Got diabetes? Thinking about having a baby?

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1 Gt dibts? Thinking but hving bby? U.S. Dprtmnt f Hlth nd Humn Srvics Cntrs fr Diss Cntrl nd Prvntin

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3 Dibts nd Prgnncy Dibts is cnditin in which yur bdy cnnt us sugrs nd strchs (crbhydrts) frm fd t mk nrgy. As rsult, yur bdy cllcts xtr sugr in yur bld. Th xtr sugr cn ld t hrt, y, nd kidny dmg. If yu r prgnnt, th xtr sugr incrss th chncs fr prblms with yur bby, including birth dfcts. Dibts tht ccurs bfr prgnncy cn b ithr typ 1 r typ 2. Pln yur prgnncy nd cntrl yur dibts If yu r wmn with dibts, yu still cn hv hlthy bby. Yu nd t tk xtr cr bfr nd during yur prgnncy. Tlk with yur dctr but whthr it is sf fr yu t bcm prgnnt. Ask yur dctr wht yu nd t d bfr yu gt prgnnt, hw t prvnt prgnncy whil yu r gtting yur bld sugr undr cntrl, nd hw t kp yur bld sugr undr tight cntrl bth bfr nd during yur prgnncy. If yu find tht yu r prgnnt bfr yur bld sugr is undr cntrl, th bst wy t cr fr yur bby is t strt nw t cntrl yur bld sugr. Tlk with yur dctr t lrn hw. 1

4 Dibts cn hrm yu nd yur bby A wmn wh ds nt hv cntrl f hr dibts nd gts prgnnt hs grtr chnc f hving bby with birth dfct thn wmn withut dibts. Dibts tht is nt cntrlld cn Cus yur bby t hv srius birth dfcts. If yur bld sugr is ut f cntrl, it cn ld t hlth prblms nd srius birth dfcts, such s ths f yur bby s brin, spin, nd hrt. Incrs yur chncs fr stillbirth r miscrrig. Cus yur bby t b brn rly. A bby brn t rly cn hv brthing prblms, hrt prblms, blding int th brin, intstinl prblms, r visin prblms. Mk yur bby grw vry lrg (wigh mr thn 9 punds), which in turn cn ld t prblms with th dlivry fr yu nd yur bby. A lrg bby brn thrugh th birth cnl cn injur nrvs in his shuldr; brk hr cllrbn; r, rrly, 2

5 hv brin dmg frm lck f xygn. Yu might hv t hv csrn sctin (n prtin t gt th bby ut thrugh yur bdmn), which usully mns lngr rcvry tim fr yu ftr yur bby is brn. Cus yur nwbrn t hv quickly chnging bld sugrs ftr dlivry. Yur bby s dctr will wtch yur bby fr lw bld sugr ftr birth nd trt it if ndd. Othr prblms tht smtims hppn with dibts Yu my ls dvlp prclmpsi (pr--klmps-h). This mns yu hv prtin in yur urin nd high bld prssur. Prclmpsi cn hrm yu by cusing yu t hv sizurs r strk. It ls might cus yur bby t b brn rly. Vry lrg bbis r mr likly t bcm vrwight r bs during childhd nd dlscnc. Such bsity cn ld t typ 2 dibts. Cntrlling yur dibts bfr nd during yur prgnncy will hlp prvnt such prblms s birth dfcts, prmturity, miscrrig, nd stillbirth. If yu find tht yu r prgnnt bfr yur dibts is cntrlld, tking stps nw t cntrl yur bld sugr is th bst wy t cr fr yur bby. 3

6 Hv hlthy prgnncy nd hlthy bby 5 things yu cn d t hlp... 1 Pln yur prgnncy Gt yur bdy rdy t b prgnnt. S yur dctr bfr yu pln t gt prgnnt nd s ftn s rcmmndd during yur prgnncy. Yu might hv t tk mdicins r chng yur currnt mdicins, including yur mdicin fr dibts. Cntrl yur bld sugr bfr nd during prgnncy t rduc yur chnc f hving bby with birth dfct. Wrk with yur dctr t prvnt prblms r t ctch thm rly. 2 Et hlthy fds nd sty ctiv 4 Wrk with dititin r dibts ductr t dvlp dibts ml pln fr yurslf. Lrn wht t t t kp yur bld sugr undr cntrl. Sty ctiv t hlp kp yur bld sugr undr cntrl. Exrcis rgulrly bfr, during, nd ftr prgnncy. Mdrt xrcis, such s brisk wlk, 30 minuts dy, 5 dys wk is gd gl if yur dctr is ky with it.

7 3 Tk yur mdicins Fllw yur dctr s dvic. Tk yur mdicins s dirctd, including insulin* (in-suh-lin) if rdrd by yur dctr. 4 Mnitr yur bld sugr ftn B wr tht yur bld sugr cn chng vry quickly, bcming t high r t lw. Wht yu t, hw much yu xrcis, nd yur grwing bby will chng yur bld sugr mny tims during th dy. Chck yur bld sugr ftn s dirctd by yur dctr ny tim yu hv symptms. (S pgs 8 9.) Knw wht bld sugr lvls mn. Lrn hw t djust wht yu t; hw much yu xrcis; nd, if prscribd, hw much insulin t tk dpnding n yur bld sugr tsts. 5 Cntrl nd trt lw bld sugr quickly Chck yur bld sugr right wy if yu hv symptms. (S pg 9.) Trt lw bld sugr quickly. Alwys crry with yu quick surc f sugr, lik hrd cndy r glucs tblts. Wr mdicl lrt dibts brclt. * Insulin is usully md in th bdy nd hlps chng sugrs nd strchs int nrgy. If th bdy dsn t mk nugh insulin r cn t us th insulin it mks, xtr insulin is givn in sht. 5

8 Sty hlthy ftr th birth f yur bby Tk cr f yurslf s yu bgin t tk cr f yur bby. Mnitr nd cntrl yur bld sugr. S yur dctr rgulrly. Usully twic yr, yur dctr will chck yur A1C ( bld tst tht shws hw wll yur bld sugr hs bn cntrlld during th pst 3 mnths). Tk yur mdicins. Cntrl nd trt lw bld sugr quickly. Cntinu t t hlthy fds. Sty ctiv. Exrcis 30 minuts dy 5 dys wk. Tlk with yur dctr but yur plns fr mr childrn BEFORE yur nxt prgnncy. Wtch yur wight. Six t twlv mnths ftr yur bby is brn, yur wight shuld b bck dwn t wht yu wighd bfr yu gt prgnnt. If yu still wigh t much, wrk t ls 5% t 7% (10 t 14 punds if yu wigh 200 punds) f yur bdy wight. Pln t ls yur wight slwly. This will hlp yu kp it ff. 6

9 Tr ut pg nd kp it hndy! Mnitring Yur Bld Sugr Th Amricn Cllg f Obsttricins nd Gynclgists (ACOG) sys yu shuld try t kp yur bld sugr blw ths lvls: Bfr mls 1 hur ftr ting 2 hurs ftr ting ACOG Rcmmndtins 95 mg/dl r lwr 130 mg/dl r lwr 120 mg/dl r lwr Th lvls my dctr rcmmnds Bld sugr is msurd in milligrms/dcilitr (mg/dl) Yur dctr might rcmmnd diffrnt bld sugr lvls. Ask yur dctr t writ in th chrt bv th lvls yu shuld hv. High bld sugr Yur bld sugr is high whn th numbrs r 130 mg/dl r highr. High bld sugr cn Mk yu thirsty Cus hdchs Mk yu g t th bthrm ftn t urint (p) Mk it hrd t py ttntin Blur yur visin Mk yu fl wk r tird Cus yst infctins Tlk with yur dctr if yu ntic ny f ths signs r symptms. Cll yur dctr if yur bld sugr is grtr thn. (Ask yur dctr t writ th lvl.) My dctr s nm: Phn numbr:

10 Lw bld sugr Yur bld sugr is lw whn th numbrs r 70 mg/dl r lss. Lw bld sugr is ls clld hypglycmi (hi-ph-gli-s-m-h). Lw bld sugr cn Mk yu fl hungry Mk yu swt Cus hdchs Cus wknss Mk yu fl dizzy r shky Mk yu fl nxius Cus yu t fl cnfusd r crnky Mk yu lk pl Mk yur hrt fl lik it s bting t fst If yu ntic ny f ths signs r symptms, chck yur bld sugr. If it is lw, t r drink surc f quick sugr lik pic f hrd cndy r 4 uncs f fruit juic, skim milk, r sft drink (nt dit). Chck yur bld sugr gin in 15 minuts. If it s nt bttr, t r drink surc f quick sugr gin. Whn yu fl bttr, hv prtin snck lik chs nd crckrs r hlf pnut buttr sndwich. Tlk with yur dctr if yu hv tw r mr lw bld sugrs in 1 wk. Cll yur dctr if (Ask yur dctr t fill in.) Rmmbr! Tk cr f yurslf! S yur dctr rgulrly Chck yur bld sugr s dirctd Tk yur mdicin s dirctd Et hlthy dit Exrcis nd b ctiv

11 D i Cir c h c b l b h r t s l t L d s s m g b ug n r r y t k s im : W u l t s c s y k f h t im u n y u d i kfst Aftr kfst Aftr r t t k b v p t r b l rc k w y f y Bfr Lunch Aftr Bfr Lunch Aftr ur t ur b l rg t. A ug d s Bfr Dinnr Aftr Bfr Dinnr Aftr dd c r. mm n ts n dit, xr Bdtim Bdtim ci s Othr Othr, il ln s s, r st s g l r ss. Cpy t Dt T im Bld sugr r dings Cmmnts* Dt Tim Bld sugr r dings Cmmnts* Br Bfr Br Bfr Mdicins u tk y Mdicins yu tk id ff ). d in d, m t); l: l r s trs s n d c s (c mm ncr nts n b b u u t h t u cr sb t n in d g f t t x t m hr p r C mm (1/2 c u n p ts: f r Rp ic = rt b n l yt hin d s g t ug h t mig h r); x rci t s h v (w m lk d d f c h n g in y st x 30 min); i ur lln b s l s (f sug r v r n f d s r *

12 800 CDC INFO ( ) Ordr Numbr: CS B

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