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Is It Safe To Take Insulin During Pregnancy?
Question: I am 8months pregnant and my Dr advised me to take insulin 2 units per day for 10 days. this is my 2nd delivery and for first baby also, i has this issue @ my 7th month but no insulin was taken.. is it safe to take insulin or suggest me an alterante to avoid insulin..... whcih fruits i can have ? and my diet...
Brief Answer:
Insulin is safe in pregnancy
Detailed Answer:
Hi XXXX,
Welcome to HCM. I had gone through your question and understand your concerns.
High sugars can cause adverse outcome for both mother and baby in pregnancy. The treatment option in diabetes in pregnancy (Gestational diabetes - GDM) is insulin or medications like metformin. Of which the safer option is insulin.
Diet modification can bring down sugars to normal in most cases of GDM. Frequent small meals of low calorie rich in fibre are suggested. You can take fruits like apple or orange.
Once on treatment, whether insulin or diet, the fasting plasma glucose should be less than 95 mg/dl and 1 and 2 hours after should be less than 140 and 120 mg/dl.
Hope I have answered your question. If you have any further questions I will be happy to help.
Regards
Dr Ajish TP
Consultant Endocrinologist
Insulin is safe in pregnancy
Detailed Answer:
Hi XXXX,
Welcome to HCM. I had gone through your question and understand your concerns.
High sugars can cause adverse outcome for both mother and baby in pregnancy. The treatment option in diabetes in pregnancy (Gestational diabetes - GDM) is insulin or medications like metformin. Of which the safer option is insulin.
Diet modification can bring down sugars to normal in most cases of GDM. Frequent small meals of low calorie rich in fibre are suggested. You can take fruits like apple or orange.
Once on treatment, whether insulin or diet, the fasting plasma glucose should be less than 95 mg/dl and 1 and 2 hours after should be less than 140 and 120 mg/dl.
Hope I have answered your question. If you have any further questions I will be happy to help.
Regards
Dr Ajish TP
Consultant Endocrinologist
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
it is now 100 in fasting and 170 after 2 hours of meal....
Brief Answer:
The levels are high. Better to be on insulin
Detailed Answer:
Hi XXXX,
Welcome back.
These levels are high. It is better to be on insulin till the targets are achieved.
Diet plan:
Split the meals into 7-8 times a day.
3 Major meals and 3-4 snack is always better than taking 3 meals a day.
More vegetables, salads, whole grains
Less refined sugars, white rice, carbs
Snacks:
Any one of the following at a time-
a. Fruits: 1 apple / orange/ small banana
b. Fluids: 200ml Lime juice, butter milk
c. Egg white: 1-2 egg whites
d. 1 Brown bread vegetable sandwich
e. 200ml vegetable soup
Breakfast: 2-3 idly / Dosa / Chapatti / a cup of oats / 1 cup corn flakes with vegetable curry.
Lunch: Salads,1 cup rice (parboiled), with vegetable curry, fish curry
Dinner: Make it chapattis, or oats or anything with whole wheat, salads, vegetable curry
Have insulin before major meals as advised by your doctor, and increase the doses till the target sugars are achieved.
Hope I have answered your question. If you have any further questions I will be happy to help.
Regards
Dr Ajish TP
Consultant Endocrinologist
The levels are high. Better to be on insulin
Detailed Answer:
Hi XXXX,
Welcome back.
These levels are high. It is better to be on insulin till the targets are achieved.
Diet plan:
Split the meals into 7-8 times a day.
3 Major meals and 3-4 snack is always better than taking 3 meals a day.
More vegetables, salads, whole grains
Less refined sugars, white rice, carbs
Snacks:
Any one of the following at a time-
a. Fruits: 1 apple / orange/ small banana
b. Fluids: 200ml Lime juice, butter milk
c. Egg white: 1-2 egg whites
d. 1 Brown bread vegetable sandwich
e. 200ml vegetable soup
Breakfast: 2-3 idly / Dosa / Chapatti / a cup of oats / 1 cup corn flakes with vegetable curry.
Lunch: Salads,1 cup rice (parboiled), with vegetable curry, fish curry
Dinner: Make it chapattis, or oats or anything with whole wheat, salads, vegetable curry
Have insulin before major meals as advised by your doctor, and increase the doses till the target sugars are achieved.
Hope I have answered your question. If you have any further questions I will be happy to help.
Regards
Dr Ajish TP
Consultant Endocrinologist
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
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