### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi my name is nikita i recently found out that i am pregnant,i experience dizzy spells occassionally,black out ,constantly tired,diahorrea,severe pains in my stomach and back and diabetes also runs in my family what can i do to stop this and can it be severe to the baby that i am carrying

### output:

Dear Nikita, Since you have diabetes in your family, you have to get yourself investigated for diabetes. It is likely that your diabetes which was in latent phase so far has become overt now. Pregnancy is a diabetogenic condition. Therefore, please report to your Obstetrician and get your blood sugar investigated. If diabetes is detected, it needs to be controlled by either Insulin or by oral medicines. Diabetes leads to many complications in pregnancy which includes high blood pressure, anemia, urinary infections, fetal anomalies, diabetes to baby, oversized baby, etc. You will have to keep a watch on this. Diabetes itself with or without high blood pressure. And anemia can cause all the symptoms you have described. Get your blood pressure and blood for hemoglobin checked. Accordingly, you may require treatment. If you are not taking iron-folic acid tablets, please start them. Consume high protein diet. Diarrhea with stomach pain can be due to amoebic dysentery or worms. Stools examination will clinch the diagnosis. Amoebas can be treated with Metronidazole or Secnidazole. If worms are found, you will have to take deforming medicines with Obstetricians advice as some of them can affect the baby. Most urgent step should be to get investigated for Diabetes. I hope this helps you. 