I was diagnosed early on in my pregnancy with gestational diabetes. I controlled it well with diet etc. Now my dtr is almost 11 months old, and I had an A1c done... 6.2 When I first got pregnant my A1c was 5.3. Has anyone else had this happen? I do have a mom with Type I and a dad with type II. Should also mention I'm not overweight, low BP, and good cholesterol. Totally not a typical type II. I have an appointment tomorrow... I hope I don't have to argue with them about the antibody tests :-(
Thanks for any advice!
Who's new standard is 5.7 ???
The new standard is an A1c of 5.7 indicates "pre-diabetes" (2010 ADA recommendations). I actually believe that pre-diabetes is just diabetes.
Interesting. They are now calling it "at risk" which really does make sense, but they've raised the bottom of the category from 5.7 to 6.0; I wonder why. That means less people are looking at and watching their numbers, and making needed changes - less, in effect, have the "heads up" that could lead to forestalling or preventing an eventual diagnosis.
Odd, that the terms will be phased out, as I believe that those terms have MORE a direct impact on people taking action than the wishy washy term "at risk".
No, 5.7 is the number some people use for "pre-diabetes". Diabetes is still considered to be 6.5 and over.
Good luck with your trials! I hope that in the end everything has worked out. I wouldn't give up no matter what happens with your #'s (unless they magically get better!). It seems as if you are on top of things. Keep it up and keep pushing! I think after pregnancy if you A1c is not back to normal then you need to just keep checking your bs and stay on top of your docs. For me personally my A1c has never gotten that high (my highest was 6.5 I think), but it was my day to day bs's that kept rising and making me feeling crappy that pushed me to push my docs to get all the tests I needed. Unfortunately the medical community has some catching up to do with diagnosing diabetics. The tests eventually showed that I was an LADA and needed insulin. My internal med. doctor admitted to me later she didn't even consider all the tests that the Endo.'s eventually ordered which is what got me to my diagnosis. It doesn't matter what type someone is in the end (if they are getting the appropriate treatment)- what matters is that you have a good control and you feel good. Especially as you are raising your children. We all want to live healthy and well so we can see our grandchildren someday!
I was dx with gestational diabetes with both my pregnancies, I diet controlled both times but at the end I ended up on meds, With my son I was dx early at like 13ish weeks along...fast forward almsot exactly 2 yrs after the birth of my son and I had routine bloodwork with a fasting glucose of 359! yikes! My primary care pushed it off as type 2, but because I have a lot family members with type 1 (some dx later in life like myself, I am almost 38) I found myself an endocrinologist ASAP! she is wonderful, took one look at me and my history and said "pretty sure you are a late onset type 1" she did the extra blood work including antibody testing and called me within days to tell me to start insulin. So I sort of think my GD was realy LADA all along, I admit after having my son I didn't go back for rechecks, my fault! life was busy with a newborn and a toddler, I totally dropped the ball! Anyway my initial A1C was in the 8s, currently it is at 6.2 which I am pretty happy about. My best advice is finding a good endo one that you click with and has experience with LADA. Good luck!
Do you have any idea what you A1C ranges might have been before the first pregnancy? If you were on insulin prior to the pregnancies, how does your endo think this would have effected the progression?
I do not know what they were prior to pregnancy, I can tell you that my random glucoses drawn during early pregnancy as part of initial pregnancy bloodwork were always in the normal range. They would then send me for the 2hr glucose test and my levels would be in the 200s...202 with my first and 256 with my second. Had I known then what I know now I would have seen an endo right away rather than going to just a maternal fetal medicine dr which is who my OB referred me to. I took glyburide during my pregnancies, it helped some but I still had to eat extremely low carb to stay in range. I did talk to my endo about this (after the fact of course) and she said had I seen her while I was pregnant she absolutely would have started me on insulin right away, she doesn't believe in oral meds for GD and believes insulin can help preserve beta cells thus slowing the progression, she also said she would have tested me for late onset type 1 right away as well based on my hx, etc. Live and learn I suppose. That being said I had 2 healthy full term kids who weren't huge or effected by my diabetes, so I hold onto that and let the rest go, what else can ya do! I just hope they don't get my "crappy pancreas genes!" I worry about that...lots!
also worth noting is that my ob never had an A1C done, now I think that is standard as part of the initial pregnancy bloodwork. Too little too late in my case...no more babies for me! ;)
That's interesting as I was led to believe that pregnant women typically aren't given insulin. My wife is looking at options as a pre diabetic and she really doesn't want to inject but she is also not crazy about taking the pills as she was told that insulin could help keep the pancreas going longer, healthier. Her endo thinks she should think about pens until inhaled insulin is available.
I truly think it is one of those things where it may vary dr to dr...like I said I treated with a high risk/maternal fetal med provider. He never once mentioned insulin to me however my endo believes that all diabetic preggos should be started on insulin ASAP. Honestly I think I hate taking pills more than injecting but I am weird like that! I use pens and the needles are so itty bitty that I truly feel like pricking my finger hurts worse than injecting. Good luck to your wife!...and you!!