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Re: [IPk] blood glucose levels in early pregnancy



Hi Nanette,
WOW snow in Jerusalem sounds amazing!B 

 Whilst pregnant the levels I was told to aim for were 3.5-5 fasting and below B
7 within an hr of eating. B Obviously this is jus the aim no one realistically
can acheive this the enitre time esp as pregancy alters insulinB requirements
weekly sometimes daily. The increased risk to baby is hba1c above 7 so with yr
daughters current levels she will b well below that. It is sustained highs that
can cause the damage and of course there r ladies with considerably higher
hba1c's who have given birth to completely healthy babies.

 She may well b able to control it with diet and tablets alone during pregancy
depends how strict she is with eating and how determined she is to stay off the
insulin. B Whilst pregnant I became friends with a girl who was pregnant with
twins and gestational diabetes she was determined to stay off insulin and wow
she managed it but her diet was seriously low carb and dull I had too many
pregancy cravings for that!B
 Congrats to your daughter on the pregnancy sorry that there is concern over B
her blood sugar but sounds as thou u r goin to get on top of it medically.

And congrats to u Zoe on your pregnancy :)

Hannah


Sent from Samsung Mobile

-------- Original message --------
From: Zoe Formby <email @ redacted> 
Date: 13/12/2013  13:04  (GMT+00:00) 
To: email @ redacted 
Subject: Re: [IPk] blood glucose levels in early pregnancy 
 
Hi Nanette,

I'm currently 18 weeks pregnant, and my targets are to have fasting levels
between 4 and 5.5, and ideally no higher than 7.5 postprandial.B  As I've
found, blood sugars can be erratic at times, and so it's not unusual to
have higher (and indeed, lower) sugars on occasions despite strenuous
efforts to keep within range: occasionally the affects of hormones are
quicker than I can counter!B  However, providing *average* sugars remain in
range, I've been reassured that there's little to worry about (or rather,
no more worries than a pregnant woman usually has...).

Hope everything goes well for her.

Zoe


On 13 December 2013 12:58, Cathy Taylor <email @ redacted> wrote:

> Hi Nanette,
>
>B  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
>
>B  > 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
>B  >> 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
>B  >> 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.B  I was with her on many occasions
> and
> >> before severalB  invasive procedures.B  Her BG levels were always
> perfect.B  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.B  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
>B  >> several times after meals and the levels were always within non D
> range. So
> I
>B  >> went and had a fasting test done and they had to wait to see the nurse
> at
> the
> >> "well woman clinic".B  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".B B  So
> she
>B  >> 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
>B  >> 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
>B  >> 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
>B  >> 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
>B  >> 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
>B  >> 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
> >> Make a long URL short at http://type1.org
> >> .
> >> Follow us at https://www.twitter.com/insulinpumpers
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> > Follow us at https://www.twitter.com/insulinpumpers
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