If you have diabetes, you should frequently visit the maternity clinic for follow-up appintments for the entire duration of your pregnancy. Typically, blood sugar is low early in the pregnancy. If you have pregnancy nausea, you should be cautious with your insulin dose and choose foods that you like.
The need for insulin begins to increase from weeks 16-20 of the pregnancy onwards. The increase in the amount of insulin is due to pregnancy hormones, as a result of which insulin is no longer as effective. The need for insulin is greatest during weeks 28–32 of the pregnancy. As the end of the pregnancy approaches, the follow-up visits take place more frequently.
Target for the blood sugar levels is 3.5–5.5 mmol/l before meals and 5.5–7.8 mmol/l after meals throughout the pregnancy.
If you have diabetes and are pregnant
Measuring glucose before meals, one hour after meals, and sometimes at night is recommended, for a total of about 7–8 times per day. If you need meal-time insulin in addition to long-acting insulin, it is usually recommended to use a glucose sensor.
Your blood sugar should not be too high during pregnancy as it will result in your baby growing adversely big. Healthy eating and exercise are an important part of the treatment. The quality and quantity of carbohydrates and food (slowly absorbed carbohydrates and fibres) reduce the increasing need for insulin.
If you have type 1 diabetes. You should learn – if they are not yet familiar with it – or recap how to measure the blood ketone level and interpret the results. Ketoacidosis, a form of acidosis resulting from insulin deficiency, may occur when the blood sugar level is lower than normal during the pregnancy.
If you have type 2 diabetes. The monitoring and treatment during pregnancy follows the same principles as a person with type 1 diabetes. The targets for blood glucose and blood pressure are the same. Blood sugar is managed with metformin tablets and, if needed, insulin.