Replies to This Discussion

Permalink Reply by Kristin on May 7, 2012 at 4:03pm

I know that this must be really scary, but keep in mind that you CAN have a healthy baby! But you have to start taking care of yourself right away!

What matters now is your blood sugars NOW (not what your A1c was before). Test often and be sure to correct your highs and check again to catch lows after correcting. You still need to eat carbs, but try to eat healthier carbs and in smaller amounts at once. I never ate more than 50g of carb at one time during pregnancy so that I would avoid high highs.

When I got pregnant, I saw my endo first and the OB-GYN only after a couple weeks. Call your endo (who is 3 hours away) and see if he or she can help you for now OR if they can recommend an endo who is closer. You need to see someone soon!

Are you using the pump? Do you adjust your own basal rates or does an endo or CDE do it?

There are many, many women who have gotten pregnant with high A1cs and go on to have beautiful, healthy babies, but you need to work hard and really stay on top of your blood sugars right away!

Permalink Reply by sarasugar on May 7, 2012 at 4:08pm

He adjusts my basal rates. I've been using the Animas Ping since March. If I see my endo or a new endo next week is that soon enough? :( I am so angry with myself.

Permalink Reply by Super_sally on May 8, 2012 at 2:36am

Don't be angry with yourself. What has happened has happened. You just need to deal with the here and now.

Are you able to adjust yourself? At least do corrections to bring down highs?

I'd say see the Dr as soon as feasilbe and in the meantime work hard with diet to try to keep things from swinging too much.

Will be useful for the endo if you've got some good testing data avaialble for him/her to look at with you and use to make adjustments, as required.

Permalink Reply by sarasugar on May 8, 2012 at 7:07am

Yes, I can correct my highs and I have an alarm that tells me to check my sugar two hours after any bolus.

Permalink Reply by Kristin on May 8, 2012 at 1:20pm

I know it is hard, but try not to be mad at yourself and just focus on what you need to do!

I would call your endo as soon as possible and see if you can see him or if he can recommend someone closer. I would go as soon as you can and I hope that they will see this as urgent as well, but if they can only see you next week, then it should be OK.

During pregnancy, I was told to check my blood sugar one hour after eating to catch the peak. You will want to give a correction, for any high, but you need to watch for the lows that might come later. I corrected EVERYTHING over 140 and then would check two hours later and if I went too low, I would eat a 10g snack (like an apple or half an orange).

For now, eat lots of vegetables, eggs, meat, and lower amounts of healthy carbs to avoid highs. Avoid all cereal, big pasta dishes, high carb junk food for now, as those can quickly lead to high highs! I ate a lot of eggs and frozen veggies during my pregnancy.

Keep us posted on how you are doing!

Permalink Reply by Kristin on May 8, 2012 at 1:22pm

Also the first twelve weeks are VERY important -- this is when the baby is forming. So good control now is important and your endo will know that. I hope that they will be able to get you in urgently. If not, I would try calling other endo offices and see if any endo or certified diabetes educator can see you soon!

Permalink Reply by Trishaleerobin on May 7, 2012 at 9:11pm

I also am having an Opps Baby. I scheduled an appointment with my regular OB right away and was referred to a High Risk OB. I got my blood sugars under control and everything has been great. Baby is healthy; he's just measuring rather big right now. I'm 7 months so as far as my advice call your doctor and schedule an appointment. Your OB might work with your Endo if there isn't a High Risk OB in the area you could see. Getting your blood sugars under control and trying your best to keep them that way is the most important right now.

Permalink Reply by Super_sally on May 8, 2012 at 2:33am

Hi,

welcome. Don't worry about the past, just deal with the present.
You can do this!

Focus on controlling portion size and carbs, and insulin. Get your team together.

Things can change very quickly in pregnancy.

Agree, test often and adjust agressively. But test after adjusting to make sure you don't go too low.

I also used low carb approach to help stop sugars swinging everywehre and make things more predictable.

Ask whatever you need from us, we've been there.

Permalink Reply by Rachel Howard on May 8, 2012 at 6:47am

Try not to scare yourself too much - the main issue with being pregnant and having high sugars is that the baby will get too fat in there. But since you are so early in the pregnancy, you still have lots of time to avoid that and get on track.

Just get yourself to a good high risk OBGYN (and I know that sounds scary, but it just is for anyone who has a non-average pregnancy is all) and get yourself on track.

You and the baby will be just fine!! :)

Permalink Reply by Rachel Howard on May 8, 2012 at 6:48am

Oh and I have had two very healthy babies with no problems while having type 2 :)

Permalink Reply by sarasugar on May 9, 2012 at 4:09pm

I called a new endo in the area I moved to and his office told me that all he would do is refer me to a perinatologist so I called them at the hospital in the city we live and they referred me to a high-risk OBGYN. So next thursday I have an appointment with the nurse in her office to do bloodwork and fill out my medical history and I will see the actual doctor around June 21st the office said that I won't need to see an endo because they work closely with the perinatologist whose office is next door. Does that sound right?

Permalink Reply by Kristin on May 9, 2012 at 4:15pm

Hmmm... I'm not sure. I know that perinatologists often manage the blood sugar for people with gestational diabetes, but I don't know about for type 1. That doesn't sound common. I doubt that the perinatologist knows how to change basal rates.

Do they know that you use an insulin pump? I would STILL try to get an appointment with an endo or a certified diabetes educator at the endo's office. If I were you, I would call them back and try to get an appointment earlier. You will need an endo in the area anyway and I don't think that a type one on an insulin pump is usually managed by a perinatologist alone.

But... maybe I am wrong?

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