[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]
Re: [IP] Pregnancy BGs
On Sun, 15 Nov 1998, Ruth Elowitz wrote:
> I've recently read and heard about pregnancy "ideal" bg levels that range from the
> 80-140 range, the 50-75 range, the 60-80 range and so on (many variationg. I read
> that running a little lower is important during pregnancy. Does anyone know for
> certain the ideal range and what is really "best" (not what is feasible -- I got
> that part)? I can't seem to get two people, two books, two articles, two
> anything that have consistent numbers.
The whole thing boils down to risk mitigation for the mother and child.
Basically there are two problems (assuming reasonable control).
When bg's are too high, the fetus grows too fast, becomming large too
quickly. This results in an overweight baby that potentially will not fit
through the birth canal, thus endangering both the mother and child.
The second problem happens after the baby is born. The fetus was
producing excess insulin on a regular basis to cope with high glucose
levels in it's blood stream produced by mom. After birth, the baby is
still aclimated to produce high levels of insulin and in the absense of
mom's extra glucose, becomes hypoglycemic. I don't know what variables
affect the degree and severity of the hypoglycemia, but is does go away.
In both of the above cases, better control equates with fewer problems
for both mom and child. The risk of over insulinization while trying to
achieve control that is too tight has it's own set of problems including
severe hypos, and potential developmental impairment of the fetus as a
result. These risks are supposed to be low since the fetus gets first
dibs on everything in mom's system (ahead of mom).
Perhaps a few of the med-pros out there can add a little to this.
Insulin-Pumpers website http://www.insulin-pumpers.org/