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What does this mean?

L

Lilysun

Active Member
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Hi all- I have two questions I would be so grateful for views on.

I had a hba1c result back in October last year. It was 97. I made radical changes and started tracking my blood sugars, did low carb as much as I could. I got my new hb1ac result today and it has gone down to 54.

I know this is quite a reduction but I need help interpreting what this means. In that time, I was only taking slow release metformin properly for the last couple weeks (I tried the original metformin and it didn’t agree with me so stopped taking it). In this time I also had a few big things take place which meant I wasn’t always careful and even went back to my old ways for a good few weeks. Is this still a good result?

The other thing - I recently found out I’m in very early stages of pregnancy (five weeks). All the info I keep getting is about GD, not pregnancy in type 2. My midwife wants to put me on insulin this Friday as a precaution for the rest of the pregnancy (I think she was going off of my old hb1ac result of 97, she hasn’t seen the new one). Has anyone else been in this situation? I’m so confused on what to do. I don’t relish the idea of injecting myself with insulin every day for the next nine months but will do it if it’s best for baby. I’m just anxious and frightened because of the risks I’ve read about. Please help.
 
Congratulations on the pregnancy and the fantastic reduction in your HbA1c.
The HbA1c is a sort of average of your blood sugar levels over the last 12 weeks or so.
Metformin helps a little but will only lower your HbA1c by a small percentage, and as you have only been taking it for a couple of weeks, it will have had virtually no impact on your recent results.
The few weeks where you went back to your old way of eating will have obviously contributed to your latest results. So without that little setback your results would have been even lower than they are now.
Although i have no experience of dealing with T2 and a pregnancy, if i did I would be famous :wideyed:
I would think that the nurse could possibly rethink the need for insulin, once made aware of your latest results. After all you have even more reason to keep to a healthy, nutritious diet and avoid junk food now you're eating for two.
 
I do not sure at what time the fetus develops a pancreas (5 weeks is obviously too early, it seems to be at 14 weeks), but it may happen that your baby's pancreas will work for the two of you and because of this, the baby may have severe hypoglycemia at birth. I think your doctor wants to minimize the risk of this. In addition, pregnancy is quite a dangerous condition for health and it is better to minimize all risks to your health
 
I am type 2 and had a baby last year. I didn't need insulin even though the midwives said I would. You have to be seen at the hospital and will have to check your blood sugars 7 times a day which I was doing anyway. Congratulations !
 
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