Once you fall pregnant it’s important to continue to maintain the best health that you can. This includes having safe blood sugar levels and a diet high in nutrients.
The first trimester is usually plagued with horrible morning sickness, in an analysis of 800 normal pregnancies, 90% of women reported some sort of nausea and/or vomiting.
Up to 3% of pregnancies are effected by a type of severe morning sickness, called hyperemesis gravidarum, resulting in weight loss from incessant vomiting. Hyperemesis gravidarum usually requires medical management and close monitoring, particularly in women with diabetes.
Morning sickness can increase risk of diabetic ketoacidosis (DKA) in women who take insulin, so it’s important to ensure you have a sick day plan in place - chat to your diabetes team about this. Finding foods that you can tolerate (such as dry crackers), maintaining optimum insulin doses, as well as, regularly monitoring your blood glucose and ketone levels are important in the prevention of DKA. DKA can occur at lower blood glucose levels (BGLS) in pregnancy than in non-pregnant women, so it is important to be extra vigilant.
With so many hormonal changes it can be hard to keep blood sugar levels under control in the first trimester. Often women require less insulin in their first trimester, and an increased amount towards the end of the second and during their third trimester. Regular appointments with you diabetes team are important to monitor your diabetes, as you’ll probably require frequent insulin dose adjustments.
Please see the following articles for more information:
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