Iam a 30year old nurse.I have been suffering from Type 2 Diabetes mellitus for last 2years. I am on glimepiride 2mg and Metformin1gm.I have recently become pregnant.

Pregnancy in Diabetes is always a high risk pregnancy.In Diabetic patient pregnancy should always be a planned event. Poor glycemic control at the time of pregnancy can lead to serious malformation of the baby . Not only does the baby run ,the risk of complications like IUGR,IUFD etc. Mother too is at the increased risk of Preeclampsia perinatal infections. Plan for pregnancy only when your HBA1C < 7%. Make sure that you are on folic acid right from the time you plan conception. Aim for FBS 70-130mg/dl and post meal < 180 mg/dl before you plan pregnancy. You should preferably be on insulin right from the time you plan pregnancy as safety of oral drug is still to be established . you must also undergo screening for retinopathy and nephropathy before you plan pregnancy . Certain drugs like ACEI/ ARB and statins are not safe drug during pregnancy and should be avoided.

Increased risk for type 2

After you've successfully managed gestational diabetes, it is important to be vigilant about eating right and staying active—that's because women who have had gestational diabetes have a fifty percent risk of developing type 2 diabetes in 10 to 20 years after the birth of the child. Unlike gestational diabetes, once type 2 has been diagnosed, it doesn't go away. For more information on type 2 diabetes,

Preventing gestational diabetes

It's important to take the right steps towards a healthy pregnancy, and that includes determining if you might be at risk for gestational diabetes. The following may increase your risk of gestational diabetes:

• If a parent or sibling has diabetes
• If you're overweight
• Previous history of gestational diabetes, or having given birth to a baby weighing 9 pounds or more
• If you've been diagnosed with "pre-diabetes" prior to a pregnancy (also known as "impaired glucose tolerance" or "impaired fasting glucose")