Pregnancy in women with Type 1 Diabetes: bio-psychological aspects

The article aims to present the bio-psychosocial aspects that are found in pregnant women with type 1 diabetes. In the context of diabetes, the event conception and throughout the pregnancy are to be identified as those phenomena which are closely interrelated and are biologically and psychologically. From this interdependence generates a total transformation and reorganization of 'psychic identity and body as well as significant interpersonal relationships (parental figures, partners) to which are connected to important emotional meanings. Key-words: pregnant; diabetes; bio-psychosocial approach The time of diagnosis and the subsequent therapeutic path are experienced by a person with diabetes as a real traumatic event, capable of generating feelings of deep suffering. Communicating the presence of a chronic condition determines, in fact, the occurrence of an imbalance within, a break with the past, the entry into a state of total uncertainty due to the loss of integrity of the state last year. Deconstruction, then, the old self-image and imminent need to reorder a new one. This process of reformulation can affect the success of generating a compliance initial therapy almost obsessive that turns into feelings of depression and devaluation of the self that lead to fluctuating adherence to treatment. The report of the patient's body becomes, therefore, a risk factor, or force for monitoring of diabetes. Therefore, it becomes evident the need to make interventions to constant monitoring and support of people with diabetes, a therapeutic approach in educational and counselling integrated with the doctor. In the context of diabetes, the event conception and throughout the pregnancy are to be identified as those phenomena which are closely interrelated and are biologically and psychologically. From this interdependence generates a total transformation and reorganization of 'psychic identity and body as well as significant interpersonal relationships (parental figures, partners) to which are connected meanings important emotional, reverb internal and archaic fantasies and experiences related to their developmental and mother-daughter relationship. Some psychophysiological aspects of motherhood The experience of motherhood should be considered along a continuum within the female path characterized by the transition from child being mother, establishing itself as an experience which sees the fusion of the levels of the real, imaginary and symbolic. Within this framework the pregnancy is, therefore, understood as the factual realization of the generating capacity virtually gained puberty which requires the deployment of all the resources to deal with the question of the use of mental