Insulin Resistance Reared Its Ugly Head
So since last week, my blood sugars went from normal to out of control, but my a1c went from 7 to high (the ob isn't saying how high) in a matter of 6 weeks. My endocrinologist isn't doing anything about it so my OB has me meeting with a clinical pharmacist that has dealt with pregnancy and diabetics before. I have went into something similar not being pregnant and been able to reverse it. The problem is its extremely low in carbohydrates. I know that both the baby and I need them for energy. Even high levels of protein are effecting my blood sugars which I was always told that meats are free.
Oh I'm 21 weeks and 4 days along. My baby boy is doing well. Extremely active.
So does anyone have any ideas? I'm not a textbook case of T1 diabetes like these doctors think. I can't get any of them to understand this.
Oh I'm 21 weeks and 4 days along. My baby boy is doing well. Extremely active.
So does anyone have any ideas? I'm not a textbook case of T1 diabetes like these doctors think. I can't get any of them to understand this.
Tags: T1, diabetes, insulin, pregnancy, resistance
Replies to This Discussion
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Permalink Reply by Kristin on -
Have you been increasing your insulin doses? It is normal to increase them quite a bit in the coming weeks. Your endo should be helping you with this.
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Permalink Reply by Cherise on -
My endo isn't doing a thing. That's why my OB is sending me to a clinical pharmacist that has worked with other diabetic pregnancies before. I'm right now at a 2 unit for 3 gm of carb and a sliding scale correction with Humalog. I'm also on 25 units Lantus in the morning and 25 units at night.
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Permalink Reply by Kristin on
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Sorry to hear about this! You do need someone to actively help you!
If you are not having any lows, then go ahead and increase your basals by 1-2 units in the morning and the evening. Wait a couple days and see how those do. It is likely that you need to be increasing them at least once a week. -
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Permalink Reply by Marps on -
Around that time, I was increasing my basal (I'm on Levemir) dosage every 2 days. I'm still increasing basal dosages every 2 days. Am now 31 weeks.
I went from pre-pregnancy Levemir: 35 units AM / 45 units PM
to a now ever increasing 80 units AM / 100 units PM
I increase my PM basal 5 units every 2 days. I increase my AM basal 5 units every week.
If you're needing to increase your basal regularly (every few days) it means that your placenta is healthy and is sending off these hormones that increase insulin resistance.
If you feel comfortable, I would begin changing my own dosages. I managed my own dosages after an Endo sent me into Dka in 2 days back when I was 19. I find that it's easier and I've learned to trust myself. Because in the end, it's my body and my life. To an Endo, we sometimes just become "another patient". -
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