6.5 months pregnant—normal A1c but high readings

[mma2charlie]

Does anyone know what the implications are of having a normal A1c (6.2) but increasing readings of 200+?? Do the high readings cancel out the cumulative effects of maintaining a normal A1c? Also, are hormones to blame? I've read in numerous places that 1st trimester is usually when numbers go wacky due to hormones (which absolutely happened)...just seems like things i did before that worked, aren't working anymore! need some reassurance...

[bluebell]

Does anyone know what the implications are of having a normal A1c (6.2) but increasing readings of 200+?? Do the high readings cancel out the cumulative effects of maintaining a normal A1c? Also, are hormones to blame? I've read in numerous places that 1st trimester is usually when numbers go wacky due to hormones (which absolutely happened)...just seems like things i did before that worked, aren't working anymore! need some reassurance...

During both my pregnancies I had some high readings at 6-7mts, but my A1c remained between the 5-7 range, at times I worried about the highs but had 2 very healthy babies. I always felt drinking water helped me!:)

[Meghann0409]

I was seen 1m ago and had an A1C of 5.4% with averages around 100 then again today an A1C of 5.4% with averages much higher - 140 or so.

My endo's thought was that since I was out of sensors for part of the time that maybe I was just catching the highs and was coming down quickly. Or, I may be having lows I am unaware of - scary!!

As if being pg OR being DM1 isn't challenging enough, lets just do both, eh? :)

24w4d, T1 since 2000.

[mma2charlie]

both of your replies have helped ease my stress, although still having very high readings upon waking, after breakfast (even after waiting for a normal preprandial BS), and afternoon upswings...ARGH! upping my basals, changing my carb ratio and correction factor. we'll see...next ultrasound is on Tuesday and have a fetal echo scheduled in a couple of weeks.

Meghann- were the docs ever able to attribute your baby's potential VSD heart defect to any blood sugar issues? Sorry if too personal a question!

[lorilei]

hi..congrats on your pregnancy..how long have you had type 1? are you resistant at all? if not, then please know that hormones during gestation also contribute to resistance...i am a late 1/1.5er mistaken for resistance of gd...so i just advise that you check on that piece as well..and yes, i understand also that different trimesters reveal different spikes..worry less about your a1c and more about you overall bg and keep pushing that perspective with the professionals. I hope you feel so much better soon...GB on a healthy baby and delivery.

[mma2charlie]

thanks for the info Lorilei...i have had type 1 for 11 years (31 yrs old now)...not sure if i'm "resistant" in a specific way, other than pregnancy hormones adding to the problem. How do i find out??

and what you said about importance of daily BS vs A1c...that's my theory too. that's why i am freaking out! my blood sugar, in the past 3 weeks has ranged from 45 to 267! huge swings if i eat any carbs...but i'm HUNGRY!! slowly losing my patience with the situation. just want my babe to be healthy... :(

[sjacob]

MY OB told me worry less about the averages and more about sudden highs and lows. But, I still worry about both.

[mazea]

I think the general worry is about blood high blood sugars for a long period of time over days rather than short periods of 200.
To reassure you, I have been 200 for about 4 hours occasionally during my pregnancy( I am 35 weeks) and bub is normal size and completely healthy and my OB has said I can go to 40 weeks gestation.
I think keeping my night time levels below 5.5 really helps us have a normal weight. Babies won't produce insulin aif your levels are low at night and I think this helped to keep bub a normal size.

Yes my hormones definantly did something and my diabetes was not the same after becoming pregnant. It got worse at the second semester. Hormones effect insulin and blood sugar control I think. I think it helps to realise this when your blood sugars are not behaving themselves like before.