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Trying for pregnancy
My HB1ac is 6.2 and taking BP medication also. My diastolic BP is always above 90 sometimes 103. My other test are normal. I am trying for pregnancy since 6 months . My periods started getting regular but this months litte spotting with clots were there during ovulation days . And now my periods are 4 days late . Should i go for some other treatment approach? .. i have started changing my lifestyle and habits with regular excercising .
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You are only 30 years, with pre diabetic status and hypertension. You should visit for a pre conception counseling. Your doctor will be able to assess the current status, review the medications and help you to achieve optimum control of medical issues before conception.
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Book for pre conception counseling
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Hi as you are already started changing lifestyle , taking medication along with this you will need some base level tests to see if everything is ok thenyou are good to go
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Your HbA1c and bp recordings should be optimised before planning for pregnancy
Do a urine pregnancy test for delayed periods
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First evaluate the cause for prediabetic phase and hypertension . Whether its due to stress induced or secondary to other causes . If its stress and lifestyle induced , then you are on right track . If its due to other causes , you need to treat the cause . Get done fasting lipid profile , fasting c peptide levels , whole body assessment for fat , then consult me .
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As your hba1c is in prediabetic range,you should start lifestyle modification and exercise regularly
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Considering your age,you can try natural conception
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start folic acid preconceptionally
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consider husbands factors like habits,wt,medical conditions ,etc
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Ideal Hba1c before getting pregnant should be less than 6. Lifestyle modifications such as diet,exercise.They are more chances of getting pregnant. But since it's more than 6 months. and your age is 30 yrs.Other causes needs to be ruled out
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Consult once to know more
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Pls connect for online consultation and advice
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Dr. Sonika Gupta
Gynecologist/Obstetrician
5 yrs exp
Gorakhpur
Your HbA1c (6.2) suggests prediabetes and your diastolic BP is persistently high, both of which should be well controlled before pregnancy. These can affect ovulation and pregnancy outcomes.
I recommend a pre-conception consultation with a gynaecologist to review BP medications (use pregnancy-safe drugs), optimise sugar levels, and start folic acid. A urine pregnancy test should be done since your period is delayed.
Lifestyle changes and regular exercise are good—continue them. With proper optimisation, chances of conception improve.
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Do a Urine Pregnancy test and a panel of investigations to be advised on consultation
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Dr. Shabana Asmin
Gynecologist/Obstetrician
2 yrs exp
Hyderabad
Firstly if you have delayed cycle then do a urine pregnancy test ,though you had spotting at ovulation sometimes it can be positive.if it is negative dont be disheartened ,we need to evaluate your prediabetic state and hypertension for other causes and plan accordingly
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Dr. Induja
Obstetrician
13 yrs exp
Delhi
You need to consult a Gynecologist for further management and any help required for conception.
Lifestyle changes and regular exercise is a very good step. But hypertension and prediabetes needs management.
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Dr. Divya Guglani
Gynecologist/Obstetrician
5 yrs exp
Gurgaon
Do a urine pregnancy test first. If negative continue your lifestyle changes. You need to get your blood pressure and blood sugar under control before you concieve.
Good luck
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Consult
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Dr. Thrupthi Reddy
Infertility Specialist
6 yrs exp
Bangalore
Base line hormonal evaluation and a pelvic scan advised
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Dr. Satuti Setia
Gynecologist/Obstetrician
5 yrs exp
Ludhiana
You are on the right track.
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Dr. Sharmila Krishnamoorthy
Obstetrician
5 yrs exp
Erode
You are on the right track. Keep exercising.. eat healthy.. if you do not conceive within a year consult
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Dr. Pratibha P S
Gynecologist
10 yrs exp
Bangalore
get usg
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Dr. Prateeksha B S
Obstetrician
7 yrs exp
Bangalore
You can do a baseline hormonal evaluation and ultrasound scan to rule out any causes for inability to conceive
You have to follow a medical nutritional therapy for your elevated HbA1C and ideal value is 5.7
Start folic acid tablets
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Dr. Pushpa Gour
Gynecologist
32 yrs exp
Bhopal
Consult please.
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Dr. Neha Vashisth
Obstetrician
12 yrs exp
Jaipur
Connect
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Dr M V BHAGIRATHA
Gynecologist/Obstetrician
7 yrs exp
Nellore
As ur HbA1c is 6.2 u can have lifestyle modifications and repeat test in 4 weeks and shall plan what to do next .
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.