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Diabetes

What if I already have CF-related Diabetes (CFRDM)?

Diabetes does not stop you having a child but it has been shown by a large American study of 258 pregnancies in women who have CF, that patients with CFRDM tended to lose more lung function by two years after the birth. It is important to have good sugar control prior to conception and in early pregnancy.

Both high and low blood sugar levels are harmful to the baby and control of sugar may be more difficult in pregnancy. It is best to discuss your plans to become pregnant with your CF doctor and diabetic doctor as early as possible so that tight sugar control can be achieved before conception. Also, the number of insulin injections you need each day may have to be increased to ensure good control of blood sugar.

 

Pregnancy induced diabetes

A proportion of pregnant women (without CF) become diabetic in pregnancy and this may disappear once the baby is born. If you have pancreatic disease (and you need to take pancreatic enzymes) you may be at a slightly greater risk of this occurring in pregnancy. However, diabetes is looked for routinely at antenatal visits with your GP and at hospital visits. If you develop diabetes during pregnancy you are likely to need insulin injections to control you blood sugar levels. Careful control of blood sugar levels is important because both high and low blood sugar levels are harmful to the baby. Providing the diabetes settles down after birth, you are unlikely to need further insulin injections.

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