Can diabetes be a hindrance to a normal pregnancy and a lump? The type 1 diabetes mellitus is not easy, but it is not impossible, as well, provided by specialists. Dr. Cătălina Niculescu: Insulin does not pass into breast milk! The baby does not make hypoglycemia during breastfeeding but mother.
On how the complications of type 1 diabetes affect the pregnancy, explained Catalina Niculescu, a diabetes specialist, at the conference "New Diabetes", organized by the Diabetes Support Association.
Thus, the doctor pointed out that certain complications, small or moderate, of pregnant type 1 diabetes may be recovered after birth.
"For example, if he has kidney problems – mild or moderate diabetic nephropathy – these may get worse. Urinary infections should be treated as well as high blood pressure. Careful! A diuretic treatment should be avoided as it can affect the baby's weight. Also, in preeclampsia, hypertension will be treated only with medications accepted in pregnancy and recommended by the specialist doctor, "said doctor Cătălina Niculescu.
The doctor also said that if a woman has severe chronic kidney disease with a manifest nephrotic syndrome, pregnancy is a contraindication, because it can aggravate kidney disease. The same applies if the patient has severe diabetic eye disease.
"But if there is an incipient diabetic retinopathy, even if it can get worse during pregnancy, we must remember that this disease is reversible after birth. Moreover, it can even be laser-induced during pregnancy. Including neurological problems may occur, eg carpal tunnel syndrome, but this can also be resolved after birth. It is important to remember that any illness that occurs during pregnancy should be treated as soon as possible, "the diabetes specialist said.
The lactation provides mother and child metabolic benefits
First of all breastfeeding is indicated. And the fact that insulin passes into breast milk and can affect the baby is a myth, say specialists.
"Mother breastfeeding the baby because lactation provides long-term metabolic benefits for mother and child. Of course, there is a risk of hypoglycaemia for the mother during lactation, but it can be controlled by taking fast or slow carbohydrates, both before breastfeeding and during breastfeeding. Insulin does not pass into breast milk. The baby does not make hypoglycemia during breast-feeding, but mother, "the diabetes specialist said.
It should also be remembered that immediately after birth, insulin sensitivity increases significantly and returns to the pre-pregnancy level within 1-2 weeks. That is why the movement, sport and the maintenance of a healthy lifestyle are so recommended.
Insulin requirements change as pregnancy progresses
"Since the preconception period, the diabetes patient should keep a diary of glucose and insulin doses. Insulin requirements change as pregnancy progresses. Basically, insulin requirements decrease in the first trimester of pregnancy by physiologically increasing the body's sensitivity to insulin action and gradually increase from the second trimester of pregnancy (week 13-27) under the action of platelet-derived hormones that play a role in developing the fetus, said Mihaela Vlaiculescu, diabetes specialist and chairwoman of the Diabetes Support Association.