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When you have type 2 diabetes, steps you take before becoming pregnant are as important as your prenatal care. Learn how to get in the best possible shape before you conceive.

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It used to be that women with type 2 diabetes were discouraged from becoming pregnant. These days, with careful pregnancy planning and monitoring of blood glucose levels, you can have a the 1 last update 02 Jun 2020 safe pregnancy and a healthy baby.It used to be that women with type 2 diabetes were discouraged from becoming pregnant. These days, with careful pregnancy planning and monitoring of blood glucose levels, you can have a safe pregnancy and a healthy baby.

Diabetes and Pregnancy: Your Prenatal Care Team

If you have type 2 diabetes and you want to become pregnant, the first step would ideally be to speak with both your endocrinologist and your obstetrician. They can help you be at your healthiest to conceive.

Both before you become pregnant and during your pregnancy (and beyond), it will be important for you to keep your blood sugar levels under control and to follow all the other guidelines to minimize all health risks to you and your baby.

Fortunately, different diabetes practitioners can work with you on all the aspects of pregnancy, including exercise and nutrition. Your medical team might include:

  • Your obstetrician. The ob-gyn you choose should care for patients with type 2 diabetes or have experience with high-risk pregnancies.
  • Your dietitian. This professional can outline a pre-pregnancy and pregnancy diet that will keep blood glucose under control.
  • Your diabetes educator. This specialist can help you learn about your body’s changing needs throughout your pregnancy.
  • Your future pediatrician. Your baby’s doctor should have experience treating infants of mothers with diabetes.

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While every woman is urged to get her body into baby-ready shape before conceiving, this is especially important if you have diabetes. According to the American Diabetes Association, your blood glucose levels should be in the suggested range for three to six months before you try to conceive and, of course, during your entire pregnancy. This may involve more doctor visits, but it’s essential.

Women with uncontrolled diabetes the 1 last update 02 Jun 2020 have a higher risk of a variety of problems — from a baby with birth defects to a miscarriage or stillbirth — than women with controlled diabetes and women without diabetes. In the first month or two, your high glucose levels can negatively affect the development of the baby’s organs. If your glucose levels remain high, the baby can get too much sugar in his system, and his pancreas will start making too much insulin — a condition that can cause problems after birth. Also, you run the risk of having too large a baby. Your own health can worsen, too. Uncontrolled diabetes can lead to high blood pressure, which is particularly dangerous when you’re pregnant.Women with uncontrolled diabetes have a higher risk of a variety of problems — from a baby with birth defects to a miscarriage or stillbirth — than women with controlled diabetes and women without diabetes. In the first month or two, your high glucose levels can negatively affect the development of the baby’s organs. If your glucose levels remain high, the baby can get too much sugar in his system, and his pancreas will start making too much insulin — a condition that can cause problems after birth. Also, you run the risk of having too large a baby. Your own health can worsen, too. Uncontrolled diabetes can lead to high blood pressure, which is particularly dangerous when you’re pregnant.

Diabetes and for 1 last update 02 Jun 2020 Pregnancy: Nutrition MattersDiabetes and Pregnancy: Nutrition Matters

You’ll want to eat right, not just to get your blood glucose under control, but also to keep or reach your ideal weight. Exercising regularly helps, too. If you are overweight, before getting pregnant is a good time to lose weight, so that your blood sugar will be easier to control during pregnancy.

Maintaining a careful diet is always important if you have type 2 diabetes. And besides choosing the right foods to help control blood sugar levels, you’ll want to pay careful attention to the health advice all women hoping to conceive are advised to follow. This includes things like taking folic acid, one of the B vitamins, as well as any other prenatal vitamins suggested by your doctor, again before you conceive. There is a connection between low folic acid intake and babies born with neural tube defects, birth defects involving serious problems with the spine.

Diabetes and Pregnancy: Oral Medication or Insulin?

Women with type 2 diabetes very often manage their blood glucose levels by taking pills, watching their food intake, and exercising. When women become pregnant, however, pregnancy hormones may change the way your body handles blood sugar, and your doctor may want you to switch to insulin during your pregnancy.

Working with your doctors on the special care you need before and during your pregnancy will help ensure that you have a healthy pregnancy and a healthy baby, even if you have type 2 diabetes.

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