Diabetes mellitus in pregnant women is a problem in all countries. Such a disease proceeds in a position is difficult, threatens intrauterine pathologies of the fetus. Pregnancy of a woman with diabetes mellitus can result in a miscarriage or fatal outcome. This disease is characterized by a violation of the functions of all metabolic processes in the body. This is due to a lack of insulin in the body.
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Symptoms of diabetes
Any woman, being in a position, should seriously treat her condition and monitor changes in the development of the fetus. The pregnant woman should urgently visit a doctor when such symptoms appear:
- constant dry mouth;
- frequent urination;
- feeling of thirst;
- sluggish condition, weakness;
- skin rashes, furunculosis.
The problem of diabetes of women in a position is global for obstetricians, endocrinologists and neonatologists who have a pregnant woman. The risk zone in pathological changes in the body includes women who reduce sugar during pregnancy. In this case, they are in dire need of insulin.
They also enter this group of female faces, which have hyperglycemia with a violation of glucose tolerance. In the risk zone are women with diabetes, which are at the stage of obesity, in which tolerance to carbohydrates is in a stable state. With a potential change in glucose tolerance, there is a risk of potential diabetes. It includes women with tolerant changes to the level of glucose, which are in an increased risk zone of complication of the disease.
Types of diabetes
Subclinical - at this stage, symptoms are practically absent, and the disease can be diagnosed by donating blood to a special analysis.
Threatening-the risk of developing the disease during pregnancy due to hereditary predisposition. This category includes people with overweight or lack of glucose in the body and women, whose children are born with a weight of more than 4.5 kg.
Explicit - diagnostic examination can reveal the presence of diabetes based on glycosuria or hyperkemia. With a clear form of the disease, ketone bodies are not found in the urine of a woman, and the glucose level in blood cells does not exceed 6.6 mmol.
Pregnancy contraindications for diabetes
In the presence of a disease, diabetes is not recommended to plan, as well as continue pregnancy. Developed diabetes during pregnancy threatens complications for the woman herself and intrauterine pathologies for her unborn child. Termination of pregnancy is necessary if:
- a woman and a man are sick with diabetes;
- disease at the threatening stage of development;
- diabetes with leaking complications are diagnosed;
- the presence of tuberculosis stick and diabetes;
- negative Rhesus factor with the presence of diabetes.
Recommended instructions for pregnant women with diabetes
To reduce the risk of developing pathologies in the fetus, as well as complications for a woman during pregnancy and childbirth, it is necessary to follow the following recommendations:
- in time, diagnose the disease in a pregnant woman, even if the symptoms do not appear;
- in time, establish the degree of risk of the development of the disease and solve the problem with the preservation of the fetus;
- the pregnancy of a woman with diabetes should be planned;
- conduct strict control over the balance of sugar in pregnant women before conception, during pregnancy, after childbirth;
- carry out preventive and medical measures;
- control pregnancy, choose the ways of the birth of a child;
- consider options for resuscitation actions;
- careful care of the child;
- conduct strict control of the health of a child of patients with diabetes of women.
Accounting and observation of women in a position with diabetes takes place in outpatient and stationary conditions. It is worth considering that drugs that can reduce the symptoms of diabetes during pregnancy are not recommended to be taken due to all kinds of side effects in this period. A woman can switch to insulin only before pregnancy planning.