1st pregnancy, Type 1.5 - when does antenatal care begin?

CiCi

Newbie
Messages
2
Hi all :wave:

Having been diagnosed with Type 1.5 four years ago, I have recently undergone IVF for the first time and am currently 5-6 weeks pregnant. I took a home pregnancy test on 23 Feb, called the IVF clinic who advised that they will carry out the early pregnancy scan on 25 March. I will be 8-9 weeks pregnant (hopefully) by then.

I advised my diabetes nurse on 25 February that I am pregnant, as my Endocrine Consultant instructed me to do, so that "the appropriate early joint antenatal & diabetic care can be arranged". I also saw my GP on 27 February to update him on my pregnancy and he said that he will also refer me for early antenatal care.

To date, I have not heard a peep from anyone. I have checked the guidelines on NICE and it states that the first appointment should be before the 7th week of pregnancy. Both my diabetes nurse and consultant advised that I would be invited to attend weekly clinics to monitor my diabetes management.

I maintain a daily BG/carb content/insulin dosage diary and test BGs about 6 times a day. However, NICE guidelines also state that I should be testing one hour after meals but neither my diabetes nurse or consultant has advised me of this. They have maintained that I test two hours after meals. Has anyone else been advised to test one hour after meals whilst pregnant.

I am on Novorapid, average of 3 units per carb meal, occasionally higher, sometimes lower. I take 12 units of Lantus daily and am on 1g Metformin 3xday. I have also been taking 5mg folic acid since I started trying to conceive 3 years ago. I am severely anaemic and as well as choosing iron & vitamin C rich foods, I have also been prescribed 200mg ferrous sulphate.

Naturally, being my first pregnancy and it being IVF, I am extremely anxious that I don't yet have any access to early pregnancy care. I am 39 years of age and it is entirely possible that this could be my last chance to have a child/children (I could be carrying twins as two embryos were transferred).

I have not been able to to get through to my consultant's secretary or to the antenatal clinic by telephone this morning. So I have written a letter to my consultant and copied my GP, to be hand-delivered today. It pays to be an assertive patient; however, until I speak to the appropriate specialist, I will remain anxious.

I would appreciate any advice on firstly, how soon I should expect to be seen by a joint antenatal & diabetes clinic and secondly, any other advice relating to managing diabetes & pregnancy.

Thank you :thumbup:
 

toots8298

Member
Messages
20
Re: 1st pregnancy, Type 1.5 - when does antenatal care begin

Sorry I dont think I could help, as I sought help from my docs etc before we TCC'd. Between seeing the pre-pregnancy diabetic clinic and telling my doc - it did take a couple of months. By the time I saw the specialist nurse, I fell pregnant. As such, she rushed me through the process and was saw the antenatal clinic etc within a week.

The early clinics I was at (5-6 weeks) they didnt do much, they just do paper work and check on my BG, not alot else. At the same time they put me on daily monitoring of BG and then metformin. Booked in a scan at 7 weeks.

Would keep chasing and find out though! Good luck... and wishing you have healthy 9 months! x
 

CiCi

Newbie
Messages
2
Re: 1st pregnancy, Type 1.5 - when does antenatal care begin

Thank you Toots8298 for your reply.

I have my antenatal booking visit appointment on 13 March. This was after seeing my GP and writing a letter to my endocrinologist to ask him to refer me promptly as promised.

I see a diabetes specialist nurse every 6 weeks and am also in email contact with her. My consultant appointments are every 3 months.

The IVF clinic are doing a scan at 8/9 weeks. I am currently approaching my 7th week. Luckily no pregnancy sickness yet. That would hard to cope with whilst trying to manage blood glucose levels.

You didn't say whether you are currently pregnant or have already had your baby. Good luck to you either way and thanks for your kind words.

x
 

hels

Well-Known Member
Messages
311
Type of diabetes
Type 1
Treatment type
Insulin
Re: 1st pregnancy, Type 1.5 - when does antenatal care begin

Hi CiCi
You should be taking a higher dose of folic acid than non-diabetics - 500 instead of 400 micrograms. You can get this dose on prescription.
Good luck


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