How To Deal With Diabetes And Urinary Tract Infections?
Greetings, I am now 29 weeks pregnant. I did a blood and urine check and I was positive for a urinary tract infection and the blood sugar was quite high. r n r i nl ask is, which is the most dangerous for me or my fetus whether infection or diabetes? and what body reactions / conditions should I worry about when experiencing isk and diabetes? r n r nthank you
Good evening, thanks for the question
Intrapartum infection is an infection that occurs during pregnancy and childbirth. One of the most common is urinary tract infections. UTIs in pregnancy are associated with urinary stasis and backflow of urine into the bladder which causes bacterial colonization of the vagina eg E.coli.
Symptoms that can appear are urination pain, urinating often that can not be arrested. The diagnosis is made based on evidence of microorganisms in the urinary tract through routine urine examination or urine culture. Risks that can be caused are premature labor.
Gestational diabetes mellitus (DMG) is the first known glucose intolerance during pregnancy. In the first trimester an increase in the hormones estrogen and progesterone which decreases fasting glucose levels. But in the second trimester the placenta produces more and more of the hormone anti-insulin. This is because glucose transfer starts from the mother to the fetus so more blood glucose is needed. Because of high fetal blood sugar levels, fetal insulin production also increases. Insulin acts as a hormone that builds food reserves and fat formation so that there is a baby macrosomia or the weight of a large baby at birth.
The mode of delivery in most cases of DMG is caesarean section, especially if the estimated fetal weight is> 4500 grams. Section was chosen to avoid labor congestion and trauma to the birth canal at birth.
Both UTI and DMG can cause complications of preterm labor. In DMG if metabolic control is poor then pregnancy will be accelerated according to the degree of pulmonary maturity.
For this reason, control of the source of infection with antibiotics and metabolic control with dietary restrictions and insulin therapy is very important in your case. Untreated UTI conditions can cause complications of sepsis and DMG can increase the risk of diabetes mellitus within a few years after giving birth.
Perform routine control with a gynecologist for metabolic control and regular checks on fetal development in the womb.
That's all, hope you can help
Wassalam, Dr. Farah