July 22nd, 2008
|aunt_becca||08:06 pm - worrying and some questions|
So I'm due in August and have questions regarding a conversation I had today with my endo. Sorry if these are basic questions, but I'm new to this whole diabetic and pregnant way of life.
I had a non-stress test last week. Baby is healthy, strong, and active. He is measuring pretty big at this time- just over 6 lbs at 33 weeks, and he is in the 90% for size. I saw the OB afterwards, and I also talked to the technician who was doing the test. She sensed that I was nervous when she mentioned baby's size, and assured me that baby is healthy, and that diabetic women have big babies. I saw the OB after, who also told me the same thng. She also explained that there can be a margin of error, and that things looked "really good" for her point of view. Okay, fine. Today, I saw my endo, who wants my morning readings below 90, because of baby's size, and she also took the opportunity to point out that "we don't want baby getting too big, that's really not good for him or for you at this point." Um, okay. I didn't think anything of it at the time, but now that I am home, I am so stressing out about that comment. My OB felt that things were okay, and she had previously explained to me that big babies sometimes meant shoulder dislocation or injury for baby. But what other risks are there? Will my baby have some type of birth defect as a result of being big (Gd forbid!!). Am I freaking out now about nothing? I'm already so emotional right now at the idea of becoming a mom, am nervous and excited. But am I missing something here? Will a big baby mean that he's unhealthy? Because up until today, I didn't think so. But now I'm a wreck.
Current Mood: anxious
|Date:||July 23rd, 2008 01:26 am (UTC)|| |
Unfortunately, diabetes can be a wild card - I was in perfect control throughout my pregnancy (all a1c's below 5.8 and my insulin needs increased but not drastically), but at 37 weeks, 2 days my son was born via c-section after 4 hours of pushing. He was 9 pounds, 21 1/2 inches. I have been a type 1 diabetic for almost 22 years.
I was told that the standard of 90 in the morning was so that you do not have to "fight" to come down from a high in the morning all day long - as your ability to utilize insulin decreses in later pregnancy it can be harder to control glucose levels, getting a good start can (sometimes) make things easier throughout the day. Also, higher blood glucose levels make the baby produce more insulin - the extra sugar and the extra insulin cause the baby to gain more weight......so it becomes a vicious cycle. Also, the insulin being produced by the baby in response to the mother's blood sugar can cause him/her to have low blood sugar after birth.
For any baby that is considered "big" there are some risks - a prolonged vaginal birth, the need for c-section, hip dysplasia, shoulder displacement.
All you can do is do your best to keep your readings as tightly to normal as you can. It's stressful and emotionally draining, I know. Take care!
thanks! My a1C hasn't changed all that much- 6.1 or 6.2 throughout pregnancy. We're going to have the -section discussion soon.
Thanks for your support. This is all very overwhelming.
my a1c was in the 5's and I was a GD - it wasn't really all that bad and was controlled by diet alone. My son at 32 weeks (I went into pre-term labor) was 6 lbs 3.2 oz. I was then on bedrest until 36 weeks when I had him, and they were guessing he would be around 9 lbs - he was 8 lbs 7oz. My perinatologist recommended a c-section, and my OB said I could try without one since my last child (without diabetes) she delivered was 8 lbs 11oz and I had no complications. Now had I went full term - I think I would of probably needed a c-section this last pregnancy due to his ever increasing size. I had big babies before I had GD, now when I had GD it just added even more to their already large size. Best of luck in regards to everything! :-)