Thought I'd share some of my experiences with t-1 and hypo-thyroid and how I am going through my first pregnancy.
The first few months were hard, but now that I am on my 6 month its getting easier. In the second month I was rushed to Emerg. for a severe hypo-glycemia episode. My fiance had to carry me there as I was already unconscious and seizing, my level was at 1.3/mmol/l, I didn't have any sudden urge to wake up, it was scary as hell but now we check my sugars almost hourly over nights. I was also hospitalized but soon realized it was due to uneducated doctors out here in Thompson, I am literally the only patient they have out here with type 1. My hospital experience was awful but I tried to work with the type 2 specialist. It turned out to be a bad idea and I ended up signing myself out. With the help of my fiance we have been working on my sugar/insulin management together, successfully.

In the past 7 years my A1C levels have been 6-7% which is perfect. With the pregnancy my sugars are staying at that level with some hard failed days. I have had 2 diagnostic ultra-sounds already and the baby looks perfectly fine. I went in for blood work as well for down's syndrom, brain development and spinal cord development, everything looks normal, and my baby girl seems to be doing great.

of course my weight gain in the last month was excessive, finding out my thyroid replacement hormone (synthroid) needed to be increased dramatically in the second trimester, the doctor and I found the reason for the fast weight gain. We adjusted the synthroid and i feel more like a healthy excited mommy to be.
But for the time my levels were low I gained 12 pnds in one month, hoping it all levels out over the next few months.

The baby is a little bigger than she would be if I wasn't type 1, but other than that my fiance and I are working with great successes to have a healthy baby girl by Feb 2011. If there are any helpful hints on managing not only the type 1 but the hypothyroid as well, they would all be greatly appreciated. :)

Views: 11

Comment by Gerri on October 29, 2010 at 8:48pm
Congratulations on your girl & doing so well!

Maybe someone else can answer if thyroid levels need to be checked more frequently during pregnancy.
Comment by melindalaw on October 30, 2010 at 6:45pm
First of all congratulations. I have two bys, and am Type 1. My oldest is 20, and the youngest is 15. It sounds like you are doing what you are supposed to do. I had to literally watch every single thing I ate, eat at very designated times , and increase my insulin consistently as the pregnancy went along, because the hormones generated by the pregnancy counteract the insulin and make it less effective.I saw my ob gyn two times a week until the third trimester, and then I think 3 times a week. I don't know about thyroid and its interaction, but the cocktail of hormones generated by the pregnancy and the resistance generated to the insulin can only also be impacted by the thyroid and its host of hormones being secreted.
Comment by TypeIDiabetic on November 1, 2010 at 7:31pm
Hi-Thanks for posting. I have type 1 diabetes and have been for 24 years. I had my first baby last January and maintained my A1C at a 5.8. If you can keep your sugar levels in the range that you are then I would say things will be just fine. Congratulations on your pregnancy. I also want to suggest the Dexcom Continuous Glucose Monitor. For many years I was getting up every two ours at night to check my sugars. When my doctor recommended and wrote a presription for the Dexcom it changed my life. I no longer needed to set the alarm clock every two hours to test. If my sugar became too low, the Dexcom alarm would wake me up. It's a unique device and technology is wonderful Hopefully, you can check it out, talk to your doctor, and see if it would be suitable for you. Have a great day!

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