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Diabetes challenges and pregnancy
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<blockquote data-quote="GingerBabyMama" data-source="post: 395585" data-attributes="member: 74335"><p>Hi girls <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'm Type 1 (diagnosed 6 years ago) and 22 weeks pregnant. I haven't had any serious issues yet, luckily, but my diabetes was a big concern for my husband and I when we decided we wanted to start trying. I was convinced it would cause major issues with conceiving and remaining pregnant.</p><p></p><p>I started by going to my GP to get all the facts. They prescribed 5mg folic acid to start taking once I was ready to start trying (which I then took for the first 12 weeks of pregnancy). They also explained that I needed to get my HBA1C as low as possible (it was about 8% at the time). I then had the same conversation with my diabetes consultant. So I spent a few months focusing on stablising my levels, and once my HBA1C had been in the low 7s for a while I had the go-ahead to start trying.</p><p></p><p>We were so lucky as we conceived the first month. I had a viability scan at 6 weeks, a dating scan at 12 and an anomaly scan at 20. So far so good, although we have had some scares along the way (nothing was actually wrong, but we thought there was). I am seen every 2 weeks at a prenatal diabetics' clinic. All I can say is - we are VERY well looked after. Each time, I am weighed and blood pressure taken by community nurses. I'm then seen by a midwife who listens to baby's heartbeat (how lucky we are that we get to hear it so often) and discusses anything as and when it comes up, I am offered to see the dietician, and I then see the diabetes consultant and obstetrician (at the same time). I feel so supported and encouraged. </p><p></p><p>FYI, a normal pregnancy is 40 weeks but I will be induced at either 37 or 38 weeks for a few reasons: placenta can fail from 38 weeks in diabetics, increased risk of retinopathy in the mother and they don't want baby to get too chubby.</p><p></p><p>My insulin requirements are changing this week which I'm finding frustrating - every time I think I've got the perfect balance, it changes again. But my HBA1C is in the 6s now with NO hypos (apart from one last night but shhhhh!) so it's a fair HBA1C result. I'm going to clinic tomorrow so I can discuss this with them and they'll sort me out. See what I mean? I feel like a VIP ;-)</p><p></p><p>I have ready some horror stories (that's always the case on the Internet!), but I've read more success stories. All I can say is, prepare your body as best you can. So far I've felt blessed. It has had its ups and downs, particularly as the diabetes makes me extremely paranoid that something HAS to go wrong. So far the diabetes hasn't caused any problems. There's still time for things to go wrong for me - touch wood it won't! You can only do your very best, and you'll have to take the risk of being heartbroken at some point, perhaps this is where my paranoia comes from too as I had built myself up for the worst-case-scenario. I understand the dilemma you're facing, as you do have a very specific set of circumstances. But speak to your team and let them help you.</p><p></p><p>I hope this helps. If you have any specific questions please let me know!</p><p></p><p>x</p><p></p><p>PS - hypo alert dog?! Amazing! I'm fascinated by service dogs, you must love him so much <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> x</p></blockquote><p></p>
[QUOTE="GingerBabyMama, post: 395585, member: 74335"] Hi girls :-) I'm Type 1 (diagnosed 6 years ago) and 22 weeks pregnant. I haven't had any serious issues yet, luckily, but my diabetes was a big concern for my husband and I when we decided we wanted to start trying. I was convinced it would cause major issues with conceiving and remaining pregnant. I started by going to my GP to get all the facts. They prescribed 5mg folic acid to start taking once I was ready to start trying (which I then took for the first 12 weeks of pregnancy). They also explained that I needed to get my HBA1C as low as possible (it was about 8% at the time). I then had the same conversation with my diabetes consultant. So I spent a few months focusing on stablising my levels, and once my HBA1C had been in the low 7s for a while I had the go-ahead to start trying. We were so lucky as we conceived the first month. I had a viability scan at 6 weeks, a dating scan at 12 and an anomaly scan at 20. So far so good, although we have had some scares along the way (nothing was actually wrong, but we thought there was). I am seen every 2 weeks at a prenatal diabetics' clinic. All I can say is - we are VERY well looked after. Each time, I am weighed and blood pressure taken by community nurses. I'm then seen by a midwife who listens to baby's heartbeat (how lucky we are that we get to hear it so often) and discusses anything as and when it comes up, I am offered to see the dietician, and I then see the diabetes consultant and obstetrician (at the same time). I feel so supported and encouraged. FYI, a normal pregnancy is 40 weeks but I will be induced at either 37 or 38 weeks for a few reasons: placenta can fail from 38 weeks in diabetics, increased risk of retinopathy in the mother and they don't want baby to get too chubby. My insulin requirements are changing this week which I'm finding frustrating - every time I think I've got the perfect balance, it changes again. But my HBA1C is in the 6s now with NO hypos (apart from one last night but shhhhh!) so it's a fair HBA1C result. I'm going to clinic tomorrow so I can discuss this with them and they'll sort me out. See what I mean? I feel like a VIP ;-) I have ready some horror stories (that's always the case on the Internet!), but I've read more success stories. All I can say is, prepare your body as best you can. So far I've felt blessed. It has had its ups and downs, particularly as the diabetes makes me extremely paranoid that something HAS to go wrong. So far the diabetes hasn't caused any problems. There's still time for things to go wrong for me - touch wood it won't! You can only do your very best, and you'll have to take the risk of being heartbroken at some point, perhaps this is where my paranoia comes from too as I had built myself up for the worst-case-scenario. I understand the dilemma you're facing, as you do have a very specific set of circumstances. But speak to your team and let them help you. I hope this helps. If you have any specific questions please let me know! x PS - hypo alert dog?! Amazing! I'm fascinated by service dogs, you must love him so much :-) x [/QUOTE]
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