Endocrinology-Diabetes Questions Diabetes And Pregnancy

I am a diabetic since 8 years. Will me being diabetic affect my baby?

I am a 31-year-old and am planning to conceive my first baby. I have been a diabetic for the last 8 years. Will this have an impact on my baby and my health during my pregnancy?

4 Answers

Your diabetes should not affect the fetus only if sugar are extremely well controlled.
Hi
Being a diabetic certainly does increase risks for your pregnancy. Your diabetes control may get a little worse during pregnancy
Have a question aboutDiabetes And Pregnancy?Ask a doctor now
There is an impact on baby if you do not take care of diabetes during pregnancy. If you keep glucose in recommended ranges, baby should be just fine. Please follow closely with your Ob and endocrinologist.
Yes it will. Not knowing what your treatment & level of control is now, I cannot give you specific advice-only general. In the past, we had few tools to control diabetes & the toll on the baby was very bad. Miscarriage was high as was big babies that had multiple problems after delivery such as breathing problems, prematurity, low BS, low calcium, etc. They also had a high incidence of congenital anomalies such as spina bifida, heart defects, etc. We have learned though, that these problems are associated with high BS in the mother and can be prevented. I have now cared for hundreds of pregnant women that have had normal babies. BUT BS has to be controlled. For pregnancy I try to keep Fasting BS less than 90-95, and post meals BS <120. HbA1c should be checked frequently and be <6.5%. Since some oral drugs will cross the placenta and may effect the baby, for gestational diabetes & certainly for diabetes I would always use insulin & give it as basal-bolus (4x/day) with careful BS monitoring Fasting & 1-2 hr post meal daily. With this kind I therapy you chances of having a good baby are great. Get you BS under good control before pregnancy & keep it in control. I can't guarentee you a good baby but The above will increase your chances for a good healthy baby to the same as a woman who does not have diabetes. Good luck. Have a healthy baby and enjoy the experience.