Hyperglycemia and fertility -
Decreased libido: Because of tiredness, depression and anxiety most diabetic women have decreased sexual desire. Due to less vaginal lubrication, women may experience pain and discomfort during sex. Consult Our Experts Now.
Juvenile diabetes type 1 causes delayed menarche. Anovulation: Anovulation is the absence of ovulation when it would be normally expected in a post-menarche, premenopausal woman.
Anovulation can result from a variety of factors such as chronic mental illness, hormone imbalances, pituitary or ovarian failure or diabetes. Low BMI, diabetic women will have irregular periods, which causes starving of cells intracellular starvation. This may cause disruption in the hypothalamic pulsatile secretion of the gonadotropin-releasing hormone GnRH , with a resultant decrease in the secretion of gonadotropins.
This results in a lower level of luteinizing hormone LH and prolactin which plays an active role in reproduction. Anti-sperm antibodies: The antibodies produced in diabetes can attack the sperms and her eggs.
Diabetes, obesity and PCOS: Generally, Type 2 diabetes occurs in postmenopausal women, but with modern dietary and lifestyle patterns, obesity is on a high, thus raising the incidence of Type 2 diabetes during the reproductive years.
Obesity is associated with irregular menstrual cycles and also linked to PolyCystic Ovarian Syndrome PCOS. Adiponectin is a hormone that improves insulin sensitivity and prevents obesity. In women with PCOS, lower levels of adiponectin lead to poor sensitivity to insulin and fat breakdown.
Thus, PCOS coexists with diabetes and obesity; this is a triple threat to fertility and reproductive health. Losing weight with a healthy diet and exercise is the most effective way to correct insulin resistance, increase fertility and prevent Type 2 diabetes and the resulting complications.
In women, diabetes coexists with obesity, PCOS and affects fertility. Sexual dysfunction : Diabetes reduces the ability to maintain an erection in men, which leads to infertility. Decreased libido: Lack of glucose only source of energy for the brain in certain areas of the brain may cause fatigue, weakness and less sexual drive in men.
Sperm DNA damage: Diabetes is associated with increased nuclear, mitochondrial and DNA damage that may impair the reproductive capability of men.
Sperm quality: Type 2 diabetes is associated with poor sperm concentration in semen, and motility. Also, structural damage to the sperm and its DNA are noted in type 2 diabetics.
For both men and women, treating infertility with diabetes involves enhanced control over blood sugars glycemic control , reproductive hormones and functions. Diagnosis and treatment of infertility usually involves the study of medical history and family history of the couple together. Sometimes, associated treatment options like weight loss surgery, may also be advised.
Treatment for infertility in men and women. Medications and Advanced Reproductive Technologies ART are used to overcome problems of infertility and successfully have a baby. Medical management: Infertility treatments may begin with medications to stimulate ovulation in women, treat infections, and sexual intercourse problems such as erectile dysfunction and premature ejaculation in men.
Treatments may or may not include hormonal supplements. Surgical management: In many cases of PCOS, uterine fibroids, traumatic injuries, surgical management is essential.
Pregnancy with diabetes is a possibility, it only requires a good head start and planning. A team of endocrinologist, gynecologist, and andrologist ensure that your blood sugar levels are in ideal range to facilitate conception and maintain pregnancy till full-term.
The key to success is to understand and reduce the risks involved, eating right, work on ideal weight, and follow the instructions of your healthcare team. If you are diabetic and are trying unsuccessfully to have a baby, it is important to let your endocrinologist know.
Sometimes, you may also need help from a fertility expert. How does PCOS affect female fertility? Implications of advanced age on fertility and pregnancy. Top 11 infertility and assisted reproductive technology questions answered. Good information and useful instructions they amazing.
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Can diabetes make it hard to have a baby? by Yashoda Hospitals Sep 14, Fertility For women with type 1 diabetes , this may mean that their doctor recommends switching to another type of insulin preparation. For women with type 2 diabetes , medical specialists recommend switching to insulin therapy.
As with all types of medication, care should be taken during pregnancy. For many types of blood sugar-reducing medications , there is little data available on their safety for the unborn child.
For this reason, doctors recommend switching to insulin therapy human insulin before a planned pregnancy. Intensified insulin therapy or an insulin pump are used. In some cases, it is possible to get blood sugar levels under control through lifestyle changes, sufficient exercise and a healthy diet.
Finding the correct insulin dosage is not always easy. On top of this, any change in treatment can cause often uncertainty. For this reason, women with type 2 diabetes should take part in a course to learn how to inject and measure blood sugar levels correctly.
There they will learn to use an insulin pen or insulin pump. The costs for the course are usually covered by the health insurance provider.
Find out more about insulin therapy here! It is recommended that pregnant women measure their blood sugar levels 6 times per day 1 hour before each meal, and 1 hour after. A safe and reliable blood sugar measurement device should be used for blood sugar self-testing. Blood sugar levels and insulin requirements change during pregnancy up until delivery due to the pregnancy hormones.
During the 1st trimester, the amount of insulin required falls. During this period, the expectant mother must inject less insulin to prevent low blood sugar levels. The insulin requirements increase rapidly during the 2nd trimester and then dramatically fall again after giving birth.
During the 1st trimester, there is an increased risk of low blood sugar hypoglycemia , especially during the night. To help estimate the risk of nocturnal low blood sugar, blood sugar levels can be tested at around 11 pm.
The diabetes specialist responsible for treatment must carefully adjust the insulin dosage. Pregnant women should definitely inform those close to them and their partner about what to do in the event of severely low blood sugar levels. Ketoacidosis acid buildup in the blood caused by lack of insulin associated with pregnancy diabetes is an emergency situation.
Expectant mothers discuss with their diabetes specialist at what blood sugar level they should begin testing acetone levels in the urine. To ensure good management of type 1 or type 2 diabetes during pregnancy, the patient should attend the following check-ups, among others:.
If the blood sugar levels are too high throughout pregnancy, the child can become too large and too heavy birth weight exceeding grams. This can lead to complications during birth or cesarean section. Diabetes-related complications, e.
During the later stages of pregnancy, expectant mothers can develop high blood pressure. In this case, self-testing of blood pressure can be carried out on a daily basis.
Pregnant women with diabetes are more likely to develop infections of the genital and urinary organs, which can lead to premature birth. For this reason, regular testing is recommended. Preeclampsia, also known as gestosis or pregnancy poisoning, is especially serious. It is characterized by high blood pressure and increased excretion of protein via the urine proteinuria.
Preeclampsia, the most severe form of gestosis, is a very serious emergency situation that requires immediate hospital treatment. Women with type 1 diabetes in particular can develop low blood sugar levels during the 1st trimester, especially at night. Therefore, it may be necessary to temporarily change or adjust their course of treatment.
Later in pregnancy, the blood sugar levels become more stable and the risk drops. The internal organs of the fetus develop during the 1st trimester of pregnancy. If the blood sugar levels are not optimally regulated before and during pregnancy, this can result in malformation of the heart, nervous system, and lungs in particular.
Miscarriage and premature birth are also possible. The risk of premature birth birth before the end of the 37th week of pregnancy is on average 5 times higher for expectant mothers with diabetes.
These risks can be significantly reduced thanks to targeted consultation, good metabolic management, and blood sugar self-testing. Other typical complications include low blood sugar, jaundice hyperbilirubinemia , or respiratory disorders.
Around 5 percent of children from mothers or fathers with type 1 diabetes will also develop diabetes mellitus, because the disease is partially genetically determined.
When both parents or one parent and a sibling have type 1 diabetes, the risk increases further. Expectant mothers are advised to give birth at a perinatal center at least level 2. These clinics are specialized in high-risk pregnancies and premature births and have a pediatric clinic and neonatal intensive care unit.
This enables newborns to quickly receive emergency care on site. For example, glucose can be administered intravenously in cases of newborns with low blood sugar levels. Low blood sugar can lead to reduced contraction activity. The blood sugar levels should be monitored every 1 to 2 hours during childbirth and corrected if needed.
Only short-acting insulins are administered during childbirth. If labor begins so early that a substance to inhibit contractions is required, special attention must be paid to the blood sugar levels during this period.
Certain types of medication can have a negative influence on metabolism. All pregnant women with either type 1 or type 2 diabetes using insulin therapy should give birth at a perinatal center. Mother and child require close monitoring after birth.
The mother's insulin requirements fall rapidly after giving birth, increasing the risk of low blood sugar levels.
It may be necessary to individually adjust the required amount of insulin. The dosage used before pregnancy can be used as a reference value. The blood sugar level should be tested every 4 to 6 hours.
When breastfeeding begins, the required amount of insulin can fall even further and adjustment is needed. Attention should be paid to ensuring sufficient carbohydrate intake during the day to prevent low blood sugar levels at night or after breastfeeding.
The children of mothers with diabetes should be breastfed and vaccinated like other children. The risk of children later developing obesity or type 2 diabetes is reduced by breastfeeding. However, in reality, mothers with diabetes tend to breastfeed more rarely and for a shorter period compared to non-diabetic mothers.
Studies have shown that mothers with diabetes have more success breastfeeding when they participate in breastfeeding classes before giving birth.
Breastfeeding women with type 2 diabetes should not use blood sugar-reducing medication. If the blood sugar levels cannot be sufficiently brought under control with dietary adjustments, then insulin is used.
If possible, the newborn should be breastfed for the first time 30 minutes after birth and then every 2 to 3 hours. This has been proved to stabilize the blood sugar level of the newborn and prevent low blood sugar levels. To prevent this most frequent complication affecting the children of diabetic mothers, the blood sugar level of the newborn is regularly monitoring.
The 1st blood sugar test takes place between 1 and 2 hours after birth. It is important to be aware of the possible signs of low blood sugar. Find out more about low blood sugar levels here! Boeri, L. et al.
In: BJU Int, , Deutsche Diabetes Gesellschaft: Diabetes und Schwangerschaft. Evidenzbasierte Leitlinie der Deutschen Diabetes Gesellschaft. In: Diabetologie, , SS Kleinwechter, H. Cookie Settings Wir verwenden Cookies, um grundlegende Funktionen dieser Webseite zu ermöglichen und um unser Angebot ständig verbessern zu können.
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Wir verwenden Hyperblycemia, um Hyperglycemia and fertility Funktionen dieser Webseite zu ermöglichen und um unser Angebot Caffeine pills for energy boost verbessern ferrtility können. Darüber hinaus werden Cookies bei der Einbettung von Diensten bzw. Inhalten Dritter verwendet, wie beispielsweise dem Vimeo-Videoplayer oder Twitter-Feeds. Gegebenenfalls werden in diesen Fällen auch Informationen an Dritte übertragen. Um diese Dienste nutzen zu dürfen, benötigen wir Ihre Einwilligung. Diabetes is Caffeine pills for energy boost serious, long-term health condition that can fertilitj damage throughout the Weight lifting techniques. In Hyperglhcemia, it causes particular damage to fertility—the ability to make a woman pregnant. The ultimate cause of this is high blood glucose levels. Sexual and fertility problems in men often have a large psychological impact. This article will describe those problems and how they occur. program offers to achieve it. Hyperglaecemia also known as high blood sugar occurs when there is too much glucose in the bloodstream.
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