My husband and I (both type ones) got the okay to start trying to conceive in September from our endo. How common are fertility problems and miscarriages in type one diabetics?


Newbie here :)

Hi, I'm 22 weeks today and about a month ago I began the GTT process. I've been diagnosed as GD (I was insulin resistant before pregnancy and on metformin, which they took me off immediately when I got pregnant). At the moment, they have me on a very regimented diet which includes way more carbs than I've eaten in many a year, and I do weekly glucose labs (I get a fasting, eat breakfast, and then a two hour draw). I've always had trouble processing carbs and so dont' eat a lot of them but my nutritionist is insistent that I have to eat as many as she has prescribed when she's scheduled them.

Just wanted to introduce myself and say hello :)

14 weeks

Hello, I was GD with my first son...that was over 8 years ago. I did the insulin and had no problems keeping it under control. Before I got pregnant this time, I was on oral meds for diabetes and had it way more than under control. I went to the doc on Monday and even though my #'s were "GREAT" They had to take me off of them and put me on insulin. Ok fine...well since Monday evening when I started the insulin my #'s have been all out of wack! I called yesterday morning after 2 times of being higher than my normal range. The nurse said..."I wondered about that, the doc was aiming low because my past #'s were so good." So, she upped it a bit. This morning 2 hours after breakfast, it's REALLY's never been this high...189 and I ate the same thing as yesterday morning. I'm going to call again this afternoon, but geepers....this is crazy!
Anyone else have this issue getting under control to begin with? If  so, what did you do?
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  • drkoren

Low-carb Thanksgiving

Thanksgiving is around the corner. Wonderful-wonderful holiday! What would make it even more wonderful, if by 10 pm I don't get too many phone calls about blood suagrs in 500s. So, let's look at our dinner plans.

Turkey itself is not a problem. Stuffing, however, is another story! I found today a recipe that looks promising, although I've never tried it before. It is Quinoa Stuffed Turkey Breast. Instead of bread-based stuffing it is using whole grain quinoa, pronounced keen-wah, which I usually buy from Trader Joe's. Here is the video how to make the dish.

And here, once again, the links to the recipes of Quinoa, Leek & Cherry Stuffing and Quinoa Stuffed Turkey Breast.

Nutrition Analysis: Calories: 324; Total Fat: 11.1g; Saturated Fat: 1.9g; Cholesterol: 111mg; Sodium: 980mg; Carbohydrate: 11.4g; Dietary Fiber: 1.3; Sugars: 4.2; Protein: 46g

Now let's tackle some dessert ideas. Collapse )
  • drkoren

Which glucose meter to choose?

One of the most important things for person with diabetes is to know what his or her blood sugar is, but with more than 100 different glucose meters on the market which one to choose? I started the search for a perfect device with establishing a set of criteria by which meter should be evaluated. In my mind, ideal device should:

- give accurate readings so we know when blood sugar is low and how much medicine to take;
- should require very small amount of blood (none would be the best, but with the exception of continuous glucose monitors which still require some fingersticks for calibration purposes we are not there yet, although active work in that direction and some available prototypes provide hope that one day these devices will become widespread);
- it would be great if it does not take eternity to see the results and having some memory to store those resutls would be a plus;
- finally, it should be a common enough meter, so the search for strips and lancets does not turn into nightmare and your insurance covers them, plus your doctor more likely to have software on his computer to download your readings.

With these in mind, I've conducted some research and here what I found out.
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role of long-acting insulin v short-acting

I rarely post - with two kids, endo appointments, OB appointments, and life, I rarely have time -- but I need to pick the brains of the group.

I just passed the 20 week mark in this pregnancy. I was GD in 2002, dx as t2 in 2005, and used Lantus + Novolog + Metformin during a successful pregnancy in 2006.

I've had to start the lantus and novolog much earlier this time - I was very proud to make it to 26 weeks last pregnancy, so the diabetes fairy thwapped me around 14 weeks this time. :)

Here's the question I wanted to run past y'all:
how do you determine whether to increase your short-acting carb ratio OR increase your long-acting?

After looking at my readouts from a CGMS trial, the endo has his office call me and change my novolog ratio to 1:8. I've had some really high post-meal spikes lately. Problem is, in hour 3 after an injection I drop very quickly. For example, at 11:45 I was 100. Ate heartily (about 60 g of carb) and 2 hours later, I was at 132. Not quite in target, since my goal is 120, but very close. I'd taken 5 u of Novolog, since under the old scale, I was 1:12. 45 minutes later, 85 here I come.

My theory is that maybe I need more Lantus instead of increasing the novolog. Thinking that additional lantus might give the novolog a head start, so to speak. Am I totally off base here? I've spent the last 3 days bouncing. On the way to the endo's office this morning to drop off the CGMS, I had to pull off the interstate as my levels went from 130 to 160 in something like 15 minutes, yet at the 2-hour mark, I was at 111. I don't know if it's a roller-coaster or a trampoline!

I didn't try discussing this with the nutritionist when she called -- it would have confused her mightily. I usually confuse her. And I am willing to try the increased novolog instead of adding more lantus, at least for a bit before I call back in. It's always easier with data to explain it.


(no subject)

I was at the OB doctor yesterday, and I asked about induction, and she told me that basically, they induce all Diabetic patients at 38 or 39 weeks. I'm pretty mad about this, because my baby weighed in at 4.9 lbs. at 33 weeks.. and is in the 50% for his weight and height. I don't understand why I've been working so hard at keeping my blood sugar under control, if I'm just going to be induced early anyway.

Were any of you induced? What was the reason for it?

I'm almost to the point of finding another doctor, because I'm so mad about it.

  • faetal

Gestational Diabetes - backed into a strange corner..

My blood sugars have been okay. Not always under 120 after a meal, but usually.
They feel uncomfortably high to me because I wanted to keep very strict control. However, my endo doesnt feel the medicating is necessary and feels that I would be constantly fighting lows if we medicated.
I dont WANT to be medicated of course, but I AM concerned about pumping extra glucose into the baby.
I really wanted to avoid another NICU baby on IV's for low blood sugar ;(

The other thing is, I'm trying for a VBAC. I know that the way you deliver a baby is not the important part, the health of the baby is.. but .. for me, recovering from a C section with a toddler and a newborn and not a lot of support is just not .. its not a desirable option. Things that would work in my favor are .. not having baby that they feel is getting too large, or going into labor a few weeks early.. for the same reason.

In response, partially consciously and partially sub consciously I've found myself eating less carbs than prescribed to try to further control my sugars. It seems like I should either continue doing this, OR eat extra carbs for several days to push all my sugars higher to get medicated. NEither sounds like a particularly safe option, but I'm really lost as to what to do at this point.

I'm almost 35 weeks along. I dont want the baby to get too much sugars, I dont want to endanger her with ketones either. I'm willing to be medicated if its the best option, but the endo thinks it isnt.

I want to just manage it with exercise, but I gotta tell you, I have such horrible back pain.. (posterior pelvic pain, with sciatic symptoms) that its REALLY hard to be as active as I should after meals.

I also feel myself spacing out my carbs which I think is keeping my sugars at a constant 100-120.. that cant be healthy either can it?

ugh. I just feel so lost.

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.
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