False negatives are a lot more common than false positives. It is best to use first morning urine for those tests, but it might still be a little bit early for a home test. It can take some embryos. up to 12 days post ovulation for the embryo to implant, and your body won’t produce enough hCG before then for the test to pick up. Also, not all hpt tests are sensitive enough to detect very early pregnancy. Don’t lose heart and try again, first thing in the morning in three or four days.
144 is pretty good (and well within my own personal targets), especially considering the fact that you ate a carb rich meal. It might help your blood sugars to try eating lower carb meals, or at the very least adding some fat and protein (like an egg, some bacon, some plain full fat yogurt, or some cheese) to your high carb meals to slow the rate that the glucose is absorbed. What is your target post prandial glucose number?
The important thing is to not be too hard on ŷourself. High BGs happen. What matter is that you take care of them!
My endo wants my fasting to be less than 100.
Post meals she wants them to be below 120. I worked really hard to bring down my A1C from 6.9 to 6.5 for the doctor to prescribe Femara to me. Now I am worried it has gone up.
On the other hand, despite emails to both my doctors including calls to their office requesting them to give me. Blood test, none of them has bothered to reply or have their nurses call me.
I don’t like my RE. She can’t be the least bothered about what’s up with me. And I have no luck finding about her RE around here.
So, that’s how my day went. Now I am back home. I freaked out and did not touch anything till 2:20 pm and my glucose was 105 after 4.5 hours.
Then I took 13 units isbtead of the regular 10 and ate proper food like I was starving. I need to go take a walk to lower the high that’s happening now.
Wow, as a type 1, those kinds of targets seem so far out of my reach.
I think it would be really helpful for you, in order to get that kind of tight control, to ask your endo on the 18th to tach you how to count carbs and tell you your carb ration, so that you can take the proper amount of insulin for the food you eat, as that would help your numbers stay on target. And also teach you to do proper corrections.
Also, don’t starve yourself because you are afraid of high sugars. If you are growing a baby in there, it is important for the two of you to get good nutrition. Plus, I know for me, if I skip meals, I tend to over eat the next time, which isn’t super helpful. Also, your numbers aren’t so high as to put you in immediate danger, and if physical activity brings them down, then you are okay. Stress can raise your blood sugar. Take some deep breaths. Do some yoga, drink some chamomile tea, have a bubble bath, and be kind to yourself
Stay positive, take another pregnancy test in 4 days and before you know it you I’ll be at your doctors appt where they can requisition a blood test. I don’t think they will be mad at you for slightly elevated sugars. Both pregnancy and femara are known to cause hyperglycaemia. It will be okay!
Not to be “that person,” but I was quite surprised by your earlier post with your significantly higher targets, and would like to encourage you (and anyone else who is either pregnant or trying to conceive) to try to follow the lower ones (or split the difference at first at least and try to move toward them). I hope this does not come out the wrong way, but 180 is not a good target even when not pregnant.
I am not sure how long you’ve had diabetes, what insulin regimen you are on, where you receive your care and who suggested those particular numbers, but would be happy to chat in personal messages if you are interested in some ideas how to work toward lower targets. Yes, the occasional high might happen, but the overall trend one should be aiming for needs to be at levels least likely to produce complications for mother and baby. I’m not going to pretend it’s easy, but it is completely doable and the good news is that when carrying our future child, we all have all the extra motivation we might need!
@Dessito - Thank-you for your concern, but I think this is one of those YDMV situations, and also why it is important for OP to discuss appropriate goals for her with her endo, and also how she can reach those targets (by perhaps changing her insulin regime so that she can learn how to do corrections and count carbs, rather than taking a predetermined amount of insulin) on her upcoming appointment.
I’m not in the states, but have been in hospital several times since finding out that I am pregnant. In fact, that is where I am right now. In a specialized inpatient endocrinology unit, so I can assure you that those targets are appropriate for me at this time. The way that I found out I was pregnant was because my sugars were hovering around 17 mmol/L and would not come down. At this time, my team here in hospital of endocrinologist, rheumatologists, cardiologists and obstetricians feel that those numbers are reasonable, because the only way that they have been able to bring them down has caused me to have severe hypos afterwards that have lead to seizures. At this time, those numbers are low enough to prevent DKA, but high enough to prevent seizures for me. I have other medical conditions that complicate things (when I fell pregnant, I was taking medications for both lupus and bipolar disorder). After my first trip to the hospital, I had to be removed from most of the medications I was taking, but without the cytoxan, several complications from the lupus started to return with a vengeance (even though I was put on plaque nil), and so in order to keep my kidneys and lungs healthy, I had to be put on prednisone, which lead to another episode of sugars over 33.3 mmol/L (but it much healthier for baby than the other DMARDs I was taking at that time). And put me back in the hospital where I am now. While lower blood sugar targets would be healthier for baby, if I die from lupus complications before baby is able to survive outside of my body, it matters very little. It may be possible for me to reduce the amount of prednisone that is required as the amount of plaque nil builds up in my system, which would mean that I could have lower blood sugar targets, but right now, this is the safest way for both me and baby to stay as healthy as possible.
However, my issues with lupus aren’t really relevant to this forum, nor to the OP. That is why I pointed out that those were my personal targets and that she should consult with her own doctors, don’t you agree?
Hi ladies,
I have been seeing my diabetic obstetrition for the past 2 years and she’s very helpful when I visit her. She has put me on insulin doses and adjust them for me according to my requirement as I have other health conditions as well. So I do get stressed out if they are high but Vika thank you so much for your guidance.
I am an active part of the American Diabetic Association too!
Thank you all for your input and insights! Much appreciated because we never know what we can learn right?! ️
Wow, yes…this is a good example of when standard guidance may not fit.
I was going to say that the targets I was given were close but slightly different from @Dessito… 60-99 fasting, <140 1 hour post-prandial, <120 2 hours post-prandial. If I stay low carb, I can generally stay well within those ranges. Add in processed carbs or starchy vegetables, and all bets are off. Actually, I’m finding that following a LCHF diet is making those post-prandial guidelines tricky. My 1 hour post-prandial is usually well below 120, but then 2-3 hours after, my bg starts to drift upwards because of the high fat/protein content relative to the carbs. It just requires a different strategy than the typical. But pre-blousing has definitely been a key strategy.
Now that I’m in a second week of insulin resistance (which required yet another aggressive upping of my pump settings), it’s a little more frustrating and I’m battling more persistent lows as a result of the aggressive setting adjustments. But for me, the lows are manageable and they are flat (rather than downward trending), so they are not as scary.
My goal in posting this is not to counter anything you’re saying, but also in the spirit of @Dessito towards others who may be pregnant. Barring any significant other situations like yours, the standard pregnancy targets are pretty standard for your run of the mill diabetics. And also like mentioned previously, while it’s feasible to make adjustments to stay within the targets most of the time, it’s near impossible to be perfect. The goal is to keep average bg as close to within normal range as possible and to avoid persistent high bgs, particularly early on in pregnancy, in order to avoid any problems with the baby’s development.
I hope your pregnancy goes smoothly and that your team is able to keep your conditions in check. Diabetes is hard enough and I only know a little about lupus, but the little I know is enough to know it is no joke.
I am a bit confused though: at no point did I claim that those targets were suitable for anyone other than me, did I? In fact, what I said was
while I misspelled don’t, the point remains that I never said she should follow my targets. I said they were my own, and I didn’t want to comment on hers.
While I did say that 144 was pretty good, at that point I still didn’t know what her targets were or how long after eating it was that she had gotten that number, so I assumed that a target of <140 for a random glucose reading seemed reasonable, in which case 144 is very close to that.
I think we are all agreeing on the very same thing at this point: the very best thing is for everyone is to follow their own personal targets, given to them by their doctors, who know their unique situations. It’s probably better that no one self adjust their targets to match those of another without first consulting their doctor, right?
For OP, this means that she needs to get her post prandial numbers down below 120. 144, while higher than her targets, is probably not so high as to warrant a trip to the ER, but definitely, as it is a recurring patter, high enough to bring up with her doctors at her upcoming appointment. It sounds like she has a very supportive doctor who will be able to help her adjust her meds and keep both her and her possible baby safe and happy.
In my own, personal opinion, I think it might be better not to stress over highs, because they happen to everyone. Instead of stressing, which could increase BG further, if I were OP, I would would want to evaluate whether or not the high was high enough to warrant immediate medical care, and then I would want to take a proactive approach to reduce the high that is currently occurring and get help from my doctor as soon as possible to adjust my medications to prevent further highs. But that is just my opinion. I’m not trying to say that the high is nothing, or that you should just ignore it, only that it has already happened so at this point there is no use in beating yourself up over it. I’m sorry if my wording made it seem otherwise. You should definitely still do everything in your power to correct it and prevent further highs, but having had a high at breakfast doesn’t mean that you should have to be so afraid of another that you feel the need to skip a meal if you are hungry. To me, rather, it suggests that you need help from your medical team to get your sugars under control so that you don’t have to go hungry.
But that’s just it - it’s just my opinion. I’m not a doctor, so I have only my own experience, the experience of other family member, and the two years I worked as an LPN in a maternity ward before my career change to go off of. Which is why my opinion should be taken with a rain of salt. With that, I am going to bow out of this thread, because I feel like we have jacked it away from OP, and her possibly very exciting news in the next few days.
