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RE: [IPk] blood glucose levels in early pregnancy



Hi Nanette 

Is your daughter's pregnancy considered "high risk" because of the BG levels or
due to another issue?



My GP who, I consider to be a good caring GP, has been rather confused over
diabetes over the year.


Some 5 or 6 years ago, my mother, who was very slightly overweight, was told by
her GP, that she had type 2 diabetes (I had a sister who was over 20 stone and
she has 3 daughters who are all heavily overweight, none of them has type 2
diabetes.  My sister was ill on and off for 18 years before she died last year
and was tested many times for various things and medical issues and type 2
diabetes was never one of the problems.

 So I was quite surprised that my mum had been told that she had type 2
diabetes.
No medication or meter was given, but she did have regular diabetes clinic
 visits where her BG levels were always normal and her HB1c was perfect. She was
sent on some courses to learn about healthy eating etc.  My mother was in and
out of hospital over the last year, before she died in January, for medical
tests for heart and other conditions.  I was with her on many occasions and
before several  invasive procedures.  Her BG levels were always perfect.  I
questioned one of the doctors in hospital why she had been diagnosed with
diabetes he just said that maybe the criteria for a diagnosis was lower than
before.


Then recently I was told by the same GP that I needed more blood tests , he
actually called me at home, I was too shocked to ask what the actual BG levels
were.  I had had some blood tests done for a "well woman clinic" which was
coming up shortly, because I take meds for RA which can affect the liver..   I
was a bit worried to say the least, but tested my own BG levels fasting and
several times after meals and the levels were always within non D range.   So I
went and had a fasting test done and they had to wait to see the nurse at the
"well woman clinic".  She wanted to go through the computer screen by screen
 asking questions about lifestyle etc I said "don't even think of taking my
blood
pressure until you have told me the results of the fasting tests".   So she
 looked and said they were fine. Then I asked what my random test had actually
been and it was 7.8 which of course was perfectly OK for a random test he knew
that it wasn't a fasting test  I had automatically assume that it had been over
 11.5 mmols. So I am pretty sure that my mother never had diabetes in the first
place and he had decided that she had from a random test.   I said to the nurse
 that 7.8 mmols was fine for a random test and she didn't have a clue and
thought
it was high.  

So I am very wary of people who are not fully trained diabetes consultants
making statements about diabetes

GP has now retired.

Jackie J


-----Original Message-----
From: email @ redacted [mailto:email @ redacted] On Behalf Of
Nanette Freedman
Sent: 13 December 2013 09:34
To: ip-uk
Subject: [IPk] blood glucose levels in early pregnancy

 A question on behalf of my daughter - she is not diabetic, but has had what
seem
to me very marginally raised fasting blood glucose levels (typically around 5 -
5.5) for a while. She is now in the early weeks of pregnancy, and her high-risk
pregnancy specialist is telling her that he is concerned and that for sure she
will go on to develop gestational diabetes (which she thinks unlikely since was
carefully tested - because of family history - and did not in her 2 previous
 pregnancies). He wants her to start taking insulin. She is in any case seeking
a
 second opinion, but I wondered if anyone on this list has relevant experience
or
information to offer. I know that most of the people on this list who have gone
through pregnancy were in a different situation having had type 1 before they
 were pregnant, but what do you think? also are levels around 5 - 5.5 first
thing
in the morning a real cause for concern - given that her post-prandial levels
are just fine.
Many thanks for any advice
Nanette (snowed in in Jerusalem - very beautiful, but quite problematic!) .
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