First time diabetic pregnancy

Sherisse - posted on 01/20/2009 ( 37 moms have responded )

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Hello, I am expecting my first in August and I am a type 1 diabetic. The past 3 years have been very good for me however I was only diagnosed when I was 20 and it took me 5 years to get with the program and get my sugars under control. I am nervous and not sure what to expect. My sugars have been pretty good so far, I'm at 11 weeks. I have changed my insulin dosages here and there to compensate as I find I am very sensitive to the insulin in the evening but sometimes in the daytime it's not enough anymore. I am just hoping to hear from other diabetic mom's or mom's to be that have gone through this so I know a little bit more about what to expect. I am a hyperglycemic diabetic.
Thanks!

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Amy - posted on 01/20/2009

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Hi, I am a mom to a seven month old baby boy. My story is a little different from yours, I am a type 2 diabetic, but hopefully you will find it helpful anyway. I started out by having pre-conception counseling, to make sure that it would be advisable to become pregnant in the first place. I think my A1C at the time was around 6.8 or so. The doctor gave me the go ahead. That was June 12, 2007. I ended up having to get the chicken pox vaccine, because I had never had the chicken pox, so we had to wait about 2 months before we could try. We were so happy on October 13, 2007 to find out that we were pregnant. I began seeing the doctors regularly. I was previously on oral meds for my type 2 diabetes. I knew that I probably would have to use insulin throughout the pregnancy, and I did. I immediately started NPH in the morning and at night, and Humalog before meals. That was 5 shots a day for the duration of the pregnancy....my first time on shots....but it wasn't as bad as I thought it would be.... not as bad as all of those finger sticks (about an average of 6 a day...maybe more or less somedays). My doses were increased accordingly, I was on pretty high doses toward the end of the pregnancy (a lot of that probably due to my weight, I started out heavy, and gained about 30lbs). So everything was well controlled, I think the doctors only checked my A1C once during the pregnancy.. because of the good control.. I think it was around 5.3. I did have a few lows....that was a little scary.. but learned when they were coming and what to do. Around 28 weeks I had to start going to the hospital twice weekly for fetal heart monitoring (usually about 2 hours per trip), that was a little much to keep up with, in addition to my OB and Perinatal appointments and working full time, but I was told that it was the protocol for a diabetic mom. I finally got used to going... and ended up enjoying going... getting to listen to my baby on the monitor, and getting to know the nurses where I would be delivering. Even though I had good control and the baby was not growing too big.. they still wanted to induce my labor at 39 weeks (Early induction at 38-39 weeks also protocol for diabetics) That was fine...but I didn't end up progressing after being in the hospital a few days... and the baby ended up having a bowel movement.. so they decided to do a c-section. My son was born on June 12th 2008 (exactly one year from the date that the doc had given us the green flag on trying to get pregnant) The c-section really wasn't as bad as I thought it would be....I had a quick recovery and was never in a lot of pain at all, I just took Ibuprofen. My son Eli was pretty healthy, although he had to stay in the special care nursery for a few days. His blood sugars were unstable in the begining, but under control after the first day or so. The other problem was that he just didn't want to eat well. I had intentions of breastfeeding...but it did not work out... he just didn't catch on. I was told that babies of diabetic mothers can sometimes be sluggish... and not feed well at first. I pumped and he got the breastmilk that way. Eventually Eli began eating well and we were released. Eli was born on Thursday, and we got to leave the hospital on Monday. I was a little sad about him having to stay in the nursery for so long, but I also wanted him to have the care he needed. I am so thankful everything went as well as it did, considering my challenges, I also have high blood pressure...but it was also controlled as well. We feel so blessed to have our beautiful Eli, he is completely healthy now and has been since the day we left the hospital (no illness to date, knock on wood). My only concern now is that if we decide to have another baby, it would be a real challenge to take care of my son, my diabetes and all of the doctors appointments, and work (stay at home mom not an option for our family). We are not thinking about it too much right now though...just enjoying the sweet life with our son :) I hope that everything goes well with your pregnancy, and you have pretty positive expieriences as I did.... and most importantly a healthy mom & baby :)

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Safia - posted on 02/15/2013

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Iam 3weeks pregnant and my fasting blood sugar is 5.8 do i have gestational diabetes

Sybil - posted on 08/27/2009

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Having a baby is very overwhelming & quite an adjustment! Your life will never be the same! Your efforts will be rewarded with that first smile, laugh, hug & kiss!

The same thing happened to me with my sugars, especially with the breastfeeding & pumping. The extra calories you burn with producing the milk really can lower your insulin requirements. Even now, a year later, it makes a difference although I can tell that I need more insulin now that I'm not producing as much as I used to. I pump milk since my baby had reflux & I feed him by bottle. Although these days, it seems like he's on a hunger strike! They say that they go through an "eat less" phase when they just learn to walk! It stresses me out since he doesn't like to eat in the first place! Oh, the joys of motherhood! It does get easier (mainly because you get more sleep!) & it's very rewarding when they engage with you more! Enjoy the time you have with Haileigh - it goes by very fast!

Sherisse - posted on 08/17/2009

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Thanks for the advice. I desperately need it lol. I am on a crazy emotional rollercoaster and sometimes I think I'm gonna go a little nuts. She's so beautiful and amazing and it's such a blessing and yet I cry a lot for no apparent reason. I'm not depressed, just teary lol. It's so overwhelming. People tell you it will be but I never believed it until I had her.
I'm still getting used to the sugars at this point. I almost take no insulin right now and my sugar is never what I expect it to be. It's like starting all over again! Right after birth it was like that and then when my milk came in it got even worse. The nurse said it will take about 2 weeks before it's leveled off. Hard to worry about myself when I have the little one around though!

Nancy - posted on 08/17/2009

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Congratulations! She's absolutely beautiful. Now for the fun part of being a mommy....what an adventure! I'll pass along this pearl of wisdom given to me.....it takes about 6 weeks before you stop feeling like a complete idiot so take advantage of the offers of help. Nap often and take tose showers even if baby has to come to the shower with you....it helps! Best wishes.

Sybil - posted on 08/16/2009

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Haileigh is very beautiful & such a tiny, precious little baby! I'm so glad that everything turned out okay - the cord around the neck can be so scary! I'm so happy for you! How are you adapting to motherhood? How have your sugars been now that you've had your baby? My insulin needs were pretty low because I was breastfeeding - they still are low since I've been pumping milk for my little guy. He's getting big though - he turned 1 a couple weeks ago!

Sherisse - posted on 08/16/2009

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Hey! Yes, Haileigh Lynne was born August 10th at 12:06 pm 5 lbs 2 oz 18 inches long. She is healthy and happy and so is mom =)
I actually didn't get a choice on the epidural lol. My water broke at 9 am and we went to the hospital and I was 4 cm dialated. But when they hooked me up to the fetal heart monitor she was going "bratty" (heart rate slowing down to 50) while I was contracting. They rushed me into the OR and put a fetal scalp monitor on her and her heart rate seemed normal so they sent me into a labor room to have her naturally. Then after 30 more minutes and 2 more cm's she started going bratty again so they took me into the OR, gave me the spinal and took her out emergency c-section. Turns out her cord was wrapped around her neck. Other than having a lower birth weight she is perfectly healthy! Apparently my placenta wasn't working at full capacity so she was small. It was a good experience actually, other than the recovery from surgery but that is a small price to pay for such a beautiful little girl!

Sybil - posted on 08/16/2009

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Hi Sherisse! Have you had your baby yet? I see your photo has a baby girl in it so... YES??? If so, congrats! She looks lovely & perfect! So peaceful! Did you end up getting the epidural? I did! But I'm a wuss when it comes to pain! So I needed it LOL!

Sherisse - posted on 07/28/2009

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Hello! Sorry it's been so long. Pregnancy is still going well. She's actually a little on the small side for 37 weeks but moves around a lot and all the ultrasounds are looking good. I am so excited it's incredible. Sugars have been really good. 5's and 6's. Had a few lower nights a couple weeks ago where we went into the 1's but we adjusted the nighttime insulin and things are back to normal. Nervous about delivery still but the excitement is more prominent. She has dropped very low down already so the doctor said not to be surprised if she comes before I end up being induced, which I would prefer anyways. Natural seems better to me in every situation. Anyone have the epidural? Recommended? I think I would like it but the daddy is more scared than I am about it lol. 2 weeks or so to go!

Nancy - posted on 04/10/2009

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Hi Sherisse, great to hear that everything is going well. Yes, those insulin doses will continue to increase right up until about 36-7 weeks and then your blood sugar will be the best it's ever been in your life. It's so disappointing that they don't stay like that after delivery ;oP



I worked right up until 36 weeks.....yes, I'm a sucker for punishment!! My boss was thrilled that I could train my replacement. I reduced my hours to 15/week at 32 weeks (went on short term disability so I could still have the max Mat Leave pay) so I could be at the hospital twice a week and have an extra day to keep my feet up as I had a great deal of swelling. The onbly thing about working in the last trimester is the sleepiness......I was lucky my boss was female and understood cause I had to go for little walks to stay awake.



Don't be nervous about the delivery just yet. Just make sure you have a good talk with your Doc and be firm on your stance on inductions & C-sections. Some Obs like to induce at 38 weeks but lots of times it's not necessary. When my daughter hit 9lbs+ at 37 weeks I made sure I reminded my doc about our previous conversation that I did not want to have a c-section unless it was absolutely necessary and that I didn't want to be induced. I delivered vaginally at 40 weeks & 3 days. Just focus on eating well, get daily low impact exercises and lots and lots of sleep.

Sherisse - posted on 04/10/2009

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Hmm.. That doesn't sound so bad. I assume this is what she is talking about.  Things are going very well. We are having a baby girl, which although is somewhat disappointing to the daddy, we are still VERY excited lol. Work is going well. I get tired easily but I am the boss so I can kind of make my own hours. How long did you work until? I have dreams of working right up until 8 months  but no one else seems to think that is possible. The doctors have said I am healthy and the baby is very healthy and kicking me VERY hard lol. She amazes me because she's got the placenta on top of her and still at 5.25 months she can kick so hard you can feel it on the top of my belly lol.  She seems to like music. Gets all excited when I get in the car and turn up the radio! =) My sugars have been great but as I said I have had to increase my insulin a lot. But that was expected so no big deal.  At this point things are looking really good! I'm still so nervous about labour (still hoping to do it naturally) and recovering. I've never healed well as a diabetic, so that's a lil scary. But every mom worries about it I'm sure!

Sybil - posted on 04/09/2009

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I'm glad to hear you're doing well!  I hope this post works - I just tried to post a long reply & it went blank!  Here it goes!  My dr ordered non-stress tests starting sometime early in my 3rd trimester.  Non-stress tests are when they strap a monitor to your belly for about 15-20 minutes & you push a button whenever you feel the baby move.  A graph of the baby's heartbeat, any contractions you might be having & trackmarks of when you told the monitor the baby's moving gets printed out so your dr can see how often the baby's moving & how its heartbeat/vitals responds to movement & contractions.  In the beginning, the tests were weekly & then it went to twice weekly the last month.  They can also do stress tests where they inject you with something to stimulate contractions so they can see how the baby fares under "stress" but I never did any of those.  Non-stress tests are very common for high risk pregnancies, especially for diabetics & older moms.  So I wouldn't worry too much about them.  I think this is what you're doctor is talking about.  You can check with her or one of the nurses there.  Hopefully, you can ask your doctor anything on your mind.  They are busy but I hope they'll take the time to be patient with you and answer any question you have, especially as a first time mom!  If not, we're always here for you!  How is everything going?  How is work going?  Are you having a better time balancing work and managing your health/sugars?  Are you getting everything ready for the baby?  This is an exciting time for you!  Thrilled that things are going well for you!

Sherisse - posted on 04/06/2009

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Hey ladies! Been a while! As you all know there's always so much going on and even more so when you are pregnant and dibetic. Seems like I spend most my time in a doctor's office! However so far it's been great. Baby is healthy, mom is healthy. Dad is excited now! Sugars have been good although I have increased my insulin A LOT already lol! No more lows, but sometimes it creeps up into the 12's without me even eating! But monitoring it and catching it so I think we'll b fine. Baby is moving around so much already. Feels so weird and exciting all at once. Doctor has told me I will have to go for fetal assessments often starting in a while. She is a very nice doc but doesn't seem to have time to answer questions. I don't even know what this is? Is it normal?

Megan - posted on 02/17/2009

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Wow! Our due dates are really close together!  sorry to hear about your super low bs..that is so scary. I don't know if you have experienced this or not, but I know that it is common to not feel your low bs's as well during pregnancy and I am not sure why. I have heard about a lot of women on diabetic mommy.com that  have had that problem and I have too.  I use a different scale for bs's than you, I normally would feel low when i was in the 70's and 60's and now sometimes its not til the 40's or 50's and that is scary and I panic too and sometimes overtreat, especially if it happens in the middle of the night.   Lows are very common during the entire first trimester and into part of the second for a lot of women...so test test test to make yourself feel better!  I test about 15-20 times a day sometimes and did wiht my first pregnancy too, which may seem obsessive, but my son turned out great and my A1c's were in the 4's and 5's the whole pregnancy.



Good luck and please feel free to ask any questions you need to...I don't check this site often and I don't think it generates an email if you get a mssg, but I will reply!



Take care,



megan

Sybil - posted on 02/09/2009

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Sherisse,



I went through the same kind of thing - lots of lows and highs during my pregnancy too.  I tend to "panic" when low & would overdo it sometimes with the sugar.  My a1c were stll good - my endo said that the a1c represent the average since I was concerned about the roller coaster of sugars I was on!  Hopefully things will get easier for you as time goes on.  The lows can be scary!  You should talk to your endo/dr right away on that!  You don't want to be passsing out! 



My guess is that they're being extra strict because of the effect of high sugars on birth defects in the first trimester.  Later on, high sugars will make the baby big, which has its own complications but not as serious as some of the birth defects that can develop in the first trimester.  They were pretty strict with me too, especially in that first trimester.  I felt better after all the screening tests & seeing the high risk ob.  You're doing all the right things & I know how hard it is to manage this while being pregnant, especially for the first time!  It must be stressful!  Hang in there! 

Sherisse - posted on 02/09/2009

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Hi there! Congrats on your pregnancy as well! My due date is 08/16 =) I just got home from the hospital as since my endo increased my insulin dosage on Tues last week my sugars have been bottoming out and today it went basically to 0 and I lost it so a girl from work took me to the hospital as she didn't know what else to do. It's very frustrating!!! I am quite happy with what my sugars have been but throughout the day some foods just don't require the 4 units per 15 g of carb dosage that she wants me to take and I haven't figured out what works best yet. I work in a fast paced environment and sometimes i can get going pretty good and it makes it worse but the Doc wants me to bring them down so much! I am used to a 9 after meals she wants a 6 and since thought that by increasing my rapid insulin it would work but now I'm always going to a 3 or 4 and sometimes lower.



My A1C was under 8 to begin with which is high for someone who isn't trying to get pregnant.. which I wasn't, but very good for someone who has had a long time struggle to bring them down to even that. I will see what it is in a week but obviously with these lows it will have gone down but it's not going to be an accurate avg as it's more or less just going from extreme to extreme. Once it gets that low I have to eat sugar which then spikes it high and so on as you all know. To me that seems even more dangerous that having a bsl of 9 after meals lol.



Sorry I am just having a rough time. I do feel very supported through this group though and all their advice and tips and shared experiences have made me feel more confident about the overall pregnancy.



 

Megan - posted on 02/09/2009

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Well congrats to you on your pregancy!  We are very close together in due dates..mine is 8/12, when is yours?  I am Type 1 as well and have been through one successful pregnancy 2 yrs ago with my son. My insulin needs increased tri fold like many others have mentioned, but my High Risk OBGYN advised me that all pregnancies are different and he has seen people that barely have to increase and then others that have to increase it 10 fold..which i cannot even imagine since I am already on a lot of insulin per day. My A1C was anywhere from 4.6 to 5.8 during my 1st pregnancy and so far it has been 5.9 and 5.4, which I was surprised about.  I am not sure if Canadian A1C ranges are different than the US...but my doctor wanted me below 7 before I got pregnant and when we started trying I was 6.7. 



Just remember that you are not going thru this alone and there are many ways of getting support out there.  I also belong to diabetic mommy.com which is a lot larger than this group, and a little intimidating for me at first, but I kept posting and going in and lurking reading posts and felt more and more comfortable, so I hope you will check it out too.  We need all the help we can get!  I am on the pump, but I do know there are several moms on DM (diabetic mommy) that have had successful pregnancies on shots as well, so it is definitely possible. 



Good luck to you and keep in touch!



Megan



Type 1--22 yrs



Minimed Pump-7yrs



Son is 2 yrs old



Due 8/12/09

Sybil - posted on 02/04/2009

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Hang in there Sherisse!  Good blood sugars are important especially in the first trimester, which is why she wants to set your goals so low!  Although I'm curious to know why she thinks it's not a good idea to switch to a pump since I would think it would make it easier to manage ultimately.  Maybe because the initial setup takes some work & maybe you need to be more stable without all he hormone surges?  Anyway, you'll be fine & seeing your team every 2 weeks will help keep those sugars in check! 

Sybil - posted on 02/04/2009

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Hang in there Sherisse!  Good blood sugars are important especially in the first trimester, which is why she wants to set your goals so low!  Although I'm curious to know why she thinks it's not a good idea to switch to a pump since I would think it would make it easier to manage ultimately.  Maybe because the initial setup takes some work & maybe you need to be more stable without all he hormone surges?  Anyway, you'll be fine & seeing your team every 2 weeks will help keep those sugars in check! 

Sherisse - posted on 02/03/2009

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I went for my first endocrinoligist appointment since I've been pregnant and it kind of worried me. She wasn't intentionally trying to upset me but my last A1C was 7.8 and she is concered my preconception sugars were low and mentioned that it may have cause defects and wanted me to be aware. She also set VERY low goals for me. Like a resting BS of less than 5.3 and an after meal of less than 6.7. I have had resting of 7 and after meal of 8-9 avgs in the past and it just seems so impossible to bring them that low when all I want to do is eat at the moment lol!!!  AHHH! I'm hoping that I can do this but wow does it seem crazy unrealistic at the moment! She also said she doesnt usually reccommend patients switch to the pump for pregnancy so I guess that's not an option for me. She says that at this point I should just stay on my Levemir. Switch to Lantus after the baby is born. I have to go in for appts every two weeks which is what you have all said would happen which is no big deal as the clinic she works out of is between home and work so it's not an issue. I'm still waiting on a prenatal appt but she has calmed me a bit by saying most the OB's in Winnipeg don't see you before 15 wks.



So a little worry and a little reassurance. Probably how most the pregnancy goes?

Jennifer - posted on 02/01/2009

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Hi there all! I am new to the group, but wanted to share my story. I was diagnoised when I was 20 years old, over 15 years ago. I got married a few years after being diagnoised and knew that having kids was a priority for me. I started to try and get pregnant when I was 25 or 26. I experienced several miscarriages, but finally stayed pregnant in May of 1999. Early on in my "trying" period I got on the insulin pump. Let me tell you that made a world of difference and made being pregnant and diabetic so much easier. I did see a high risk OBGYN who were great and helped me through this process very easily. Once I became pregnant I no longer saw my endocrinologist. He worked with the high risk doctors and often was there in the office when I went in, but everything went through the high risk doctors. There were alot of doctor appointments and tests, it felt like a full time job. But, going through all of this helped me give birth to a healthy baby girl in February of 2000. I have since had 2 more children. Both boys, one is April of 2002 and the other in June of 2005. I had to have c-sections with all 3 of them because they were all over 8 pounds. With alot of precision I was able to keep my blood sugars under control and my pregnancies were very smooth. I worred though everytime I had a higher blood sugar of what it would do to the baby, but with being on the pump I was able to quickly correct. It is a tough road (compared to the "normal" person), but well worth all the hard work. Good luck in your journey!

Sherisse - posted on 02/01/2009

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Thanks!!! That is very helpful... yes currently I am on 15 units of Levimir at night so I guess I will hit at least 45 at some point. I will stay on it. I like the medications I am taking it took us a while to get it right with me and now that I have gotten used to what I am using I will stick with it. I can imagine the whole pooling issue.. however never would have figured it out on my own.. thanks!!!!

Nancy - posted on 01/28/2009

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Your Ob might ask you if you want to stay on Levemir because there have been no studies with Levemir and pregnancy. I stayed on it and had no problems. The only thing is that when your dose of Levemir hit about 48 units (in your last trimester), you'll have to split the shot in 2 and do 24 in one site and 24 in another. It took me about 2 weeks to figure that one out and I was at 54 units and was able to drop to to 48 when I did. Apparently, when the dose gets that big, it pools and doesn't absorb properly so it doesn't do it's job. This tidbit of info is not in any of the literature.

Sherisse - posted on 01/28/2009

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Thanks you ladies for both of those encouraging stories!! I am also on Novorapid and levemir!!



I am being as careful as I can with my insulin, checking often and making needed adjustments. I just have not been great with it in the past so it's a little overwhelming. I mean I keep my A1C's under 8 but I have always been more of the guesser than the actual check and know for sure what my sugar is lol. But since discovering I'm pregnant that has changed.



All this advice and experience information is more helpful than any of you realize. I was very very scared coming into this and as I am going it's becoming less scary thanks to you guys! Thanks so much!!

Nancy - posted on 01/28/2009

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Hi Sherisse,

I had my daughter 3 months ago. I'm a type 1 diabetic (have been for 14yrs) and I stayed on injections throughout my whole pregnancy. My Gyn referred me to an antenatal clinic (I'm in Montreal) at the hospital when I was only 7 weeks pregnant. The clinic has an endocrinologist, dietitian, nurses, and Obs. I went every other week up to 30 weeks, than every week up to 36 weeks and then twice a week until delivery. I also met other type 1 which was my life line. Ask your endocrinologist or family doctor to refer you to an antenatal clinic as high risk OBs don't see you before 12 weeks anyway.

Just to encourage you, I went full term, 40 weeks and 3 days and delivered vaginally a healthy 10lb 11oz baby girl! Big babies run in my family so it wasn't so much the diabetes as I kept that very well controlled. The pre-eclampsia started at 39 weeks & 6 days and that's when my Ob sent me to the hospital to start a slow induction. A perfectly healthy pregnancy is possible for diabetics! Not sure what is up with all the hair loss but I didn't lose any of mine......

My only advice is to check your sugars before and 1hr after each meal (and write them down!) which will help you when you make your insulin adjustments. My insulin increased to 4 times what I use to take, I'm on Novorapid & Levemir. I'm a carb counter! You don't have to be on the pump to have good control. You just need a great deal of self control & discipline. Keep physically active and enjoy every moment of your pregnancy because it goes quickly.

Joyce - posted on 01/26/2009

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Hi there, I've had Type 1 diabetes for 31 years and I have a 5 year old boy. My bg during pregnancy were absolutely perfect and my insulin requirements did increase almost 3 fold by the time the little dude was born. I had complications by the time I was 30 weeks with pre-eclampsia and was hospitalized with extreme swollen feet and remained on bedrest for 5 weeks before Christopher was born 5 weeks early (4lbs 13oz by c-section). All in all, by diabetes was not a problem at all. I saw an endocrinologist every two weeks throughout my pregnancy and almost daily when I was in the hospital. I actually saw him more than my ob/gyn. Oh yeah and my ob/gyn was a high-risk guy. I live in Canada, so ofcourse referrals and all that were not a problem. Ummm, oh yeah, my hair fell out alot too, that was a pain in the butt! Good luck and as long as you check your bg lots and keep adjusting that insulin, I'm sure you will do just great! Good luck and enjoy!

Sherisse - posted on 01/24/2009

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Crazy!! I read somewhere in one of my books about the hair not falling out. But I never considered what would happen after!!!! Wow. The things you learn....

Sybil - posted on 01/24/2009

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Hormones!  During pregnancy, you keep all your hair - little falls out.  Then when your hormones decrease post-delivery - for me, at around 3-4 months - it all starts falling out!  So you end up with what seems like handfuls of hair loss, which isn't far from the truth for me!  I started taking prenatals again in hopes that it will help!

Sherisse - posted on 01/23/2009

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I think in Canada it's general health care.  Do you know what is causing the hair loss???



 

Sybil - posted on 01/22/2009

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What kind of insurance do you have?  HMO?  I have a PPO and I didn't need any referrals.  I went to a high-risk exclusively for my care - 1 every month until my 7th month - then every 2 weeks to twice weekly for non-stress tests I think starting my 34th week.  I just called them and said I was a diabetic looking for high risk care & they saw me right away starting at 9 weeks!  On NYE!  But I am lucky to have some pretty good insurance through my hubby - they even cover continuous glucose sensors!  So I'm not sure how your insurance would work - call them & see.



 



My insulin needs never hugely increased - just really decreased post-delivery & throughout BF/pumping - lower than pre-pregnancy!  My ratios went down to 1:8 and my basals might have gone up 25% or so.  I guess everyone is different!  Those hormones I tell you!



One thing I see that I wish would stop is losing all my hair!  Not related to diabetes but the amount I've been losing makes me want to go buy some rogaine!  LOL!



BTW, my a1c were between 5.9-6.3 during pregnancy & my son weighed 8 lbs, 5 oz.  I was supposed to be induced at 39 weeks but went into labor 3 days prior.  Had a c-section for failure to progress but not due to diabetes.  Good luck!

Sherisse - posted on 01/22/2009

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Yeah she was saying the temperature. I do like my baths warm but I don't think ridiculously so. I do carb counting. My ratio is 3 units for every 15g of carbs. I take a novorapid insulin.  Fortunetly for me I haven't experienced any sickness so I can still eat normally. =) I will ask my endo if she can refer me to the highrisk OB! Thanks for all your advice! This is helping me feel a lot better about things already!

Karen - posted on 01/22/2009

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Hi, I am not quite sure why that girl told you not baths... I have heard of no hot tubs b/c they are too hot... how hot are you baths? Temp would be an issue for the baby- I think I have heard you don't want to boil the baby- sounds funny but I think I have heard that. As far as blood sugars go, hot dialates blood vessels so it can contribute somewhat to hypos but I would think not unless your already headed down anyway. If I remember correctly, I think I did need a referral to a high risk ob. You can probably get one from your endo too. Do you do carb counting with an insulin to carb ratio? Just to give you an idea- mine initially was 1 unit for ever 10 grams of carb eaten... by the end of pregnancy I was doing 1 unit for every 3 grams of carb eaten. My basal needs for insulin went from 7 total units a day to about 17. In the morning I couldn't tolerate very many carbs- which is normal.. so I would eat one low-fat yogurt and starting at lunch I would eat normally- well as normally as I could! BTW, I am a dieitian and certified diabetes educator... but I still had NO clue what to really expect with my pregnancy! In all honesty I felt like the only doctor that had a clue about diabetes and pregnancy was my endo... I met with her monthly.  That's crazy your ob is like that... I had my ob's cell phone number and unfortunately had to use it several times...



Well, take it easy, relax and know that you are doing GREAT!

Sherisse - posted on 01/22/2009

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Triple??? Wow!!! I am considering going to a pump through the pregnancy. I've heard from others it is a life saver. I have an appt with my endocrinologist next week and I will talk to her about it.



Do I need a referral to a high risk OB? My gp is kinda one of those doctors that I have to remind her 20 times about something and she is booked solid and doesn't take phone calls from patients so i can't even really get in touch with her without making an appt which can take weeks!! It does make me feel better that your first appt with the OB wasn't until 19 weeks but I just need to know the ball is rolling for my own sanity.



A girl I know recently told me I can't take baths anymore??? Is that accurate?? I hadn't read or heard anything about that before??

Karen - posted on 01/21/2009

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Oh, and expect your insulin needs to about triple by the end of pregnancy....just to clarify... my needs started changing (increasing) pretty steadily starting around 18 weeks. Lows got better but still had them and sometimes hypo unawareness. But, never got into a dangerous situation with lows......hope this helps.... I probably randomly post things as I can remember them..... take care!

Karen - posted on 01/21/2009

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Hi there! I had a baby 15 months ago and have had type 1 since I was 19 yrs old- 11 1/2 yrs now. I wear a pump and honestly feel that the pump was a life saver during pregnancy. Around 18 weeks my insulin needs kept changing and it was so much easier to make adjustments. You will be sucessful with out a pump though if you carb count and check your blood sugars very frequently. I probably went a little overboard and checked around 10-12 x per day.  My a1c was 6 before pregnancy and my endo never did one while I was pregnant b/c she said it wouldn't be accurate as the body is changing so rapidly. My biggest issue while pregnant was being sick- I mean vomiting- everyday from 8 weeks until my c-section at 37 weeks and 5 days. I had placenta previa which is why I had to have a c-section- nothing to do with diabetes. My son weighed 5 lbs 14 oz and his blood sugars were 78 and then 63 while in the nursery and then he was quickly reunited with me. So large baby and unstable blood sugars are not necessarily a given just b/c you have diabetes. Diabetes management is annoying anyway but if you are pregnant it requires a lot more attention and diligence. I understand what you mean about all the docs you see.... they seem to just spout out the frightening  statistics without any regard to your feelings or how well you control your diabetes. The thing that frustrated me also was that my ob, endo and high risk ob had the crappiest communication with each other.  Oh and my 1st visit to my high risk ob wasn't even until 19 weeks even though the way everybody talked it sounded like it was imperative that I see one immediately. The only thing they do is very detailed ultrasounds to see if the baby has any malformations especially of the heart. You'll get tons of really cool ultrasound pics! Anyway, you are obviously very concerned about your diabetes control and preventing complications so you are ALREADY a good mom! Keep it up and best of luck!

Sherisse - posted on 01/21/2009

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Thank you so much for your responses! It means so much to hear from people who have gone through this! When I told my doctor I was pregnant the words "high-risk" come out and it's just frightening! I am not on a pump, I give myself insulin and check my own sugars, probably not as often as I should but will remedy that right  away. I do plan on breast feeding unless something changes that plan down the line. I will be dealing with a high-risk OBGYN I hope anyways. My family doctor is being very slow about getting me into see one. I'm at 11 1/2 weeks and I don't even have an appointment yet. This concerns me a lot, am I overreacting? My last a1c was 6.5 so I am hoping to bring it down a little more. Although I am a hyperglycemic diabetic I tend to go low rather than high at the moment. Congrats to both of you on your healthy babies and thanks for taking the time to tell me about your experiences!

Sybil - posted on 01/20/2009

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Hello and welcome!!!  I have had type 1 diabetes for almost 23 years!  I just had a healthy baby boy late last July!  I was worried my entire pregnancy but being on a pump helped a lot.  Are you on a pump?  My pump also can check my sugars every 5 min with the continuous glucose sensor which has helped me a lot too.  My body is also sensitive to insulin & hormone changes!  After giving birth, my insulin basals went down to a third of what they used to be!  Breastfeeding (or pumping which is what I'm doing because of my son's reflux) also decreases my insulin requirements.  Are you planning on breastfeeding?  You'll need less insulin if you do.  You're in for one wild ride though!  Just keep your a1c in check.  I had more volatile readings - some high, some low but my dr said not to worry too much as long as my a1c were under 6.5-7.  Took some work but when you see your baby, you know it's so worth it!  I also went to a high risk ob-gyn & they were great!  The extra ultrasounds & testing gave me more peace of mind.  You should check about seeing one - they specialize in moms with diabetes.  And congrats!

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