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Re: [IP] Fwd: Humalog during pregnancy

I just started pre-pregnancy stuff and they said nothing about changing me humalog
but a whole lot about changing the number of meals I ate a day.  Will let you know
if anything else happens.


Bob Burnett wrote:

> I'm forwarding this message to the list at the request of BarbB. This
> question comes up from time to time.
> Bob Burnett
> >
> >Reply From      email @ redacted (Carina Lagua)
> >
> >  Carina Lagua wrote:
> >
> >  > Does anyone have any experience with pregnant diabetics on  Humalog
> >(lispro)
> >  > insulin?   Are your patients switched  to Regular insulin once they
> become
> >  > pregnant or planning to become pregnant due to the lack of available
> >studies
> >  > on the effect of Humalog in pregnancy, or are your physicians keeping
> them
> >  > on it due to its success in improved BG control?
> >  >
> >  > TIA
> >  > Carina Lagua, MA, RD, CDE
> > If Humalog works just fine during pregnancy, then there is no need to switch
> >back to Regular after delivery.  I know this can be controversial because of
> >the lack of FDA approval for Humalog in the pump, but I am aware of
> successful
> >pregnancies with its use. The increased flexibility alone would be useful for
> >a busy Mom who may not be able to bolus 30 minutes prior to meals. A big
> issue
> >with Humalog during pregnancy would be making sure site rotations are at
> least
> >every two days, since some individuals have a tendency to lose adequate
> >absorption form the site at day 2. I wish I could tell you what our
> physicians
> >are doing, but once they leave us for the pump start, if they are pregnant,
> >the OB/GYN manages the insulin pump basal adjustments with consultation with
> >the endo.  We are not always aware of those adjustments.
> >   >>Anyone on the list care to respond, also?
> >

Insulin-Pumpers website http://www.insulin-pumpers.org/