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They will need to touch base with their health care team and doctor so that appropriate monitoring of their health and the health of their pregnancies can take place at least every two weeks until 32 weeks of gestation and then every week until delivery to monitor the baby's development.Research has demonstrated that good glycemic (sugar) control can lower diabetic's pregnancy risks substantially, particularly during the first seven weeks of fetal development when organs are being formed.
A mother's hyperthyroidism can affect her baby's health as well as affecting the quality of her pregnancy.
Up to 5% of babies born to women with Graves' disease have hyperthyroidism.
For example, radioactive iodine, a common treatment for hyperthyroidism, cannot be used during pregnancy because of the likelihood that this treatment will damage the fetus' own thyroid gland.
Fortunately, several medications, including Propylthiouracil (also called PTU), Methimazole (MMI), and Propanolol, may be safely used to treat hyperthyroidism during pregnancy. Hypothyroidism, then, is a disease characterized by an under-active thyroid.
Maintaining good sugar control requires that pregnant women adhere to a strict personalized meal plan and diabetic diet, monitor their glucose levels on a regular basis, and carefully document their blood sugar levels and insulin dosages throughout their pregnancies.
They must also strictly adhere to their medication regimen.They may also be asked to have an electrocardiogram (a measure of heart rhythm) and a comprehensive eye exam to measure retinopathy (eye tissue damage).Throughout the course of their pregnancies, they may be asked to consult with a diverse team of health care professionals, including nutritionists, nurses, diabetic educators, social workers, and their doctor, to help them remain healthy and motivated throughout their pregnancy.Hyperthyroidism has a tendency to become severe in the third trimester of pregnancy, and sometimes leads to premature labor.A pregnant woman's poorly controlled hyperthyroidism can cause her to be at increased risk for miscarriage, premature labor, pre-eclampsia (late term high blood pressure), stillbirth, low birth weight, and even heart failure.Because of these risks, it is very important that diabetic women maintain close contact with medical personnel before and throughout their pregnancies.