[ Diabetes Type 2 ]

Type 1 and pregnant…with twins

Recently in history, Type 1 diabetes and pregnancy did not mix. The link between type 2 diabetes and thyroid disease is a perfect example of this, says Peter Arvan, MD, PhD, professor of internal medicine and chief of the Division of Metabolism, Endocrinology, and Diabetes at the University of Michigan. To help guide clinicians toward a happy result with these patients, The Clinical Advisor spoke with experts, Michael Lockshin, MD, professor of medicine and obstetrics-gynecology at the Weill Medical College of Cornell University in New York City, and Laurence Mack, MD, an obstetrician/gynecologist with a special interest in high-risk obstetrics in Massapequa, N.Y. I’m about 5 weeks along. However, I am finding myself panicing and stressed out whenever my glucose drops low (below 60) or high (above 180). Is there anyone out there who has had a similar pregnancy and had a healthy baby from it? This means checking your blood sugar 3 to 4 times each day and taking multiple insulin injections or using an insulin pump.

Our first son weighed 8lb 4.5 and his shoulders did get a bit stuck (i’m sure you’ve been warned about shoulder dystocia). I think low blood sugars are a bit of a risk in the beginning, but then your doses have to get increased as the pregnancy progresses. It became more about maintaining good blood glucose levels than lowering my levels. I also did frequent leg exercises while seated (like heel raises and ankle rotations). This type of diabetes occurs only in pregnancy. I’d do it again. Sje received a lot of help through the charity, which gave her emotional, and practical help.

My OB did comment that they ask women on injections not to take their full basal dose once they know they’ll be going in for labor, but a pump can be adjusted at the drop of a hat so it’s easier to avoid lows. She was the type of woman who knew her stuff, and if you disagreed, she’d say, “Psh,” or, in her heavy Yiddish accent, ask, “What’sa metter wit you?” I had no choice but to tell her we’d wait and see. There are no hard and fast rules about your insulin regimen: your doctor will be best placed to recommend what’s suitable for your condition and circumstances. Taylor Kelly is an example of how good an outcome a woman with diabetes can have when delivering a baby. Taking the plunge. SYSY: I have heard those same comments. I have everything I need – great medical care, a supportive husband, family, and friends, and a happy and healthy lifestyle.

I was around 18 or 19 years old when I first realized that getting pregnant would be a risky thing for me. I email her weekly my CGM uploads and she reviews them and recommends changes to my basal rates or insulin to carb (I:C) ratios. Understand that during the first twelve weeks of your pregnancy you will experience blood sugar ups and downs as you have never experienced before. This increased need for insulin is partly caused by weight gain during pregnancy but also by hormones excreted from the placenta, which counteract the blood glucose-lowering effect of insulin. Every few weeks I go back to keeping a log, just to make sure there isn’t something I am missing. The occasion isn’t a 100% happy one. where she works for a public relations agency.

She passes away after grueling treatment, including hospitalization, surgery, and a transplant. That movie shook me to my core. if It helps I am thrilled I was born, thrilled I have my mom in my life and thrilled to have lived 58 years. I kept it to myself though and just pondered. I wasn’t ready to think about having kids, and I didn’t really know how to digest the whole thing. I even began talking in my sleep and one night repeatedly muttered “I can’t do this anymore”, prompting him to shake me violently until I awoke. But, Arvan says, while having more than one antibody does increase the possibility, “we can make predictions about your risk,” he says, but can’t yet prevent the disease from developing.

The other issue of potential concern is whether the woman has an autoantibody that could harm the fetus. Then, when I was around 21, the doctors diagnosed me with kidney ‘challenges’ and placed me on a medication called Diovan. Thank you so much Melissa for your encouraging and informative post! I didn’t want to risk my eyesight. If researchers are right, your participation could lead to better blood sugar control and reduced risk of long-term, diabetes-related problems. (These were the days before surrogacy was a hot topic.) I dated different guys in my 20s, all the while wondering when I should spill the beans, letting them know that I wouldn’t be able to carry kids. Life plodded along.

I had discussed the topic with my friends more than once, but still hadn’t consulted a doctor. Then, when I was around 26 or 27 years old, I decided to discuss the topic of pregnancy with a former doctor of mine, Dr. P. Dr. P was an old-school doctor who smoked cigarettes between patient visits, which didn’t faze me back in the mid 90’s by the way. I’m so nervous about labor, so I would absolutely LOVE pix of you and your little one as soon as you feel healthy enough to post. She said that my numbers were dangerously low.

And she is also the doctor who told me that pregnancy would be a problem for me. Not related to fertility or anything like that, or the fact that I wasn’t dating anyone at the time, but because I am a Type 1 diabetic who had kidney ‘challenges’ and who had diabetic retinopathy. Well, then in 2001, life changed for me, big time. I’ve found that I can get my kids to eat vegetables and brown rice and pick uptheir toys by using those same virtues. I left the comforts of the life and doctors I had known for 30 years, and moved to a country where having children has a whole different cultural vibe around it. Israelis receive 12 or 13 weeks of paid maternity leave. I admit I’m very jealous of this because I feel like one doctor would be so much more convenient and also would be more knowledgeable about my body versus having three doctors trying to all coordinate their information.

Many people have five kids (or more) per family rather than the 2.2 I had grown accustomed to here in the US. Everyone in Israel has healthcare. A whole new ballgame and a whole different attitude. Having kids, in any way, was encouraged – even by strangers you just meet on the street. And I had a new doctor. He encouraged me to go on the pump. I resisted.

so it’s imperative that when you are ready to have a baby, you are as prepared as can be, with a loving father for the baby, a support network, financial resources, etc, so that that baby will have a chance to live a happy life. Actually, they encouraged me to eat meat as it would help stabilize my blood sugars. I changed my diet and my insulin regimen, walked a lot, and my A1C’s started dropping. Not to shabby. The turn-around had begun. Dr. He proposed in 2004, and we married in 2005 and decided to settle down in the USA.

I had brought up the topic of kids with my husband. He was completely okay with adopting. And yet I still thought of a million reasons why having kids at that time was a bad idea. My range of excuses: We were living in a one bedroom shoebox and needed to get our ‘house’ in order. Medicine has changed. I went on the pump in 2006, stepped up my work-outs, and ate even healthier, more calculated. My A1C’s continued dropping.

I was diagnosed with Celiac, and gluten-free eating took my health to a whole new level of great. My kidneys were completely clear, and the doctors took me off of Diovan. My cholesterol levels were fantastic. My blood pressure was phenomenal. We bought a home, were both working, and we were building up our lives to a point where I couldn’t avoid it anymore. I had been avoiding the kids’ topic. For years.

The time was never right. They’re toxic if I hold on to them for too long. If I just changed my way of thinking, I could have a healthy, easy pregnancy despite all of the risks involved. I realized that I had the choice to create the reality I want for my life – through the thoughts I choose to have. Of course, I still had to monitor my sugars, exercise, and eat right. But, keeping my perceptions in check, stress low, and a healthy attitude could really make the difference. So we decided to get pregnant in 2010.

Go for it. Take the plunge. We learned that we were pregnant in early October. And I can tell you that when I got pregnant, I was in a complete and absolute place of trust that everything would work out just fine. What I’ve learned through this whole thing: It’s one thing to talk the talk, but it’s another to walk the walk. Don’t let fear hold you back from what you want in life. Ever.

But just know if you have in the past, it’s never too late to just go for it.

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