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hollyc

Unplanned Pregnancy

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hollyc

I just found out that I am pregnant and I am really worried that something will go wrong. I have been struggling with control for a few years now( Type 1 for 19 years, since age 7). My A1c was 11, and in three months I got it down to 9. I haven't had it rechecked yet, this was only 2 months ago, but my monitor says my average blood sugars in the last 30 days run at 200. That would put me at about an 8. Has anyone had a healthy pregnancy that didn't start out with perfect control? I eat pretty healthy (vegetarian for 18 years), I'm young (26), but my lack of control is due primarily to stress and I don't handle stress well. Is there any good news out there? I'm afraid to feel happy about being pregnant because I hear so many bad endings.

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Lyrehca

Hi,

 

Are you meeting with/faxing your blood sugar logs to your endocrinologist every week or so? Are you on an insulin pump? What kind of medical care for your diabetes are you getting while you are pregnant?

 

I ask because even with stress and the hormones of pregnancy, a pump and some expert guidance can help you rein in your sugars even more.

 

I am writing a book about pre-existing pregnancy and diabetes, and blogged about my pregnancy, and the research shows that the risks are higher (though not guaranteed) when your A1c is 6.9 or above. See this summary: Peri-Conceptional A1C and Risk of Serious Adverse Pregnancy Outcome in 933 Women With Type 1 Diabetes ? Diabetes Care

 

Have you had fetal monitoring and prenatal tests like the nuchal translucency test, to show if your baby is developing at a normal rate?

 

--Lyrehca / Cheryl

 

coming in 2010: "Balancing Pregnancy With Preexisting Diabetes: Healthy Mom, Healthy Baby" (Demos Medical Publishing)

book link: Balancing Pregnancy with Pre-Existing Diabetes: Healthy Mom, Healthy Baby - Demos Medical Publishing

 

and blogging at Managing the Sweetness Within

Managing the Sweetness Within

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belyro

Hi Holly,

 

I had my first baby in May. I posted a link to my pregnancy blog here: http://www.diabetesforums.com/forum/type-1-diabetes-pregnancy/44747-my-blog-type-1-a.html

 

I definitely wouldn't consider my numbers to have been perfect either before or during the pregnancy, but they were significantly lower than the numbers you're talking about too...so I'm not sure if my experience is what you're looking for or not.

 

Stress was an issue for me too, and I have to admit that pregnancy and babies are not a recipe for less stress. ;) I see a fantastic counsellor, and I have had great success through my visits with her. I highly HIGHLY recommend seeing a counsellor/therapist if stress is an issue for you, because you'll want to be as healthy as possible (physically and mentally) for the sake of your baby. Those little ones can really pick up on, and be affected by, the stress of their mothers. Focus on making self-care a priority! It's worth it!

 

Good luck!

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inkvisitor

Can you tell us more about your regimen (types of insulin, how much, when, and how often you test your BG)?

 

For those that are sensitive to choice issues, stop reading now.

 

I assume that you plan on going through with the pregnancy regardless?

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cynthiazinn

I had two sucessful outcomes and I was a mess to start with. I find that the extra care you get as a prego diabetic really will get you in better control. Getting excited will actually help you. It makes it so much easier when you know you are doing it for someone else!

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Belle'sMama

Holly, we are in the same boat now! I just got a BFP this morning and all I can think about is how high my bs has been for the past seven days! I can't remember for the life of me what my BS were the week I found out I was pg with my daughter, who is now 2 and a half, I blame that on mommy brain. I'm on a minimed paradigm pump and have been for over 4 yrs now but have only been on the sensor for 3 wks. Everything was pretty stable and looked great so me and hubby decided to go ahead and try this month, then last weekend my BS spiked and I'm just now, in the past 2 or 3 days have been able to get it down, actually had a pretty bad low last night. I am racked with worry and guilt already!

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e||ement

i just got a BFP two days ago! it was planned...but we were still surprised (after getting BFN for almost a year).

 

Belle'sMAma...I too have been having spiky spikes the past two weeks (as well as high FBS) which concerns me. So as of yesterday I'm trying to be a little more aggressive with corrections.

 

But yes. Nervewracking, or what!

 

Holly: you know what? You can't change the past, so just work on getting tighter control in the next several months!

 

Good luck everyone ;-)

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Belle'sMama

Holly: forgot to say congratulations!!!!

Congrats to you as well Ellement!!!

 

Well, with my first we tried for a while and I had a few chemical pregnancies and a miscarriage. The only thing different that we did medically when I got pg with my daughter was that I immediatly started taking a baby aspirin and progesterone cream. But back then I was seeing a RE, not now. I am thinking that since today is Fri I might try and get a beta done on Monday.

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sarahspins

I was diagnosed early in my second tri with my first :)

 

He is fine.. despite the fact that I was running BG's in the 400's and 500's for who knows how long.

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SoldiersWifey

I'm concerned as well.

I know that my BGs have been high.

But as soon as I took two home pregnancy test I started taking my basil up so my BGs would go down.

I go to my first prenatal visit tomorrow.

I'm kind of scared, but I know that whatever has to be done to make sure the little one is okay will just have to be done.

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GeishaGirl

I can tell you that my mom had me back in the Iron Age of diabetes (ie, she'd JUST gotten a home tester!) and while she wound up having problems (she was a horribly brittle diabetic -- probably rapid swings in basal needs) I was born totally healthy and, except for also becoming a T1, am still healthy :)

 

Her BS was all OVER the place and we both came out okay.

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Sarah3033

HI I just found out last week that we are pregnant...I have been on cloud 9 ever since however the reality of my blood sugars is setting in. They are not the best but not the worst I am on a pump and have been for 1 1/2 years. I am starting to worry about birth defects and complications and it scares me. My first appt is not till the 15th I will be 8 weeks by then is that too late??? And does anyone know what range tight control is??? and what do you eat I am trying the no carb thing but finding it hurts my stomach a bit. Am new to ALL of this but I never thought I would be pregnant and when that stick said PREGNANT i have never been so happy am i being foolish and not looking at the seriousness of it all....

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mell1682
I just found out that I am pregnant and I am really worried that something will go wrong. I have been struggling with control for a few years now( Type 1 for 19 years, since age 7). My A1c was 11, and in three months I got it down to 9. I haven't had it rechecked yet, this was only 2 months ago, but my monitor says my average blood sugars in the last 30 days run at 200. That would put me at about an 8. Has anyone had a healthy pregnancy that didn't start out with perfect control? I eat pretty healthy (vegetarian for 18 years), I'm young (26), but my lack of control is due primarily to stress and I don't handle stress well. Is there any good news out there? I'm afraid to feel happy about being pregnant because I hear so many bad endings.

 

I started both of my pregnancies with way less than stellar A1C's, above 10% both times (both were very unplanned!) and both of my daughters came out healthy. At 4 and 5, they run the show! I know it's scary and there ARE a lot of things we have to worry about when we unexpectedly get pregnant and have higher numbers; a lot of complications and it is so scary at times. I remember all too well the panic but please do know there ARE happy endings. I highly suggest you visit diabeticmommy. com...it's an amazing place full of women from all walks of life who are in the same boat or have been with us. Sending lots of hugs your way!!

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missmerlow

My name is Lauren, I am going to be 26 this summer. I have had type 1 since I was 3. I just found out I am 4 weeks pregnant. My ha1c was 10.5 when i just got it tested (the same day I found out) I am extremely nervous, plenty of info for "preplanned" pregnancy but not much positive info for unplanned. It makes me super worried, and would appreciate some feedback, cause I feel so helpless (I have been testing like crazy and keeping them down since i found out, but is it too late? My appt with a specialist is not for 3 weeks, by then I will be 7 weeks, is this way to late to be seen?) Thanks...:o

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