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Diabetic Nephropathy:Pre-management And precaution on Pregnancy

Pregnancy,diabetic nephropathyPre-management on pregnancy is important for women with diabetic nephropathy to achieve a healthy baby. Proper management and treatment will increase the outcome of pregnancy.

The risk of pregnancy in diabetic nephropathy women

- Fetus will consumpt some kidney functions, which may increases the risk of Kidney Failure or acute kidney function decline.

- Pregnancy usually tends to elevate the blood pressure, causing gestational hypertension. This has an great adverse impact on kidney functions.

- The overall perinatal survival rate was 95%; however, these pregnancies continue to be associated with very high rates of superimposed pre-eclampsia (32–65%) preterm delivery (57–91%), and fetal growth restriction (12–45%)

- Poor glycemic control in the first weeks of gestation has been associated with an increased risk of congenital anomalies in babies of women with diabetes. The most common congenital anomalies are cardiac, central nervous system (anencephaly, spina bifida), skeletal (sacral agenesis) and genitourinary.

Management and precaution for an improved pregnancy

- Patients seeking pregnancy should take 1-5 mg folic acid daily at least 3 months preconception and continuing until at least 12 weeks postconception, as it has been shown to decrease the risk of neural tube defects in normal as well as high risk populations.

- Pre-pregnancy treatment with blood pressure-lowering ACE inhibitors combined with strict metabolic control for at least 6 months has resulted in a high rate of successful pregnancies with few complications during pregnancy.

- Patients plan to get pregnancy should improve their kidney functions and keep them in a stable level. Chinese Herbal Medicine combined with insulin medicines helps improve the self-cure of damaged kidney tissues and control the blood sugar levels.

Hope for the future

Pregnancy outcomes in women with diabetic nephropathy may improve with strict blood glucose control combined with ACE-inhibition and Chinese herbal medicine before pregnancy. Control of blood sugar level and improvement on kidney function increase the rate of successful pregnancy in Diabetic Nephropathy.

  • Tag: Diabetic Nephropathy Basics
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