Can diabetes affect fertility? | Nourish with Melanie #88

Can diabetes affect fertility? | Nourish with Melanie #88


can diabetes affect fertility? Does it
matter if you have type 1 or type 2? Today on nourish we’ll answer all of
these questions and more if you’ve got diabetes this is a must watch episode so
stay tuned. So I’m very excited to welcome Larissa
with us today. Hey Larissa hello hi Mel. I’m very excited to be here. So thanks for joining us. Larissa can you just tell our audience first of all just a little bit about what you do I’m a dietitian located in
Geelong Australia and my experience is working in both clinical and hospital
settings and also more recently working in private practice. I’m also a qualified
diabetes educator as well and I guess I really have developed an interest quite
early in my career in pregnancy nutrition. Particularly I just find that
it is quite a challenging time the whole life stage for women to really achieve a
healthy diet and healthy eating and it is also really important as well as we
know what we eat during pregnancy does really impact you know the outcomes
for baby and mum as well. Very very important and you’re doing amazing
things specializing like bringing those two together that specialisation in
diabetes as well as nutrition and diet. So in terms of fertility for people
who already have type-2 diabetes or type 1 diabetes, does their diabetes
impact upon their chances of conceiving at all? Both both type 1 and type 2
diabetes can impact a chances for women wanting to conceive, in slightly
different ways. So for women who have type 1 diabetes particularly if they’ve
had that for quite a long period of time or large part of their life it can
interact with the hormonal regulation that stimulates a regular menstrual
cycle. type 2 diabetes is a little bit different it is driven by something
that we call insulin resistance and type 2 diabetes often I guess common risk
factors for type 2 diabetes are obesity and polycystic ovary syndrome and
both of these things on their own actually can impact fertility as well. In terms of optimising your fertility
if you have the type 1 or type 2 have you got some some tips that you
would recommend to women? I think for all women with type diabetes whether
it’s type 1 or type 2 it is a really important time to engage with your
diabetes team so whether that’s a dietitian, a diabetes educator an
endocrinologist that support team that you have around you for your diabetes. We know that glycemic control at the time of conception is really important to
reduce the risk of congenital abnormalities and also miscarriages and
stillbirths and things like that. Can you explain a little bit about what
congenital abnormalities actually means? yes so we know that the
glycemic control at time and conception if we’re not quite getting as blood
sugar glucose control as we’d like to be achieving and it can interact with
the DNA of the egg and also sperm health at time of conception too and this can
lead to congenital abnormalities such as neural tube defects and
things like that. So really we want to be optimising diabetes levels prior to
conceiving if possible. That’s correct. Okay and you mentioned in terms of men’s
health, so how does diabetes impact upon sperm health? Diabetes can
actually impact fertility for men with diabetes as well which is a really
important thing to think about, both type 1 and type 2 diabetes. So a complication of long term diabetes is erectile dysfunction which can
can cause fertility issues. Also we see in men with type 1 diabetes that they do
sometimes have lower sperm volume and reduced sperm motility. For men with
type 2 diabetes we see that the inflammation or chronic inflammation that sometimes
associated with type 2 diabetes can really drive DNA changes in sperm health
as well. Do you find that improving a man’s diabetes levels their glucose
levels that that will improve those outcomes? Absolutely so a lot of these I guess issues that we talk about with fertility
and men’s fertility and sperm health and things, they do I guess
depend on our blood sugar level controls if we’re able to work and engage with
our diabetes and improve our blood sugar level control it will reduce the risk of
some of these things from occurring Is there any other tips
that you’d like to provide to people out there who maybe have either type 1 or
type 2 diabetes who might be thinking about trying to have a baby in the next
12 months? Absolutely so seeing a dietitian with experience in fertility
and also diabetes at this time is really important so a dietitian is able to
provide individualised tailored plans around how food and what we’re eating
really impacts our blood sugar levels and what we can do to improve our
chances of falling pregnant and having a normal healthy pregnancy. So some amazing
tips from Larissa so I guess what we’re really hearing is that if you do have
type 1 or type 2 diabetes that is a good idea to improve your glycemic control
before conception and so I’d really encourage you if you know somebody who
does have diabetes please share this video with them because you never know
who is trying to conceive and when they’re trying to conceive so it’ll be
really helpful for them to check this out prior to them getting pregnant. Also
if you do have any questions feel free to type them in the chat box below we’re
more than happy to answer your questions and make sure that you do download my
fertility meal plan it’s free of charge just go to www.melaniemcgrice.com/fertility and then make sure that you enjoy some of our other videos by
subscribing. So I look forward to seeing you at our next video.

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