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Wednesday, 13 July 2011

Pregnancy and type 1 diabetes - Preparing for pregnancy

So I guess by typing this I'm putting word out there that I'm pregnant :) Approximately 6 weeks by the time I type this.


This is despite the 'old custom' of waiting to tell people for 3 months after finding out. I suppose it's safer as most miscarriages happen during the 1st trimester but if I can help someone else I'd rather be spilling the beans early lol

I've starting reading maternity books way in advance and chatted to my endo and gynae when my husband and I decided that now was the time to start a family (good bye happy money lol). Also also had the opportunity at this early stage to discuss concerns and the effect of my diabetes on the foetus.

Here's what I've learnt:
  • Even though I will be classified as a 'high risk' pregnancy I'm at no greater risk IF I ensure that my blood sugars are within an acceptable range
  • Hba1c results before trying to conceive should be in the 6 range and should be taken at least every 3 months
  • Even though I have diabetes I do not have to test my baby's blood glucose often (I was concerned about this). They will do the test at the hospital.
  • I do not necessarily have to have a C-section unless I have complications, but I can discuss this with my gynae
  • My baby is less at risk than my brother's (who also has type 1 diabetes) baby of having type 1 diabetes (as he would be the carrier in this instance)

Breathing a SIGH OF RELIEF and hearing that many of the other women I know that also have type 1 diabetes have all had healthy pregnancies and babies. So this keeps me hopeful, despite having an experience of a type 1 diabetic who's pregnancy did not go well at all. Let's not dwell on this negative for long.

So these are the actions I've taken:
  • I ensured that I upgrade my pump to get a sensor (so that I could obtain my glucose reading every 5 minutes and spot trends)
  • I went for my Hba1c tests (ok maybe not every 3 months) but I was closely tracking my trends monthly
  • My Hba1c result was 6.0 by the time I fell pregnant
Now just to deal with PREGNANCY - mmmmmm I was always well controlled and I take special care to ensure that my blood sugars don't go crazy! Ok fine, I don't also go exercising as regularly as I should and I could do with less carbs, but I'm  not perfect but I do TRY! I've found that it's harder to control my blood sugars now but I'll cover my game plan in my next post (it's the HORMONES I tell you lol).

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