
Diabetes and Pregnancy: Fluctuating Hormones and Glucose Management
Being pregnant is known to be a roller coaster of hormonal changes. If you have type 1 or type 2 diabetes, the hormonal thrill ride can also affect your glucose levels in unexpected ways.
Not only will your blood sugar readings likely be different from what you are used to, but they can also fluctuate week to week as your body goes through the different stages of pregnancy.
If you know what to expect, you can plan and talk over concerns with your doctors and dietician. Your diabetes-care team, who knows your history and needs, may have different recommendations than the ones offered here.
Unusual Tendencies
Your blood glucose levels may fluctuate in new ways through different stages of the pregnancy. For instance, during the first trimester, some women notice their glucose levels are lower than usual. This is why keeping all medical and obstetrics appointments, and asking relevant questions, are important.
If you have type 1 diabetes, your body’s need for insulin may increase, especially during the last trimester. This is owed to hormones produced by the placenta. The placental hormones help the baby grow but also block the effectiveness of Mom’s insulin, so she may need to take more.
If pregnant with type 2 diabetes, your physician might have already switched you from oral medications to insulin, or may recommend doing that now. The safety of oral diabetes meds during gestation has not been determined, and increased insulin resistance during pregnancy can lower the effectiveness of oral medications.
Insulin does not cross the placental barrier so it is safe to take dur
Continue
reading