Saturday, January 21, 2012
Diabetic carb / insulin question - please help me out?
Oh you NEED to get to your MD ASAP!!! Your sugars need to be tight tight tight while pregnant. Getting OFF lantus is probably in your future since there are no reliable studies (yet) about the effects of lantus on the fetus. When I was pregnant and I am a type 2 going into my pregnancy I was not on insulin and now I can't get off of it. I too early in my pregnancy had sugars of 400-500. My MD put me on insulin the day I called his nurse to inform him of the pregnancy. Then my OB/GYN managed me the rest of the pregnancy. My starting Ha1c was 8.2 and in one month I went to 6.5. I went on NPH twice daily and also tested before and after meals and had to do novolog with meals. I tested 6-8 times a day. I would even get up in the middle of the night to check it so as to not go too low by morning. Keep that sugar 70-110 if you can. Really, post prandial checks(2 hours after eating) should be back to 120. The insulin resistance grows quickly and larger doses are need the further along you become. (this insulin resistance is from the placenta). It is tedious, but soooo worth it to hold that healthy baby in your arms. I had to have a cesarean because even though I kept my sugars tight, He was still 9 pound 10 ounces. He was a bit big, but healthy. I am so glad I did the work. Good luck and congratulations!
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