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type 2 diabetes

CatrinaQ2012CatrinaQ2012 member
edited March 2015 in High-Risk Pregnancy
I'm only 6 weeks and 4 days. I recently been diagnosed with type 2 before I got pregnant. I don't know anyone who's been pregnant with type 2. I'm scared of losing the baby. I had a miscarriage a year ago and I'm praying it won't happen again. I actually have my first ob appointment tomorrow. I just always set myself up for failure. So any other moms going through this, I would love your support.
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Re: type 2 diabetes

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    KutiePebblesKutiePebbles member
    hello :) due to PCOS I became insulin resistant and started to develop pre-diabetes at 20 yrs old. Depending on my weight/exercise level/diet, my state of "diabetes" fluctuates. Since mine was mainly caused by PCOS the better I am at all of the above mentioned, the lower my A1C drops and the better my pancreas responds to the release of insulin.

    When I got pregnant with my first I was in the pre diabetic category. You might be like me and not even need the glucose tolerance test because given your state prior to pregnancy, you would prob fail the 1 hour or 3 hour.  That being said, your OB might recommend you to an MFM to monitor the baby and your diabetes during pregnancy. You also might have additional visits and monitoring with your endocrinologist. And you might be asked to see a fetal cardiologist to check the babies heart via fetal echo because diabetes raises your risk for heart defects. A fetal echo is basically just another ultrasound, nothing invasive, and takes about 20-30 min.  My son also had an additional echo when he was 4 months old to double check the ticker. All good!

    I was on Metformin ER prior to pregnancy but stopped at 8 wks and transitioned to insulin and diet control at about 10 or 12 weeks (cant recall exactly). Since I became very insulin resistant as the pregnancy went on, diet control wasn't really helping my levels so I was increasing my insulin dosages fairly often. My placenta was sucking me dry!

    I know what the stats mention about miscarriage and other complications of diabetes but the good news is you already are aware of your state of diabetes and can intervene early with additional meds and monitoring if needed. Be proactive and do everything necessary to have a healthy pregnancy. Also prepare for the unexpected like a possible c section in case the baby is a bit larger, etc.

    I gave birth to a 29wker, but I have a uterine anomaly so there was no indication that my diabetic state contributed to PTL. If you have questions feel free to ask. At this point, I am an open book lol. Best of luck and congrats!
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    HereWeGoAgain29HereWeGoAgain29 member

    I'm an insulin-dependent diabetic. I had a miscarriage a year ago, and am finally pregnant again after ttc for the past 10 months. My A1C (as of February) is 6.1, which is below baseline (my Endo wanted me below baseline so that I'd be in good starting shape once I got pregnant). Because of the m/c and the diabetes, I'm automatically considered high-risk, which means treating with MFM, weekly insulin dosage adjustments, monthly ultrasounds to monitor the baby's growth, an echo of the baby's heart at 22 weeks, and non-stress tests 2x a week starting at 33 weeks. Plus, my ob/gyn wants me to have an EKG (apparently diabetics are more at risk for too much blood going to their heart during pregnancy). It's overwhelming, but the silver lining is that the baby is going to be very closely monitored, and I'll get to see it much more often with all these extra scans! Good luck!!

    BabyFruit Ticker

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    CatrinaQ2012CatrinaQ2012 member
    I saw my ob and she said I'm semi high risk. That I will be o. Medication as the baby gets better than I saw my primary health doctor about my diabetes and told me my A1C levels are now 5.9 He told me I'm prediabetic now since I lost 30 pounds. So I'm very happy but he mentioned I will be taking insulin very soon. I have medi-cal insurance and I feel like nothing can really be done right for the baby. I have to get private insurance. The ob wants to see me in 4 works. The place she referred me to get a US didn't accept my insurance so I have to wait 12 weeks to see the baby. Which is worrying me because if I'm semi high risk why isn't anyone wanting to help me out. I'm now 7 weeks. I can wait another 5 weeks but I'm just worried .
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    SLGILL1978SLGILL1978 member
    You can do this! I am an insulin dependent diabetic as well. Follow your doctor's directions to the letter. If you have a good OB, they will make sure you are in good hands during your pregnancy. For a year before I got pregnant, I worked to get my A1C down. I was just diagnosed and a year later, I was able to successfully get pregnant. I was in the middle of losing weight when we found out I was expecting. I would also encourage you to attend a diabetics support group. I had a very good pregnancy and was at my healthiest ever. I was technically high risk but I didn't see any specialists. I saw a diabetes educator and my OB once a month until 34 weeks, then I saw each weekly. I didn't even see the OB until I was 12 weeks!
    I monitored my sugars. My OB was a bit flexible, meaning if my sugars in the morning were normal for non pregnancy he was good. I would email my sugars every week and either he or my diabetes educator would raise my insulin. Try not to worry! Take it easy and just remember that you will have spikes. Typically in your first and third trimester. Just closely monitor them and if they are high for more than two days, call your doctor(s) so they can adjust your meds accordingly. I am/was on Metformin and insulin. At 10 weeks, I stopped the Metformin based on the opinion of my diabetes educator, however my doctor said that in the grand scheme of things it's really my choice. I can continue it or I can stop. Some doctors want you to continue to take and other say it's your choice.
    The best advice my OB said "as long as you follow my instructions and report all your sugars each week, you will have a healthy pregnancy and delivery". I started getting my NST tests weekly at 34 weeks, I only had the typical one ultra sound. I did end up getting one two days before I was induced but I attribute that to not seeing my regular OB who was out of town.  I am happy to say that I have a happy, healthy two year old today. She was born at 7 lbs and 3 oz. So it is possible!!! Stay positive and congratulations!!!
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    weddingwinterweddingwinter member
    I have done all the same things the other ladies have I have a healthy 2 yo! And I am almost 7w with number 2! It will be ok! Just do what they say and you will be fine!
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