THE DANGERS OF DIABETES FOR MOTHER AND CHILD

Now, Diabetes not only suffered by older age groups, but has been shifted to kelomp ok young age and productive. Due to this shift, women of fertile age any more who have diabetes.

Up to this point, 2 from 5 women of fertile age suffer from diabetes, with more than 60 millions of women around the world. Female diabetics generally difficult pregnant or experiencing difficulties during the process of labor. This can cause mordibitas and mortality in mothers and babies if not supported pre-classic planning conception on pregnant women.

Based on the research of the International Diabetes Federation, 90% cases of diabetes in pregnant women is the case of a diabetes gestasional. Gestasional diabetes is a condition of pregnant women experiencing intolerance against carbohydrates, indicated by hyperglycemia that was first discovered during pregnancy.

In the first trimester second trimester until mid-, blood sugar levels fasting and postprandial lower than in women who are not pregnant. The increased blood sugar levels in this period reflect the possibility of diabetes in pregnancy. Pemerikasaan blood sugar levels in pregnant women is usually done on gestational age 24-28 Sunday. The examination should be done to determine the presence of diabetes gestasional on pregnant women is OGTT (After fasting 8-14 hours), plasma blood sugar after 2 hours of fasting.

Diabetes gestasional for pregnant mothers very risky cause maternal mortality up to 4 fold, as well as it may cause serious complications in the birthing. Not only that, data on the Lancet 2011 mention as much as 3 million baby is born dead every year due to diabetes gestasional.

Pregnant Diabetics gestasional generally experienced complications while labor and tend to give birth to babies with excess weight with a high risk of experiencing diabetes type 2, giving birth to premature babies or physically disabled. Although diabetes is a gestasional phenomenon is temporary, more than 50% pregnant women with diabetes gestasional vulnerable suffer from diabetes type 2. Phase of development of diabetes gestasional towards diabetes type 2 generally occurs 5-10 the year after childbirth.

To prevent such a thing then it could be done:

  1. Preconception counseling (counseling before pregnancy)
  2. Do diet and lifestyle modification in pregnant women with diabetes gestasional with the target:
  • Blood sugar before eating <95mg/dL
  • Blood sugar 1 hours after eating <140mg/dL
  • Blood sugar 2 hours after eating <120mg/dLPada of pregnant women who had previously had a history of diabetes either type 1 as well as 2, targeted:
  • Blood sugar before eating/during 60-99mg/dL
  • Blood sugar after eating 100-129mg/dL
  • HbA1c <6%

3. Keep your blood pressure 110-129/65-79 mmHg. If accompanied hypertension then can use anti hypertension besides the ACE inhibitors and ARBS. (antihipertensi drugs that are safe for pregnant women: metildopa, labetolol, diltiazem, klonidin, prazoin)

In addition to the intervention, on mothers who have a history of diabetes or diabetes gestasional recommended to use contraception and pregnancy spacing gives a minimum of 5 years. On a mother with a history of diabetes or diabetic gestasional are advised to limit the amount of labor, maximum bore as much 3 times given the risk of makrosomia and other complications that can also endanger the life of the mother.

For pregnant women who feel have a risk of developing diabetes gestasional, then it is advisable to immediately contact the obstetrician at the hospital.

Leave a reply