Diabetes is a chronic disease that affects the way the body processes blood glucose, or blood sugar. It is a serious condition that can lead to numerous health complications, including kidney damage, nerve damage, and heart disease.
Individuals with diabetes may also be at a higher risk for certain health issues, including issues related to birth control. In this article, we will take a closer look at diabetes and birth control, and who might be at increased risk for complications.
What is Diabetes?
Diabetes is a chronic condition where the body is unable to regulate blood glucose levels properly. There are two primary types of diabetes:.
Type 1 Diabetes
Type 1 diabetes is an autoimmune disease where the immune system attacks and destroys cells in the pancreas that produce insulin.
Insulin is essential for regulating blood glucose, so individuals with type 1 diabetes must take insulin injections or use an insulin pump to survive.
Type 2 Diabetes
Type 2 diabetes is a condition where the body becomes resistant to insulin or doesn’t produce enough insulin to regulate blood glucose levels.
This type of diabetes is often associated with lifestyle factors, such as obesity and poor diet, but genetics may also play a role.
How Does Diabetes Affect Birth Control?
Diabetes can affect birth control in a few different ways. Firstly, certain birth control methods may be less effective if you have diabetes.
For example, hormonal birth control methods, like the pill, may not work as well in women with diabetes because high blood glucose levels can interfere with how the liver processes hormones. This can make the pill less effective at preventing pregnancy.
Additionally, women with diabetes may be at a higher risk for certain health issues if they use hormonal birth control methods. These health issues may include:.
Blood Clots
Women with diabetes may be at a higher risk for blood clots if they use hormonal birth control methods. This is because diabetes can affect blood vessel function and increase the risk of blood clots.
Changes in Blood Glucose Levels
Hormonal birth control methods can also affect blood glucose levels in women with diabetes. Some women may experience higher blood glucose levels while using hormonal birth control, while others may experience lower levels.
Cardiovascular Disease
Women with diabetes may be at an increased risk for cardiovascular disease. Hormonal birth control methods can also increase this risk, particularly in women who smoke or have pre-existing cardiovascular disease.
Who is at Risk for Complications?
While diabetes can affect birth control in a few different ways, not everyone with diabetes will necessarily experience complications.
It’s important to talk to your doctor if you have diabetes and are considering using birth control to determine which methods may be best for you. That being said, there are some factors that may increase your risk for complications, including:.
Diabetes Severity
The severity of your diabetes may play a role in your risk for complications with birth control. Women with poorly controlled diabetes may be at a higher risk for blood clots and other complications.
Age
Women over the age of 35 who smoke and have diabetes may be at an increased risk for cardiovascular disease while using hormonal birth control methods.
Other Health Conditions
Women with pre-existing cardiovascular disease or blood clotting disorders may be at a higher risk for complications if they use hormonal birth control methods.
Smoking
Smoking can significantly increase your risk for cardiovascular disease and blood clots, particularly when combined with diabetes and hormonal birth control methods.
What Birth Control Methods are Best for Women with Diabetes?
There is no one-size-fits-all answer to this question, as the best birth control method for women with diabetes will depend on a variety of factors, including your overall health, the severity of your diabetes, and your personal preferences.
Your doctor can work with you to determine which birth control methods may be right for you. However, some birth control methods may be more suitable for women with diabetes than others. These can include:.
Barrier Methods
Barrier methods, such as condoms or diaphragms, do not contain hormones and are generally considered safe for women with diabetes.
While these methods may not be as effective at preventing pregnancy as hormonal methods, they can provide a reliable level of protection when used consistently and correctly.
Non-Hormonal IUDs
Intrauterine devices (IUDs) are small, T-shaped devices that are inserted into the uterus. Non-hormonal IUDs, like the copper IUD, do not contain hormones and are a highly effective form of birth control.
These devices can also provide long-term protection, with some lasting up to 10 years.
Progestin-Only Methods
Progestin-only methods, like the mini-pill or Depo-Provera shot, may be a good option for women with diabetes who cannot use estrogen-containing birth control methods.
While these methods are still hormonal, they contain only one type of hormone – progestin – and may have fewer effects on blood glucose levels.
Conclusion
Diabetes can affect birth control in a few different ways, and certain individuals may be at a higher risk for complications.
However, with the right care and guidance from your healthcare team, you can find a birth control method that works for you and helps you manage your diabetes effectively. If you have diabetes and are considering using birth control, talk to your doctor to determine the best options for your unique needs and circumstances.