If you want to have children, diabetics should be examined in advance

If you want to have children, diabetics should be examined in advance

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Desire for children: Diabetics should be checked before conception
Women who have diabetes and want to have a child should seek advice from a doctor before conception. This can minimize risks for both mother and child. Among other things, the metabolism should be optimally adjusted as early as possible.

Increased risk of complications
According to a message from the German Society for Internal Medicine e. V. (DGIM) in Germany, around every hundredth child is born from a mother with type 1 or type 2 diabetes. "The risk of complications is significantly increased in these pregnancies," write the experts. Diabetics should therefore strictly follow some guidelines in order to minimize the risks for mother and child.

More frequent miscarriages
Although women with diabetes can usually have children today without any problems, diabetics are three to nine times more likely to give birth compared to non-diabetic pregnant women; Malformations occur two to four times as often and the risk of developing pre-eclampsia that is life-threatening for both mother and child is two to ten times higher for diabetics.

US scientists also reported earlier this year that diabetes combined with obesity doubled the risk of autism in newborns.

Consult a doctor before conception
The experts at DGIM recommend that diabetics who want to have children should contact a doctor before conception. It is important that the blood sugar is best adjusted before pregnancy.

An increased blood sugar level in pregnant women has serious consequences and can lead to various illnesses in the child.

Blood pressure and lipid levels should also be checked.

Gestational diabetes increases the risk of diabetes
"However, pregnancies in which diabetes reappears or is newly diagnosed are far more common than pregnancies for women with type 1 or type 2 diabetes," the company wrote in its communication.

This can also have long-term consequences, because transient gestational diabetes significantly increases the risk of type 2 diabetes, as a long-term study in South Korea showed.

Prevent long-term consequences for the child
Unfortunately, experts complain that the risks and consequences of postpartum diabetes are often underestimated.

According to the DGIM, a glucose search test in the second trimester of pregnancy has been mandatory in Germany since 2012 in order to prevent long-term consequences for the child. For women with an increased risk of diabetes, the experts at DGIM recommend taking a blood glucose measurement already in early pregnancy. (ad)

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Video: Cardiovascular Examination - OSCE Guide (August 2022).