Can a woman with type 1 diabetes get pregnant
Diabetes is a condition where the body is unable to keep blood sugar levels in the normal range. There are three types: type 1 diabetes, type 2 diabetes and gestational diabetes. Insulin is the hormone that controls blood sugar levels, keeping them in the healthy range. In type 1 diabetes, the pancreas is unable to make enough insulin. Daily medication insulin is therefore needed to control blood sugar levels.SEE VIDEO BY TOPIC: Diabetes and Pregnancy (Q&A)
SEE VIDEO BY TOPIC: Risks of a Diabetic PregnancyContent:
Type 1 or Type 2 Diabetes and Pregnancy
Today, thankfully that advice is no longer given. And while a woman with Type 1 diabetes needs to take precautions, she can absolutely, and safely, have a healthy baby. As much information as you possibly need to understand why your blood sugars fluctuate during pregnancy and how to adjust your insulin management to keep your blood sugars as close to non-diabetic levels as possible.
Also the book covers preparing for pregnancy, months one through nine of your pregnancy, delivery, and postpartum, including the challenges of breastfeeding for a woman with type 1 diabetes. My co-author Jenny is also my diabetes pregnancy coach. As a certified diabetes educator, woman with type 1 diabetes and mother, she knows this journey inside and out.
Plus those hormones impact your insulin needs in ways that are constantly changing and evolving. Also, there is never a break. The higher your blood sugars are during pregnancy the greater the risk of complications for mom, birth defects in your baby and having a bigger baby. This also makes the baby more prone to getting diabetes in its lifetime. Not one bit. But if you can plan your pregnancy then you definitely want to do that with your doctor. One particular thing to be aware of is if you have pre-existing complications, for instance in your eyes retinopathy , pregnancy can exacerbate that condition.
What do you think could be improved regarding how health professionals work with pregnant women with type 1 diabetes? As a result, during my first pregnancy, I actually sneaked giving myself extra injections of insulin so I could maintain healthy blood sugar levels.
I think the overall understanding and education of what a type 1 woman needs during this part of pregnancy really needs an update and a deeper educational protocol. Women with type 1 are generally induced or scheduled for a c-section around 38 weeks, why is this? Did this happen to you? The statistics show that diabetic women type 1 and type 2 who go past the week mark have an increased risk of experiencing a stillbirth and other complications.
It felt incredibly special and my recovery was actually pretty easy. I expect to have another c-section with Violet unless I go into labor naturally on my own prior to 38 weeks and the doctors think a VBAC vaginal birth after cesarean is safe to pursue. All I want is a healthy baby and for me to be healthy too. In a nutshell, I worry less. Plus you want to be perfect because you feel like the odds are stacked against you. The reality is that women with type 1 diabetes can absolutely have successful, healthy pregnancies and create healthy, beautiful babies.
This time I knew that I was going to have days where my blood sugars would run higher because of a sudden increase in pregnancy hormones. I know my capacity to stress about my blood sugars and I need a standard I can maintain without bursting into tears from stress, right? Unlike you I was lucky enough to be starting my family at a time when we know women with type 1 diabetes can safely have healthy children.
Ginger Vieira is the author of three books, a health coach and mother of one daughter with Violet due next month. She has lived with type 1 diabetes and celiac disease since , and fibromyalgia since Jennifer Smith is a Certified Diabetes Educator and Registered Dietician who has lived with type 1 diabetes since Jenny and her husband have two boys.
What will people find in the book? What makes pregnancy for a woman with type 1 diabetes challenging? Was your doctor concerned about your becoming pregnant? Photo courtesy of Ginger Patterson Non-stress test diabetic women get every week at the end of pregnancy. Calling all HuffPost superfans! Sign up for membership to become a founding member and help shape HuffPost's next chapter.
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Having a Healthy Pregnancy With Type 1 Diabetes
When you are pregnant, your ideal scenario is to not gain too much weight, pass each milestone without worry, and have a safe, fast delivery that results in a healthy baby. When you have Type 1 diabetes , however, the ideal pregnancy may seem unattainable. Lisa Pink, a new mother, was able to manage her pregnancy along with her diabetes to have a healthy baby girl. Lisa learned she had Type 1 diabetes when she was 25 years old.
Today, thankfully that advice is no longer given. And while a woman with Type 1 diabetes needs to take precautions, she can absolutely, and safely, have a healthy baby. As much information as you possibly need to understand why your blood sugars fluctuate during pregnancy and how to adjust your insulin management to keep your blood sugars as close to non-diabetic levels as possible. Also the book covers preparing for pregnancy, months one through nine of your pregnancy, delivery, and postpartum, including the challenges of breastfeeding for a woman with type 1 diabetes.
Pregnancy with Type 1 Diabetes – “A Labor of Love”
A healthy pregnancy for women with type 1 diabetes starts before conception. Find out how to prepare your body for the challenges ahead. Kerri Sparling was 7 years old when she was diagnosed with type 1 diabetes. She grew up believing that she'd never be able to have children of her own. But by the time she became an adult, significant technological advances in managing the illness gave her hope. With two decades of blood sugar control under her belt, Sparling eventually looked around for models of a healthy pregnancy with type 1 diabetes. Undaunted by the Hollywood dramatization, Sparling did her own research and, in preparation for pregnancy and with the help of her endocrinologist, worked for more than a year to get her A1C — a standard test to find out average blood sugar levels over several months — below seven.
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Blood sugar that is not well controlled in a pregnant woman with Type 1 or Type 2 diabetes could lead to problems for the woman and the baby:. The organs of the baby form during the first two months of pregnancy, often before a woman knows that she is pregnant. Blood sugar that is not in control can affect those organs while they are being formed and cause serious birth defects in the developing baby, such as those of the brain, spine, and heart. Besides causing discomfort to the woman during the last few months of pregnancy, an extra large baby can lead to problems during delivery for both the mother and the baby.
If you have type 1 or 2 diabetes, it is very important to talk to your healthcare team if you are thinking about having a baby. There are some things that are best done before you get pregnant that will reduce your risk of pregnancy complications and baby loss. If you have type 1 or 2 diabetes, you need to be as healthy as possible before you conceive, and while you are pregnant.
Type 1 Pregnancy Risks and How to Minimize Them
All pregnancies have the chance for complications, but having Type 1 makes you more susceptible to specific ones. Here are the most important things to do in order to lower those risks:. Check your number and check often. This will decrease the chance of excessive sugars being given to your baby.
If you have T1D and are pregnant, or planning to become pregnant, we have some basic information on how to have a safe and healthy pregnancy. Starting a family is an exciting time! Many women choose to work with a team that includes an endocrinologist, primary care doctor, and an OB-GYN, preferably one who has experience with T1D pregnancies. Creating a pregnancy plan is the next step. Most experts recommend maintaining an HbA1c at or below 6 percent before you conceive, and maintaining that range throughout your pregnancy.
Pregnancy and giving birth
Once upon a time, women with type 1 diabetes were told they could never have children. Still, there are a lot of open questions and misconceptions. Here are nine important facts about pregnancy and T1D, clarified:. The truth is that whether or not you have type 1 diabetes, you may have difficulty getting pregnant because some women simply do. Consistently high blood sugars and a high A1C 3-month average are the most likely way type 1 diabetes would make getting pregnant more challenging. Research has found that women with T1D have slightly decreased fertility rates — especially in those with existing complications like retinopathy or neuropathy. Women with type 1 are more likely to have irregular menstrual cycles and delayed ovulation — but again, these are associated with consistently high blood sugar levels.
By Amelia Dmowska. In addition to the excitement that goes along with the prospect of having a child, any woman considering pregnancy may be flooded with questions, fears, and worries. Ginger and co-author Jennifer Smith wanted to create a guide specifically designed to help women with type 1 diabetes meet those challenges. Ginger has lived with type 1 diabetes and celiac disease since , has written several books about diabetes, and is part of the editorial team at DiabetesDaily.
Back to Type 1 diabetes. You can have a healthy pregnancy with type 1 diabetes, although managing your diabetes might be harder. Constant high blood glucose levels can harm your baby, especially in the first 8 weeks of pregnancy.
This next section is for women who wish to become pregnant, or are already pregnant, and are living with type 1 or type 2 diabetes. You can have a healthy baby if you have type 1 or type 2 diabetes. The key is to obtain optimal blood glucose levels before and during pregnancy.
Diabetes is a condition in which the body can't make enough insulin, or can't use insulin normally. Insulin is a hormone. This leads to high blood sugar hyperglycemia. High blood sugar can cause problems all over the body.