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Re: [IPk] Re: Pregnancy and the pump
I've 27 weeks pregnant, my blood sugars are so good and my monthly blood
test show that its 5.2, I have come off my insulin injections for a trail
period and they haven't changed at all (fingers crossed they will stay like
I was on 4 injections a day, 4 units breakfast and lunch, 6 units at tea
time and 24 units at bedtime, they were thinking for lowing the dose yet
again. I have been able to eat and drink everything too, everything a
diabetic shouldn't have.
I was thinking of going onto the pump but with the things the way they are,
I might have to go onto tablets after my baby is born or just diet
----- Original Message -----
From: Kate Clapham <email @ redacted>
To: <email @ redacted>
Sent: Monday, February 05, 2001 8:05 PM
Subject: [IPk] Re: Pregnancy and the pump
> I have just checked with my sister - also a diabetic, and also a Member of
> the Royal College of Obstetricians and Gynaecologists...
> She thinks it highly unlikely that the baby produced sufficient insulin
> the mother as well - insulin is a growth hormone and a baby producing that
> amount would be huge...
> Insulin requirements increase during pregnancy - towards the end of my
> 2 pregnancies I was taking at least 3 times my normal dosage. My
> requirements dropped dramatically while I was pregnant with my eldest
> daughter - this was due to my placenta breaking down and resulted in my
> daughter being born by caesarean section at 35 weeks. I was also
> polyhydramneous - a sure sign that I had high blood sugars - although my
> HbA1c was less than 6.
> Thankfully, Kayleigh is now seven years old and full of beans, but it was
> bit dicey at the end.
> My pregnancy with Molly, while using a pump was completely different - it
> seemed to last for ages (because I was conscious throughout!). There is
> every reason to consider pump therapy during pregnancy - my case alone
> proves the advantages and I am sure that there are a lot more women who
> I am more than happy to discuss pump therapy during pregnancy with anyone
> who needs to know more - you can get my number from Disetronic, but please
> be careful about using examples like Stephanie - there are many worries
> a pregnant diabetic to contend with, and I applaud Susan for taking the
> "best"option during her pregnancy. There is no reason to feel guilty -
> presumably you are not smoking, drinking or eating blue cheese!! (Yuk!) I
> found these easy to avoid - but am still struggling with the incessant
> cravings for chocolate!
> NB The baby controls its own blood sugar while in the womb, and will
> produce enough insulin to reduce high blood sugars that pass across the
> placenta from mother to baby. After delivery, when the mother's blood is
> disconnected, the baby will take a little while to adjust to producing
> enough insulin for its own body. A diabetic mother's baby may need
> intraveneous glucose post delivery while its system adjusts to its new
> regime - ie the excess blood glucose present in the placenta from the
> is removed. A baby born to a diabetic whose blood sugars are uncontrolled
> will be larger than average (due to the excess insulin), and will
> hypos post delivery. The fact that Stephanie's baby went hypo suggests
> her bloodsugars were not as "normal" as you imagine.
> My polyhydramneous was caused by my babies flushing (as we all do with
> blood sugars),and therefore causing more fluid to be produced. As I said
> above - my HbA1c's were fine, but I see-sawed between unconscious and 20+.
> My pump calmed everything down, and I managed my third pregnancy with no
> fits, no bouts of hysteria, and only about 4 blood sugars above 10 in the
> whole pregnancy! - and there was no evidence of polyhydramneous (the huge
> weight gain was all me!)
> Sorry if this seems incredibly patronising - I know from personal
> how scary pregnancy can be and have spoken to a lot of women about the
> benefits of pump therapy - I would advise anyone worried about any of the
> comments made in these e-mails to discuss them with your diabetic team -
> the obstetric team at the hospital...
> for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
> help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml