I’m a Diabetic: What Problems Will I Face During Pregnancy?

Pregnancy is a beautiful journey, but for women with diabetes, it can bring unique challenges that require careful management. Diabetes, whether pre-existing (Type 1 or Type 2) or gestational, introduces potential risks to both the mother and the baby. However, with proper planning, medical care, and lifestyle adjustments, these risks can be managed effectively to ensure a healthy pregnancy and delivery (American Diabetes Association, 2023; WHO, 2016).

What Problems Diabetes Face During Pregnancy

What Problems Diabetes Face During Pregnancy


The Unique Challenges Faced by Diabetic Mothers

For diabetic women, pregnancy often feels like walking a tightrope. Beyond the joy of expecting a baby, there’s the constant concern about fluctuating blood sugar levels and their impact on the developing child. Here are some common issues diabetic women might face during pregnancy (Reece & Coustan, 2004; Balaji et al., 2010):


1. Blood Sugar Fluctuations

Maintaining stable blood sugar levels becomes more challenging during pregnancy due to hormonal changes that can cause insulin resistance. These fluctuations can lead to:

  • Hyperglycemia (high blood sugar): Increases the risk of birth defects during the first trimester and complications like preeclampsia in later stages.
  • Hypoglycemia (low blood sugar): Common in early pregnancy, it can cause dizziness, confusion, or fainting, posing risks to both mother and baby.

2. Risk of Gestational Hypertension and Preeclampsia

High blood sugar levels increase the risk of high blood pressure during pregnancy. If unmanaged, this can lead to preeclampsia, a condition characterized by high blood pressure and organ damage, posing serious risks to both mother and baby (Teede et al., 2018).


3. Macrosomia (Large Baby)

Uncontrolled diabetes can cause excessive glucose transfer to the baby, leading to increased fetal growth. This condition, known as macrosomia, raises the risk of:

  • Difficult labor and delivery.
  • Need for cesarean delivery.
  • Birth injuries for the baby.

4. Preterm Birth

Diabetic mothers are at higher risk of preterm labor, which can lead to complications such as respiratory distress syndrome and underdeveloped organs in the baby (Balaji et al., 2010).


5. Neonatal Complications

Babies born to diabetic mothers may experience:

  • Hypoglycemia (low blood sugar) immediately after birth.
  • Jaundice.
  • Increased risk of developing obesity or Type 2 diabetes later in life.

6. Risk of Miscarriage or Stillbirth

If blood sugar levels are not well-controlled, there is an increased risk of pregnancy loss during any trimester (Reece & Coustan, 2004).


7. Long-Term Health Risks

Both mother and baby are at a higher risk of developing chronic conditions later in life:

  • The baby may develop obesity or Type 2 diabetes.
  • The mother may experience worsening diabetes or other complications if not managed properly.

How Ayurveda Can Support Diabetic Mothers During Pregnancy

Ayurveda, the ancient Indian system of holistic healing, offers a natural and personalized approach to managing diabetes during pregnancy. It focuses on balancing the body, enhancing digestion, and supporting both mother and baby for a healthy pregnancy (Frawley, 2000; Lad, 2002; Pole, 2013).


1. Stabilizing Blood Sugar Levels

Ayurveda emphasizes managing blood sugar levels through:

  • Personalized Herbal Medications: Tailored formulations help regulate blood sugar naturally without harmful side effects.
  • Dietary Adjustments: A focus on balanced meals that include low-glycemic index foods, whole grains, and fresh vegetables to stabilize glucose levels.

2. Supporting Hormonal Balance

Pregnancy-related hormonal changes can worsen insulin resistance. Ayurveda uses:

  • Hormone-Balancing Herbs: To support a stable hormonal environment.
  • Stress Management: Techniques like yoga, meditation, and Pranayama (breathing exercises) reduce cortisol levels, improving insulin sensitivity (Chrousos, 2009).

3. Promoting Fetal Health

Ayurveda prioritizes the health of the growing baby through:

  • Rasayana Therapies (Rejuvenation): Strengthen maternal health and ensure proper fetal development.
  • Garbhini Paricharya (Pregnancy Care): Guidelines for diet, lifestyle, and mental well-being tailored for each trimester.

4. Managing Pregnancy Complications

Ayurveda offers solutions for complications like:

  • Gestational Hypertension: Herbs and therapies that reduce inflammation and regulate blood pressure.
  • Preeclampsia Prevention: Detoxification practices and anti-inflammatory diets help lower risks.

5. Preparing for Labor and Delivery

Ayurvedic care ensures the body is well-prepared for labor through:

  • Abhyanga (Oil Massage): Improves circulation and strengthens muscles.
  • Light Physical Activity: Gentle exercises and prenatal yoga enhance flexibility and stamina.

Emotional Support: Coping with Anxiety and Stress

Pregnancy with diabetes often brings emotional stress and anxiety. Ayurveda integrates mental and emotional well-being into its care plan through:

  • Meditation and Mindfulness Practices: Reduce stress and promote emotional resilience.
  • Community Support: Encouraging connections with other expectant mothers for shared experiences and advice.

Why Choose Ayurveda for Diabetic Pregnancy?

  1. Safe and Natural: Focuses on herbal remedies and dietary adjustments without harmful side effects.
  2. Personalized Care: Treatments are tailored to each woman’s constitution and unique challenges.
  3. Holistic Approach: Integrates physical, emotional, and lifestyle factors for comprehensive prenatal care.

Key Takeaways

  • Diabetes during pregnancy introduces unique challenges, but with proper care and guidance, these risks can be effectively managed.
  • Ayurveda stabilizes blood sugar, fosters hormonal balance, and supports fetal health through detoxification, herbal medications, dietary guidance, and lifestyle changes.
  • With Ayurveda’s holistic approach, diabetic mothers can enjoy a safer, more fulfilling pregnancy journey.

Conclusion

Being diabetic and pregnant may feel overwhelming, but with Ayurveda’s help, it’s possible to have a healthy pregnancy and baby. By focusing on root causes, nurturing the body, and integrating emotional support, Ayurveda provides a natural, effective pathway to maternal and fetal wellness.

At EliteAyurveda, we’re dedicated to helping diabetic mothers navigate pregnancy with confidence and clarity.

Take the first step toward hormonal harmony and a healthy pregnancy.
📞 Contact us at +91 8884722246
🌐 Visit: www.eliteayurveda.com


Related-

Know More About Ayuverda Diabetic Treatment.


References

1.Colstrup M, Mathiesen ER, Damm P, Jensen DM, Ringholm L. Pregnancy in women with type 1 diabetes: have the goals of St. Vincent declaration been met concerning foetal and neonatal complications? J Matern Fetal Neonatal Med. 2013;26:1682–1686. doi: 10.3109/14767058.2013.794214. [DOI] [PubMed] [Google Scholar]

2.Macintosh MC, Fleming KM, Bailey JA, et al. Perinatal mortality and congenital anomalies in babies of women with type 1 or type 2 diabetes in England, Wales, and Northern Ireland: population based study. BMJ. 2006;333:177. doi: 10.1136/bmj.38856.692986.AE. [DOI] [PMC free article] [PubMed] [Google Scholar]

3.Murphy HR, Bell R, Cartwright C, et al. Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study. Diabetologia. 2017;60:1668–1677. doi: 10.1007/s00125-017-4314-3. [DOI] [PMC free article] [PubMed] [Google Scholar]

4.Wahabi HA, Alzeidan RA, Esmaeil SA. Pre-pregnancy care for women with pre-gestational diabetes mellitus: a systematic review and meta-analysis. BMC Public Health. 2012;12:792. doi: 10.1186/1471-2458-12-792. [DOI] [PMC free article] [PubMed] [Google Scholar]

5.Scheffler RM, Feuchtbaum LB, Phibbs CS. Prevention: the cost-effectiveness of the California Diabetes and Pregnancy Program. Am J Public Health. 1992;82:168–175. doi: 10.2105/AJPH.82.2.168. [DOI] [PMC free article] [PubMed] [Google Scholar]

6.NHS Digital (2016) National Diabetes in Pregnancy Audit. Available from http://content.digital.nhs.uk/npid. Accessed 16 Oct 2017

7.Tieu J, Middleton P, Crowther CA, Shepherd E (2017) Preconception care for diabetic women for improving maternal and infant health. Cochrane Database Syst Rev, Issue 8, Art. no.: CD007776 [DOI] [PMC free article] [PubMed]

8.Egan AM, Galjaard S, Maresh MJA, et al. A core outcome set for studies evaluating the effectiveness of prepregnancy care for women with pregestational diabetes. Diabetologia. 2017;60:1190–1196. doi: 10.1007/s00125-017-4277-4. [DOI] [PMC free article] [PubMed] [Google Scholar]

9.Maresh MJ, Holmes VA, Patterson CC, et al. Glycemic targets in the second and third trimester of pregnancy for women with type 1 diabetes. Diabetes Care. 2015;38:34–42. doi: 10.2337/dc14-1755. [DOI] [PubMed] [Google Scholar]

10.Secher AL, Ringholm L, Andersen HU, Damm P, Mathiesen ER. The effect of real-time continuous glucose monitoring in pregnant women with diabetes: a randomized controlled trial. Diabetes Care. 2013;36:1877–1883. doi: 10.2337/dc12-2360. [DOI] [PMC free article] [PubMed] [Google Scholar]

11.American Diabetes Association Management of diabetes in pregnancy. Diabetes Care. 2017;40:S114–S119. doi: 10.2337/dc17-S016. [DOI] [PubMed] [Google Scholar]

12.National Institute for Health and Care Excellence (NICE) (2015). Diabetes in pregnancy: management from preconception to the postnatal period. Available from nice.org.uk/guidance/ng3. Accessed 16 Oct 2017 [PubMed]

13.Farrar D, Tuffnell DJ, West J, West HM (2016) Continuous subcutaneous insulin infusion versus multiple daily injections of insulin for pregnant women with diabetes. Cochrane Database Syst Rev, Issue 6, Art. no.: CD005542 [DOI] [PMC free article] [PubMed]

14.Feig DS, Donovan LE, Corcoy R, et al. Continuous glucose monitoring in pregnant women with type 1 diabetes (CONCEPTT): a multicentre international randomised controlled trial. Lancet. 2017;390:2347–2359. doi: 10.1016/S0140-6736(17)32400-5. [DOI] [PMC free article] [PubMed] [Google Scholar]

15.Stewart ZA, Wilinska ME, Hartnell S, et al. Closed-loop insulin delivery during pregnancy in women with type 1 diabetes. N Engl J Med. 2016;375:644–654. doi: 10.1056/NEJMoa1602494. [DOI] [PubMed] [Google Scholar]

16.Fresa R, Visalli N, Di Blasi V, et al. Experiences of continuous subcutaneous insulin infusion in pregnant women with type 1 diabetes during delivery from four Italian centers: a retrospective observational study. Diabetes Technol Ther. 2013;15:328–334. doi: 10.1089/dia.2012.0260. [DOI] [PubMed] [Google Scholar]

17.Ringholm L, Mathiesen ER, Kelstrup L, Damm P. Managing type 1 diabetes mellitus in pregnancy—from planning to breastfeeding. Nat Rev Endocrinol. 2012;8:659–667. doi: 10.1038/nrendo.2012.154. [DOI] [PubMed] [Google Scholar]

18.Bell R, Glinianaia SV, Tennant PW, Bilous RW, Rankin J. Peri-conception hyperglycaemia and nephropathy are associated with risk of congenital anomaly in women with pre-existing diabetes: a population-based cohort study. Diabetologia. 2012;55:936–947. doi: 10.1007/s00125-012-2455-y. [DOI] [PubMed] [Google Scholar]

19.Zeisler H, Llurba E, Chantraine F, et al. Predictive value of the sFlt-1:PlGF ratio in women with suspected preeclampsia. N Engl J Med. 2016;374:13–22. doi: 10.1056/NEJMoa1414838. [DOI] [PubMed] [Google Scholar]

20.Concillado M, Lund-Andersen H, Mathiesen ER, Larsen M. Dexamethasone intravitreal implant for diabetic macular edema during pregnancy. Am J Ophthalmol. 2016;165:7–15. doi: 10.1016/j.ajo.2016.02.004. [DOI] [PubMed] [Google Scholar]

21.Poston L, Caleyachetty R, Cnattingius S, et al. Preconceptional and maternal obesity: epidemiology and health consequences. Lancet Diabetes Endocrinol. 2016;4:1025–1036. doi: 10.1016/S2213-8587(16)30217-0. [DOI] [PubMed] [Google Scholar]

22.Catalano PM, Mele L, Landon MB, et al. Inadequate weight gain in overweight and obese pregnant women: what is the effect on fetal growth? Am J Obstet Gynecol. 2014;211:137 e131-137. doi: 10.1016/j.ajog.2014.02.004. [DOI] [PMC free article] [PubMed] [Google Scholar]

23.Hinkle SN, Sharma AJ, Dietz PM. Gestational weight gain in obese mothers and associations with fetal growth. Am J Clin Nutr. 2010;92:644–651. doi: 10.3945/ajcn.2010.29726. [DOI] [PubMed] [Google Scholar]

24.Abenhaim HA, Alrowaily N, Czuzoj-Shulman N, Spence AR, Klam SL. Pregnancy outcomes in women with bariatric surgery as compared with morbidly obese women. J Matern Fetal Neonatal Med. 2016;29:3596–3601. doi: 10.3109/14767058.2016.1143927. [DOI] [PubMed] [Google Scholar]

25.Johansson K, Cnattingius S, Naslund I, et al. Outcomes of pregnancy after bariatric surgery. N Engl J Med. 2015;372:814–824. doi: 10.1056/NEJMoa1405789. [DOI] [PubMed] [Google Scholar]

26.Dalfrà MG, Busetto L, Chilelli NC, Lapolla A. Pregnancy and foetal outcome after bariatric surgery: a review of recent studies. J Matern Fetal Neonatal Med. 2012;25:1537–1543. doi: 10.3109/14767058.2012.663829. [DOI] [PubMed] [Google Scholar]

27.Egan AM, Dennedy MC, Al-Ramli W, Heerey A, Avalos G, Dunne F. ATLANTIC-DIP: excessive gestational weight gain and pregnancy outcomes in women with gestational or pregestational diabetes mellitus. J Clin Endocrinol Metab. 2014;99:212–219. doi: 10.1210/jc.2013-2684. [DOI] [PubMed] [Google Scholar]

28.Simmons D, Devlieger R, van Assche A, et al. Effect of physical activity and/or healthy eating on GDM risk: the DALI lifestyle study. J Clin Endocrinol Metab. 2017;102:903–913. doi: 10.1210/jc.2016-3455. [DOI] [PMC free article] [PubMed] [Google Scholar]

29.Oostdam N, van Poppel MN, Wouters MG, van Mechelen W. Interventions for preventing gestational diabetes mellitus: a systematic review and meta-analysis. J Women’s Health. 2011;20:1551–1563. doi: 10.1089/jwh.2010.2703. [DOI] [PubMed] [Google Scholar]

30.Song C, Li J, Leng J, Ma RC, Yang X. Lifestyle intervention can reduce the risk of gestational diabetes: a meta-analysis of randomized controlled trials. Obes Rev. 2016;17:960–969. doi: 10.1111/obr.12442. [DOI] [PubMed] [Google Scholar]