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High sugars in pregnancy!

D

dblil7677

Member
Messages
12
Type of diabetes
Treatment type
Insulin
Hi everyone, I was wondering if anyone could please help me. I am a type 2 diabetic using insulin and metformin to control my diabetes. I have recently lost weight and was getting sugars regularly within the 5.2- 6.4 range. I have however now found out I am pregnant and my sugars are spiralling out of control! I am doing everything I have been told..healthy diet, increase insulin, exercise but my sugars are struggling to respond. I am so scared that something bad will happen if I do not get this sorted as have had several previous m/c. Does anyone have any experience of this or advice on what to try eating or suggestions for safe exercise during pregnancy...I am currently walking but prior to pregnancy I did cycle daily too.

Any help would be much appreciated. X
 
hi there
just bumping your post and tagging some lovely ladies who might be able to help
@azure . @tigger

dont panic -- some help should be along

but definitely speak with your midwife and diabetic team about this as well on monday !:)
 
Thank you! :) I am so confused so any help would be great, just a shame this has happened on a weekend so no access to DSN! The strangest thing is that instead of my BG's going down after my meal it had steadily risen over the past three hours and I have only drunk water after my meal and consumed no other food. I also ensured I took the right insulin dose at dinner and have been active throughout the day...this just makes nonsense :(
 
Hi :)

First of all, don't panic. Yes, your blood sugar control has to be tight in pregnancy but a few highs are normal and every woman has them.

I have Type 1 not Type 2 so I can only tell you what I did in pregnancy, but it may be of help.

Do you count carbs? Do you do correction doses if your blood sugar is to high?

If you're able to and are confident, you could correct your high blood sugar with an extra dose of your fast acting insulin. Do not do this unless you're sure what you're doing.If you're not sure, wait until you can check with your DSN. Your basal insulin may need to be increased too, but again, you may prefer to wait until you get advice from your DSN before adjusting this.

If you can control your sugars over the weekend by thinking of early pregnancy as a bit like being sick, then your DSN should be able to help you on Monday. In the meantime, do lots of blood tests so you can keep an eye on your blood sugar and correct if necessary. If you count carbs, you could try having slightly less in a meal. Test two hours after eating to see if that's helped.

Try to relax. You'll get this sorted and a few days of erratic sugars isn't going to cause problems. Do what you can to keep them under 8 if possible and perhaps make notes too of your doses and meals so your DSN can see what's happening when you speak to them on Monday.

Keep us updated :)
 
Hi azure :)

Thank you for your reply. Yes, I do count carbs and I am able to adjust dosage. I woke up on 6.2 this morning and have now done what you suggested and have adjusted my insulin to carb ratio whilst reducing my intake of carb too! I never thought to do this as I have been use to my regime working as it was and just went into stress zone! I have never had diabetes in my other pregnancies and this is all new to me and the risks are frightening when they tell you about the implications of high sugars. It took ages for me to get to a good place with my numbers pre pregnancy and seeing them climb so rapidly yesterday panicked me!....but I will do my best to relax and see what happens now I have tweaked things a little ;)

Thank you for you advice and support and big thanks too himtoo for replying so fast last night...much appreciated! :) Will keep you updated x x
 
awww bless you hun -- [[[[[hugs]]]]]]
that is when the forum does work it's magic
i wish i had suggested the adjusting but wasn't confident to know for sure with the pregnancy ( being a bloke with no experience doesn't help )
i keep learning on here all the time ==I am so pleased for you getting sorted so quickly !!:)

all the best !
 
Hi, congratulations! I don't know how it works with type 2 as I'm also type 1 but my experience is that for a lot of the first trimester you end up more sensitive and then this sensitivity starts to go. When you get highs you also have to factor in all the other possible causes aside from food. My ones include stress, hot weather, cold weather, illness and now malfunctioning infusion sets. In terms of healthy diet I tend to stick to low carb when I want to really monitor control as it removes a major variable. So that means very little carb over the course of a day maybe 20-40g sometimes and lots of low carb vegetables and protein. When you feel stable you can then reintroduce different carbs and monitor the effects. Frustratingly I have found that some foods that worked in the past do not always consistently work e.g. very dense health shop rye bread.

Regarding exercise this can help your wellbeing in general but does add an extra factor into your complications. In the past I have found that while exercise generally lowers my bs, if I'm really high it can raise it. You need to check out what exercise you can do with your midwife. I asked about zumba at the beginning which I was doing 2-3 classes a week and was told I could continue subject to discussing moves with my teacher. I was really tired for most of the 1st trimester and have found it quite difficult to get to classes. I'm going to start swimming soon.

Since you've had a history of miscarriages I'd discuss all of this with your team. Do you know the reasons for the miscarriages or are they unexplained?

I have had intermittent high readings through all my pregnancies on occasion. But so far have thankfully had 2 pregnancies ending in 3 healthy children. The only one I miscarried I think my sugars were even more tightly controlled than either of the other 2 and the hospital put it down to one of those things.

Try and relax (difficult!) and speak to your team.
 
Hi Tigger
Thank you for your reply and additional advice. I took all the info that you all so kindly gave me and now controlling my bloods a lot better...a few bumps along the way but the general trend is good. I also spoke to my healthcare provider regarding exercise and they are happy for me to do what I was doing prior to the pregnancy as long as I am sensible and don't do anything too strenuous.

I am feeling much more positive now and twinned with being told that although I am a high risk pregnancy ( I also have anti phospholipid syndrome which is why I have had multiple miscarriages) they see no reason why I won't be able to have a safe and healthy pregnancy as well as a natural delivery...fingers crossed ;).

A huge thank you to everyone for all the support given to me at such a vulnerable time....you have made such a difference to my situation and I can't thank you all enough.

x
 
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