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Disagreements with diabetic nurse – second opinion needed
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<blockquote data-quote="azure" data-source="post: 1010262" data-attributes="member: 39639"><p>Hi [USER=206501]@J-a-n-e[/USER] <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>I can't comment on whether your pump doses are correct or not, but your nurse is right in saying that hypos are extremely common in early pregnancy. This is for hormonal reasons. I was constantly eating sweets and swigging Lucozade in the early weeks. It was like I had a different body - it reacted differently to foods that would normally send me high. During the day that was fine, but, as you say, it was a worry at night.</p><p></p><p>I set my alarm for 1 or 2am and tested and usually had to have some Lucozade and some biscuit. That kept my levels up and only once did I have a bad hypo in the morning (less than 2.5).</p><p></p><p>You mention juice. Lucozade or similar is much better in these circumstances. It works much quicker.</p><p></p><p>The tight targets in pregnancy are there for a reason - and yes, they are very tight. It's hard to keep in range, particularly after meals, and as the pregnancy goes on and insulin resistance increases hugely.</p><p></p><p>I know nurses and doctors can be kind of fierce about control but I suppose they adopt that approach as a norm because they're scared some people won't listen so they over-emphasise the message to make sure it gets across to every single woman.</p><p></p><p>To answer your questions:</p><p></p><p> There is no proof that hypos damage babies. Obviously if someone had a massive hypo, a seizure and fell that could hurt the baby, but I was told 'normal' hypos don't hurt baby.</p><p> Yes, it's normal to have lots of lows in early pregnancy.</p><p> Sorry, I don't have links specific to pumps in pregnancy, but I found Think Like A Pancreas useful as it showed me a graph of how my insulin needs would probably change, and I also found the experience of other women here very helpful.</p><p></p><p>If you know the lows are common early on, if you know your basal will need to increase a lot later on, if you know your ratios will change a lot, then you feel calmer when these things happen, is what I found.</p><p></p><p>Best wishes - we all know how hard control is in pregnancy, but it's very worth it in the end when your hard work pays off <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="azure, post: 1010262, member: 39639"] Hi [USER=206501]@J-a-n-e[/USER] :) I can't comment on whether your pump doses are correct or not, but your nurse is right in saying that hypos are extremely common in early pregnancy. This is for hormonal reasons. I was constantly eating sweets and swigging Lucozade in the early weeks. It was like I had a different body - it reacted differently to foods that would normally send me high. During the day that was fine, but, as you say, it was a worry at night. I set my alarm for 1 or 2am and tested and usually had to have some Lucozade and some biscuit. That kept my levels up and only once did I have a bad hypo in the morning (less than 2.5). You mention juice. Lucozade or similar is much better in these circumstances. It works much quicker. The tight targets in pregnancy are there for a reason - and yes, they are very tight. It's hard to keep in range, particularly after meals, and as the pregnancy goes on and insulin resistance increases hugely. I know nurses and doctors can be kind of fierce about control but I suppose they adopt that approach as a norm because they're scared some people won't listen so they over-emphasise the message to make sure it gets across to every single woman. To answer your questions: There is no proof that hypos damage babies. Obviously if someone had a massive hypo, a seizure and fell that could hurt the baby, but I was told 'normal' hypos don't hurt baby. Yes, it's normal to have lots of lows in early pregnancy. Sorry, I don't have links specific to pumps in pregnancy, but I found Think Like A Pancreas useful as it showed me a graph of how my insulin needs would probably change, and I also found the experience of other women here very helpful. If you know the lows are common early on, if you know your basal will need to increase a lot later on, if you know your ratios will change a lot, then you feel calmer when these things happen, is what I found. Best wishes - we all know how hard control is in pregnancy, but it's very worth it in the end when your hard work pays off :) [/QUOTE]
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