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<blockquote data-quote="SallyEzra" data-source="post: 1864062" data-attributes="member: 473136"><p><span style="font-family: 'Arial'">Congratulations on your pregnancy, that is lovely news! As others have said, contacting your diabetic team or your GP to place you with the diabetic/ante natal team that you would like, I found, is the most important first stop. The diabetic care at my local NHS hospital is not the greatest so I have chosen another trust locally for care with my first pregnancy for my son & the same hospital for my current pregnancy (currently around 32-33wks).</span></p><p><span style="font-family: 'Arial'"></span></p><p><span style="font-family: 'Arial'">I contacted my GP on this pregnancy around 6-7wks so that he could get me a referral to the hospital I wanted ASAP because I really do get huge challenges with hypo throughout an entire pregnancy....I do not get the higher blood sugar/higher insulin effect at all. I saw a consultant in London privately in my last pregnancy, more out of desperation, to explain what was happening to me, who did some tests on me & explained that around 1.4% of the female type 1 diabetic population can have the response to pregnancy that I do. It means that currently the basal insulin I have going through my pump is just under 25% of my normal basal rate & only 3 hypos today, which is better than yesterday!.</span></p><p><span style="font-family: 'Arial'"></span></p><p><span style="font-family: 'Arial'">As others have said, one of the first things is to ensure you are taking the higher dose of folic acid & a good pregnancy multivitamin, to help care for the little person & you.</span></p><p><span style="font-family: 'Arial'"></span></p><p><span style="font-family: 'Arial'">You will get lots of additional scans as they double check on everything. First scan is usually around 8wks and tis he confirmation of a viable pregnancy & from 28wks onwards the growth scans seem to happen every 2wks, but they may choose to also do a weekly scan at this point to ensure that the placenta is working well & providing the baby with adequate nutrition & oxygen, particularly if the baby is looking a bit small. Due to a higher risk of heart defects with any diabetic pregnancy, they also tend to do a cardiac scan around 24wks, to get a detailed assessment of the baby's heart.</span></p><p><span style="font-family: 'Arial'"></span></p><p><span style="font-family: 'Arial'">The care I received from the hospital in my last pregnancy & this one has really made me so appreciative of the NHS & the great care we can receive. I really like the fact at the hospital I attend that the diabetic consultant, the diabetic midwife & the obstetric consultant all sit together as a panel for my appointments, I find it really helpful as they discuss & agree a co-ordinated plan for & with me, which naturally requires a lot of tweaking as we go along. But also remember to ensure you have the GP/Midwife appointments in your calendar because they cover stuff that the hospital doesn't like the whooping cough vaccine & the MATB1 form - at least that seems to be how it works in the area I live.</span></p><p><span style="font-family: 'Arial'"></span></p><p><span style="font-family: 'Arial'">At the moment, I keep getting encouraged to call the hospital if the baby's movements change or reduce. But I am always worried about not bothering them too much & yesterday got the riot act read to me a little for not calling sooner. However when I explained to the consultant that I was worried about bothering them too much, I was told that they are paid to be bothered - how lovely & supportive is that?.</span></p></blockquote><p></p>
[QUOTE="SallyEzra, post: 1864062, member: 473136"] [FONT=Arial]Congratulations on your pregnancy, that is lovely news! As others have said, contacting your diabetic team or your GP to place you with the diabetic/ante natal team that you would like, I found, is the most important first stop. The diabetic care at my local NHS hospital is not the greatest so I have chosen another trust locally for care with my first pregnancy for my son & the same hospital for my current pregnancy (currently around 32-33wks). I contacted my GP on this pregnancy around 6-7wks so that he could get me a referral to the hospital I wanted ASAP because I really do get huge challenges with hypo throughout an entire pregnancy....I do not get the higher blood sugar/higher insulin effect at all. I saw a consultant in London privately in my last pregnancy, more out of desperation, to explain what was happening to me, who did some tests on me & explained that around 1.4% of the female type 1 diabetic population can have the response to pregnancy that I do. It means that currently the basal insulin I have going through my pump is just under 25% of my normal basal rate & only 3 hypos today, which is better than yesterday!. As others have said, one of the first things is to ensure you are taking the higher dose of folic acid & a good pregnancy multivitamin, to help care for the little person & you. You will get lots of additional scans as they double check on everything. First scan is usually around 8wks and tis he confirmation of a viable pregnancy & from 28wks onwards the growth scans seem to happen every 2wks, but they may choose to also do a weekly scan at this point to ensure that the placenta is working well & providing the baby with adequate nutrition & oxygen, particularly if the baby is looking a bit small. Due to a higher risk of heart defects with any diabetic pregnancy, they also tend to do a cardiac scan around 24wks, to get a detailed assessment of the baby's heart. The care I received from the hospital in my last pregnancy & this one has really made me so appreciative of the NHS & the great care we can receive. I really like the fact at the hospital I attend that the diabetic consultant, the diabetic midwife & the obstetric consultant all sit together as a panel for my appointments, I find it really helpful as they discuss & agree a co-ordinated plan for & with me, which naturally requires a lot of tweaking as we go along. But also remember to ensure you have the GP/Midwife appointments in your calendar because they cover stuff that the hospital doesn't like the whooping cough vaccine & the MATB1 form - at least that seems to be how it works in the area I live. At the moment, I keep getting encouraged to call the hospital if the baby's movements change or reduce. But I am always worried about not bothering them too much & yesterday got the riot act read to me a little for not calling sooner. However when I explained to the consultant that I was worried about bothering them too much, I was told that they are paid to be bothered - how lovely & supportive is that?.[/FONT] [/QUOTE]
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