Insulin is the traditional first-choice drug for blood sugar control during pregnancy because it is the most effective for fine-tuning blood sugar and it doesn’t cross the placenta. Therefore, it is safe for the baby. Insulin can be injected with a syringe, an insulin pen, or through an insulin pump.
When should a pregnant woman take insulin?
You can do this by making changes to your diet and exercise routine. If these changes don’t lower your glucose levels enough after 1 to 2 weeks, you may be given tablets or insulin. You may also be given medicine straight away after you’ve been diagnosed with gestational diabetes if: your glucose levels are very high.
How does insulin affect my unborn baby?
Because of the extra insulin made by the baby’s pancreas, newborns may have very low blood glucose levels at birth and are also at higher risk for breathing problems. Babies born with excess insulin become children who are at risk for obesity and adults who are at risk for type 2 diabetes.
What insulin can be used in pregnancy?
Regular insulin (U-100 and U-500), insulin aspart, insulin lispro (U-100 and U-200), NPH, and insulin detemir all carry a pregnancy category B. For these insulins, the FDA has received sufficient human data allowing these to be considered low risk in pregnancy.
How do I give myself insulin while pregnant?
Insulin is given as a shot into the fatty tissue just under the skin. In pregnant women, insulin usually is given in the upper arm or thigh. Make sure that you: Have the right dose of insulin, especially if you are giving two types of insulin in the same syringe.
Will one high blood sugar hurt my baby?
High blood glucose, also called blood sugar, can harm your baby during the first weeks of pregnancy, even before you know you are pregnant. If you have diabetes and are already pregnant, see your doctor as soon as possible to make a plan to manage your diabetes.
At what sugar level is insulin required during pregnancy?
FIGO recommends insulin as the first-line treatment in women in whom diabetes is diagnosed before 20 weeks of gestation, if pharmacologic therapy is needed >30 weeks, fasting blood glucose is >110 mg/dL (6.1 mmol/L), one-hour postprandial glucose is >140 mg/dL (7.8 mmol/L), or pregnancy weight gain is >12 kg (26.5 …
What birth defects are caused by diabetes?
Among the defects in children born to women with diabetes are heart problems, brain and spinal defects, oral clefts, kidney and gastrointestinal tract defects, and limb deficiencies. Diabetes diagnosed before pregnancy was linked with about 50% of the birth defect categories analyzed.
Can a diabetic mom have a healthy baby?
If you are healthy and your diabetes is well controlled when you become pregnant, you have a good chance of having a normal pregnancy and birth. Diabetes that is not well controlled during pregnancy can affect your health long-term and can also be risky for your baby.
Can you have a healthy baby with gestational diabetes?
Women with gestational diabetes can and do have healthy pregnancies and healthy babies. Most pregnant women get a test for gestational diabetes at 24 to 28 weeks of pregnancy. If untreated, gestational diabetes can cause problems for your baby, like premature birth and stillbirth.
Is insulin contraindicated in pregnancy?
Insulin has been assigned to pregnancy category B. It is the drug of choice for the treatment of diabetes during pregnancy. Data from human pregnancy have revealed an increased incidence of teratogenicity associated with diabetes mellitus; the association with the use of insulin is probably coincidental.
Can insulin cause miscarriage?
Researchers say they have found that insulin is toxic to early placenta cells and can result in miscarriage.