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Type 1's and Pregnancy
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<blockquote data-quote="the_anticarb" data-source="post: 175422" data-attributes="member: 16982"><p>Hi, I'm 36 weeks pregnant although I'm not type 1 (I have a rare form of MODY which no one seems to really understand) I am more like a type 1 than a type 2 as I carb count and inject on a basal-bolus regime.</p><p></p><p>Luckily no probs with baby so far and fingers x'd for a successful birth, but I have found it a struggle to keep within the target blood glucose ranges, I feel like I can't do right for doing wrong, if I have enough insulin to prevent the post meal high then I go hypo if I knock off a couple of units to avoid the low then it goes too high.</p><p></p><p>But I have been told that it's the high that damages the foetus not the low so I have always erred on the too low side - concerned happyyo that you think differently, but then we are all different.</p><p></p><p>Being diabetic and pregnant has, unfortunately, caused me to develop a new resentment for my illness. I don't mind how many times I need to check myself or inject myself a day so long as my baby is ok, but it's the threat to my baby's health/life I find most difficult to accept. So far everything has been ok on the scans but I was not well controlled at conception, due to it being unplanned and keep thinking that I won't get away with it and that the baby will come out deformed or something (I know this is not rational - in my more rational moments I feel confident everything will be ok but I can't help worrying). I never knew until I fell pregnant just how much being diabetic can affect the development of the baby, I knew it was important to control it during the pregnancy but not how important the preconception bit is too. So I have spent most of this pregnancy on a knife edge, worrying before every scan, counting down to 12 weeks etc, that something will be wrong.</p><p></p><p>So I am really sorry to happyyo, and anyone else, who has lost a baby. </p><p></p><p>My approach to managing my diabetes is basically to eat a fairly normal diet, including some treats, but only if my blood sugar is at the right level and injecting to cover whatever I eat. This means that sometimes I have overinjected and end up chasing my tail eating more to avoid or deal with the hypo, but it has kept my hba1c in the 5.5-5.9 range which the docs seem to think is okay. I do feel like a test strip addict though as I can't go more than an hour without doing a test and then correct with either more food if too low or more insulin if too high - it is very hard to keep within the target ranges on an insulin regime, I find if I inject enough to prevent the high it makes me low and vice versa. Also towards the end of my pregnancy it is becoming very unpredictable exactly how much insulin I need, the other night I injected 6u with my evening meal and kept going low all evening, ate some snacks but still didn't need to have any more insulin, whereas last night I had about 18u with my main meal and I was high and injecting correction doses but had to inject about 10u more to get things back to normal -then I went too low. So how can I possibly control something which is so erratic? But only a couple more weeks to go now...</p><p></p><p>Happyyo if you are eating what you want are you injecting to cover it? If so I don't think that's a problem but I'd be wary of letting your sugars run too high...best of luck with your pregnancy</p><p></p><p>AC</p></blockquote><p></p>
[QUOTE="the_anticarb, post: 175422, member: 16982"] Hi, I'm 36 weeks pregnant although I'm not type 1 (I have a rare form of MODY which no one seems to really understand) I am more like a type 1 than a type 2 as I carb count and inject on a basal-bolus regime. Luckily no probs with baby so far and fingers x'd for a successful birth, but I have found it a struggle to keep within the target blood glucose ranges, I feel like I can't do right for doing wrong, if I have enough insulin to prevent the post meal high then I go hypo if I knock off a couple of units to avoid the low then it goes too high. But I have been told that it's the high that damages the foetus not the low so I have always erred on the too low side - concerned happyyo that you think differently, but then we are all different. Being diabetic and pregnant has, unfortunately, caused me to develop a new resentment for my illness. I don't mind how many times I need to check myself or inject myself a day so long as my baby is ok, but it's the threat to my baby's health/life I find most difficult to accept. So far everything has been ok on the scans but I was not well controlled at conception, due to it being unplanned and keep thinking that I won't get away with it and that the baby will come out deformed or something (I know this is not rational - in my more rational moments I feel confident everything will be ok but I can't help worrying). I never knew until I fell pregnant just how much being diabetic can affect the development of the baby, I knew it was important to control it during the pregnancy but not how important the preconception bit is too. So I have spent most of this pregnancy on a knife edge, worrying before every scan, counting down to 12 weeks etc, that something will be wrong. So I am really sorry to happyyo, and anyone else, who has lost a baby. My approach to managing my diabetes is basically to eat a fairly normal diet, including some treats, but only if my blood sugar is at the right level and injecting to cover whatever I eat. This means that sometimes I have overinjected and end up chasing my tail eating more to avoid or deal with the hypo, but it has kept my hba1c in the 5.5-5.9 range which the docs seem to think is okay. I do feel like a test strip addict though as I can't go more than an hour without doing a test and then correct with either more food if too low or more insulin if too high - it is very hard to keep within the target ranges on an insulin regime, I find if I inject enough to prevent the high it makes me low and vice versa. Also towards the end of my pregnancy it is becoming very unpredictable exactly how much insulin I need, the other night I injected 6u with my evening meal and kept going low all evening, ate some snacks but still didn't need to have any more insulin, whereas last night I had about 18u with my main meal and I was high and injecting correction doses but had to inject about 10u more to get things back to normal -then I went too low. So how can I possibly control something which is so erratic? But only a couple more weeks to go now... Happyyo if you are eating what you want are you injecting to cover it? If so I don't think that's a problem but I'd be wary of letting your sugars run too high...best of luck with your pregnancy AC [/QUOTE]
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