Management of diabetes in pregnancy should be integrated between the obstetrician, internal medicine, nutrition expert, and specialist child. Target management is to achieve normal blood sugar levels, namely fasting blood glucose less than 105 mg / dl two hours after meals and less than 120 mg / dl. Goals can be achieved by arranging a meal.
If needed, given insulin to lower blood sugar levels reach normal. Usually when a fasting blood sugar levels exceed or equal to 130 mg / dl in addition to meal planning needs to be given insulin.
If the fasting blood sugar levels below 130 mg / dl, treatment can begin with any meal planning. In planning the meal is recommended amount of calories by 35 cal / kg ideal body weight, unless the patient is reduced calorie fat. In pregnancy usually to consider adding calories 300 cal. So that the fetus can grow well advised to consume protein of 1-1.5 g.
The use of insulin typically begins with a small dose and increased as needed to achieve normal blood sugar levels. For that we need to learn the principles of sterility, about a variety of insulin, as well as understanding the insulin dose and appropriate provision.
No need to worry about the adverse effects of insulin on fetal growth. Precisely insulin administration is expected to help achieve normal blood sugar levels so that the fetus can grow well and avoid labor pains.
When blood sugar is not controlled, then there is a state of maternal blood sugar is high (hyperglycemia) that may pose a risk to the mother and the fetus. The risk of fetal growth retardation can occur because arise abnormalities in maternal blood vessels and metabolic changes during pregnancy. Conversely may occur macrosomia is a great baby at birth due to the accumulation of fat under the skin. Also reported the occurrence of birth defects because of untreated diabetes mellitus during pregnancy.
Another risk is the growing baby's bilirubin levels and impaired breathing and heart abnormalities. In pregnant women with diabetes mellitus who are not treated can lead to the risk of pregnancy complications such as preeclampsia, excessive amniotic fluid, and urinary tract infections. So the management of diabetes mellitus in pregnancy needs to be done to improve the health of mothers and babies.
If the fasting blood sugar levels below 130 mg / dl, treatment can begin with any meal planning. In planning the meal is recommended amount of calories by 35 cal / kg ideal body weight, unless the patient is reduced calorie fat. In pregnancy usually to consider adding calories 300 cal. So that the fetus can grow well advised to consume protein of 1-1.5 g.
The use of insulin typically begins with a small dose and increased as needed to achieve normal blood sugar levels. For that we need to learn the principles of sterility, about a variety of insulin, as well as understanding the insulin dose and appropriate provision.
No need to worry about the adverse effects of insulin on fetal growth. Precisely insulin administration is expected to help achieve normal blood sugar levels so that the fetus can grow well and avoid labor pains.
When blood sugar is not controlled, then there is a state of maternal blood sugar is high (hyperglycemia) that may pose a risk to the mother and the fetus. The risk of fetal growth retardation can occur because arise abnormalities in maternal blood vessels and metabolic changes during pregnancy. Conversely may occur macrosomia is a great baby at birth due to the accumulation of fat under the skin. Also reported the occurrence of birth defects because of untreated diabetes mellitus during pregnancy.
Another risk is the growing baby's bilirubin levels and impaired breathing and heart abnormalities. In pregnant women with diabetes mellitus who are not treated can lead to the risk of pregnancy complications such as preeclampsia, excessive amniotic fluid, and urinary tract infections. So the management of diabetes mellitus in pregnancy needs to be done to improve the health of mothers and babies.
