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Understanding the Impact of Diabetes on Women - Challenges and Considerations

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Diabetes affects women differently than men, increasing their risk of health-related complications. Continue reading to know more.

Written by

Dr. Palak Jain

Medically reviewed by

Dr. Nagaraj

Published At June 12, 2023
Reviewed AtApril 29, 2024

Introduction

Women are more seriously affected by the effects of diabetes than males. Premenopausal diabetic women no longer have the same defenses against heart disease as non-diabetic women and have a 50 percent higher risk of dying from the condition than males. Compared to women without diabetes, 36.9 percent of diabetic women who experienced a heart attack died within a year. The risk of blindness from diabetic retinopathy is considerably higher for women than for males. Retinopathy and neuropathy in type 1 diabetes are more common in women. Significant vision impairment may result from pregnancy-related diabetic retinopathy worsening. Additionally, pre-existing renal illness may get worse during pregnancy.

Age-related mortality is considerably higher in older women with type 2 diabetes mellitus (T2DM) and end-stage renal disease than in males with comparable conditions. Women who have diabetes are four times more likely to experience a stroke than those who do not. Premenopausal women who have cyclical hormonal fluctuations may find it more challenging to manage their diabetes, and they are more likely than men to develop diabetic ketoacidosis. Additionally, women are continuously more likely than men to experience depression. Although women with diabetes may experience more cardiovascular and other issues due to biological factors, it is a truth that women typically receive less intense care and treatment for diabetes than males in all nations.

How Can Diabetic Women Become More Susceptible to Infections?

Vaginal yeast infections are common among women, but diabetic women are more susceptible, particularly if their blood sugar levels are elevated. A person's immune system defense can be weakened by high blood sugar levels. Long-term diabetics may experience peripheral nerve loss, decreased blood supply to the limbs, and an increased risk of infection. Infections might spread more quickly due to the high sugar levels in the blood and tissues, which promote bacterial growth. Over 50 percent of women will experience a urinary tract infection (UTI) at some point in their lives, and those with diabetes may be at an increased risk. Inadequate circulation (which weakens the body's capacity to fight infections) and high blood sugar levels are two causes. Additionally, diabetes can cause the bladders of certain women to not completely empty, which provides the ideal conditions for the growth of bacteria.

Maintain blood sugar levels near the normal range to avoid yeast infections and urinary tract infections. Water consumption, wearing cotton underwear, and frequent urination rather than waiting until the bladder is full are other ways to avoid urinary tract infections.

How Does Diabetes Impact a Woman’s Menstrual Cycle?

Women with diabetes commonly experience irregular menstrual periods, usually linked to systemic disorders in females. It can be difficult to estimate blood sugar levels because of hormonal fluctuations that occur just before and during periods. Additionally, the patient's periods could be heavier or longer, and food cravings can make it more difficult to control their diabetes. Over time, the patient might observe a pattern or discover that each episode is distinct. The length of the menstrual cycle has been linked to a number of studies as a risk factor for type 2 diabetes development. The majority of premenopausal women with polycystic ovarian syndrome are insulin resistant, making it the most common cause of oligo- or amenorrhea in this group of women. Polycystic ovarian syndrome may be linked to menstrual abnormalities and type 2 diabetes risk. In addition, having an irregular menstrual cycle is linked to insulin resistance and hyperinsulinemia. The mechanism of insulin action on the ovaries causes hyperinsulinemia, which stimulates excessive androgen production, causing irregular menstrual cycles and lower conception rates.

What Is Gestational Diabetes?

Pregnant women who have never before experienced diabetes are the ones who typically develop gestational diabetes. Some women experience gestational diabetes in more than one pregnancy. Typically, gestational diabetes develops in the middle of pregnancy. Doctors most frequently detect it between 24 and 28 weeks of pregnancy. Gestational diabetes is frequently controllable with a good diet and regular exercise. A woman with gestational diabetes may occasionally need to take insulin as well.

Following Are the Gestational Diabetes Issues in Pregnancy:

1. An Extra Large Baby

The baby has high blood sugar because of poorly managed diabetes. The infant "gains weight" and balloons to an enormous size. An extra-large baby can make labor difficult for both the mother and the baby, making the mother uncomfortable during the last few months of pregnancy. In order to deliver the baby, the woman might require a C- section (cesarean-section). Due to pressure placed on the baby's shoulder during delivery, the child may be born with nerve damage.

2. High Blood Pressure (Preeclampsia)

Preeclampsia may occur in pregnant women with high blood pressure, protein in their urine, and frequently persistent swelling in their fingers and toes. It is a significant issue that needs to be properly monitored and addressed by the doctor. The mother and the unborn child may suffer consequences from high blood pressure. It could result in the baby being born early and could also make the mother experience seizures or a stroke (a blood clot or bleeding in the brain that can cause brain damage) when the mother is giving birth. Women with diabetes are more likely than non-diabetic women to experience high blood pressure.

3. Low Blood Sugar Level (Hypoglycemia)

Insulin users and those taking other diabetes treatments are at risk of having too low blood sugar levels. Without prompt treatment, low blood sugar can be highly dangerous and even fatal. If women closely monitor and manage low blood sugar at an early stage, they can help maintain low blood sugar levels. A baby's risk of developing low blood sugar (hypoglycemia) after birth could increase significantly if a woman's diabetes is not effectively controlled while pregnant. A number of hours following delivery, the baby's blood sugar must be monitored.

Following Are the Tips for Women With Gestational Diabetes:

  • Eat nutritious foods.

  • Regular exercise.

  • Regularly monitor blood sugar levels.

  • After giving birth, do a diabetes test.

Conclusion

Diabetes is a collection of metabolic illnesses in which a person has excessive blood glucose levels, sometimes referred to as blood sugar, as a result of issues with the production or utilization of the hormone insulin. To create and utilize energy from the carbohydrates consumed, insulin is required. Diabetes and its associated consequences, such as blindness, renal disease, and depression, are more common in women. Gender affects not only disease susceptibility but also women's access to healthcare and health-seeking behavior, which may exacerbate diabetes's negative short- and long-term effects. In low-income nations, women disproportionately experience economic, political, and social discrimination, which negatively impacts their health, education, and employment opportunities.

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Dr. Nagaraj
Dr. Nagaraj

Diabetology

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