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Diabetes and Pregnancy Risks

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It can be the happiest time of a woman’s life—but doctors say that joy can be overshadowed by a common medical condition. “It’s very common, unfortunately. As a society we are getting sicker, we are getting obese, and diabetes is on the rise,” said Dr. Ravi Chokshi, an OB/GYN with Lee Health.

Diabetes becomes even more concerning when it’s developed during pregnancy. “There are two types of diabetes during pregnancy that we worry about. One is you’re a diabetic before you became pregnant, and that is a very serious problem that we try to get control of. The other is you’re not a diabetic. You had normal blood testing before. What happens in pregnancy is the placenta that the baby relies on releases hormones that increase your blood sugar,” said Dr. Chokshi.

If the mother becomes diabetic during pregnancy, both the mother and baby are at risk for health concerns. “It actually affects the development of the baby, and it can cause heart defects and brain defects if the sugars aren’t brought under control quickly,” he said.

These concerns are why doctors are screening women for diabetes throughout their pregnancy. “We are actually instituting a policy where almost every patient is going to get some blood sugar test at the start of pregnancy to make sure we’re not missing diabetics who didn’t know they were diabetic,” said Dr. Chokshi.

If a woman is diabetic or becomes diabetic during pregnancy, doctors will help them with diet and medication, if necessary to get their blood sugar under control. “If you have diabetes during pregnancy and we don’t treat it adequately, you’re at a two to three time increased the risk for C-section; you’re at a three to four time increased risk for birth injury,” he explained.

The goal is to catch diabetes early during pregnancy to prevent health concerns for both the mother and baby—both during and after delivery.

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Dr. Beena Bansal talks about pregnancy in diabetic patients.

Know the Warning Signs of Diabetes

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23 million Americans already have it, but another 5 million don’t even know they have diabetes. This episode of Health Matters looks at the warning signs of diabetes.
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High Risk Pregnancy: Diabetes

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Understand the risks and management of diabetes during pregnancy. Learn more: http://www.swedish.org/services/maternal-and-fetal-specialty-care/high-risk-maternal-conditions/diabetes-during-pregnancy
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Five Signs That Could be Symptoms of Diabetes

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The numbers are surely attention getting: nearly 7 million Americans have undiagnosed diabetes. What gets less notice are the early warning signs.

“If they’re not going to their doctor, if they’re not seeing their physician they’re not having those lab works, they’re not reporting their signs they could just be going along with their normal daily activities,” says Melanie Aracri, a certified diabetes educator for Lee Health.

All too often patients show up at a hospital in a health crisis and find out they have highly elevated blood sugar. New studies find 1 in 10 heart attack patients may have undetected diabetes. We’ve broken down 5 warnings signs that should get your attention.

“The three classic signs of high blood sugar, we call them the three “P”s: polyphagia, polydipsia, and polyuria. Those are increased thirst, increased hunger, and increased urination,” says Aracri.

It’s easy to minimize increased thirst, especially when it’s hot. And frequent urination seems to naturally follow. But experts say it could be our body’s way of flushing extra glucose.

“The kidney has to work really hard to get that blood sugar out, that blood glucose out when it’s high,” says Aracri.

Wounds that don’t heal could be another warning sign.

“The body’s not able to fight that infection because of that extra glucose in the system,” says Aracri.

Frequent yeast or urinary tract infections may also be a red flag many people fail to consider. The earlier diabetes is picked up, the easier it is to avoid complications.

“it’s a learning how to adapt your eating pattern, your meal plan to your lifelong activities and daily habits,” says Aracri.