Women's Health
FAQ142, August 2011



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Diabetes and Women

What is diabetes?

Diabetes is a disease in which the body does not make enough insulin or does not use it as it should. Insulin is a hormone that helps balance the amount of glucose in your blood.

Normally, your body changes most of the food you eat into glucose. Glucose is then carried to the body’s cells with the help of insulin. If your body does not make enough insulin, or the insulin does not work as it should, the glucose cannot enter the body’s cells. Instead, it stays in the blood. This makes your blood glucose level too high.

What are the types of diabetes?

There are two types of diabetes: type 1 and type 2. A person with type 1 diabetes needs to take insulin to survive because the body makes little or no insulin on its own. In people with type 2 diabetes, insulin is produced, but it does not work as it should. The body becomes resistant to the effects of insulin and produces more insulin to keep glucose levels normal. Over time, the body cannot maintain high enough levels to keep the glucose levels normal, and diabetes occurs. Type 2 diabetes also may occur as a result of other diseases or as a side effect of certain medications.

People with type 2 diabetes may not need to take insulin. They may be able to control their glucose levels with proper diet, medication, or both.

What are risk factors for diabetes?

Diabetes may run in families or be linked to certain lifestyle factors. You should be tested if you have any of these risk factors:

  • Age 45 years or older
  • Overweight
  • Family history of diabetes
  • Physical inactivity
  • Ethnic background:
 — Native American
 

 — Asian

 — Hispanic

 — African American

 — Pacific Islander

  • Previous abnormal glucose screening results
  • High blood pressure
  • High cholesterol
  • History of gestational diabetes or a baby weighing more than 9 pounds at birth
  • Polycystic ovary syndrome
  • History of cardiovascular disease

What are the symptoms of diabetes?

The symptoms of type 1 and type 2 diabetes are listed as follows:

Type 1 diabetes

  • Increased thirst or urination
  • Constant hunger
  • Weight loss without trying
  • Blurred vision Extreme fatigue

Type 2

  • Any symptoms of type 1 diabetes
  • Sores that are slow to heal
  • Dry, itchy skin
  • Loss of feeling or tingling in feet
  • Infections, such as a yeast infection, that keep coming back

What tests are available to detect diabetes?

There are three types of tests used to diagnose diabetes:

  1. Fasting plasma glucose test—This is the easiest and most common way to test for diabetes. Before the test, you must fast (not eat or drink anything but water) for at least 8 hours. One sample of blood is obtained.
  2. Random, also called casual, plasma glucose test—Your health care provider may screen you when you are not fasting by measuring your glucose levels.
  3. Oral glucose tolerance test—Before you have this test, you must fast overnight. You will first have a fasting plasma glucose test. Next, you will drink a liquid that contains glucose. Blood samples are taken to measure your blood glucose level over several hours.

If diabetes is not controlled, what problems can it lead to?

If diabetes is not controlled, long-term, severe health problems may occur:

  • Kidney disease that can lead to high blood pressure or kidney failure
  • Eye problems that can lead to blindness
  • Nerve damage and blood vessel damage in the feet that can cause pain, numbness, infection, and possibly the need to remove a toe, foot, or leg
  • High blood cholesterol levels that can lead to stroke and heart disease
  • Certain infections, such as bladder or kidney infections, vaginal infections, yeast infections, and skin infections
  • Problems in pregnancy
  • Thyroid problems

How can women with diabetes prepare for pregnancy?

If you have diabetes, preparing for pregnancy can improve your health and that of your future child (see the FAQ A Healthy Pregnancy for Women With Diabetes). Plan to see your health care provider before you get pregnant to discuss your care. You should try to have good control over your glucose level a number of weeks before you become pregnant. Your health care provider may suggest changes in your care that will help lower your glucose to a normal range.

Can diabetes be prevented?

To help prevent diabetes, follow a healthy diet and get regular exercise (see the FAQ Weight Control: Eating Right and Keeping Fit). This also can help keep your weight down—a key part of preventing diabetes. The following steps can help prevent the disease:

  • Keep your weight in the range that is healthy for you. Many doctors use the body mass index (BMI) to assess healthy weight.
  • Eat a well-balanced diet to help keep your cholesterol, blood pressure, and weight at a healthy level.
  • Try to exercise for at least 30 minutes on most days of the week.

Glossary

Cardiovascular Disease: Disease of the heart and blood vessels.

Glucose: A sugar that is present in the blood and is the body’s main source of fuel.

Hormone: Substance produced by the body to control the functions of various organs.

Polycystic Ovary Syndrome (PCOS): A condition in which increased androgen occurs and eggs are not released from the ovaries.

If you have further questions, contact your obstetrician–gynecologist.

FAQ142: Designed as an aid to patients, this document sets forth current information and opinions related to women’s health. The information does not dictate an exclusive course of treatment or procedure to be followed and should not be construed as excluding other acceptable methods of practice. Variations, taking into account the needs of the individual patient, resources, and limitations unique to institution or type of practice, may be appropriate.

Copyright August 2011 by the American College of Obstetricians and Gynecologists. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher.