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luvmygirlz

miscarried--high AIC?

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luvmygirlz

hello..new to the group..any advise or comments would b greatly appreciated:) here is my baby history..03/01..successful pregnancy..04/04-still born at 29wks (due to placental infarctation)..07/05..successful pregnancy..01/07 miscarriage..and after 5 years of wishing for another child..miscarried 03/12..I am type 2 diabeticand my doctor said I could try to conceive after two cycles..my a1c was 10.9!! I recently had another test and I brought it down to 8..Dr said my loss was.most likely because of my high sugars, however, why would they let me try to conceive so soon?? I really want to ask how I've had other succesfull pregnancies?? Not sure what my a1c was back then but I do know that I weight 30lbs less than my other pregnancies..pls HELP!

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jwags

I am so sorry about your loss. 30 years ago I had a stillborn baby from Placental problems. I wasn't diabetic back then and Im sure my HbA1c was in the normal range. I didn't become D until 5 years ago. I know now they are super strict with bgs and pregaancy. They want them below 100. I really can't say that it had anything to do with it. I remember after the autopsy I asked my doctor why and he really couln't give me an answer. I had 2 healthy children before my son died and then I had 3 healthy children after his death. The only way I could justify it in my mind was that there must have been something wrong with the pregnancy that would have led to severe disabilities. I still think about it 30 years later. They told me to wait to get pregnant but I did get pregnant in about 3 months and had a healthy boy. He is now almost 29.

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Lizzie G

I'm so sorry for your losses. I have lost one child; my 12 week scan revealed chromosomal abnormalities and we chose to terminate. Not D related btw, but a horrible thing to go through and something that stays with me.

 

The answer is, you will never know what caused your miscarriage, and you have suffered enough without tearing yourself to bits over what could have been, and you can only look forwards. I'm going to be totally honest and say that an A1C of 8, is not good for you, let alone a growing baby; there is plenty of evidence that links poor pregnancy outcome with diabetes, and I think any doctor that tells you it is safe to get pregnant with that level of control is not being responsible; although plenty of mothers are fortunate enough to have poor control and healthy babies.

 

The whole thing about 2 months waiting used to be the standard miscarriage advice in the UK (now they say get started right away if you feel ready), was that a doctor with any specialist knowledge of your diabetes? Perhaps in terms of your hormone cycle being back to normal, but if I was you I would be looking to make sure my HbA1C is below 6.5% before trying again, and sort this out first. What type of medication are you on? It sounds like this might need reviewing?

 

I am so sorry for what you are currently going through. It is unfortunate, but it happens and as you must know from your previous losses, sometimes the only way is putting a big fake smile on our faces and getting on with it. Sorting out the diabetes might be a good focus for you at this time giving you something to focus on and allow you to feel positive about a next pregnancy x

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luvmygirlz

Lizzie--like I said before...I have had higher sugars in the past and everything has been fine..and I know 8 is still high, however, I'm scared of waiting longer to try to conceive since I am more fertile now (after a pregnancy) and it took me so long to conceive in the past..also..my Dr is a high risk Dr that told me I can try after two cycles,BUT, I was supposed to b seeing him these past two months to have tighter control..I couldn't take the torture of going to him and hearing all the strong baby heartbeats :( so I went to my regular pcp..I went down so much in only two months and will continue to work on it..I'm currently on insulin and metformin..I would love to learn how to eat better, however, my insurance doesn't cover diet educators..thank u for replying :)

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jwags

I did go to a dietician and I had to pay for it because my insurance didn't cover it. I cannot say I got any great advice. I was probably eating much healthier before diabetes. There are lots of threads on DF about healthy diets. I would suggest you start by avoiding processed foods and chemicals. Eat real food in its natural state. If you aren't already testing before and after meals do so. Ideally you should be 120-140 at 2 hours after meals. If you get higher bgs then look at the carb portion and lower it. Many of us have used this process to get our bgs into a near normal range. There are some foods I can't eat. I no longer eat cereal, bread, most fruit, rice or pasta. I also gave up all grains. But I use almond flour, coconut flour and flaxseed to make all types of good food.

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Mugdha

I'm so sorry for your loss. I lost by baby due to placental abruption a few years ago and I had a normal a1c then. Trying to bring it down now so I can try again...my doctor wants it below 6.5 and I'm at 10 now. But I do know that the doctors couldn't tell exactly what caused things to go wrong.

My GYN recently told me to try oats and chia seeds, the high fiber is supposed to help both the weight and a1c down...maybe it'll help you too. Good luck

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