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Pre- Pregnancy Advice Please!
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<blockquote data-quote="eabhamurphy" data-source="post: 1756216" data-attributes="member: 21358"><p>Hi! </p><p>So I'd first address the lows you are having and I would guess this is Lantus dose related. </p><p>You already split your Lantus dose? What precipitated this change? Peaks at six hours I think. I worry about telling you to increase or decrease anything incase it causes you to suffer any hypos but generally speaking. </p><p></p><p>My issue with Lantus was that to get rid of hypos, I ended up having highs (which I then overtreated with rapid acting). My instinct has always been to address highs first but I learnt in my first pregnancy that hypos need to be addressed first. </p><p>Hypos are so dangerous is pregnancy and so exhausting anyways. I lost all hypo awareness in pregnancy #1 and it was scary. </p><p>I wouldn't say you are wrong to correct highs with rapid acting but always address hypos first, is what has been drummed into me. To be fair I have a lower HBA1c than ever since following this rule. </p><p></p><p>Aside from pregnancy clinics, are you under hospital care? You really need to be seeing someone who can issue you with your folic acid 5mg and look at your doses and insulin. Your GP will probably issue you the prescription but it's maybe not really enough support. It's a high risk pregnancy potentially and you want the best possible start. </p><p></p><p>In my fist pregnancy I just got pregnant (ignoring all help stupidy as my HBA1c was within range) and afterwards was referred by my consultant to the diabetes nurses. For my second pregnancy I have been under the nurses care since preconception and my insulin has been completely changed, this pregnancy is so much easier as a result. </p><p></p><p>I would really push to be seen by a nurse or switch to a hospital that has the preconception or pregnancy clinics run by the nurses team. I see the consultant every four weeks (I think they see some people more than this and others less) but the nurses I am in at least weekly contact with. </p><p></p><p>I just feel the level of care I've received should be accessible to all diabetic women. I can't understand how it varies so much. </p><p>Xx</p></blockquote><p></p>
[QUOTE="eabhamurphy, post: 1756216, member: 21358"] Hi! So I'd first address the lows you are having and I would guess this is Lantus dose related. You already split your Lantus dose? What precipitated this change? Peaks at six hours I think. I worry about telling you to increase or decrease anything incase it causes you to suffer any hypos but generally speaking. My issue with Lantus was that to get rid of hypos, I ended up having highs (which I then overtreated with rapid acting). My instinct has always been to address highs first but I learnt in my first pregnancy that hypos need to be addressed first. Hypos are so dangerous is pregnancy and so exhausting anyways. I lost all hypo awareness in pregnancy #1 and it was scary. I wouldn't say you are wrong to correct highs with rapid acting but always address hypos first, is what has been drummed into me. To be fair I have a lower HBA1c than ever since following this rule. Aside from pregnancy clinics, are you under hospital care? You really need to be seeing someone who can issue you with your folic acid 5mg and look at your doses and insulin. Your GP will probably issue you the prescription but it's maybe not really enough support. It's a high risk pregnancy potentially and you want the best possible start. In my fist pregnancy I just got pregnant (ignoring all help stupidy as my HBA1c was within range) and afterwards was referred by my consultant to the diabetes nurses. For my second pregnancy I have been under the nurses care since preconception and my insulin has been completely changed, this pregnancy is so much easier as a result. I would really push to be seen by a nurse or switch to a hospital that has the preconception or pregnancy clinics run by the nurses team. I see the consultant every four weeks (I think they see some people more than this and others less) but the nurses I am in at least weekly contact with. I just feel the level of care I've received should be accessible to all diabetic women. I can't understand how it varies so much. Xx [/QUOTE]
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