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Re: [IPk] blood glucose levels in early pregnancy



Thanks very much, Hannah!  As I'm sure you remember, it's an anxious time,
but also pretty amazing too :)


On 13 December 2013 15:59, hansicle <email @ redacted> wrote:

> 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
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> > >> .
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> > > .
> > > Follow us at https://www.twitter.com/insulinpumpers
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> > .
> > 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
> Make a long URL short at http://type1.org
> .
> Follow us at https://www.twitter.com/insulinpumpers
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