor to understand their fertility status and future family planning possibilities.
Awareness and Acessibility of ANC among the obstetric patients in CMCH (2018)Md. Zahirul Islam
This document summarizes a study on awareness and accessibility of antenatal care (ANC) among obstetric patients in Bangladesh. The study aimed to identify factors affecting awareness and accessibility of ANC, assess if awareness depends on clients or providers, and determine the quality and quantity of ANC services. Key findings include: 1) Education level was correlated with ANC knowledge, with illiterate women having the least knowledge; 2) Doctors were the leading source of ANC information compared to media; 3) Lack of knowledge was a primary barrier to ANC access, while unavailable services were a minor concern. The study concluded that expanding education, media coverage, and ANC services could improve reproductive health outcomes in Bangladesh.
This document provides guidelines on antenatal care. It recommends that nulliparous women with uncomplicated pregnancies should have 10 antenatal appointments, while parous women should have 7. It also recommends offering ultrasounds before 14 weeks to determine gestation age and detect multiples, and discusses lifestyle considerations like nutrition, exercise, and screening for medical conditions during pregnancy.
Buy Hawaii Diet Cookbook 2013 (spiral- updated2b) by Dr.Terry Shintani (Paperback) online at Lulu. Visit the Lulu Marketplace for product details, ratings, and reviews.
Gestational diabetes (GDM) is a form of diabetes that develops during pregnancy and affects approximately 7% of pregnancies globally. It occurs when the placenta produces hormones that block the mother's cells from properly using insulin. This makes it difficult to control blood sugar levels and can threaten the health of both mother and baby if not managed. Women are screened and diagnosed with a glucose tolerance test showing high blood sugar. Treatment involves monitoring blood sugar, dietary changes, exercise and sometimes insulin to control levels and prevent complications like preeclampsia, macrosomia and future diabetes. After delivery, blood sugar levels return to normal in most cases but women have a higher lifelong risk of type 2 diabetes.
Dr. Shyam Kalavalapalli MRCP(London), CCT, MRCP(Diabetes&Endocrinology), FRCP(Edin.)
Director, IDEA CLINICS,
Institute of Diabetes, Endocrinology and Adiposity
040 4004 2000 / 8008166166
International Advisory Board Member, Royal College of Physicians (Edinburgh, UK)
Country Representative for Thyroid Manager, USA
Indian Representative for World Obesity Federation, UK
Buy Hawaii Diet Cookbook 2013 (updated2) by Dr.Terry Shintani (Paperback) online at Lulu. Visit the Lulu Marketplace for product details, ratings, and reviews.
Gestational diabetes is a condition where a woman without previous diabetes develops high blood sugar levels and insulin resistance during pregnancy. The document provides guidelines for daily meal trays for those with gestational diabetes, recommending each tray contain 2-4 servings of carbohydrates but limit fruit juice, saturated and trans fats, oils over 6 tsp per day, and artificial sweeteners. It was created by dietetic interns at Vanderbilt University.
Childhood obesity has become a serious problem in the US and can negatively impact physical development. Obesity is linked to musculoskeletal issues like damage to growth plates, bowed legs, and joint problems. It can also cause early puberty onset and motor skill difficulties. The rise in unhealthy food marketing, lack of physical activity, and limited family/school support contribute to increasing obesity rates. To address this, schools should improve meals/PE and parents/communities can encourage healthy habits through activities and advocacy.
This document provides an overview of diabetes prevalence in New York State. It analyzes data from the New York State Behavioral Risk Factor Surveillance System, Vital Statistics, and CDC WONDER to examine the prevalence of diagnosed and undiagnosed diabetes, prediabetes, and gestational diabetes among NYS adults. Some key findings include: the prevalence of self-reported diabetes among NYS adults has nearly doubled from 1996-1998 to 2007-2009; diabetes prevalence increases with age and is highest among those 65-74 years old; racial/ethnic minorities make up a larger proportion of people with diabetes in NYS than the total population. The report also finds higher diabetes rates among those with lower income and education
Global Medical Cures™ | Food Allergy Resources (USDA)
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Being overweight or obese can lead to a range of health problems. Although many different “fad” diets are available, a balanced lifestyle and nutritious diet are the key to healthful living and better weight control.
This document provides information about vitamin D, including its role in bone and overall health, potential links to conditions like multiple sclerosis, diabetes, weight loss and depression, food and supplement sources, recommended intake amounts, deficiency symptoms and testing, drug interactions, and a possible link to reduced colon cancer risk. Screening and treatment of vitamin D deficiency is discussed.
The document provides 10 tips for successful weight loss: 1) Eat a varied, nutritious diet high in fruits/veggies and low in processed foods; 2) Keep a food diary to self-monitor intake; 3) Engage in regular physical activity for at least 150 minutes per week; 4) Eliminate liquid calories from soda/juice; 5) Measure servings and control portions; 6) Practice mindful eating; 7) Control triggers that encourage unnecessary eating; 8) Plan meals ahead of time; 9) Seek social support; and 10) Stay positive and persistent.
PRECONCEPTION COUNSELING A NEED OF THE HOUR IN INDIA Dr. Sharda Jain Lifecare Centre
Preconception counseling is important in India to improve maternal and child health outcomes. Key components of preconception counseling include assessing health risks, promoting healthy behaviors, and providing interventions to address issues like nutrition, chronic diseases, medications, reproductive history, and family history. The goals are to help women enter pregnancy healthy in order to prevent adverse outcomes like preterm birth and birth defects.
Prenatal care is important for both the health of the mother and baby. It allows doctors to monitor the health of the mother by checking her weight, blood pressure, and stomach size at each appointment. Prenatal care can also detect any medical conditions the baby may have. While prenatal care is important, many women do not receive it due to cost. However, assistance is available for low-income women through healthcare centers across the country. The article encourages all pregnant women to seek the recommended amount of prenatal care for a healthy pregnancy and baby.
This document provides guidance on prenatal care, including pre-conception counseling to address lifestyle factors, investigations and monitoring during pregnancy, exercises and diet, common symptoms, and travel safety. The goals of antenatal care are to monitor the progress of pregnancy, provide guidance for delivery preparation, enable early detection of abnormalities, and allow for corrective measures if needed. Prenatal care starts with confirmation of pregnancy and includes history taking, examinations, and basic investigations such as blood tests and ultrasounds.
This document discusses the postpartum care of mothers who had gestational diabetes during pregnancy and their infants. It outlines that infants should be monitored for hypoglycemia after delivery and breastfeeding should be encouraged. Mothers' blood glucose levels should be checked within 48 hours to rule out diabetes, and a glucose tolerance test is recommended at 6-12 weeks postpartum since many women develop impaired glucose tolerance or type 2 diabetes. Ongoing education on weight management, family planning, screening and risk factor control is important given the high risk of future diabetes.
This document provides guidance for staff on caring for students with diabetes in schools. It defines the two main types of diabetes, describes symptoms of high and low blood sugar, and outlines appropriate treatments. It also explains how to check blood sugar levels, administer insulin injections using syringes or pens, and properly dispose of medical waste. The goal is to ensure staff can safely manage students' diabetes needs.
10 Risk Factors That Every Pregnant Woman Should KnowAlicia Knapp
This document discusses 10 common risk factors that pregnant women should be aware of to help ensure a healthy pregnancy and baby. These include smoking, drinking alcohol, caffeine consumption, improper use of drugs and herbal remedies, poor nutrition, excessive exercise, lack of prenatal care, multiple sex partners, exposure to chemicals, and other health conditions. Regular visits with an obstetrician can help monitor these and other factors to support a healthy pregnancy outcome.
Childhood obesity is a medical condition where children weigh more than expected according to their age and height. It is caused by genetics, lack of physical activity, unhealthy eating habits, and medical or psychological conditions. Complications include type 2 diabetes, high cholesterol, high blood pressure, bullying, learning problems, and depression. Prevention involves limiting sugary drinks and eating outside food, providing fruits and vegetables, encouraging physical activity, limiting screen time, ensuring enough sleep, and making healthier choices.
The document discusses how a woman's ovarian health and egg supply impacts her future fertility. It notes that women are born with all the eggs they will ever have, and the number decreases significantly starting at age 30. It recommends that women of all ages discuss ovarian health and screening options with their doctor to understand their fertility status and future family planning possibilities.
Awareness and Acessibility of ANC among the obstetric patients in CMCH (2018)Md. Zahirul Islam
This document summarizes a study on awareness and accessibility of antenatal care (ANC) among obstetric patients in Bangladesh. The study aimed to identify factors affecting awareness and accessibility of ANC, assess if awareness depends on clients or providers, and determine the quality and quantity of ANC services. Key findings include: 1) Education level was correlated with ANC knowledge, with illiterate women having the least knowledge; 2) Doctors were the leading source of ANC information compared to media; 3) Lack of knowledge was a primary barrier to ANC access, while unavailable services were a minor concern. The study concluded that expanding education, media coverage, and ANC services could improve reproductive health outcomes in Bangladesh.
This document provides guidelines on antenatal care. It recommends that nulliparous women with uncomplicated pregnancies should have 10 antenatal appointments, while parous women should have 7. It also recommends offering ultrasounds before 14 weeks to determine gestation age and detect multiples, and discusses lifestyle considerations like nutrition, exercise, and screening for medical conditions during pregnancy.
Buy Hawaii Diet Cookbook 2013 (spiral- updated2b) by Dr.Terry Shintani (Paperback) online at Lulu. Visit the Lulu Marketplace for product details, ratings, and reviews.
Gestational diabetes (GDM) is a form of diabetes that develops during pregnancy and affects approximately 7% of pregnancies globally. It occurs when the placenta produces hormones that block the mother's cells from properly using insulin. This makes it difficult to control blood sugar levels and can threaten the health of both mother and baby if not managed. Women are screened and diagnosed with a glucose tolerance test showing high blood sugar. Treatment involves monitoring blood sugar, dietary changes, exercise and sometimes insulin to control levels and prevent complications like preeclampsia, macrosomia and future diabetes. After delivery, blood sugar levels return to normal in most cases but women have a higher lifelong risk of type 2 diabetes.
Dr. Shyam Kalavalapalli MRCP(London), CCT, MRCP(Diabetes&Endocrinology), FRCP(Edin.)
Director, IDEA CLINICS,
Institute of Diabetes, Endocrinology and Adiposity
040 4004 2000 / 8008166166
International Advisory Board Member, Royal College of Physicians (Edinburgh, UK)
Country Representative for Thyroid Manager, USA
Indian Representative for World Obesity Federation, UK
Buy Hawaii Diet Cookbook 2013 (updated2) by Dr.Terry Shintani (Paperback) online at Lulu. Visit the Lulu Marketplace for product details, ratings, and reviews.
Gestational diabetes is a condition where a woman without previous diabetes develops high blood sugar levels and insulin resistance during pregnancy. The document provides guidelines for daily meal trays for those with gestational diabetes, recommending each tray contain 2-4 servings of carbohydrates but limit fruit juice, saturated and trans fats, oils over 6 tsp per day, and artificial sweeteners. It was created by dietetic interns at Vanderbilt University.
Childhood obesity has become a serious problem in the US and can negatively impact physical development. Obesity is linked to musculoskeletal issues like damage to growth plates, bowed legs, and joint problems. It can also cause early puberty onset and motor skill difficulties. The rise in unhealthy food marketing, lack of physical activity, and limited family/school support contribute to increasing obesity rates. To address this, schools should improve meals/PE and parents/communities can encourage healthy habits through activities and advocacy.
This document provides an overview of diabetes prevalence in New York State. It analyzes data from the New York State Behavioral Risk Factor Surveillance System, Vital Statistics, and CDC WONDER to examine the prevalence of diagnosed and undiagnosed diabetes, prediabetes, and gestational diabetes among NYS adults. Some key findings include: the prevalence of self-reported diabetes among NYS adults has nearly doubled from 1996-1998 to 2007-2009; diabetes prevalence increases with age and is highest among those 65-74 years old; racial/ethnic minorities make up a larger proportion of people with diabetes in NYS than the total population. The report also finds higher diabetes rates among those with lower income and education
Global Medical Cures™ | Food Allergy Resources (USDA)
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Food Safety for People with Cancer
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Allergy Relief for your Child
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Prescription Painkiller Overdoses (Growing Epidemic A...Global Medical Cures™
The document summarizes key findings from the CDC about the growing problem of prescription painkiller overdoses among women:
- Prescription painkiller overdoses are a leading cause of death among women, killing over 18 women per day in 2010. The rate of increase in overdose deaths has been greater among women than men since 1999.
- Women between ages 25-54 are most at risk of emergency department visits related to prescription painkiller misuse or abuse. Non-Hispanic white and Native American women have the highest risk of overdose death.
- The prescription painkiller epidemic affects women differently than men due to factors like higher rates of chronic pain and prescription rates among women.
Global Medical Cures™ | Diabetes Problems- Keep your Teeth & Gums HealthyGlobal Medical Cures™
Global Medical Cures™ | Diabetes Problems- Keep your Teeth & Gums Healthy
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Primer on ALZHEIMERS DISEASE
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Configuration Manager: zero-touch & Windows 8.1 (WinDays14)Tomica Kaniski
Presentation about zero-touch Windows 8.1 deployment using System Center 2012 R2: Configuration Manager product, delivered at Microsoft WinDays14 conference in Croatia.
Global Medical Cures™ | End of Life- Helping with Comfort & Care
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Sun Safety & Precautions to Minimize Skin CancerGlobal Medical Cures™
Global Medical Cures™ | Sun Safety & Precautions to Minimize Skin Cancer
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | BREAST CANCER- Reducing the Risk with MedicineGlobal Medical Cures™
Global Medical Cures™ | BREAST CANCER- Reducing the Risk with Medicine
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Prostate Cancer- TREATMENT CHOICES
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Novel New Drugs- 2013 Summary CDER FDA
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Helping the Student with Diabetes Succeed (Guide for ...Global Medical Cures™
Global Medical Cures™ | Helping the Student with Diabetes Succeed (Guide for School Personnel)
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This document discusses gestational diabetes, a form of diabetes that affects women during pregnancy. It is caused by pregnancy hormones blocking insulin's ability to regulate blood sugar levels. Most women with gestational diabetes can control it through diet, exercise, blood sugar monitoring, and medical treatment if needed. While it can increase risks for the mother and baby, managing the condition well can help avoid complications and allow for healthy deliveries. The key is keeping blood sugar levels within target ranges to support the baby's growth.
Living The Good Life Despite Your Diabetes - Useful Tips To Help You Cope!bubba2000
- Diabetes means the body is unable to properly create and control insulin, which is needed to regulate blood sugar levels. Managing diabetes requires maintaining control of blood sugar through diet, medication, exercise, and monitoring.
- Controlling blood sugar levels is important for managing diabetic eye disease. Improving blood glucose control may initially worsen eye problems but will improve the condition over time. Proper management can prevent or slow the progression of eye complications.
- It is crucial for diabetics to monitor their blood sugar levels, take medications as prescribed by their doctor, eat regular meals and snacks, and maintain routines to keep blood sugar stable.
The 7 steps to managing diabetes include: 1) determining your risk factors, 2) setting exercise goals such as 15 minutes per day, 3) paying attention to diet by eating more fruits/veggies and less refined carbs/fats, 4) keeping track of progress with a food diary, 5) not getting discouraged and sticking to small lifestyle changes, 6) understanding that diet plays an important role in diabetes management, and 7) following a consistent daily routine of diet, exercise, medication, and monitoring blood sugar levels.
Our aim is to alleviate human suffering related to diabetes and its complications among those least able to withstand the burden of the disease. From 2002 to March 2017, the World Diabetes Foundation provided USD 130 million in funding to 511 projects in 115 countries. For every dollar spent, the Foundation raises approximately 2 dollars in cash or as in-kind donations from other sources. The total value of the WDF project portfolio reached USD 377 million, excluding WDF’s own advocacy and strategic platforms.
Gestational diabetes is a type of diabetes that occurs during pregnancy where the mother's pancreas cannot produce enough insulin to regulate blood sugar levels. It can lead to complications for both mother and baby if not controlled, such as high birth weight, shoulder dystocia, hypoglycemia, and preeclampsia. Preeclampsia is defined as high blood pressure and excess protein in the urine after 20 weeks of pregnancy and is a leading cause of maternal and infant illness and death globally. The only cure for preeclampsia is delivery of the baby.
The document discusses how following a low glycemic diet can help manage diabetes. It provides background on diabetes, risk factors, symptoms and causes. It then explains the basics of a low glycemic diet, emphasizing choosing foods that don't drastically increase blood sugar levels. A sample meal plan is given as an example of meals aligned with this diet. The conclusion reiterates how controlling blood sugar through a low glycemic diet can help diabetics gain better health.
This document provides an overview of diabetes, including its types and management. It defines diabetes as a disease involving problems with the hormone insulin and pancreas. The three main types are type 1 (body does not produce insulin), type 2 (body does not produce enough insulin or cells do not respond), and gestational (during pregnancy). Diet, exercise, medication including insulin as needed, and monitoring blood sugar levels are important for management. The document also discusses the TLC diet and managing sugar and alcohol intake.
This document provides information about diabetes, including the different types of diabetes, signs and symptoms, risk factors, goals for managing blood sugar levels, and tips for healthy lifestyle changes to prevent and manage diabetes. It discusses type 1, type 2, and gestational diabetes. It emphasizes the importance of monitoring A1C levels and blood glucose to control diabetes and reduce health risks. The key recommendations are to work with a healthcare team to set individualized A1C, blood pressure, and cholesterol goals and test regularly to manage diabetes effectively.
C15 niddk what i need to know about diabetes medicinesDiabetes for all
This document provides information about different types of diabetes medicines including insulin, pills, and other injected medicines. It explains that diabetes medicines help keep blood glucose levels in target ranges to prevent health problems. The document discusses various types of insulin including injections, pumps, and other delivery methods. It also covers oral diabetes pills for type 2 diabetes including brands, classes, and how they work. Side effects of medicines are addressed. Resources for more information are provided.
C15 niddk what i need to know about diabetes medicinesDiabetes for all
This document provides information about different types of diabetes medicines including insulin, pills, and other injected medicines. It explains that diabetes medicines help keep blood glucose levels in target ranges to prevent health problems. The document discusses various types of insulin including injections, pumps, and other delivery methods. It also covers oral diabetes pills for type 2 diabetes including brands, classes, and how they work. Side effects of medicines are addressed. Resources for more information are provided.
This document provides information about diabetes education, including managing blood glucose levels. It states that blood glucose levels fluctuate throughout the day based on various factors, and it is important to keep levels within an acceptable target range to avoid health issues and feel well. Both high and low blood glucose can have causes and symptoms, and it is important for diabetics to monitor their levels using meters and A1C testing, and to work with healthcare providers to prevent levels from getting too high or low. The document provides guidelines for blood glucose targets and tips for preventing and treating high and low levels.
Gestational Diabetes Mellitus (GDM) is a type of diabetes that develops for the first time during pregnancy, when hormonal changes in the body affect insulin.
Residing A Complete Lifestyle With Diabetic issues Sicknesshobert86dan
Experiencing diabetic issues can be tough for many. When people are initially diagnosed with diabetes mellitus, they generally turn out to be scared and they are uncertain the actual way it will have an effect on their existence. With enough time, knowing, and knowledge, managing diabetes mellitus can be easier. When you are coping with diabetic issues and want it to be much less tough, then follow the ideas in this post.
Nearly 90% of people don't know that they have pre-diabetes. We breakdown how pre-diabetes is diagnosed, the causes and how to prevent diabetes.
Liberty Medical
Gestational Diabetes Mellitus (GDM) is a type of diabetes that develops for the first time during pregnancy, when hormonal changes in the body affect insulin.
Global Medical Cures™ | Tasty Recipes for People with Diabetes & their Families Global Medical Cures™
Global Medical Cures™ | Tasty Recipes for People with Diabetes & their Families
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Diabetes management requires good planning so when something like an illness sneaks in, it can throw everything off. Knowing what to do when you are sick can help cut down on the worry and panic.
Liberty Medical
This document provides information and tips for managing blood glucose levels through balancing food, physical activity, and insulin intake. It discusses the importance of considering the timing, amount, and type of carbohydrates eaten and insulin doses. Regular testing and working with a dietitian or educator can help find the right balance. Physical activity is also important but may cause blood sugar to drop, so adjustments like extra food or reduced insulin may be needed. Drinking alcohol in moderation is possible for most using insulin but precautions should be taken.
Similar to Global Medical Cures™ | Diabetes and Pregnancy (20)
Lipid Screening in Childhood for Detection of Multifactorial DyslipidemiaGlobal Medical Cures™
Lipid Screening in Childhood for Detection of Multifactorial Dyslipidemia
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Skin Cancer Screening
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Global Medical Cures™ | USA Chartbook on HealthCare for Blacks
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Global Medical Cures™ | Older Americans- Key Indicators of Well Being Global Medical Cures™
Global Medical Cures™ | Older Americans- Key Indicators of Well Being
IMPORTANT NOTE TO USERS OF WEBSITE & DOCUMENTS POSTED ON SLIDESHARE- Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
www.globalmedicalcures.com
Global Medical Cures™ | Staggering Increase in Generic Drugs PricingGlobal Medical Cures™
Global Medical Cures™ | Staggering Increase in Generic Drugs Pricing
Disclaimer
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Dangers & Consequences of Marijuana Abuse
Disclaimer-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Harmful Interactions
Disclaimer-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Medicines for Treating Depression
Disclaimer-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Women & Depression
Disclaimer:
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | National Strategy for Combating Antibiotic Resistant ...Global Medical Cures™
Global Medical Cures™ | National Strategy for Combating Antibiotic Resistant Bacteria
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | PCAST Report- Combating Antibiotic ResistanceGlobal Medical Cures™
Global Medical Cures™ | PCAST Report- Combating Antibiotic Resistance
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Physical Activity Guidelines for Americans
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Dietary Guidelines for Americans
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Aging and your Eyes
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Help your Child gain control over Asthma
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Drugs approved for Bone Cancer
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Drugs approved for Breast Cancer
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™| Drugs approved for Head and Neck Cancer
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™ | Drugs approved for Non Hodgkin Lymphoma
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Global Medical Cures™| Drugs approved for Pancreatic Cancer
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central19various
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
1. For Women with Diabetes:
Your Guide to Pregnancy
NATIONAL INSTITUTES OF HEALTH
National Diabetes Information Clearinghouse
07241 Diabetes and Pregnancy i
U.S. Department
of Health and
Human Services
3/19/08 9:26:06 AM
3. For Women with Diabetes:
Your Guide to Pregnancy
NATIONAL INSTITUTES OF HEALTH
National Diabetes Information Clearinghouse
07241 Diabetes and Pregnancy iii
3/19/08 9:26:08 AM
5. Contents
Introduction ........................................................................ 1
Taking Care of Your Baby and Yourself ......................... 2
Your Diabetes, Before and During
Your Pregnancy.................................................................. 4
Checking Your Baby’s Health
During Pregnancy............................................................. 29
About Labor and Delivery .............................................. 32
After Your Baby Arrives ................................................. 34
For More Information ..................................................... 36
My Daily Blood Glucose Record.................................... 40
My Daily Food Record .................................................... 42
My Daily Physical Activity Record ................................. 44
07241 Diabetes and Pregnancy v
3/19/08 9:26:08 AM
7. Introduction
You have type 1 or type 2 diabetes and you are pregnant
or hoping to get pregnant soon. You can learn what to do
to have a healthy baby. You can also learn how to take
care of yourself and your diabetes before, during, and
after your pregnancy.
For more information about diabetes, see Your
Guide to Diabetes: Type 1 and Type 2 at www.diabetes.
niddk.nih.gov/dm/pubs/type1and2/index.htm, which is
also available from the National Diabetes Information
Clearinghouse (NDIC). See page 37 for contact
information.
Pregnancy and new motherhood are times of great
excitement, worry, and change for any woman. If you have
diabetes and are pregnant, your pregnancy is automatically
considered a high-risk pregnancy. Women carrying
twins—or more—or who are beyond a certain age are
also considered to have high-risk pregnancies. High risk
doesn’t mean you’ll have problems. Instead, high risk
means you need to pay special attention to your health
and you may need to see specialized doctors. Millions of
high-risk pregnancies produce perfectly healthy babies
without the mom’s health being affected. Special care and
attention are the keys.
1
07241 Diabetes and Pregnancy 1
3/19/08 9:26:08 AM
8. Taking Care of Your Baby and Yourself
Keeping your blood glucose as close to normal as
possible before you get pregnant and during your
pregnancy is the most important thing you can do to stay
healthy and have a healthy baby. Your health care team
can help you learn how to use meal planning, physical
activity, and medications to reach your blood glucose
goals. Together, you’ll create a plan for taking care of
yourself and your diabetes.
Pregnancy causes a number of changes in your body, so
you might need to make changes in the ways you manage
your diabetes. Even if you’ve had diabetes for years, you
may need changes in your meal plan, physical activity
routine, and medications. In addition, your needs might
change as you get closer to your delivery date.
“I took good care of my diabetes before
and throughout my pregnancy. And
now I have a healthy little girl!”
2
07241 Diabetes and Pregnancy 2
3/19/08 9:26:08 AM
9. How Diabetes Can Affect You and Your Baby
High blood glucose levels before and during pregnancy
can
●
worsen your long-term diabetes complications, such
as vision problems, heart disease, and kidney disease
●
increase the chance of problems for your baby, such
as being born too early, weighing too much or too
little, and having low blood glucose or other health
problems at birth
●
increase the risk of your baby having birth defects
●
increase the risk of losing your baby through
miscarriage or stillbirth
However, research has shown that when women with
diabetes keep blood glucose levels under control before
and during pregnancy, the risk of birth defects is about
the same as in babies born
to women who don’t have
diabetes.
Glucose in a pregnant woman’s
blood passes through to the
baby. If your blood glucose
level is too high during
pregnancy, so is your baby’s
glucose level before birth.
If your blood glucose level
is too high, then your baby
also gets too much glucose.
3
07241 Diabetes and Pregnancy 3
3/19/08 9:26:09 AM
10. Your Diabetes, Before and During Your
Pregnancy
As you know, in diabetes, blood glucose levels are above
normal. Whether you have type 1 or type 2 diabetes, you
can manage your blood glucose levels and lower the risk
of health problems.
If you have gestational diabetes, see What I need
to know about Gestational Diabetes at
www.diabetes.niddk.nih.gov/dm/pubs/gestational,
which is also available from the NDIC. See
page 37 for contact information.
A baby’s brain, heart, kidneys, and lungs form during the
first 8 weeks of pregnancy. High blood glucose levels are
especially harmful during this early part of pregnancy.
Yet many women don’t realize they’re pregnant until
5 or 6 weeks after conception. Ideally, you will work
with your health care provider to get your blood glucose
under control before you get pregnant.
If you’re already pregnant, see your health care provider
as soon as possible to make a plan for taking care
of yourself and your baby. Even if you learn you’re
pregnant later in your pregnancy, you can still do a lot for
your baby’s health and your own.
4
07241 Diabetes and Pregnancy 4
3/19/08 9:26:09 AM
11. The checklist below can help you make a plan for a safe
and healthy pregnancy. More information on each topic
then follows. Your health care team can help you with
tasks that are difficult for you. Tackle one thing at a time
to keep from being overwhelmed.
My Diabetes Care Plan for Pregnancy
Things I can do to get ready for a healthy pregnancy
and continue to do during my pregnancy
Planning Ahead (see page 8)
❑ I’ll get my diabetes under control 3 to 6 months
before I try to get pregnant.
❑ If I’m already pregnant, I’ll see my health care
provider right away.
My Health Care Team (see page 8)
❑ I’ll make sure I have the right team of health
care providers.
❑ I’ll meet with members of my team.
My Blood Glucose Levels (see page 11)
❑ I’ll set goals with my health care team for my
daily blood glucose levels.
❑ I’ll set a goal with my health care team for my
A1C test result.
5
07241 Diabetes and Pregnancy 5
3/19/08 9:26:09 AM
12. ❑ I’ll learn how and when to check my blood
glucose on my own.
❑ I’ll learn what to do if my blood glucose is too
low.
❑ I’ll make sure my family or friends know how
to give me glucagon for low blood glucose.
❑ I’ll learn what to do if my blood glucose is too
high.
My Ketone Levels (see page 17)
❑ I’ll learn how and when to check my urine or
blood for ketones.
❑ I’ll learn what to do if I have ketones in my
urine or blood.
My Checkups (see page 19)
I’ll get the recommended checkups and laboratory
tests for
❑ blood pressure
❑ eye disease
❑ heart and blood vessel disease
❑ nervous system disease
❑ kidney function
6
07241 Diabetes and Pregnancy 6
3/19/08 9:26:09 AM
13. ❑ thyroid disease
❑ average blood glucose level—the A1C test
Smoking (see page 20)
❑ If I smoke, I’ll quit.
My Meal Plan (see page 20)
❑ I’ll see a dietitian or diabetes educator about
what, when, and how much to eat.
❑ I’ll ask whether I need vitamin and mineral
supplements and will take them as directed.
❑ I’ll skip alcoholic beverages.
My Physical Activity Routine (see page 24)
❑ I’ll talk with my health care team about what
physical activities are safe for me.
❑ I’ll make a plan with my health care team for
regular physical activity.
My Medications (see page 26)
❑ I’ll talk with my health care team about my
diabetes medications—what kinds, how much,
how to take them, and when to take them.
❑ I’ll talk with my health care team about my
other medications—what to keep taking and
what to stop taking.
7
07241 Diabetes and Pregnancy 7
3/19/08 9:26:09 AM
14. Changes in My Daily Routine (see page 27)
❑ I’ll make a plan for taking care of myself when
I’m ill—what to do about food, insulin, blood
glucose testing, and ketone testing.
❑ I’ll make a plan for what I need to have with
me when I’m away from home—for several
hours or for a longer trip.
Planning Ahead
Before you get pregnant, talk with your health care team
about your wish to have a baby. Your team can work
with you to make sure your blood glucose levels are on
target. If you have questions or worries, bring them up.
If you’re already pregnant, see your doctor right away.
My Health Care Team
Regular visits with health care providers who are experts
in diabetes and pregnancy will ensure you get the very
best care. Your team may include
●
a medical doctor who specializes in diabetes care,
such as an endocrinologist or a diabetologist. You
will continue to need monitoring and advice on
glucose control throughout your pregnancy and after.
8
07241 Diabetes and Pregnancy 8
3/19/08 9:26:09 AM
15. ●
an obstetrician-gynecologist, or “OB/GYN,” who
has managed pregnancies of women with diabetes.
Ask for a referral if your current gynecologist does
not also deliver babies, as not all gynecologists do.
When calling around to find an OB/GYN, ask about
experience with women with diabetes. Maternalfetal medicine specialists, also called perinatologists,
have special training to take care of women with
high-risk pregnancies. You will see your OB/GYN
regularly throughout your pregnancy.
“I’m working with my health care team to
take good care of myself and my diabetes.
We’re doing all we can to make sure I have
a healthy baby and a safe pregnancy. It’s
not always easy, but I’m so motivated!”
9
07241 Diabetes and Pregnancy 9
3/19/08 9:26:09 AM
16. ●
a nurse educator or nurse practitioner, who provides
prenatal care and advice on managing diabetes.
●
a registered dietitian to help with meal planning. A
good diet—for glucose control and nutrition—has
never been more important than now. The phrase
“You’re eating for two” is not about quantity as
much as food choices.
●
specialists who diagnose and treat diabetes-related
complications, such as ophthalmologists and
optometrists for vision problems, nephrologists for
kidney disease, and cardiologists for heart disease.
If you are already experiencing complications from
diabetes, you’ll need those conditions monitored
throughout your pregnancy as well.
●
a social worker or psychologist to help you cope
with stress, worry, and the extra demands of
pregnancy. You may already have this kind of
support, or you may suddenly need it. If anxiety
mounts, do not hesitate to mention your uneasiness
to your OB/GYN. Ask for a referral if you need
more help working through issues.
●
a pediatrician—a doctor who cares for children. You
might want to ask friends, family, or your health care
team for recommendations. Many pediatricians visit
their newest patients at the hospital soon after their
arrival.
10
07241 Diabetes and Pregnancy 10
3/19/08 9:26:10 AM
17. ●
a neonatologist—a doctor who cares for newborn
babies. The hospital will assign a neonatologist if
urgent care for your baby is needed at the hospital.
You are the most important member of the team. Your
health care providers can give you expert advice. But
you’ll be responsible for the day-to-day actions needed to
keep your diabetes under control.
My Blood Glucose Levels
Daily Blood Glucose Levels
You’ll check your blood glucose levels using a blood
glucose meter several times a day. Most health care
providers recommend testing at least
four times a day. Ask your health
care provider when you should
check your blood glucose levels
and check off the answers on
the next page.
“I check my blood glucose at least four
times a day. The results show whether I
need to change my meal plan or insulin to
keep my blood glucose on target.”
11
07241 Diabetes and Pregnancy 11
3/19/08 9:26:10 AM
18. I should check my blood glucose levels
❑ fasting—when I wake up, before I eat or drink
anything
❑ before each meal
❑ 1 hour after the start of a meal
❑ 2 hours after the start of a meal
❑ before bedtime
❑ in the middle of the night—for example,
at 2 or 3 a.m.
The daily goals recommended by the American Diabetes
Association for most pregnant women are shown below.
Write down the goals you and your health care team have
chosen.
When
Plasma Blood Glucose
(mg/dL)
Before meals and when
you wake up
80 to 110
2 hours after the start
of a meal
My Goals
Below 155
Source: American Diabetes Association. Preconception care of women with
diabetes. Diabetes Care. 2004;27(Supplement 1):S76–78.
12
07241 Diabetes and Pregnancy 12
3/19/08 9:26:10 AM
19. See the chart below for goals recommended by the
American College of Obstetricians and Gynecologists.
When
Plasma Blood Glucose
(mg/dL)
Fasting
105 or less
Before meals
110 or less
1 hour after the start
of a meal
155 or less
2 hours after the start
of a meal
135 or less
During the night
My Goals
Not less than 65
Source: American College of Obstetricians and Gynecologists (ACOG)
Committee on Practice Bulletins. ACOG Practice Bulletin Number 60:
Pregestational diabetes mellitus. Obstetrics and Gynecology.
2005;105(3):675–685.
You can keep track of your blood
glucose levels using My Daily Blood
Glucose Record on page 40. Write
down the results every time you
check your blood glucose. Your
blood glucose records can help you
and your health care team decide
whether your diabetes care plan is
working. You also can use this
form to make notes about your
insulin and ketones.
13
07241 Diabetes and Pregnancy 13
3/19/08 9:26:10 AM
20. The A1C Test
Another way to see whether you’re meeting your goals is
to have an A1C blood test.
Results of the A1C test show your average blood glucose
levels during the past 2 to 3 months. Write the goal you
and your health care team have chosen below.
Goal for My A1C Test
Source of
Recommendation
Target Number
American Diabetes
Association
4 to 6 percent—normal*
or
Less than 1 percent above
the upper limits of normal*
American College
of Obstetricians
and Gynecologists
No higher than 6 percent
My Goal
*Normal values vary according to laboratory; check with your doctor.
Low Blood Glucose
When you’re pregnant, you’re at increased risk of having
low blood glucose, also called hypoglycemia. When
blood glucose levels are too low, your body can’t get the
energy it needs. Usually hypoglycemia is mild and can
easily be treated by eating or drinking something with
carbohydrate. But left untreated, hypoglycemia can
make you pass out.
14
07241 Diabetes and Pregnancy 14
3/19/08 9:26:11 AM
21. For more information about low blood glucose, see
Hypoglycemia at www.diabetes.niddk.nih.gov/dm/pubs/
hypoglycemia, which is also available from the NDIC.
See page 37 for contact information.
Although hypoglycemia can happen suddenly, it can
usually be treated quickly, bringing your blood glucose
level back to normal. Low blood glucose can be caused by
●
meals or snacks that are too small, delayed,
or skipped
●
doses of insulin that are too high
●
increased activity or
exercise
Low blood glucose also can
be caused by drinking too
much alcohol. However,
women who are trying to get
pregnant or who are already
pregnant should avoid all
alcoholic beverages.
“I keep a box of crackers on
my bedside table. If I have
low blood glucose during the
night, I eat some crackers
right away to bring my blood
glucose back up to normal.”
15
07241 Diabetes and Pregnancy 15
3/19/08 9:26:11 AM
22. Using Glucagon for Severe Low Blood Glucose
If you have severe low blood glucose and pass out, you’ll
need help to bring your blood glucose level back to
normal. Your health care team can teach your family
members and friends how to give you an injection of
glucagon, a hormone that raises blood glucose levels
right away.
High Blood Glucose
High blood glucose, also called hyperglycemia, can
happen when you don’t have enough insulin or when
your body isn’t able to use insulin correctly. High blood
glucose can result from
●
a mismatch between food and medication
●
eating more food than usual
●
being less active than usual
●
illness
●
stress
In addition, if your blood glucose level is already high,
physical activity can make it go even higher.
Symptoms of high blood glucose include
●
frequent urination
●
thirst
●
weight loss
16
07241 Diabetes and Pregnancy 16
3/19/08 9:26:11 AM
23. Talk with your health care provider about what to do
when your blood glucose is too high—whether it happens
once in a while or at the same time every day for several
days in a row. Your provider might suggest a change in
your insulin, meal plan, or physical activity routine.
My Ketone Levels
When your blood glucose is too high or if you’re not
eating enough, your body might make chemicals called
ketones. Ketones are produced when your body doesn’t
have enough insulin and glucose can’t be used for energy.
Then the body uses fat instead of glucose for energy.
Burning fat instead of glucose can be harmful to your
health and your baby’s health. Harmful ketones can pass
from you to your baby. Your health care provider can
teach you how and when to test your urine or blood for
ketones.
If ketones build up in your body, you can develop a
condition called ketosis. Ketosis can quickly turn into
diabetic ketoacidosis, which can be very dangerous.
Symptoms of ketoacidosis are
●
stomach pain
●
frequent urination or frequent thirst, for a day
or more
●
fatigue
●
nausea and vomiting
17
07241 Diabetes and Pregnancy 17
3/19/08 9:26:11 AM
24. ●
muscle stiffness or aching
●
feeling dazed or in shock
●
rapid deep breathing
●
breath that smells fruity
Checking Your Urine or Blood Ketone Levels
Your health care provider might recommend you test
your urine or blood daily for ketones and also when your
blood glucose is high, such as higher than 200 mg/dL.
You can prevent serious health problems by checking for
ketones as recommended. Ask your health care team
about when to check for ketones and what to do if you
have them. Then check off the instructions below and fill
in the blanks.
I should test my urine or blood for ketones
❑ every day before breakfast
❑ when I’m sick
❑ when my blood glucose is _____________ or higher
❑ other times: _________________________________
If you use an insulin infusion pump, your health care
provider might also recommend that you test for ketones
when your blood glucose level is unexpectedly high.
18
07241 Diabetes and Pregnancy 18
3/19/08 9:26:11 AM
25. Your health care provider might teach you how to make
changes in the amount of insulin you take or when you
take it. Or your provider may prefer that you call for
advice when you have ketones.
My Checkups
Pregnancy can make some diabetes-related health
problems worse. Your health care provider can talk with
you about how pregnancy might affect any problems
you had since before pregnancy. If you plan your
pregnancy enough in advance, you may want to work
with your health care provider to arrange
for treatments, such as laser treatment
for eye problems, before you get
pregnant. Your diabetes-related
health conditions can also
affect your pregnancy.
“I check my urine every morning for
ketones. That’s one of the things I do to
keep my baby and myself safe and healthy.”
19
07241 Diabetes and Pregnancy 19
3/19/08 9:26:11 AM
26. Have a complete checkup before you get pregnant or
at the start of your pregnancy. Your doctor should
check for
●
high blood pressure, also called hypertension
●
eye disease, also called diabetic retinopathy
●
heart and blood vessel disease, also called
cardiovascular disease
●
nerve damage, also called diabetic neuropathy
●
kidney disease, also called diabetic nephropathy
●
thyroid disease
You’ll also get regular checkups throughout your
pregnancy to check your blood pressure and average
blood glucose levels and to monitor the protein in your
urine.
Smoking
Smoking can increase your chance of having a stillborn or
premature baby. Smoking is also especially harmful for
people with diabetes. If you smoke, talk with your health
care provider about how to quit.
My Meal Plan
If you don’t already see a dietitian, now would be an
excellent time to start. Your dietitian can help you
learn what to eat, how much to eat, and when to eat.
Together, you’ll create a meal plan tailored to your
20
07241 Diabetes and Pregnancy 20
3/19/08 9:26:12 AM
27. needs, usual schedule, food preferences, medical
conditions, medications, and physical fitness routine.
Many women need changes in their diet, such as extra
calories and protein, during pregnancy. You might need
to see your dietitian every few months during pregnancy
as your needs change. Eating a well-balanced diet helps
ensure that you and your baby are healthy.
How Much to Eat
Talk with your dietitian about how many servings to
have at each meal and snack. Your dietitian can also
provide advice about portion sizes. Your meal plan will
be based on how many calories you need for pregnancy
and your goals for weight gain during the pregnancy. For
most women whose weight is in the normal range before
“My dietitian helped me include my favorite foods in my meal plan.”
21
07241 Diabetes and Pregnancy 21
3/19/08 9:26:12 AM
28. pregnancy, gaining 25 to 35 pounds is recommended. If
you’re underweight or overweight at the start of your
pregnancy, your weight goal may differ. For overweight
women, the recommended weight gain is no more than
15 pounds.
“Eating small meals and snacks throughout the day helps
keep my blood glucose under control.”
22
07241 Diabetes and Pregnancy 22
3/19/08 9:26:12 AM
29. Vitamin and Mineral Supplements
Your health care team will tell you whether you need to
take a vitamin and mineral supplement before and during
pregnancy. Many pregnant women need supplements
because their diets don’t supply enough of the following
important vitamins and minerals:
• iron—to help make extra blood for pregnancy and
for the baby’s supply of iron
• folic acid—to prevent birth defects in the brain and
spinal cord
• calcium—to build strong bones
Alcoholic Beverages
You should avoid alcoholic beverages while you’re trying
to get pregnant and throughout pregnancy. When you
drink, the alcohol also goes to your baby. Alcohol can
lead to serious, lifelong problems for your baby.
For more information about eating and diabetes,
see What I need to know about Eating and Diabetes at
www.diabetes.niddk.nih.gov/dm/pubs/eating_ez, which
is also available from the NDIC. See page 37 for
contact information.
23
07241 Diabetes and Pregnancy 23
3/19/08 9:26:12 AM
30. You can keep track of what you
eat and drink using My Daily Food
Record on page 42. Your food
records can help you and your health
care team see whether your diabetes
care plan is working.
Artificial Sweeteners
Artificial sweeteners can be used in moderate amounts.
If you choose to use sweeteners, talk with your dietitian
about how much to have.
My Physical Activity Routine
Daily physical activity can help you reach your target
blood glucose levels. It can also help you reach your
blood pressure and cholesterol target levels, relieve
stress, improve muscle tone, strengthen your heart and
bones, and keep your joints flexible. Talk with your
health care team about moderate physical activity, such
as walking or swimming. Consider whether you have
any health problems and which exercises would be
best for you. Your health care team may advise you to
avoid exercises that increase your risk of falling, such as
downhill skiing.
A sensible goal for most women is to aim for 30 minutes
or more of activity, most days of the week. If you’ve been
active before pregnancy, you may be able to continue
24
07241 Diabetes and Pregnancy 24
3/19/08 9:26:12 AM
31. with a more moderate version of your usual exercise
routine. But if you haven’t been active, start with an
activity such as walking. Vigorous physical activity,
such as walking briskly, can lead to low blood glucose.
Pregnant women sometimes do not have the typical signs
of low blood glucose.
For more information about physical activity and
diabetes, see What I need to know about Physical
Activity and Diabetes at www.diabetes.niddk.nih.gov/
dm/pubs/physical_ez, which is also available from the
NDIC. See page 37 for contact information.
“I wasn’t very active before I got pregnant.
But my doctor said that walking every day
would be safe and good for me and my baby.”
25
07241 Diabetes and Pregnancy 25
3/19/08 9:26:13 AM
32. You can keep track of your physical
activity using My Daily Physical
Activity Record on page 44. Your
physical activity records can help you
and your health care team see whether
your diabetes care plan is working.
My Medications
Medications for Diabetes
During pregnancy, the safest diabetes medication is
insulin. Your health care team will work with you to
make a personalized plan for your insulin routine.
If you’ve been taking diabetes pills to control your
blood glucose levels, you’ll need to stop taking them.
Researchers have not yet determined whether diabetes
pills are safe for use throughout pregnancy. Instead,
your health care team will show you how to take insulin.
If you’re already taking insulin, you might need a change
in the kind, the amount, and how or when you take it.
The amount of insulin you take is likely to increase as
you go through pregnancy because your body becomes
less able to respond to the action of insulin, a condition
called insulin resistance. Your insulin needs may double
or even triple as you get closer to your delivery date.
Insulin can be taken in several ways. Your health care
team can help you decide which way is best for you.
26
07241 Diabetes and Pregnancy 26
3/19/08 9:26:13 AM
33. For more information about insulin, see What
I need to know about Diabetes Medicines at
www.diabetes.niddk.nih.gov/dm/pubs/medicines_ez,
which is also available from the NDIC. See page 37
for contact information.
Other Medications
Some medications are not safe during pregnancy and
should be discontinued before you get pregnant. Tell
your health care provider about all the medications you
currently take, such as those for high cholesterol and
high blood pressure. Your provider can tell you which
medications to stop taking.
Changes in My Daily Routine
Sick Days
When you’re ill, your blood glucose levels can rise
rapidly. Diabetic ketoacidosis, a dangerous condition for
you and your baby, can occur. Talk with your health care
team about what you should do if you get sick. Be sure
you know
●
what to do if you’re nauseated or vomiting
●
how often you should check your blood glucose
27
07241 Diabetes and Pregnancy 27
3/19/08 9:26:13 AM
34. ●
how often you should check your urine or blood for
ketones
●
when you should call your health care provider
Being Away from Home
When you’re away from home—for several hours or for
a longer trip—you’ll want to be prepared for problems.
Make sure you always have the following
with you:
●
a snack or a meal
●
food or drinks to treat low blood glucose
●
your diabetes medicines and supplies
●
your blood glucose meter
and supplies
●
your glucagon kit
●
your health care team’s
phone numbers for
emergencies
“When I’m not feeling well, I check my
blood glucose more often than usual.
I know that being sick can make my
blood glucose level go too high.”
28
07241 Diabetes and Pregnancy 28
3/19/08 9:26:13 AM
35. Checking Your Baby’s Health During
Pregnancy
You are likely to have tests all through your pregnancy
to check your baby’s health. Your health care team can
tell you which of the following tests you’ll have and when
you might have them. Your health care provider might
also suggest other tests. If certain diseases or conditions
run in your family, you might meet with a genetic
counselor. The counselor may recommend tests based
on your family history and can explain the risk of certain
conditions for your baby.
Maternal Blood Screening Test
The maternal blood screening test is also called the
multiple marker screen test, the triple screen, or quad
screen. It measures several substances in your blood.
Results can tell you whether your baby is at risk for
spinal cord and brain problems, Down syndrome, and
other birth defects. If the results show an increased
risk for problems, additional tests such as ultrasound or
amniocentesis can provide more information.
Ultrasound
Ultrasound uses sound waves to provide a picture
of areas inside the body. The picture produced by
ultrasound is called a sonogram. Ultrasound can show
the baby’s size, position, structures, and sex. It can also
29
07241 Diabetes and Pregnancy 29
3/19/08 9:26:13 AM
36. help estimate age, evaluate growth, and show some types
of birth defects.
Fetal Echocardiogram
The fetal echocardiogram uses ultrasound to check for
problems in the structures of the baby’s heart.
Amniocentesis
Amniocentesis uses a thin needle inserted through the
abdomen into the uterus to obtain a small amount of the
fluid that surrounds the baby. Cells from the fluid are
grown in a lab and then analyzed. Amniocentesis can
help tell whether your baby has health problems and if
your baby’s lungs have finished developing. Developed
lungs are needed for the baby to breathe without help
after delivery.
Chorionic Villus Sampling (CVS)
CVS involves a thin needle inserted into the placenta to
obtain cells. Cells then are analyzed to look for health
problems. Ultrasound is used to guide the needle into
the placenta, either through the vagina and cervix or
through the abdomen and uterus. The placenta is
composed of tissue and blood vessels that develop to
attach the baby to the mother’s uterus so the developing
baby can get nutrition from mom.
30
07241 Diabetes and Pregnancy 30
3/19/08 9:26:14 AM
37. Kick Counts (Fetal Movement Counting)
Counting kicks is an easy way to keep track of your baby’s
activity. You’ll count how many times the baby moves
during a certain period of time.
Nonstress Test
A fetal monitor checks whether your baby’s heart rate
increases as it should when the baby is active.
Biophysical Profile
Ultrasound checks your baby’s muscle tone, breathing,
and movement to obtain a biophysical profile.
Ultrasound also estimates the amount of amniotic fluid
surrounding the baby.
Contraction Stress Test
This test measures the baby’s heart rate during
contractions using a fetal monitor. The results can
help your doctor decide whether the baby needs to be
delivered early.
31
07241 Diabetes and Pregnancy 31
3/19/08 9:26:14 AM
38. About Labor and Delivery
Timing of Delivery
Your health care team will consider your health,
your baby’s health, and the state of your pregnancy in
deciding how and when delivery should occur. Some
doctors prefer to deliver babies of women with diabetes
1 or 2 weeks before their due dates to lower the risk
of problems. Your doctor may recommend inducing
labor before your due date or delivering the baby
surgically using a cesarean section, also called a c-section.
However, most women with diabetes have the option of
delivering vaginally. You’ll want to talk with your health
care team about your options well ahead of time.
The factors your health
care team will consider
in deciding what type
of delivery is best for
you and your baby may
include
●
your baby’s size
and position
●
your baby’s lung
maturity
●
your baby’s
movements
“I talked with my doctor way before
I was due about my options for
delivering my baby.”
32
07241 Diabetes and Pregnancy 32
3/19/08 9:26:14 AM
39. ●
your baby’s heart rate
●
the amount of amniotic fluid
●
your blood glucose and blood pressure levels
●
your general health
Blood Glucose Control During Labor and Delivery
Keeping your blood glucose levels under control helps
ensure your baby won’t have low blood glucose after
birth. Because you’ll be physically active when you’re in
labor, you may not need much insulin. Hospital staff will
check your blood glucose levels frequently. Some women
take both insulin and glucose, as well as fluids, through
an intravenous (IV) line during labor. Infusing insulin
and glucose directly into your bloodstream through a
vein provides good control of blood glucose levels. If you
are using an insulin pump, you might continue to use it
throughout labor.
If you are having a c-section, your blood glucose levels
may increase because of the stress of surgery. Your
health care team will closely monitor your blood glucose
levels and will likely use an IV for insulin and glucose to
keep your levels under control.
33
07241 Diabetes and Pregnancy 33
3/19/08 9:26:14 AM
40. After Your Baby Arrives
About Breastfeeding
Breastfeeding is highly recommended for the babies of
women with diabetes. Breastfeeding provides the best
nutrition and helps your baby stay healthy.
“Even though I have diabetes, I can still breastfeed my baby. My
milk gives my baby exactly what he needs.”
34
07241 Diabetes and Pregnancy 34
3/19/08 9:26:14 AM
41. Your Meal Plan
If you’re breastfeeding, you might need more calories
each day than you needed during your pregnancy. Your
dietitian can provide personalized recommendations and
answer any questions you have about what, when, and
how much to eat.
Your Medications
After you’ve given birth, you might need less insulin than
usual for several days. Breastfeeding can also lower
the amount of insulin you need. Diabetes pills are not
recommended during breastfeeding.
Low Blood Glucose
You’ll be at increased risk for low blood glucose,
especially if you’re breastfeeding. You might need to
have a snack before or after you breastfeed your baby.
Your health care team may suggest that you check your
blood glucose more often than usual.
35
07241 Diabetes and Pregnancy 35
3/19/08 9:26:14 AM
42. For More Information
How can I find diabetes educators and dietitians?
Diabetes Educators
To find diabetes teachers—nurses, dietitians, and other
health professionals—call the American Association of
Diabetes Educators toll-free at 1–800–TEAMUP4
(832–6874). Or go to www.diabeteseducator.org and see
the “Find a Diabetes Educator” section.
Dietitians
To find a dietitian, call the American Dietetic
Association’s National Center for Nutrition and Dietetics
at 1–800–877–1600. Or go to www.eatright.org and see
the “Find a Nutrition Professional” section.
36
07241 Diabetes and Pregnancy 36
3/19/08 9:26:14 AM
43. Where can I get more information about diabetes?
National Diabetes Information Clearinghouse
1 Information Way
Bethesda, MD 20892–3560
Phone: 1–800–860–8747
Fax: 703–738–4929
Email: ndic@info.niddk.nih.gov
Internet: www.diabetes.niddk.nih.gov
37
07241 Diabetes and Pregnancy 37
3/21/08 2:00:43 PM
44. National Diabetes Education Program
1 Diabetes Way
Bethesda, MD 20892–3560
Phone: 1–800–438–5383
Fax: 703–738–4929
Email: ndep@mail.nih.gov
Internet: www.ndep.nih.gov
American Diabetes Association
National Service Center
1701 North Beauregard Street
Alexandria, VA 22311–1742
Phone: 1–800–DIABETES (342–2383)
Fax: 703–549–6995
Email: AskADA@diabetes.org
Internet: www.diabetes.org
Juvenile Diabetes Research Foundation International
120 Wall Street
New York, NY 10005–4001
Phone: 1–800–533–CURE (2873)
Fax: 212–785–9595
Email: info@jdrf.org
Internet: www.jdrf.org
38
07241 Diabetes and Pregnancy 38
3/19/08 9:26:16 AM
45. Where can I get more information about
pregnancy?
National Institute of Child Health & Human
Development Information Resource Center
P.O. Box 3006
Rockville, MD 20847
Phone: 1–800–370–2943
Fax: 301–984–1473
Email: NICHDInformationResourceCenter@mail.nih.gov
Internet: www.nichd.nih.gov
The U.S. Government does not endorse or favor any specific
commercial product or company. Trade, proprietary, or
company names appearing in this document are used only
because they are considered necessary in the context of
the information provided. If a product is not mentioned,
the omission does not mean or imply that the product is
unsatisfactory.
39
07241 Diabetes and Pregnancy 39
3/19/08 9:26:16 AM
46. My Daily Blood Glucose Record
Make a copy of this form for each week of your pregnancy.
Use this form to keep track of your blood glucose numbers,
your urine or blood ketone test results, and your insulin.
Week
Starting:
_____________
Fasting
Blood
Glucose
Urine or
Blood
Ketones
Insulin
Breakfast
Blood
Glucose
Insulin
Other
Blood
Glucose
Insulin
Lunch
Blood
Glucose
Insulin
Time:
Time:
Time:
Amount:
Amount:
Amount:
Time:
Time:
Time:
Amount:
Amount:
Amount:
Time:
Time:
Time:
Amount:
Amount:
Amount:
Amount:
Time:
Time:
Time:
Time:
Amount:
Amount:
Amount:
Amount:
Time:
Time:
Time:
Time:
Amount:
Amount:
Amount:
Amount:
Time:
Time:
Time:
Time:
Amount:
Sunday
Time:
Time:
Saturday
Amount:
Amount:
Friday
Amount:
Time:
Thursday
Amount:
Amount:
Wednesday
Time:
Time:
Tuesday
Time:
Amount:
Monday
Time:
Amount:
Amount:
Other
Blood
Glucose
Amount:
40
07241 Diabetes and Pregnancy 40
3/19/08 9:26:16 AM
48. My Daily Food Record
Make a copy of this form for each week of your pregnancy.
Use this form to keep track of what, when, and how much
you eat and drink.
Week Starting:
________________________
Breakfast
Mid-morning Snack
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
42
07241 Diabetes and Pregnancy 42
3/19/08 9:26:16 AM
50. My Daily Physical Activity Record
Make a copy of this form for each week of your pregnancy.
Use this form to keep track of what kind of physical activity
you do and how long you do it.
Week Starting:
__________________
Type of Activity
Minutes
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
44
07241 Diabetes and Pregnancy 44
3/19/08 9:26:16 AM
51. National Diabetes Information
Clearinghouse
1 Information Way
Bethesda, MD 20892–3560
Phone: 1–800–860–8747
Fax: 703–738–4929
Email: ndic@info.niddk.nih.gov
Internet: www.diabetes.niddk.nih.gov
The National Diabetes Information Clearinghouse (NDIC) is a
service of the National Institute of Diabetes and Digestive and
Kidney Diseases (NIDDK). The NIDDK is part of the National
Institutes of Health of the U.S. Department of Health and
Human Services. Established in 1978, the Clearinghouse provides
information about diabetes to people with diabetes and to their
families, health care professionals, and the public. The NDIC
answers inquiries, develops and distributes publications, and works
closely with professional and patient organizations and Government
agencies to coordinate resources about diabetes.
Publications produced by the Clearinghouse are carefully reviewed
by both NIDDK scientists and outside experts. This booklet was
reviewed by Boyd E. Metzger, M.D., Tom D. Spies Professor of
Metabolism and Nutrition, Division of Endocrinology, Metabolism
& Molecular Medicine, Northwestern University Feinberg School
of Medicine, and Julie M. Slocum Daley, R.N., M.S., C.D.E., Women &
Infants’ Hospital of Rhode Island.
This publication is not copyrighted. The Clearinghouse encourages
users of this publication to duplicate and distribute as many copies as
desired.
This booklet is also available at www.diabetes.niddk.nih.gov.
This publication may contain information about medications used to treat
a health condition. When this publication was prepared, the NIDDK
included the most current information available. Occasionally, new
information about medication is released. For updates or for questions
about any medications, please contact the U.S. Food and Drug Adminis
tration at 1–888–INFO–FDA (463–6332), a toll-free call, or visit their
website at www.fda.gov. Consult your doctor for more information.
07241 Diabetes and Pregnancy 45
3/21/08 2:00:45 PM
52. U.S. DEPARTMENT OF HEALTH
AND HUMAN SERVICES
National Institutes of Health
NIH Publication No. 08–5491
February 2008
07241 Diabetes and Pregnancy 46
3/19/08 9:26:17 AM