Hi All! My partner and I are planning to try to get pregnant next month, and we have an appointment for "preconception counseling" with the perinatal practice that my endo recommended. I'm wondering what questions you asked/wish you had asked of the people who provided your pregnancy care when you were deciding where to go for said care (I live in an urban area, so have a few options). I'm thinking things like, "Do most of your patients go on an insulin drip during labor, or do they use their pumps and manage their insulin themselves?" or "What are your thoughts about inducing prior to 40 weeks?" Any other suggestions would be greatly appreciated!

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Hi Alex - How exciting!

You could ask about - how your OB, endo (and perinatologist) will all work together, make decisions about your care, etc., typical monitoring throughout your pregnancy (frequency of ultrasounds, etc.), how often they work with T1 diabetics, thoughts on early induction (and circumstances that would warrant early induction), etc. If your endo recommended this practice, it is likely that they're well-versed in diabetes & pregnancy, but you'll likely get a good sense for this pretty quickly. You'll be seeing this practice a LOT when you're pregnant, so you'll also likely walk away with general impressions that will help you make a decision about what is best for you and your family (e.g., do you like the OB?).

The first OB I saw with my first pregnancy went on and on about gestational diabetes testing - um, not relevant here. I wanted to believe that he's not an idiot, but just failed to read my chart or even ask basic questions (it was my 2nd visit). I knew he wasn't for me.

Thanks, Tasha! They do have lots of experience with type 1's, so I think I'm more concerned about things like monitoring and induction than anything else. I'm seeing them tomorrow, and hopefully it will all work out.

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