Planning for pregnancy if you are Type1 or 2 Diabetes

Planning for pregnancy if you are Type1 or Type2 Diabetes

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Planning for pregnancy if you are Type1 or 2 Diabetes
Posted on 20th August 2017

Pregnancy is both a physical and an emotional journey—it’s no wonder women with type 1 diabetes who are pregnant have many questions and concerns. That is why preconception planning is absolutely crucial. Having said that, some pregnancies are unplanned. It is important to speak with your doctor and diabetes care team and get the guidance that you need to have a healthy pregnancy with T1D as soon as you know you are pregnant.

How soon should you start preconception planning? Working on the following goals for a few months in advance of conception can make the whole process easier and less stressful

The A1c is a benchmark for type 1 diabetes management that many doctors and hospitals use to measure your average blood sugar over a 2-3 month period. Many endocrinologists recommend that women aim to achieve and maintain their A1c goal for a few months before becoming pregnant.

The American Diabetes Association recommends that women who are planning a pregnancy with type 1 diabetes aim for an A1c as close to the target for pregnancy (A1c <6.0%) as possible without significant hypoglycemia.

If you have type 1 or 2 diabetes, it is very important to talk to your healthcare team if you are thinking about having a baby. There are some things that are best done before you get pregnant that will reduce your risk of pregnancy complications and baby loss.  
If you have type 1 or 2 diabetes, you need to be as healthy as possible before you conceive, and while you are pregnant. All pregnancies come with risks, but if you have type 1 or 2 diabetes, your level of risk is higher, for the baby and for you. You can’t avoid these risks completely, but there are a lot of things you can do to reduce them.

My advise

1....  For couples planning a baby in which the dad-to-be is living with type 1 diabetes, it’s important that his health is optimized to ensure healthy sperm production. Though the woman’s fertility may be more of a focus, men with type 1 diabetes need to be aware of the impact their type 1 diabetes may have on their ability to successfully conceive. Poorly managed blood sugar can impact erectile function, sperm count and sperm health. Every man has the right to talk with their doctor about his fertility concerns. Don’t discount or avoid these issues when planning to start your family.

2...  Once you and your partner have decided to “go for it” and try to get pregnant, you may feel heightened levels of excitement and anxiety. Having type 1 diabetes during pregnancy means you will need some extra monitoring as compared to your peers who do not have diabetes. This might not always feel fair. Be sure to remind yourself that the end goal remains the same for all: a healthy baby and a healthy mother.

3.... Pinpointing when you ovulate each month is the single most helpful task in improving your chances for conception. There are many ways to do this, from watching the calendar, to taking your body temperature, to purchasing an ovulation predictor kit or using a fertility app. Bookstores and websites offer a wide variety of options to help you better track your menstrual cycle and sexual activity.

4.... How you choose to track ovulation is less important than simply making the choice to track it. Don’t let conception become an intimidating science experiment. Try to keep this aspect of conception from dominating your thoughts. Be sure to relax and enjoy this special time and the process involved.

5... Being overweight can make conception difficult and increase the risk of pregnancy complications, such as preeclampsia. Extra weight can raise a woman’s insulin resistance (a condition in which insulin becomes less effective at lowering blood-sugar levels). It is common for women with type 1 diabetes, even those within normal weight range, to experience some level of insulin resistance during pregnancy.

6...  Follow a balanced and healthy diet that includes whole grains, fruits, vegetables and low-fat dairy products and reduce your intake of unhealthy and high-fat foods. This can help you meet your target weight and help manage your blood sugars, which may improve the chances of conception.

7....Exercise and physical activity is just as important for women with type 1 diabetes who are trying to become or are already pregnant as it is for women without type 1 diabetes. A good exercise program gets your body in the best shape possible for the demands of carrying a baby.

8... Regular exercise can also improve your blood-sugar management, which may enhance your chances for conception. (And it can help lower stress, which is a plus!) See a fitness professional before you begin a new exercise routine. You must also take extra care to monitor blood sugar levels to avoid the negative consequences of low blood sugar levels.

9...  Avoid alcohol and tobacco products.

10.. If you are Type 2 diabetes control it with healthy food and healthy habits.

Be positive always and follow healthy food n healthy habits.

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