Key Point

• Newborns of diabetic mothers always require intensive monitoring for hypoglycemia, even following ideal pregnancies.

In anticipation of pregnancy in a type 1 diabetic patient, insulin dosage schedules may need to be modified to flexible, intensive regimens. As mentioned, controversy surrounds continuing effective basal bolus regimens with synthetic insulins during pregnancy. If an insulin pump is being used, adjustments need to be made frequently to attain target HbA1c values of less than 7%. The risk of diabetic embryopathy resulting in congenital anomalies has been directly related to the HbA1c value in the first trimester. Unless the family physician has a particular interest and experience, maternal fetal medicine physicians and endocrinologist should provide counseling and insulinization schedules for type 1 diabetic women preparing for pregnancy.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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