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July 22nd, 2008

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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: anxiousanxious

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[User Picture]
Date:July 24th, 2008 01:53 pm (UTC)
Hi! Congratulations on the impending arrival! I'm a Type 1, and just had a baby girl in February. All of the above posters have provided you with good advice. I'll just add my voice to the chorus to tell you not to worry too much. A diabetic pregnancy, as you know, is a great deal of work, but it sounds like you're doing exactly what you should be, and as my OB told me, that is all anyone can ask of you. Some of the baby's size comes from genetics, too!

My experience was that my endo team was overly cautious, and my OB, who specializes in diabetic and other high-risk pregnancies, was a little less alarmist, and was *always* right on the mark. My baby girl measured large at about 35 weeks, and I was so worried. Despite having an aic of 5.4-5.8, I was convinced I'd end up needing a c-section. But my OB told me to do my best to keep my BS in the range outlined by the endo, and most importantly, NOT TO WORRY. She was absolutely right. My beautiful girl ended up at a birthweight of 7 lbs, 6 oz. Her BS was a wee bit low when she was born, but not so low that she needed to go to the NICU. We gave her a wee bit of formula (it didn't affect her ability to nurse at all!) right after she was born to bring it up, and it was fine by the next day. Labour was long (29 hours!) but the delivery itself was a piece of cake. No shoulder dislocations or injuries; only a tiny little tear for mom.

If I could go back and tell my pregnant self anything from my current point of view, having gone through the whole thing, I'd compliment myself for my vigilance, but most importantly, I'd tell myself to relax and bit and enjoy the most wonderful time of my life! And so I wish that for you now, too!

Good luck!

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