'Your A1C is 4.9, so your diabetes is not very well controlled is it...?'

By now I should be used to ignorance, even from medical professionals. But this encounter today really took the cake.

I was at the hospital getting my 28th week scan. I was particularly anxious about the measurements of baby's tummy because at my last scan, it came out at the 80th percentile and that was flagged up as something to watch. They don't want it any higher than the 90th percentile.

One of the many reasons why diabetic pregnancies are high risk is that high blood sugars can make the baby abnormally big. But other than the abdominal measurement, all of my baby's other measurements were solidly average (around the 50th percentile) and utterly normal. My A1C at conception was 5.6% and my latest A1C was 4.9%.

So the 80th percentile tummy from the 23 week scan came as a surprise to everybody.

So today at the 28th week scan, when the tummy measurements were taken, I asked for more information, saying I was worried because it had been a little high the last time.

Sonographer : 'Oh yes, that's because you're diabetic.'
Me : 'But all the other measurements were completely normal, 50th percentile. And my HBA1C is 4.9%'
Sonographer : 'Oh, so your diabetes is really not very well controlled is it?'

I was so shocked I didn't know what to say.

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Unbelievable! I would not have known what to say either. Congrats on your A1C - that's a lot of hard work! Hope you and baby are healthy all the way to delivery (and beyond!)
Yes Congrats on your A1C, that is amazing. I too would have been speechless. Good luck with the remainder of your pregnancy.
:( it does get old doesn't it. Usually US techs are not allowed to comment directly to the patient on what they see anyway. Next time just ask your doctor to be present for the procedure (assuming it is done in their office). Good job on your A1C!! Sounds like you are doing great and baby too :)
Congrats on the baby & your fabulous A1c!

I would have been sitting/lying there with my mouth hanging open. You're A1c may be better than hers!

Had a nurse (friend of a friend) tell me I was brittle because I tested 8-10 times a day. Only brittle diabetics test that much:)
Oh no, I think you have the "bad kind" of diabetes!
Congratulations on the great A1c. Maybe the sonographer has "dyslexic hearing" and was reasonably commenting on your 9.4 A1c. Don't let them get you down!

If that had been me there either would have been total silence (me biting tongue) or education (lecture). Unbelievable!

Big congrats on that awesome a1c!
Wow... well first of all that sonographer is obviously ignorant regarding diabetic patients.. ugh, even though it's quite irritating to meet people like that, you know that you're on the right track and congrats on your A1c!!
To be fair it was just a sonographer (no disrespect to sonographers out there)

I copied this from here:

Comprehensive Diagnostic Medical Sonography programs vary in length from one to four years depending on the degree or certificate awarded. Prerequisites also vary among programs from high school diploma or GED to specific qualifications in a related allied health profession.

Although certainly frustrating that he/she would say that, I personally would not hold them to the same standards that I would other medical professionals that require a minimum of a Bachelors degree. My perspective is if they don't know about it they shouldn't say anything about it.

Congrats on the excellent A1c :-)
Well, it's in one ear and out the other time. The 4.9% is fantastic! :-)

And, obviously, if you're concerned about the baby's belly size, you need to make it a priority to talk to your doc about it. It could be something and it could be nothing -- us ordinary folks (and the sonographer is one of us) really don't have a clue. And some babies born to totally non-diabetic mothers are simply large.

When I was 5 months pregnant, I was told by the OB-GYN that my pelvis was too small, and that I would have to have a Caesarian. I cried for hours. Then I went to a different doctor. When it came time to deliver, I did it vaginally, and my son's head was 90th percentile. All that worry for nothing!

So hang in there until you have a chance to talk to the doc. Don't worry until you have a reason to!! (I know, easier said than done!) Hoping for the best!!!
I commend you on a great A1c. But I also have to provide you with the context of why the Sonographer may have shocked you. For many T1s, they are given routine guidance on diet and control that leads them to fairly large blood sugar swings, enough that any A1c less than 6% presents some serious risk of lows. When a T1 becomes pregnant, the guidelines are "psycho." You are told to achieve unbelievably tight control, but you are not given the tools to achieve it. For some women, the way to bring your control (A1c) to target is to run low and risk many harmful lows. If you got an A1c of 4.9% by routinely running your blood sugar low (30-60 mg/dl) and banking those lows, then you would not be well controlled. This may be why your Sonographer made the comment.

However, this is not what you are doing and you have every right to correct such a misinterpretation. Keep up the good work.
OK Gotta say this...........................If I came in at that as an A1C my dr would faint. Now just goes to show u that some ppl even in the medical feild don't know too much about D. Congrads on ur A1C!!




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