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early pregnancy with type 1

aranbueno

Newbie
Messages
2
Hello, Haven't been writing for a long time. moved house etc.. anyway, I'm abotu 5 weeks pregnant and wondered if anyone could tell me when I should start seeing the obstetrician etc.. my gp made an appointment for me for week 10, but she didn't seem to dure wether the procedure was the same for type 1s as for regular pregnancies.
don't want to get it wrong, of course!
thanks!
 
I would say the sooner the better
But i'm not a specialist. I guess you must have appointment with your diabetic nurse as well.
Take care.
 
Congratulations!

I am 5 months pregnant with baby 2, so U can tell you my experience. I went to see my GP at about 5 weeks, who refered me to the diabetic/obsteitrician team at the local hospital. Meanwhile I was testing my blood sugar liek a thing possed, upwards of 10/15 times a day. At about 6 weeks, I struggled to keep my blood sugar undercontrol, and I had read that it was vital to baby that you did not have high blood sugar...so phoned the diabetic specialist nurse at the hospital (not the one at teh gp surgery) and they got the specialist diabetic midwife to give me a call. I had a hospital appointment the next day, and about every 2 weeks until the baby was born. This pregnancy, things have been much smoother, and I refered my self.

What you get for all those never ending hospital trips is my Hba1c's, and teh most intensive diabetic care I have ever heard of. DON'T PANIC though....keep measuring you blood sugars, and if they are under control, you are doing a great job on your own, and won't need a HbA1c to tell you that. You basically get the same checks as most diabetic women, and a few extra scans to check babies heart, and their growth.

I would suggest (although I am no expert you understand!!!) that you look up teh maternity department of your hospital, the one where you want to have teh baby on the internet. Their entry on the hospital web page will tell you iif they have a diabetic specialist team. The hospital that I would have liked to have my baby at, ie the one 4 miles away, will not see me, as they will not allow diabetic to give birth there. I was a bit upset...until a friend told me that they wouldn't let her give birt there either as she was about a stone overweight! If you are worried, give the hospital a call. It does vary across teh country, but I have found that although I know quite a few T1 diabetic pregnant ladies, it is not that common, and they may not know the details of it all.

Hope that helps!
Jill
 
Thanks sugar and erroneous!
and congratulations to you too!
I am doing my best to keep my BG down,a nd for the time being I managing. I am in touch with my Diabestes nurse, ut as you say, I guess they don't get that many type 1 preganancies at the local gp...

Sorry to hear that you can't give birth at the place of your choice. At my hospital they are to open a birth centre in the spring. it sounds great, but I am sure that they'll say that I cant use it either. oh well!

Just a last question, who do you turn to if you have a question about it all? do you have a midwife assigned? and can you contat her whenever you want?
thanks!!
 
Good question. Are you in England...I know things vary across teh country, so it does make a difference.
I have a community midwife, who I see at the gp's. She is a love lady, but I don't see her much, as she relies on teh hospital doing most of my care. The community midwives are very important though, as they are teh ones who makes sure baby is OK, once you are home after the birth. For all other pregnancy stuff, I can call the diabetic seialist midwife at teh hospital. So far this pregnancy I have done this about 3 times...for a vareity of reasons. 1. My blood sugar dropped, and I needed her advice on how to adjust it....it dropped to below 3 for a couple of weeks. I needed advice (well, reassurance that I was not harming baby, and that dropping my insulin by a large amount would not make me too high. 2. Because I couldn't feel baby move, and I went to see her the next day. She had a listen, and thankfully evrything was fine. 3. Yesterday, becaue my daughter had just been diagnosed with something called slapped cheek...and teh GP didn't warn me about the possible impact on pregnancy. I phoned my diabetic midwife..who has managed to get some old blood pulled from teh lab and retested. That is not her role at all, but you know how it is when you find a good person!

Clare, who had a lovely little baby boy a few weeks ago, and is also type 1...and may well answer your post if she gets chance, had a relatively trouble free pregnancy. As I understand it, her control is fantastic, but I think she still went to the hospital for regular check ups. I guess it is worth doing the research now, just in case. Which hospital are you hoping to give birth at? Now, that is a big asumption on my part, you may want a home birth....and that may be possible, but is in no way usual. there are so many things to think about!
 
Hi im new at this but here goes been diabetic for around 3 years now im 24 and recently found out im expecting identical twins im really pleased but im really sick with it the whole morning sicknees thing. My blood sugars have never been that good as i was in major car accident and have only just recoverd so that set me back but now im preganant and im finding it hard i cant keep my bm under control i wake up evey 2 hours with hypos and now as my preganacy is progressing my bms are higher there not always bad and i do have good results to but i just want them to be consistant. Please can someone help
 
Hi Saba,
and welcome to the forum.

A case like yours is very specialised. I'm a Midwife and my first thought is to get an appointment with the endocrine bods at your hospital. You will more than likely be seen in a joint obstetric and endocrine clinic, but right away you need specialist care. You can do this through your GP or call the hospital you are booked with direct and make an appointment. If the people on the other end of the phone don't help, turn up in A&E. They have no chance to ignore you there.

There is a condition called hyperemesis gravidarum (severe sickness in pregnancy) which often results in women being admitted for IV fluid therapy, possibly drug therapy and lots of TLC. It's bad enough in women without diabetes and with only one baby on board!

Please don't suffer or put up with repeated hypos. You don't need me to tell you what could happen.

Let us know how you get on and keep coming back to the forum for lots of support and advice.

Good luck!

wiflib
 
Hi thank you wifib for your advice the sickness is getting bearable now i just need to continue working on my blood sugars i have got two midwives and regularly see them every two weeks. Im just really scaerd that my kids might be diabetic or that i may not do enough to protect them from any abnormalities because of my control
 
I've never been in your position, diabetic and pregnant with twins, but I'm a grandmother, so have gone through 2 generations. Have you tried ginger for morning sickness? It's an old remedy, but works.
good luck witth your babies!
Hana
 
I had gestational diabetes and have now been diagnosed with type 1, having discussed further pregnancies with my DSN she explain that as soon as I found out I was pregnant I am to contact her and she will arrange for me to go to the hospital to see the specialists and the consultant the next week, she explained that I would then be seen every 2 weeks throughout my PG. I Know not everyones DSN and diabetes teams are great from reading many posts on this forum but I would get in touch with one of them ASAP and ask for information on all your concerns, don't sit worrying coz it only makes things worse. You need help stabilising BS straight away because as we all know the early days are the important ones. My Son was born 4 weeks early at 8lb12oz but is a very typical healthy little boy and it was all worth it.
 
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