what does the nurse recommend to a pregnant patient with diabetes who works long, irregular hours?
On this page:
- How can diabetes touch on my baby?
- How tin my diabetes affect me during pregnancy?
- What health problems could I develop during pregnancy because of my diabetes?
- How can I prepare for pregnancy if I have diabetes?
- What do I need to know about blood glucose testing earlier and during pregnancy?
- What tests volition check my infant's wellness during pregnancy?
- Clinical Trials
If y'all take diabetes and programme to accept a baby, yous should try to go your blood glucose levels close to your target range before yous get pregnant.
Staying in your target range during pregnancy, which may be unlike than when y'all aren't meaning, is also important. Loftier blood glucose, also chosen claret sugar, can impairment your baby during the kickoff weeks of pregnancy, fifty-fifty before you know yous are significant. If yous take diabetes and are already significant, see your doctor as soon equally possible to brand a program to manage your diabetes. Working with your health intendance team and following your diabetes direction program tin help you have a healthy pregnancy and a salubrious baby.
If you develop diabetes for the offset time while y'all are significant, you take gestational diabetes.
How can diabetes touch my babe?
A babe's organs, such as the brain, eye, kidneys, and lungs, get-go forming during the first 8 weeks of pregnancy. High blood glucose levels can exist harmful during this early phase and can increase the take chances that your baby will have birth defects, such as heart defects or defects of the brain or spine.
High blood glucose levels during pregnancy can also increase the hazard that your baby will be born too early, weigh too much, or have breathing problems or low blood glucose right after birth.
High blood glucose also can increase the risk that you will take a miscarriage or a stillborn infant.i Stillborn means the baby dies in the womb during the second half of pregnancy.
How can my diabetes touch on me during pregnancy?
Hormonal and other changes in your body during pregnancy impact your blood glucose levels, so y'all might need to change how you manage your diabetes. Even if you've had diabetes for years, y'all may need to change your repast programme, physical activeness routine, and medicines. If you have been taking an oral diabetes medicine, you may need to switch to insulin. As yous become closer to your due engagement, your management plan might change again.
What health problems could I develop during pregnancy because of my diabetes?
Pregnancy can worsen certain long-term diabetes issues, such as eye bug and kidney disease, specially if your blood glucose levels are likewise high.
You also take a greater chance of developing preeclampsia, sometimes called toxemia, which is when y'all develop loftier claret pressure and too much protein in your urine during the second half of pregnancy. Preeclampsia can cause serious or life-threatening problems for you and your baby. The only cure for preeclampsia is to requite birth. If yous accept preeclampsia and have reached 37 weeks of pregnancy, your doctor may desire to deliver your babe early. Before 37 weeks, yous and your physician may consider other options to assist your baby develop as much as possible before he or she is born.
How can I fix for pregnancy if I take diabetes?
If you accept diabetes, keeping your blood glucose as shut to normal equally possible before and during your pregnancy is important to stay healthy and have a good for you babe. Getting checkups before and during pregnancy, following your diabetes meal program, existence physically agile as your wellness care team advises, and taking diabetes medicines if you need to will help you manage your diabetes. Stopping smoking and taking vitamins as your doctor advises besides can assistance you and your babe stay salubrious.
Work with your health care team
Regular visits with members of a wellness care team who are experts in diabetes and pregnancy volition ensure that you and your baby become the all-time intendance. Your wellness intendance squad may include
- a medical doc who specializes in diabetes care, such every bit an endocrinologist or a diabetologist
- an obstetrician with experience treating women with diabetes
- a diabetes educator who tin can aid you lot manage your diabetes
- a nurse practitioner who provides prenatal care during your pregnancy
- a registered dietitian to help with meal planning
- specialists who diagnose and treat diabetes-related problems, such as vision problems, kidney disease, and eye disease
- a social worker or psychologist to help y'all cope with stress, worry, and the extra demands of pregnancy
Yous are the most important member of the team. Your health care squad can requite you skilful advice, but you lot are the 1 who must manage your diabetes every day.
Get a checkup
Accept a complete checkup before you get pregnant or equally before long equally you know you are meaning. Your doctor should check for
- loftier blood pressure
- center disease
- heart and blood vessel affliction
- nerve damage
- kidney disease
- thyroid disease
Pregnancy can brand some diabetes health bug worse. To help preclude this, your health care team may recommend adjusting your treatment before yous get meaning.
Don't fume
Smoking can increase your chance of having a stillborn baby or a baby built-in as well early.two Smoking is especially harmful for people with diabetes. Smoking can increment diabetes-related health problems such as eye disease, middle disease, and kidney disease.
If yous fume or utilize other tobacco products, stop. Inquire for assist so y'all don't have to do it lonely. Yous tin can beginning by calling the national quitline at 1-800-QUITNOW or ane-800-784-8669. For tips on quitting, go to Smokefree.gov.
See a registered dietitian nutritionist
If you don't already come across a dietitian, you should start seeing one before you get pregnant. Your dietitian can aid you acquire what to eat, how much to eat, and when to consume to reach or stay at a good for you weight before yous get pregnant. Together, you and your dietitian will create a meal plan to fit your needs, schedule, food preferences, medical conditions, medicines, and concrete activity routine.
During pregnancy, some women need to make changes in their meal plan, such every bit calculation extra calories, protein, and other nutrients. You will need to encounter your dietitian every few months during pregnancy every bit your dietary needs change.
Be physically active
Physical activity can aid you reach your target claret glucose numbers. Being physically active can also help go along your blood pressure level and cholesterol levels in a salubrious range, relieve stress, strengthen your heart and basic, improve muscle strength, and go along your joints flexible.
Before getting meaning, brand physical activity a regular part of your life. Aim for 30 minutes of activeness v days of the calendar week.
Talk with your health care team about what activities are best for you during your pregnancy.
Read tips on how to eat ameliorate and be more active while y'all are pregnant and after your baby is built-in.
Avoid booze
You should avoid drinking alcoholic beverages while y'all're trying to go pregnant and throughout pregnancy. When you drinkable, the alcohol too affects your baby. Alcohol can lead to serious, lifelong health problems for your infant.
Accommodate your medicines
Some medicines are non safe during pregnancy and yous should finish taking them before you become meaning. Tell your md about all the medicines you take, such as those for loftier cholesterol and high blood pressure level. Your doctor tin can tell you which medicines to stop taking, and may prescribe a dissimilar medicine that is safe to employ during pregnancy.
Doctors most often prescribe insulin for both blazon 1 and blazon two diabetes during pregnancy.3 If you're already taking insulin, you might need to alter the kind, the amount, or how and when y'all take it. You may demand less insulin during your offset trimester simply probably will need more as you become through pregnancy. Your insulin needs may double or even triple equally you go closer to your due date. Your health care team will work with you to create an insulin routine to run across your irresolute needs.
Take vitamin and mineral supplements
Folic acid is an of import vitamin for you to have earlier and during pregnancy to protect your baby'south health. You'll need to outset taking folic acid at least 1 month before you get pregnant. You should take a multivitamin or supplement that contains at least 400 micrograms (mcg) of folic acrid. Once you go meaning, you should take 600 mcg daily.iv Ask your doctor if you lot should accept other vitamins or minerals, such as fe or calcium supplements, or a multivitamin.
What do I need to know almost claret glucose testing before and during pregnancy?
How oftentimes you check your blood glucose levels may change during pregnancy. You lot may demand to bank check them more oft than you do now. If you lot didn't demand to bank check your blood glucose before pregnancy, you lot will probably demand to start. Ask your health care team how often and at what times you should cheque your claret glucose levels. Your claret glucose targets will modify during pregnancy. Your health care team besides may want you to bank check your ketone levels if your blood glucose is as well loftier.
Target blood glucose levels earlier pregnancy
When yous're planning to become significant, your daily blood glucose targets may exist different than your previous targets. Ask your health intendance squad which targets are right for yous.
You can continue rails of your blood glucose levels using My Daily Blood Glucose Record (PDF, 44 KB) . You lot tin also employ an electronic blood glucose tracking organisation on your calculator or mobile device. Record the results every time you check your blood glucose. Your claret glucose records tin can help you and your health care team decide whether your diabetes intendance plan is working. You also can make notes virtually your insulin and ketones. Take your tracker with you when you visit your health care team.
Target blood glucose levels during pregnancy
Recommended daily target blood glucose numbers for most pregnant women with diabetes are
- Before meals, at bedtime, and overnight: xc or less
- i 60 minutes after eating: 130 to 140 or less
- 2 hours after eating: 120 or lessthree
Enquire your dr. what targets are right for yous. If y'all accept type i diabetes, your targets may be higher so you don't develop low claret glucose, likewise called hypoglycemia.
A1C numbers
Another way to see whether you're coming together your targets is to have an A1C blood examination. Results of the A1C test reflect your average blood glucose levels during the by 3 months. Most women with diabetes should aim for an A1C equally close to normal as possible—ideally below 6.5 percent—earlier getting pregnant.3 After the showtime iii months of pregnancy, your target may be as low as half dozen percent.3 These targets may be different than A1C goals you lot've had in the past. Your doc can help y'all prepare A1C targets that are best for you.
Ketone levels
When your blood glucose is likewise high or if you're not eating enough, your body might make ketones. Ketones in your urine or blood mean your trunk is using fat for energy instead of glucose. Called-for large amounts of fat instead of glucose can be harmful to your health and your baby'southward wellness.
You can forestall serious health problems by checking for ketones. Your physician might recommend you lot examination your urine or blood daily for ketones or when your claret glucose is above a certain level, such as 200. If you utilize an insulin pump, your physician might advise you to test for ketones when your blood glucose level is higher than expected. Your health care team tin teach you how and when to test your urine or claret for ketones.
Talk with your doctor about what to do if you have ketones. Your dr. might suggest making changes in the amount of insulin you take or when you take it. Your doctor besides may recommend a change in meals or snacks if you need to consume more carbohydrates.
What tests will check my baby's health during pregnancy?
You will take tests throughout your pregnancy, such as blood tests and ultrasounds, to cheque your infant's health. Talk with your health care team about what prenatal tests you'll have and when y'all might have them.
References
Clinical Trials
The National Establish of Diabetes and Digestive and Kidney Diseases (NIDDK) and other components of the National Institutes of Wellness (NIH) acquit and support inquiry into many diseases and conditions.
What are clinical trials, and are they right for you lot?
Clinical trials are part of clinical research and at the heart of all medical advances. Clinical trials look at new ways to foreclose, detect, or treat disease. Researchers also use clinical trials to look at other aspects of intendance, such as improving the quality of life for people with chronic illnesses. Find out if clinical trials are right for you.
What clinical trials are open?
Clinical trials that are currently open and are recruiting tin can be viewed at world wide web.ClinicalTrials.gov.
Source: https://www.niddk.nih.gov/health-information/diabetes/diabetes-pregnancy
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