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Pregnancy : What to do before conceiving?
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Recommend  Message 1 of 11 in Discussion 
From: MSN Nicknamededonn  (Original Message)Sent: 1/25/2005 2:51 PM
Hello everyone. I have been diabetic for now I think 29 years. I have been in good control for the past I would say 8 years. I went to my endo on the 18th and he told me that I have to have no sugars above 120 after I eat while pregnant. He also told me that I need to get my sugars in good control for 3 months before I conceive. So now I am doing my every hour on the hour testing and for the last week, my average was 102. I have had a few sugars that were 148 and 165 these are the sugars that are after a meal. Is that going to harm the baby once I do conceive? I don't see how I can keep my sugars down after eating? If I take a larger bolus, I end up bottoming out. What do you guys suggest? I am planning on conceiving in May or June and since it is January, I am starting to tighten my control now. Any help at all that you guys can give would be greatly appreciated.
Sincerely, Deana


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Recommend  Message 2 of 11 in Discussion 
From: TerilynnSent: 1/25/2005 3:15 PM
I'm type two, so that may be the difference.... but my endo ok'ed my ttc based on my a1c's.   My last two were 5.6 and 5.9.     I go up to the 140, and after a meal I'll go as high as 180s.    He's not concerned, because I'll go on insulin, as I'm on glucophage now.    Maybe that's the difference?

Teri
 

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Recommend  Message 3 of 11 in Discussion 
From: MSN NicknamededonnSent: 1/25/2005 3:22 PM
Thanks Teri for the fast response. I am a little worried, that this is going to be very hard to do. My last A1C was a little on the high side 7.1, but I just had one done last Tuesday and am positive that one is down to at least 6. something, hopefully 1 or 2, My machine gives the averages and my averages for the last 7 days was 102, so I am sure it has gone down, I even have averages for the last 90 days and thatwas 123. Those are good sugars if you ask me. I would love to hear from someone that has had a healthy baby about what their sugars were running. I think it is just as long asd you don't go sky high and if I am checking every hour, there is no way that will happen.
Thanks again, Deana

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Recommend  Message 4 of 11 in Discussion 
From: MSN Nicknamesafk1221Sent: 1/25/2005 3:43 PM
Deana
  I know you want to hear happy stories about successful pregnancies and deliveries, but...
I was pregnant twice, and miscarried both times.  The thing that I was told was that Ketones are the main issue (pls read my response to SocietalGryphon).  The hormonal fluctuations when I was pregnant caused my circulation to become erratic, and I lost blood flow to my left optic nerve ( I later lost the eye).  I also developed kidney problems with the second pregnancy (and started dialysis a while later).  There are many women here who have had successful experiences with making a baby.  I certainly hope that you hear from them, too.  My post will help you see that it is critically important to follow your doctor's instructions to the letter.  To be totally compliant with your diabetes control.  To be sure that you are ready to accept ANY possible outcome.  That said, I truly hope that whatever you decide that you will be happy and healthy!   sheryl
BTW  The way you worded your subject?  I really wanted to write "ask your husband!"

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Recommend  Message 5 of 11 in Discussion 
From: MSN NicknamededonnSent: 1/25/2005 3:54 PM
Oh Sheryl, I am so sorry about what happened to both of your pregnancies. My significant other is not a diabetic and I was looking to get advice from other diabetics, which is why I asked on this board. I know that I need to follow my Drs advice, but I am worried that it may be a lot harder. I am finding that my sugars one hour after my meals are up to 140 and even 168 yesterday. But then it rapidly comes back down to a regular level. Do you know if this short rise in sugars something to worry about? I am testing more than 10 times a day. I have for the past week been testing t hroughout the night and every hour during the day. I am trying my hardest to follow his (being my endos) instructions.
Sincerely, Deana

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Recommend  Message 6 of 11 in Discussion 
From: MSN Nicknamesafk1221Sent: 1/25/2005 7:47 PM
Deana
  You are very sweet, but I made peace with my situation years ago.  It is not difficult to conceive.  Only challenging to give birth to a full term, healthy baby, without doing any permanent damage to the mom.  Lylah (SocietalGryphon) is a gestational diabetic.  Jojo is pregnant now, and I believe is a T1.  Diabprincess, a T1, had a healthy little boy a few years ago, and may be the best one to give advice.  I'm not sad or bitter about what happened to me, but I wanted to tell you about the downside.  I really want you to hear happy news now!  There are plenty of success stories.  I really don't know that particulars about the bgs...what constitutes a "bad" gestational level for bg.  But I am certain your willingness to test so frequently will be a huge point in your favor.
BTW  I checked out your pictures...your SO is adorable!  You can always just practice!  And Zeke is positively glorious!   sheryl

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Recommend  Message 7 of 11 in Discussion 
From: MSN NicknameSocietalGryphonSent: 1/25/2005 8:06 PM

Hi,

Sounds like you have had some great advice from everyone about ttc with diabetes.

This is my second go around with gestational diabetes and my son, Donovan, certainly doesn’t seem to have suffered from my last round with it…

In fact, he is a super smart super cute little guy. He turned 4 years old in September. He is already learning to read and knows some basic addition already. He knows what a map is and can find Alaska on a map or globe. He has a super vocabulary and great manners too, most of the time lol.

One piece of advice though, that I would give ANY woman who is ttc is to begin taking prenatal vitamins with a folic acid supplement about 3 months before as well as get any dental work or other medical things you might imagine might pop up taken care of before you conceive. (dental work is not fun anyway but during pregnancy it is less fun imho.) also, see an OB/GYN before you conceive and get a pap and stuff and tell him you are ttc and see what advice in general he might give you. I did this with dono and it was nice. also, then the doc knew me before so he was more alert to any changes after I conceived.

I *would* have done the same with this baby but I actually conceived within 2 weeks of us deciding to try. I was still asking myself whether or I really wanted to have another baby at 34 what with having a teen and a preschooler already lol. it was a pretty big surprise as it took me 7 months to conceive with dono and I had actually given up when it finally happened lol.

Anyway, hope this helps.

Lylah

 


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Recommend  Message 8 of 11 in Discussion 
From: MSN NicknamededonnSent: 1/25/2005 9:11 PM
Sheryl, you are so funny! Those pictures are from last year and that is not my SO. That is my best friend Vicki. I am the brown haired woman in those pictures. I will put up a picture of me and my boyfriend, Scott. We are not married yet. But are planning on a September wedding. Thank you for giving me the advice you gave and for the compliments on Zeke. He is as nice as he is handsome. He really is the best cat I have ever had the pleasure to mother. I will put up some new pictures soon, I promise. I didn't think anyone even looked at those pictures. hee hee hee

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Recommend  Message 9 of 11 in Discussion 
From: Mikalas75Sent: 1/26/2005 5:43 PM
Hi Deana,
 
These are the guidelines I was given last year for when I got pregnant:
 
A1c had to be 6.5 or under for 3-6 months before conceiving.  While pregnant my sugars were to be under 90 in the am when fasting and under 130 post meals.  Of course they all are not going to be under 130.  The further you get along in your pregnancy you're going to notice a lot of changes with the foods you eat and you constantly have to be adjusting your insulin rates.  The further you go the higher your sugars will get and the more insulin you will need.  My sugars were super low the first 3-4 months and then all of a sudden I found lots of foods I could no longer eat as they caused my sugars to sky rocket.  But you should be fine.  As long as you're not constantly high then I wouldn't worry about it - you will have some high ones!  My baby was very strong and healthy.
 
Michelle

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Recommend  Message 10 of 11 in Discussion 
From: MSN NicknamededonnSent: 1/26/2005 7:31 PM
thank you all for your responses.
 
My am sugar is never greater than 110, so I guess I am doing fine. I am still waiting for the A1C report from my Dr visit last week. That will give us insight on what my sugars have been for the past 3 months. Now with me being very precise about testing, I am sure it will only go down. I have no had a sugar > than 164 in the past week. I have had a few lows, but that is a totally different story. I am thinking as long as you aren't high for a long time, (and if I check every hour, how could I be) then I will be alright and then the baby will be alright. I have an appointment for an Ob/Gyn that specializes with high risk patients next week. Thank you all for your advice.

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Recommend  Message 11 of 11 in Discussion 
From: MSN Nickname§ĞRÅČË902§Sent: 12/19/2005 1:54 AM
I'm one of those t1/2 ppl that had 2 healthy babies.  It was difficult to control my blood sugars in both cases, but testing was the key.  Prior to both pregnancies you have to have tight control over your bs's, and take pre-natal vitamins with folic acid and take them during your entire pregnancy too.  Light exercise like walking is also important, once you get pregnant you will go on insulin and it will help level your sugars out.  But beware as a diabetic you will tend  to have larger babies- my first  was 9 lbs and 1 oz and was 6 1/2 weeks early, then my second was term and was 11 lbs 6 oz!  Unreal, and to answer your Q- yes I had c-sections for both!  Otherwise I'd still be walking bow-legged!
 
Gracie

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