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Comment by Celia on September 2, 2010 at 2:32am

Hey! Got my 16 week OB check-up yesterday. Baby looks fine :) He/she crossed his/her little legs and didn't let mummy and daddy see if it's a baby girl or a baby boy. Five more weeks to know!

Comment by Rachel Howard on July 31, 2010 at 1:41pm

Just got back from the 21 week check-up on Thursday. Everything looks good! They raised me up to 40 morning/30 evening insulin (70/30 mix) along with staying at the metformin at 500 morning/1000 evening. Baby is a little big, but only by about 6 days early. Best news though was that my A1C was down to 5.3! :) That's lower than before I was prego!

Comment by Barbara Worthington on July 12, 2010 at 3:22pm

I'm a Type 2 Diabetic and mother of 2. My 2nd is 3 months old. The problem is THRUSH! :-P
We are both passing this back and forth to each other. I've been prescribed Nystatin and am also using Gencian Violet.
I'm assuming the yeast is hanging around due to the diabetes. Although, my numbers have been just as good as before.
I didn't have this with my first girl (even though I had diabetes then too).
Has anyone gone through this, and what did you do to stop this horrible cycle. I really don't want to formula feed. TY!!

Comment by MK on June 21, 2010 at 12:36pm

Melissa,
Is this your baby? Cuteeeeeeeee.

Comment by MelissaBL on June 21, 2010 at 12:32pm

Comment by Heidi on June 12, 2010 at 1:38pm

My doctor has me aiming for under 140 one hour after meals, and under 90 when fasting (first thing in the morning).
I am 33 weeks pregnant and dealing with severe insulin resistance.
I also have my pump in my leg which absorption isn't as well.
Juggling numbers lots right now. Plus eating a really low carb diet.

Comment by Donna on June 12, 2010 at 4:31am

Hi Rachel - I am a Type 1, not Type 2. We might have different starting points, not sure. My doctors were generally pleased with A1c's that are in the low 6's throughout my pregnancy - believe me, I try for better but I have never seen an A1c in 27 years that is in the 5's. Always 6.0 - 7. something .... My doctor seems to stress correcting with extra insulin- increasing my Lantus and Novolog, when it goes beyond 160 after I eat. If I over correct with insulin, I am crashing.

Comment by Rachel Howard on June 12, 2010 at 3:07am

Donna - 160!? Sheesh! My doc has me aiming for under 135 1 hour after meals! What is everyone else looking at for goal numbers? (Although I am only at week 14 - does that make a difference?)

Comment by Tziporah on June 12, 2010 at 1:45am

Melissa (and others!), this is REALLY helpful feedback. I do love my endocrinologist, though he's a) not diabetic himself, and b) not female (and not ever pregnant!). :-) So his feedback is often wise, though sometimes not right what I need when I need it. This is excellent in helping me "get" what happens, how, and when (and why!). I have begun the "tweak" of my basals, still nothing dramatic but have changed a few of my rates throughout the day already. Seems to have helped a lot. But as you said, Melissa, virtually days after I made one change, need for another seemed to crop up. My last A1c was 5.4, so I'm REALLY pleased so far, though I know we're hunkering down for the hard part from here on out. (ps- I can't even imagine a 35 unit bolus for meals!!!)

Comment by MelissaBL on June 11, 2010 at 8:28pm

Tziporah, week 20 was when I started experiencing major insulin resistance. Pardon me if you already know this, but It has to do with the placental growth hormone (human placental lactogen) that your placenta is spitting out. It actually makes non-diabetic women insulin resistant as well, so you can imagine what it does to us! It's supposed to help the baby in the case of maternal malnutrition in the last trimester, siphoning off for the fetus what it needs regardless of the mother's diet. But for us, it just spells triple the insulin intake. Ugh. My basals and ratios needed almost weekly tweaking from that point forward. I got to the point where a 35 unit bolus for a meal was completely normal...which would have been my TDD pre-pregnancy!

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