Friday, September 25,

What will be your approach towards a high risk pregnancy and diabetes mellitus?

Diabetes mellitus is the most common medical complication of pregnancy and it carries a significant risk to the fetus and the mother.

Diabetic mothers are at risk of progression of microvascular diabetic complications as well as early pregnancy loss, pre-eclampsia, polyhydramnios and premature labor.

Gestational diabetes mellitus (GDM) which manifests for the first time during pregnancy iscommon and on the increase, its proper management will reduce the risk of neonatal macrosomia and hypoglycemia.

Pre-pregnancy planning (Table 4) is essential to achieve a healthy baby and avoid maternal morbidity such as adverse pregnancy outcomes and progression of chronic diabetes complications.

Optimise glycemic control:In preparation for pregnancy, oral hypoglycemic agents should be discontinued and insulin started if needed, Diabetic complications should be assessed and treated. Regular self-monitoring should be encouraged to optimize control. Glycemic control should be optimized with the aim of per-prandial blood glucose < 5.5 mmol/l (<95mg/dl) andHbA1c < 7%.

Glucose monitoring: Home blood glucose monitoring is an essential part of maintaining euglycaemic state and its goal is to detect glucose concentration to allow fine-tuning of insulin adjustment.

Dietary advice: The goal of diet in pregnancy is to provide adequate nutrition for the mother and the fetus, provide sufficient calories for appropriate maternal weight gain, maintain normal glycaemia and avoid ketosis. Eating three small to moderate size meals and three snacks per day is appropriate.

Share

All countries
32,141,225
Total confirmed cases
India
5,732,518
Total confirmed cases
Spain
704,209
Total confirmed cases
Italy
304,323
Total confirmed cases
Germany
281,346
Total confirmed cases

Latest Updates

Winter health tips 2020 : How to stay healthy and fit during winter?

Although winter exercises are a ton of fun, the colder months are frequently when our immune systems suffer a lot. Luckily, there are effective...

10 amazing benefits of drinking aloe vera juice

You must have heard the very name of aloe vera, and have also heard that aloe vera is used as a medicine, but do...

Apple Cider Vinegar with Mother and Honey Salad Dressing

This Apple Cider Vinegar Salad Dressing is my favorite homemade salad dressing, and it’s very easy to make.  Simple ingredients – incredible taste! Homemade salad dressings are...

Frequently Asked Questions

Winter health tips 2020 : How to stay healthy and fit during winter?

Although winter exercises are a ton of fun, the colder months are frequently when our immune systems suffer a lot. Luckily, there are effective...

10 amazing benefits of drinking aloe vera juice

You must have heard the very name of aloe vera, and have also heard that aloe vera is used as a medicine, but do...

Apple Cider Vinegar with Mother and Honey Salad Dressing

This Apple Cider Vinegar Salad Dressing is my favorite homemade salad dressing, and it’s very easy to make.  Simple ingredients – incredible taste! Homemade salad dressings are...

Creamy Pumpkin Seeds Soup

This pumpkin soup recipe is creamy AND healthy! This Neuherbs pumpkin soup recipe would look lovely on your holiday dinner table, and leftovers would...

Sunflower Seed Waffles

Sunflower seeds contain essential fatty acids, vitamins and minerals, which are very important for keeping our body healthy. Therefore, we must include these seeds...

Amla Juice Mocktail- A Perfect Mocktail to Beat the Summer Heat!

Amla is plentiful of refreshing vitamin C. According to Ayurveda, Amla is such a fruit, which has countless benefits. Amla is not only beneficial...

Featured

Related Articles

Winter health tips 2020 : How to stay healthy and fit during winter?

Although winter exercises are a ton of fun, the colder months are frequently when...

10 amazing benefits of drinking aloe vera juice

You must have heard the very name of aloe vera, and have also heard...

Apple Cider Vinegar with Mother and Honey Salad Dressing

This Apple Cider Vinegar Salad Dressing is my favorite homemade salad dressing, and it’s very easy...

Creamy Pumpkin Seeds Soup

This pumpkin soup recipe is creamy AND healthy! This Neuherbs pumpkin soup recipe would...