Insulin is the traditional first-choice drug for blood sugar control during pregnancy because it is the most effective for fine-tuning blood sugar and it doesn’t cross the placenta. Therefore, it is safe for the baby. Insulin can be injected with a syringe, an insulin pen, or through an insulin pump.
What diabetic medications are safe in pregnancy?
Insulin is the gold standard for treatment of hyperglycemia during pregnancy, when lifestyle measures do not maintain glycemic control during pregnancy. However, recent studies have suggested that certain oral hypoglycemic agents (metformin and glyburide) may be safe and be acceptable alternatives.
What is the treatment for diabetes during pregnancy?
Insulin is the preferred agent for management of diabetes in pregnancy because of the lack of long-term safety data for noninsulin agents. The physiology of pregnancy requires frequent titration of insulin to match changing requirements. In the first trimester, there is often a decrease in total daily dose of insulin.
What happens if you have diabetes during pregnancy?
Gestational diabetes raises your risk of high blood pressure, as well as preeclampsia — a serious complication of pregnancy that causes high blood pressure and other symptoms that can threaten the lives of both mother and baby.
What is the first line treatment for gestational diabetes?
FIGO recommends insulin as the first-line treatment in women with at least some of the following factors: diabetes is diagnosed before 20 weeks of gestation, pharmacologic therapy is needed after 30 weeks of gestation, fasting blood glucose is >110 mg/dL (6.1 mmol/L), one-hour postprandial glucose is >140 mg/dL (7.8 …
What are the side effects of taking metformin while pregnant?
Metformin has been tested in clinical studies and is safe to take for gestational diabetes. Metformin helps keep both your weight gain and blood pressure down. The main side effect is stomach upsets such as feeling sick and diarrhoea. Taking metformin with food helps stop stomach problems.
What is the normal blood sugar level for a pregnant woman?
For a fasting blood test (no food within eight hours), blood sugar should be under 95 mg/dL. (Normally, it’s 100 mg/dL, but pregnant women have lower blood sugar, so 95 is the norm.) If your levels are higher, it can be a sign of gestational diabetes.
Can a diabetic mom have a healthy baby?
If you are healthy and your diabetes is well controlled when you become pregnant, you have a good chance of having a normal pregnancy and birth. Diabetes that is not well controlled during pregnancy can affect your health long-term and can also be risky for your baby.
What are the signs of diabetes in pregnancy?
What are the symptoms of gestational diabetes?
- Unusual thirst.
- Frequent urination in large amounts (distinguished from the also frequent but usually light urination of early pregnancy)
- Fatigue (which may be difficult to differentiate from normal pregnancy fatigue)
What is the main cause of gestational diabetes?
Pregnant women who can’t make enough insulin during late pregnancy develop gestational diabetes. Being overweight or obese is linked to gestational diabetes. Women who are overweight or obese may already have insulin resistance when they become pregnant. Gaining too much weight during pregnancy may also be a factor.
Is diabetes pregnancy high risk?
Diabetes during pregnancy—including type 1, type 2, or gestational diabetes—can negatively affect the health of women and their babies. For women with type 1 or type 2 diabetes, high blood sugar around the time of conception increases babies’ risk of birth defects, stillbirth, and preterm birth.
Can diabetes go away?
According to recent research, type 2 diabetes cannot be cured, but individuals can have glucose levels that return to non-diabetes range, (complete remission) or pre-diabetes glucose level (partial remission) The primary means by which people with type 2 diabetes achieve remission is by losing significant amounts of …
Can diabetes cause birth defects?
Yes. If it’s not managed well, diabetes can increase your risk for complications during pregnancy, including: Birth defects, like heart defects and birth defects of the brain and spine called neural tube defects (also called NTDs). Birth defects are health conditions that are present at birth.
Will one high blood sugar hurt my baby?
High blood glucose, also called blood sugar, can harm your baby during the first weeks of pregnancy, even before you know you are pregnant. If you have diabetes and are already pregnant, see your doctor as soon as possible to make a plan to manage your diabetes.
At what point do you need insulin with gestational diabetes?
Therefore, insulin therapy traditionally has been started when capillary blood glucose levels exceed 105 mg per dL (5.8 mmol per L) in the fasting state and 120 mg per dL (6.7 mmol per L) two hours after meals.
How can I quickly lower my blood sugar?
When your blood sugar level gets too high — known as hyperglycemia or high blood glucose — the quickest way to reduce it is to take fast-acting insulin. Exercising is another fast, effective way to lower blood sugar.
Eat a consistent diet
- whole grains.
- lean proteins.