[Chris Graham]

I've got a couple things going on and I would love to hear your thought/input.

First, I have a new endo. Old endo retired (she was awesome!). I like the new endo, but she doesn't know me as well and wants me to run higher then the old endo. In 3 months I went from a A1C of 5.6 to 6.3.

I think this is a pretty big jump and I'm not too happy about it.

The other things going on are 1, I am weaning my baby and 2, I just stopped taking a birth control pill.

I've increased my lantus to pre-pregnancy dose (10u), but I am still getting crazy highs from things I normally tolerate. I've also had some unexpected lows. I just can't seem to figure this out.

I've had type 1 for two years now. Could it also be that my pancreas it finally kaput? (Also, I took a pregnancy test...negative).

Help!

[milfordj]

Can't respond to the "female" questions, but your new Endo may have felt you were having too many hypo episodes which might lead to hypo unawareness -- a dangerous situation, particularly for someone caring for a baby. An A1C IS just an "average" for 3 months, and it can be low because of too many hypo episodes, mixed with lots of hypers, and that is NOT good. I hope that wasn't your situation before present difficulties. I know that was ME. I am now trying harder to maintain "Normal" BGs that are neither High nor Low. My pump is helping me greatly in this endeavor. We ALL go through those "unfathomable" periods of unexplained highs and lows because there are just too many things that affect BGs. My suggestion is, don't WORRY about it; just Keep Trying, and you'll definately have more "stable" times that you can feel good about. Being a T1 for 2 yrs, your pancreas may well have stopped producing insulin; I'm not sure how long the "gestational diabetes" lasts. If so, I'm very sorry. But it's something we all (T1s) have to deal with, and I'm hoping for the best for you.

[Phonelady61]

Originally Posted by Chris Graham

I've got a couple things going on and I would love to hear your thought/input.

First, I have a new endo. Old endo retired (she was awesome!). I like the new endo, but she doesn't know me as well and wants me to run higher then the old endo. In 3 months I went from a A1C of 5.6 to 6.3.

I think this is a pretty big jump and I'm not too happy about it.

The other things going on are 1, I am weaning my baby and 2, I just stopped taking a birth control pill.

I've increased my lantus to pre-pregnancy dose (10u), but I am still getting crazy highs from things I normally tolerate. I've also had some unexpected lows. I just can't seem to figure this out.

I've had type 1 for two years now. Could it also be that my pancreas it finally kaput? (Also, I took a pregnancy test...negative).

Help!

Well I do know that birth control pills will play havoc with diabetes they always do . I just think maybe your body just has not settled down after childbirth so to speak and the birth control pills too . this is definately something you should speak to endo about and make her listen . I think your body has been put through quite alot and it just needs to get back on track . I know that when I was on them they played havoc with my bgs all the time untill I finally had to give the pill up the birth control I mean . and you will expierience highs and lows as well . Next appt i would bring it up with her again and again untill she listens . some of us have alot of problems with our drs and they have to be made to listen sometimes . good luck and I hope I helped .

[NoraWI]

By now you probably know what foods raise your BGs unduly. Avoid them. Try to concentrate on as low-carb and nutrition-dense food as possible and maintaining as level a glucose level as you can. Discontinuing birth control pills AND weaning a baby are stressful factors for your body. Both affect your hormone balance, which affects your glucose levels. Adjust your food intake accordingly to minimize the amount of insulin you need and that will also minimize your hypos, highs, and also avoid weight gain. Your A1c was fine before. Try to get it back down below 6%. Complications set in faster when numbers are above. And those complications will be yours and not your doctor's. You are in charge of managing your own diabetes.