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Re: [IPk] blood glucose levels in early pregnancy



Hi Nanette,

 My pregnancy was 2 1/2 years ago and I was expected to maintain a bg of 4-5.5
and no higher than 6.5 1hr after meals which was a very tough target and not
always achieved. However I wouldn't personally have thought her fasting levels
were cause for concern!

Cathy

 > On 13 Dec 2013, at 12:42, "Nanette Freedman" <email @ redacted>
wrote:
> 
> Hi,
> 
> Firstly thanks very much for your responses.
> What I really hoped to hear from one of the mums on this list who
> recently had a pregnancy with very tight control (possibly with the
> aid of a CGM) was what was considered tight control for fasting BG
> levels? was going even very slightly above 5 considered too high?
> 
> I was also under the impression that gestational diabetes was more
> commonly linked to
> type 2 diabetes rather than type 1. But as the responses on this list
> indicate, evidently not always. In my family there is a rich (!!)
> history of type 1 and as well type 2, so from that point of view could
> be either. But my instinct is that if my daughter's slightly raised
> fasting BG indicates the beginnings of anything, it is more likely to
> be type 1 - but do hope it isn't either.
> 
> I'm sorry to hear of all the illness and misinformation given by GP's
> and others that has been flying around over recent years in your
> family - doesn't enhance one's level of trust.
> 
> In our case, since my daughter is a nurse and also since I work in a
> hospital and have close professional contact with diabetes
> specialists, we are already on the way towards a second opinion - some
> emails have been flying around since I wrote my initial message - but
> have to wait another couple of days for a fully considered opinion.
> 
> Nanette
> 
>> On 13 December 2013 14:13, Jackie Jacombs <email @ redacted> wrote:
>> 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!) .
>> Follow us at https://www.twitter.com/insulinpumpers
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>> .
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