I'm wondering what you guys would do in this situation. I'm 13 weeks along, my A1c is 6.0 and up until 2 weeks ago my gestational endo did basically nothing to change doses of insulin and would just make suggestions give me some information and tell me to keep up the good work.
THEN two weeks ago he decided that since I'm in that "low" stage of pregnancy,and decided to try and keep me from going low too much to just redo all my basal rate including changing the times some of them started and just completely doing away with other ones. I was upset he did it but changed them all that next week my average of around 4.5-7.7mmol went up to 6.3-9.0. Of course i started adjusting everything again so that it wasn't bad all the time and now this last week apparently those "lows" he was SO concerned about have turned out to be constant highs, I'm waking up at around 15mmol and it takes litterally hours to get them down again. I've changed infusion sites, used different insulin, and jacked up my basal rates again. But when I saw him on wednesday he said oh well you had no right to adjust your basal rates you probably are just getting sick or your site isn't working.
Then he said i'm not eating well enough because I've lost 7lbs from morning sickness and switched me to a high cholesterol diet of homo milk, high fat cheese, butter, peanut butter, and that I should be eating at least a hand full of nuts (almonds, peacans etc) everyday.
I already eat butter sparingly and I enjoy almonds in moderation, I avoid salt like the plague, but seriously the last thing I want to be eating right now is high fat foods, I understand the need for calorie dense foods but there are healthier ways of doing that. I am dreading my next appointment with him because he won't even allow me to explain my readings or why I did certain adjustments. He just thinks NOPE your body should be following my laid out guidelines and until 16 weeks we are NOT raising your basal rates because you are going low all the time...
I'm very frustrated and don't know how to get accross to him that I'm not a gestational diabetic who has just been diagnosed and that unless I feel there is a BIG problem I really don't want him changing everything on me because of how he thinks my pregnancy should be going. There were absolutely nothing wrong with my bloodsugars to begin with now I've had 2 weeks of pulling out my hair and worrying that I'm pickling my liitle blip in sugar. When I asked for his help with the high's he said well that's not a problem because at this point in time you should be low. I don't know. What do you all think. Sorry about the rant! :)
Unfortunately, I would say get a new doctor. :-( That is a real shame that he is condemning you for taking yours and your baby's health into your own hands.
I agree, try to find a new doctor if you possibly can. Even if he is a good doctor (which it sounds like he isn't), obviously you two are not communicating well and not seeing eye-to-eye. It's not worth the stress and frustration to stay with him, unless you have no other choice.
He was alright,he has always been hard to talk to and if you get a word in it's a miracle but its just been the last few appointments where he has really refused to take anything I have to say and has just basically talked on top of me. He didn't have my A1c results yet so when he asked if I had it done I told him I did and that it was 6.0 and he wouldn't even believe me till the nurse came in with the form saying it was 6.0.
And I agree it is a shame since he's reknown for his prenatal diabetes care, my OB basically did a backflip when he found out he was my endo. I just feel like keeping quite during the apts and then doing what I need to once I leave. If I can get my A1c down this far without serious help from him I'm sure I can maintain it without any further serious help or harm from him.
I agree with the others - 9 months is a LONG time to butt heads with your medical team about something so important. Perhaps you can chat with with your OB about another option?
But with that being said - during my first pregnancy I went with an OB that was not my endo's "preferred" dr. But everything went so well, that that group is now who she refers all of her T1 preggos to. So even if you choose an endo that your OB isn't doing backflips for, it could just be because they haven't worked together yet. Good luck!
If that’s not possible… I would probably do what works best for me. Did your previous basal rates work better? I’d switch back to them, and then I’d walk into the next appointment with report showing how it’s working better for me (compare numbers of lows and highs to the rates he has you on now).
You def need a new doc. Unfortunately I've had my share of bad endo's as well and that's a hard doc to not get along with...since obviously everything your dealing with is serious. My doctor was amazing through my pregnancy and if I made suggestions or didn't understand she would always explain and encourage me to share my thoughts. Hopefully you have luck finding a new more respectful doctor. What you were doing before sounded like it was really working for you, so if you start pursuing finding a new doc I would go back to the rates you had meanwhile...trust your judgement. I've been told countless times by endo docs that I know my body better than they do and even though they can help me regulate I know ultimately what works best for me! Good luck :)
I used a high risk OB that specializes in diabetes care manage my diabetes while I was pregnant. I've gone through 2 pregnancies as a type 1. I stayed 5.5-6.1% throughout. You need to have a good relationship with your doctor. If the doc isn't on board with working WITH you, find someone that will.
Well things got a little better only because my last appointment I had some things going on that were so weird HE didn't even know what to make of them. So we are back to waste of time appointments where they tell me how well I'm doing, that there are no changes that should be made and I'm doing everything right. Talk about aggrivating. I ended up being so sick with morning sickness the day before the apt that I went to the hospital overnight because I litterally was sick hourly or everytime I ate which ever happened first. His reaction to that, oh well to bad you can't just have morning sickness at one time during the day so we could adjust for it. **roll eyes** I'm almost 18 weeks now and the "slow" rise in bloodsugars have been more like a sudden drastic jump so I'm just adjusting as needed without him again. I'm going to go with he just had a very very bad week or two and now he's calmed down again, the only other endos are a 2-3 hour bus drive for me and that's just too much.
