High-Risk Pregnancy

GD/Diabetic Monitoring Post 32 weeks?

I wanted to see if I am crazy for thinking this is sounding a bit off...

I'm a Type 2, insulin pump controlled with hypothyroidism. This is my second pg. With DD1, I went in for 2x/week NST/BPPs. I am at a new practice and met with the nurse there for the first time yesterday at my 28 week scan. She was a bit of an airhead so I am taking what she said with a grain of salt.

Is anyone on insulin going to be monitored only 1x/week after 32 weeks? I do believe the usual standard is 2x/week if you're on insulin.

I did A LOT of research and questioning of people with my first pregnancy as to why I was being so closely monitored and think it is the best thing. Is it odd that I won't be monitored as much? I don't feel comfortable with this AT ALL. I have read and heard the horror stories. I will switch labs if I need to, or be "that woman" if my OB doesn't specifically request it (have an appointment next week anyway and will bring it up with him, I don't feel like this is a matter to call about since my diabetes is controlled by my endochronologist who is on top of things and who I speak to regularly). Just asking around in this community.

Maybe the nurse meant 1 ultrasound per week but 2 BPPs/NSTs? I wish my old lab would be more cooperative!
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Re: GD/Diabetic Monitoring Post 32 weeks?

  • I only started BPPs at 35w. I'm GD, taking 14 units of insulin once a day. I was told once a week BPPs, or twoce a week NSTs. Since MFM and OB both prefer BPPs, that's what we're doing.


    dx PCOS 2007

    BFP #1 (natural) 12/23/2010. Stillbirth due to IC 4/2/2011

    TTC #2 starting 03/2012

    RE starting 07/2012

    05/2013 BFP on a Letrozole (Femara)/trigger!

    Cerclage, Procardia, Makena, GD (with insulin), MBR, and we made it!  


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    Our Angel was born sleeping at 20 weeks due to IC.

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  • I am a diabetic and on insulin as well. I never saw a high risk doctor or an endo. I started my NST tests at 34 weeks. I went in once a week until baby was born. I started seeing the doctor once a week at 34 weeks as well. For me that was only 2 weeks before a normal healthy pregnant woman would go to her weekly appointments.
    I think it's all in how you take care of yourself and monitor your sugars. I was the healthiest every when I was pregnant. Anytime I felt something was off I always contacted my diabetes educator (a nurse).
    I had 3 u/s. The very last one being 2 days before I was induced because I saw a different doctor that day due to my regular doctor being out of town and she didn't know me or my history so she was nervous when my NST test took over an hour (which they always did). I had a stubborn baby when it came to the NST tests.
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