In a perfect Mother's Day gift, Mumbai-based Dr Rajiv Kovil helped deliver the baby of a mother with Type 1 diabetes mellitus (T1DM) with the help of a complex procedure.

Type 1 diabetes mellitus (T1DM) is a chronic condition characterised by the body's inability to produce insulin. This necessitates external insulin administration to regulate blood sugar levels. For Kainaz Wadia, who was managing her T1DM with insulin, achieving optimal control is even more critical during pregnancy. She was instructed that the insulin may not be able to give her the kind of control required for a type 1 pregnancy, as her HbA1c and post-prandial sugars were slightly high.

During pregnancy, the demand for insulin often increases due to hormonal changes, making tight glucose control paramount for the health of both mother and baby. High blood sugar levels can lead to complications such as macrosomia (large birth weight), neonatal hypoglycemia (low blood sugar levels in newborns), and pre-eclampsia (High Blood Pressure with Proteinuria). She was treated by Dr Kovil, who is a diabetologist, head and co founder, Zandra Healthcare and Rang De Neela Initiative.