I’m feeling a little frustrated after my first pre-natal appointment. I’m T2 and 9 weeks pregnant with my second child. I was originally diagnosed with diabetes at 13 weeks with my first that never went away. I’m diet-controlled and have been able to maintain an A1C around 5.2. We moved since my daughter was born so I have all new doctors this time. I will admit I went into the appointment not feeling super confident in them because when I called to set up the appointment the nurse told me I would need to take the 1 hour GTT, which I had no intention of taking. I already have the problem that doctors are always skeptical that I am T2 because I am thin, eat healthy, am active and have never had elevated fasting numbers. Yet multiple Endos have told me I have diabetes because of my post-prandial numbers, and I am negative for T1 auto-antibodies and MODY 1-5.
So yeah, the Nurse Practioner tried to get me to do a 1 hour GTT, which I refused, to which she replies, “So you want us to just treat you as a diabetic?” Yes, because I am? My diagnosis is in my chart which you have access to, and I have a blood sugar log for the past several months showing that there is a 0% chance I will pass a GTT and my blood sugar numbers since I’ve been pregnant. She also informed me that I will be considered higher risk and induced at 38 weeks if I go on insulin, but not if I take oral medications or stay diet-controlled. I was hoping to start insulin (which I also took during my last pregnancy) to give me a little more flexiblilty in my diet instead of having to go keto. I already have IBS so I don’t want to try Metformin. I tried keto last time and felt terrible on it, but I can maintain good blood sugar control that way. I’m annoyed that my diabetes is considered “worse” if I opt for a certain treatment. Why does choosing oral meds over insulin mean my diabetes is better controlled and therefore I get fewer interventions?