T1 for 16 yrs-33 y/o female-on shots/dexcom-pregnant
I'm currently 5.5 wks pregnant. On a mission to find a good Endo (haven't had much luck), currently seeing a high risk OBGYN. The new doctor I met with yesterday (Nurse Practitioner) suggested I start using NPH for my long acting insulin instead of my current dose of Levemir, because according to her, Levemir is not FDA approved and NPH is. I've never used NPH before but haven't heard much good about it. Has anyone ever used it while pregnant? And if so, how did you do on it? Any other recommendations anyone may have as far as what I can use and safe while pregnant? Also, if there is anyone out there living in the Orange County, CA area that knows of a good Endo or know someone who may. I would greatly appreciate any feedback/suggestions.
Thanks for your time,
Monica
Replies to This Discussion
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Permalink Reply by Holger Schmeken on -
Levemir is approved for pregnant women:
http://www.drugs.com/newdrugs/fda-approves-levemir-pregnancy-catego...I think this is also true for Lantus - at least in Germany.
http://diabeticsurvivalkit.com/2011/04/15/safety-of-insulin-glargin...
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Permalink Reply by SugarDragon on
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Thank you! I'm doing my research, just wanna have the facts straight before I call the doc ;) Thanks again for the link.....
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Permalink Reply by smileandnod on -
I took NPH years ago, but I honestly can't remember what I was taking when I was pregnant (25 years ago). I do remember having issues with the "peak" effect of NPH because I've always worked full time and couldn't always control my schedule so that peak tended to catch me off guard with lows at inconvenient times. My life changed for the better once I was put on Lantus.
According to a chart I found, NPH is considered an intermediate acting insulin which starts 1-3 hours after injection, peaks at 4-9 hours and ends 14-20 hours with lows most likely between 4-16 hours.
I just found an article that stated Levemir was approved by the FDA for diabetes during pregnancy in the U.S. - the article was dated April 3, 2012. NPH was considered the gold standard of care during pregnancy up until this approval.
Also, this is from the Levemir website:
"Levemir® is also the first and only long-acting insulin analog that can be used during pregnancy without increasing the risk of harm to the unborn baby."Best wishes SugarDragon and congrats on your pregnancy! :)
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Thanks for the info! I feel better now, knowing it's not harming my baby. I wish doctors would get their facts straight before making statements. Here's hoping to a smooth pregnancy :)
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Permalink Reply by Sam on -
Find a new doctor, right away. The only people who take NPH are doing it under emergency circumstances to stay alive because they can't afford modern insulin. In my opinion anyway... This forum is full of horror stories from old timers talking about the "dark ages" of NPH
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Permalink Reply by Stemwinder on -
Hi SugarDragon, First let me say Congratulations. And if you haven't already you might want to join the OH Baby group.
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