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[IP] RE: Diabetic pregnancies, Well meaning irritating people, etc

Well, here's my $.02 worth.  
Being a diabetic in medicine, you learn early on how to be able to read all 
the disaterous sounding "nasty things" about diabetes and yet still sleep at 
night.  ( Don't you agree Brian?)  It probably prepared me for pregnancy in a 
way because, diabetic or not,  the strangest things happen to well meaning 
peoples' brains when they hear that you are pregnant...they suddently 
remember and tell you about all the disaterous pregnancy outcomes that 
they've ever heard of!   (I'll bet even the non-diabetic moms experienced 
this)    Occasionally you'll see a glimmer in their eyes and a sudden stop to 
their conversation as they realize what they're doing, but ususally they 
prattle on and on.  Steel Magnolias came out when I was in my first pregnancy 
and even my Mother's best friends were clueless as to why she didn't want to 
go see it at that time.  

It was funny in a way, with the second pregnancy, my high risk OB left the 
area, and in the first visit with the new OB he implied that he was happy 
that I had already decided on a hospital so that whenever I needed 
hospitalization during this pregnancy that was one less decision to still 
make.  I kind of just looked at him and told him that the only hospitaliztion 
I'd had was for delivery the first time and that's what I was planning on for 
the second!  And it was.

For those of you wanting to go through pregnancies, my advice is to seek out 
a highly qualified OB (with a lot of "high risk" experience if possible), a 
good endo, and a good Optho or Retinal Specialist.  You need to consult with 
each of them BEFORE getting pregnant to asess your eye, kidney, general 
physical, and glucose control condition at present and what risks apply to 
your INDIVIDUAL situation.  Take your significant other with you so he/she 
can ask any questions that they may have.  Then make your decision, and if it 
is to proceed, go for it with gusto and tight control.  If there is anyone on 
this team that you are not comfortable with, switch ahead of time.  Get a 
second or third opinion if you need to about any given situation.  Having or 
not having a family is a very personal decision that belongs with the 
(usually two) people involved.  As well meaning as Moms and Dads are, (and I 
realize that many on this list are the parents of diabetics, and I applaud 
you, I would much rather be the one with it than my children, and I don't 
think I realized until I was an adult how this must have affected my parents) 
 this decision is yours.  But please get the above advice from experts that 
pertain to just you because your age, duration of diabetes, eye condition, 
kidney condition, and a whole host of other things need to be considered.  
That doesn't mean that you can't have a child.  But it may mean a difference 
in your risks, and you should make your decisions based on full knowledge 
about it.  What is acceptable to one person, may not be acceptable to another.

I had two pregnancies, two healthy children, two C-sections, two LGA babies 
despite HgbA1c's in the mid 5's ( My 6'4" husband may have had a little to do 
with that, though birth weight isn't so closely liked to Dad's size as other 
things).  I had excellent care, but went from minor background retinopathy to 
proliferative retinopathy at the end of the first pregnancy.  But I knew and 
accepted the risks.  (And the retinopathy is 9 years post treatment with no 
lost vision).  I had had diabetes for nearly 20 years with the first baby and 
24 with the second.  There were some interesting stats at the time on 
miscarriages linked to duation of diabetes that were just out then, so that 
was useful data for me at the time.  I don't know of any data on difficulty 
getting pregnant due to diabetes, wasn't for me.  While diabetics often have 
LGA babies, SGA babies can happen if the vascular flow to the uterus (and/or 
placenta) has been compromised which can occur as a complication related to 
diabetes, and in nondiabetic situations also.

Two is a nice number for my situation, age,life,etc.  So I won't be joining 
the pregnancy ranks again, but I'll be thinking of the rest of you and 
rooting in your corner.

This is waaaaaaayyyyyyyy too long...sorry.  Anyone can contact me re any of 
this (but I am NOT and OB) privately if you like.  TTFN   Linda
Insulin Pumpers website http://www.insulin-pumpers.org/
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