DIABETES AND HORMONE CONTRACEPTION

Contraception is especially important to prevent an unwanted pregnancy that would occur in a context of diabetes imbalance.
Contraception should be approached systematically in a diabetic woman to allow the choice of an effective and well tolerated method.

Pr. Salim Djelouat
Pr. In Medical Analysis and Bioclinician
Certified medical expert in medicine, health and well-being – Paris –
Salimdjelouat@gmail.com

SUMMARY
I – EPIDEMIOLOGICAL RECALL
II – PRESENTATION OF THE FACTS
III – HOW HORMONE CONTRACEPTION INFLUENCES DIABETES?

I – EPIDEMIOLOGICAL RECALL 
Before age 55, those are the men most vulnerable to diabetes;
This trend is reversed from age 55 or those are the most affected women.
In total, an estimated 143 million women worldwide have diabetes, a figure that could rise to 222 million in 2030.

II – PRESENTATION OF THE FACTS
We know that the specificities of diabetes are identical to both sexes, but it is proven that women have more special conditions for diabetes disease and especially for its control.
The reasons for this difference are found in the hormonal physiology of women.
We also know that the menstrual cycle, pregnancy for example, vary the physiological norms – either increase or decrease – and therefore, be partly responsible for this tendency to not be able to control his diabetes.
Another fact is that women are more likely to suffer from cardiovascular complications that are closely related to diabetes.
The control of all the complications related to diabetes can only be done with a good control of his disease.
In our writing, we reviewed the main specificity, which can accentuate diabetes – and of course its complications – in women.

III – HOW HORMONE CONTRACEPTION INFLUENCES DIABETES?
Contraception is especially important to prevent an unwanted pregnancy that would occur in a context of diabetes imbalance.
Contraception should be approached systematically in a diabetic woman to allow the choice of an effective and well tolerated method.
This allows the programming of pregnancies, necessary for a smooth running of them.
Contraception can be a problem for women with type 2 diabetes: some pills increase sugar levels and can make diabetes worse.
They may cause the need for insulin passage.
Diabetes is not a contraindication to the use of estrogen plus progestin, as long as there is no microvascular complication or associated risk factor.
In type 2 diabetes, these conditions are rarely met and it is necessary to favor contraceptions without vascular impact: hormonal microprogestative type, implants, non-hormonal (like an intrauterine device).

Pr. Salim Djelouat
Pr. In Medical Analysis and Bioclinician
Certified medical expert in medicine, health and well-being – Paris –
psychotherapist
Scientific author
Webmaster and blogger

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