Monday, December 3, 2012

What type of diabetes happens during pregnancy?

Q. Like the question states, what type of diabetes happens during pregnancy.
More importantly, why does the head of most babies are usually abnormally large after such a pregnancy?
I am more looking for an answer on why there heads are usually large after such a pregnancy.

It is a question my teacher has been asking and he wants to know why.

A. There is a slight increased risk of the fetus or newborn dying when the mother has gestational diabetes, but this risk is lowered with effective treatment and careful watching of the mother and fetus. High blood glucose levels often go back to normal after delivery. However, women with gestational diabetes should be watched closely after giving birth and at regular intervals to detect diabetes early.
Up to 40% of women with gestational diabetes develop full-blown diabetes within 5-10 years after delivery. The risk may be increased in obese women.
Please see the web pages for more details on Gestational diabetes.


Can the cord blood of an infant be used to cure or treat type 1 diabetes in the infant's mother?
Q. My wife has type 1 diabetes. We are expecting our first child and have heard many of the wonderous medical miracles of cord blood. But can the cord blood be used by my wife to treat (or even cure) her type 1 diabetes?

A. This is NOT one of the "miracles" of cord blood.

There is some promising research into using stem cells to cure Type 1 diabetes, but that work is still in its infancy, So far, diabetes has been cured with stem cells in a few lab rats. [ADULT stem cells were used, not embryonic stem cells] It is a LONG journey from lab rats to humans! IF this proves effective in humans, the testing, clinical trials, and FDA approval for treatment is still 20-30 years away.


What are the best carbs for a person with Type 2 Diabetes to eat?
Q. I've had Type 2 Diabetes for over a year and I'm still trying to figure it out. I'm currently living in Thailand. A list of foods containing carbs that are good for Diabetics would be great.

A. i also have type 2 diabetes...i like the lo-carb wraps..any food with a low glycemic content .....veggies..green beans, mustard greens, squash..whole wheat pasta,look for net carbs. potatoes ,rice, pasta ,junk foods are very bad too much sugar and fat..counteract your carb content if u eat potatoes or pasta by adding protein to them..such as cheese,and chicken ....alot of fruits have too many carbs and sugar, such as..pineapple, watermelon..oranges...these also have important vitamins and nutrients in them ..you can eat them in small portions..hope this helps...bluedot


What is the difference between type 1 diabetes and type 2?
Q. Are insulin doses needed for type 2 diabetes or type 1? And if they are needed for type 2, what are the treatments for type 1?

A. Type 1 is an auto-immune disorder where your immune system has destroyed the insulin producing cells in your pancreas, often after a child hood illness. Sometimes not all the cells are destroyed and rebuild long enough to give you a reprieve called the honeymoon period but they are quickly destroyed by the immune system which has already developed the antibodies for doing so.. A type 1 diabetic must have both basal and bolus insulin therapy as they cannot make any of their own. There is one to two basal shots of slow or intermediate insulin per day for the background levels needed, and a shot of fast insulin calculated to match the planned meal before each meal hence resulting in about 4 to 5 meals with a three meal day, the meal shots can be adjusted in duration by mixing fast with intermediate insulin to account for lower glycemic index foods or adjusted in duration with an insulin pump

A type 2 diabetic is when there are production problems with the insulin or the cells have built up a resistance to the insulin, often a type 2 diabetic would only be resistant to their own insulin. The production or resistance can occur over time later in life and are often due to poor health. To a certain extent everyone is type 2 to varying extents as no one's regulation of glucose levels is absolutely perfect, type 2 is just when the regulation is bad enough to make a difference and is often when it's getting worse. A type 2 diabetic may be able to reduce their insulin needs by spreading out their glucose release with smaller, more frequent meals and lower glycemic index foods. Exercising will also help a type 2 diabetic by improving their health and consuming some of the glucose. Some type 2 diabetics would use oral medications to improve their insulin production and or regulate their liver's glucose production but the stimulation of insulin production can be very irregular, I would produce too much insulin when given those oral meds. Some type 2 diabetics would take a basal shot of insulin once or twice a day providing a base level of insulin so their pancreas only has to worry about providing the peak levels required by the meals. Some type 2 diabetics would take both basal and bolus insulin to match their meals just like a type 1 diabetic would, naturally frequent and lower glycemic meals would then be a problem as the bolus doses would have to be more frequent and shaped differently requiring either different mixes or an insulin pump to deliver hence so called "diabetic foods" in culture are not actually good for all diabetics, the only true diabetic foods are healthy foods which is what everyone should be eating.

Note it's also possible for a type 1 diabetic to also develop insulin resistance especially if their glucose control has been poor. With insulin resistance, greater amounts of insulin are required for the same effect, there are diabetics that require two or three syringes of insulin per meal.





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