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Music my name is Dr. Sharing Arya I am a specialist gynecologist observation Music diabetes in pregnancy is a very community#39’s very prevalent medical condition and incidence and prevalence is increasing day by day due to our bad luck lifestyles due to the epidemic of obesity two kinds of diabetes which have this effect the pregnancy the first is the diabetes which women are already had when they have diabetes, and they are planning to conceive another one is when they develop diabetes first time in their pregnancy the diabetes which is already is there with the pregnant with the woman and she#39’s planning to Kelsey recalled Reid just a tonal diabetes in previous patient diabetes women should know the importance of preconception counseling when to go to the doctors when they plan they are planning to have baby because in first eight weeks when the baby forms all girls that#39’s the timeorganogenesis we should know the level of the sugar should be within range to avoid multiple birth defects and the same time the sugar is controlled during conception the chances of miscarriages also become low sometimes women are on some medication which are not safe during pregnancy, so we have to switchover to the different under the medication so these important factors we should take care before the women they conceive, and they are planning for thebabyanother gravities we call gestational diabetes and 90% women those diabetes the gestational diabetes in 90% women with gestational diabetes is more common with the PRE gestational diabetes because gestational diabetes we're done#39;know the woman is diabetic and we comet know when the second trimester we say when they finish their four months, so the universal screening is very important universal screening we screen all women at the time of their fourth or fifth month whether they are prone to develop diabetes or no so there is a specialist we call that glucose tolerance test the gives' pregnancy itself is a stress states owe call the women we take the fasting sample we check the blood sugar and fasting sample, and then we give them sugar syrup to drink, and then they drink some made 75 grams sugar and then retake the blood at first our second and third R, and we check what the level of sugars so this way we scream those worth developing all those who have already and the same time we counsel the women to know that what are the consequences of the stations are the trees during pregnancy because the chances of birth defects the chances of having a growth retardation in baby and the same time baby become microscope school for that matter so make that we call the large baby and during the time of delivery#39’s kind of difficult to delivery or traumatic deliveries and that#39’ll end up- however since a c-section also, so these all complications can be avoided with timely intervention, so the message to the women is first to change the lifestyle to make them very active and healthy less sugar intake specially...
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