By now you're halfway through pregnancy. You've managed to get through the stresses of insulin shock in the first trimester and insulin resistance beginning in the second trimester, and you're well on your way toward your third trimester. Congratulations! A moment of applause, please.
Welcome to the second trimester! By now, many type 1s are experiencing fewer hypoglycemic episodes, and insulin resistance is just beginning to rear its head. You're on the other side of the miscarriage worry hump and getting settled into the pregnancy routine. Congratulations! Take a few minutes each day to celebrate your successes and pat your stomach with a smile, knowing you are doing the best you can to give your growing child everything she needs.
A couple of factors lead to increased risk of insulin shock comas during the first trimester. For many, insulin sensitivity increases and the pancreas isn't yet producing the hormones associated with insulin resistance. In addition, many type 1s will be taken off of their current basal insulin if it is not yet approved for use during pregnancy.
It's hard enough to be pregnant, but pregnancy with diabetes is especially challenging because it's so difficult to keep blood sugar within a normal range at a time when hormones are surging. All women try their best with the tools that they have, but even so, about half of all babies born to mothers with type 1 diabetes are overweight or obese at birth because of too much sugar in their mothers' blood. Mothers with high blood glucose levels also increase their child's risk of congenital malformation, stillbirth, neonatal death, preterm delivery, and neonatal admission.
If you have a new infant in your family and a family history of type 1 diabetes, feeding your baby a special formula when weaning off breastfeeding may protect against the development of the antibodies associated with type 1 diabetes, thus potentially shielding your child from developing the disease itself. This is the finding of a new study, conducted by Finnish researchers, that was published in the November 11 issue of the New England Journal of Medicine.
Women who deal with gestational diabetes in their first or second pregnancy are far more likely to develop the condition again in their third pregnancy, according to a new study from Kaiser Permanente that examined the electronic medical records of 65,132 women. The study was published online in the American Journal of Obstetrics and Gynecology last month.
Most women with gestational diabetes know that taking steps to manage the disease during pregnancy is critical for the health of both mother and child. What many women don't realize is that those steps need to continue even after the baby is born.
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