For pregnant women with diabetes mellitus some particular challenges for both mother and child. If the woman has diabetes as an intercurrent disease in pregnancy, it. Chronic Pruritus in the Absence of Specific Skin Disease: An Update on Pathophysiology, Diagnosis, and Therapy. A postpartum period or postnatal period is the period beginning immediately after the birth of a child and extending for about six weeks. Less frequently used are the.The term 'actinic prurigo’ is the term used for a rare (less than 1:1,000) type of skin sensitivity induced by sunlight (photosensitivity); 'actinic' is Greek for. The disease was originally named herpes gestationis. Authoritative facts about the skin from DermNet New Zealand. British Association of Dermatologists - Patient Information Leaflets (PILs)Erythema multiforme. Erythema multiforme (EM) is a hypersensitivity reaction which tends to develop abruptly. Usually it will disappear on its own, but sometimes treatment may be required for the symptoms. It occurs in all racial groups and is predominantly observed in young adults (2. The condition is slightly more common in men. The papules usually begin over the back of the feet and hands, and spread upwards towards the trunk. The face is often involved. The hands and arms are more commonly affected than the feet and legs. Over time these papules evolve to plaques (raised patches) and then typical target shaped lesions. These target lesions have a dusky red centre, a paler area around this, and then a dark red ring round the edge. Sometimes the centre of the target can be crusted or blistered. The targets can be different shapes and sizes, hence the latin name: erythema (redness) multi (many), forme (shapes). Diabetes mellitus and pregnancy - Wikipedia. This article is about the effects of pre- existing diabetes upon pregnancy. For temporary diabetic symptoms as a complication of pregnancy, see Gestational diabetes. For pregnant women with diabetes mellitus some particular challenges for both mother and child. If the woman has diabetes as an intercurrent disease in pregnancy, it can cause early labor, birth defects, and very large babies. Planning in advance is emphasized if one wants to have a baby and has type 1 diabetes mellitus or type 2 diabetes mellitus. Pregnancy management for diabetics needs stringent blood glucose control even in advance of having pregnancy. Physiology. The cause is, e. C. Experts advise diabetics to maintain blood sugar level close to normal range for 2 to 3 months before planning for pregnancy. Managing blood sugar close to normal before and during pregnancy helps to protect the health of mother and the baby. Insulin may be needed for type 2 diabetics instead of oral diabetes medication. Extra insulin may be needed for type 1 diabetics during pregnancy. Doctors may advise to check blood sugar more often to maintain near- normal blood sugar levels. Diabetes pregnancy management. Some tips for controlling diabetes in pregnancy include: Meals – Cut down sweets, eats three small meals and one to three snacks a day, maintain proper mealtimes, and include balanced fiber intake in the form of fruits, vegetables and whole- grains. Increased physical activity - walking, swimming/aquaerobics, etc. Monitor blood sugar level frequently, doctors may ask to check the blood glucose more often than usual. The blood sugar level should be below 9. Each time when checking the blood sugar level, keep a proper record of the results and present to the health care team for evaluation and modification of the treatment. If blood sugar levels are above targets, a perinatal diabetes management team may suggest ways to achieve targets. Many may need extra insulin during pregnancy to reach their blood sugar target. Insulin is not harmful for the baby. Breast feeding. Some women wonder whether breast feeding is recommended after they have been diagnosed with diabetes mellitus. Breast feeding is recommended for most babies, including when mothers may be diabetic. In fact, the child’s risk for developing type 2 diabetes mellitus later in life may be lower if the baby was breast- fed. It also helps the child to maintain a healthy body weight during infancy. However, the breastmilk of mothers with diabetes has been demonstrated to have a different composition than that of non- diabetic mothers, containing elevated levels of glucose and insulin and decreased polyunsaturated fatty acids. It distinguishes between gestational diabetes (type A) and diabetes that existed before pregnancy (pregestational diabetes). These two groups are further subdivided according to their associated risks and management. Higher levels of glucose early in pregnancy are associated with teratogenic effects on the developing fetus. The review concluded that quality scientific evidence is not yet available to determine the best blood sugar range for improving health for pregnant women with diabetes and their babies. Archives of Disease in Childhood: Fetal and Neonatal Edition. Curr Probl Pediatr Adolesc Health Care: 1. Archives of Pediatrics & Adolescent Medicine. Journal of Pediatric Endocrinology & Metabolism : JPEM. Developmental Medicine and Child Neurology. Journal of Perinatal Medicine. OBSTETRICS: Normal and Problem Pregnancies. Churchill Livingstone, New York, 2. ISBN 0- 4. 43- 0. J Obstet Gynaecol Can 2. JOGC2. 00. CPG0. 71. Martis, R; Brown, J; Alsweiler, J; Crawford, T; Crowther, CA (2. Cochrane Database of Systematic Reviews. Retrieved 8 April 2.
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