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14 weeks - Diabetic Pregnancy

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December 3rd, 2008

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09:37 am - 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 high...it'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?
Current Mood: annoyedannoyed

(2 comments | Leave a comment)


Date:December 4th, 2008 04:25 am (UTC)
well, I didn't have troubles so much when we started the insulin this time, but I did have, and am still having, problems adjusting my dosages.

(short background: gd pregnancy 2002 used 10 u of lantus for last third of pregnancy. t2 pregnancy 2006, started insulin around 26 weeks. current pregnancy, started lantus somewhere around wk 15 and added novolog a few weeks after that. currently on 15uLevemir at night and novolog before meals on widely varying sliding scale)

What meds were you on? My OB defers to my endo in all matters diabetic, including whether or not I continue(d) my metformin. I stayed on it all last pregnancy and am still on it for this pregnancy. I'm pretty much in the minority in this -- I've rarely found anyone that continued metformin.

I'm a t2 with a lot of insulin resistance. I can't imagine the quantity of insulin that I'd be taking without the sensitizing properties of the met, not to mention the additional stress on my body to compensate.

If I remember correctly, 14 weeks is one of the those "everything goes wonky" stages, like 20 weeks, 24 weeks, 32...etc.

Are you seeing an endo or ob for the diabetes? And how often are you testing? Before this pregnancy, I would test maybe 3 times a day (A1c=5.x range). After starting insulin, there was one time that I went through all 25 strips in my bottle in a little over 2 days. 4 of those tests were errors (damn one touch!), but still, that's a huge increase.

Sorry I wasn't very helpful with the direct questions, hopefully my rambling helped some.
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Date:January 4th, 2009 02:43 am (UTC)
I was on Metformin for insulin resistance before I got pregnant but they took me off immediately when I got the positve result. Now I've got the gd diagnosis and they are trying to control through diet before they move on to insulin.

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