28/12/2021
In early pregnancy, your insulin levels are increasing. Your pancreas actually gets larger during pregnancy, and by the 10th week of pregnancy your body is producing three to three-and-a-half times more insulin than it is outside of pregnancy. It’s doing this to gear up for later pregnancy where insulin resistance goes up like crazy. Women are 50 to 70% more insulin resistant in the second half of pregnancy.
For those who are already in insulin resistance (obesity, T2 diabetes, high blood pressure, PCOS, etc.), their insulin resistance will become more severe. For pregnant mother who are not from the insulin resistance group prior to pregnancy, but still eating foods high in refined carbohydrates, high sugar foods, highly processed foods, etc, this will increase insulin level and turn physiological insulin resistance in pregnancy into pathological insulin resistance and in risk of gestational diabetes, high blood pressure and preeclampsia. This will increase their risk of getting Type 2 diabetes and chronic hypertension even after delivery.
Zamir Hilman, MD
Bagaimana Ibu Mengandung Ada Kencing Manis, Darah Tinggi, & Preeclampsia?
Semasa awal kandungan hormon insulin anda akan mula naik. Pancrease anda akan mula membesar.
Bila dah masuk minggu ke 10 kandungan, insulin akan dikeluarkan 3x ganda berbanding sebelum mengandung. Wanita akan melalui 50-70% lebih insulin resistance pada kandungan ke 24-32 minggu. Ia terjadi secara normal.
Bagi mereka yang dah memang ada insulin resistance yang tinggi seperti obesity, T2 diabetes, darah tinggi, PCOS, etc, insulin resistance akan menjadi lebih parah semasa mengandung.
Bagi ibu mengandung yang bukan dari golongan insulin resistance pada mulanya, tetapi masih lagi makan makanan yang tinggi refined carbohydrates, makanan tinggi gula, makanan highly processed, etc, ia juga akan meninggikan insulin dan menyebabkan physiological insulin resistance menjadi pathological insulin resistance dan berisiko untuk mendapat gestational diabetes, darah tinggi dan preeclampsia. Kemudian mereka juga berisiko untuk mendapat Type 2 diabetes dan chronic hypertension walaupun selepas bersalin.