I just got a BFP this week, and am waiting to hear back from the lab about my blood work. This pregnancy is a complete surprise, as before this I’ve always needed help to get pregnant.
After my miscarriage in April, my doctor started me on Lantus. Now he wants me to stop but doesn’t know what to do about what my sugars will be like! (really helpful, huh?)
So now I’m playing a wait and see game until I can get my pump and get taught how to use it! I feel like I’m meeting resistance every step of the way with getting this disease is out of control!!!
Congratulations, Jennifer!
It is always tricky w BG and pregnancy, isn’t it? I would suggest really intense monitoring and be prepared for anything. And get a perinatologist if you live in an urban area and have access to one!
Hope you are happy and are able to keep those sugars close to normal most of the time. Excursions happen for sure. But if you were on lantus pre-pregnancy, I’m not sure why you’d stop that now?
Good luck!
I agree that you should stay on Lantus. You’re going to need basal insulin still, and likely some meal time bolus insulin, too, as the second and third trimesters progress.
Some doctors are concerned about Lantus being ‘untested’ in pregnant women (perhaps that’s his reasoning), but we have PLENTY of women here on TuDiabetes who used Lantus throughout their pregnancies. While I didn’t (I’ve pumped since 2000), my endo gave me a bottle of Lantus during my first pregnancy just to keep on hand in case of pump failure. Your ‘tested’ option for basal insulin would be NPH (which can be a nightmare in terms of control, but is often prescribed to women with gestational diabetes). My endo said once that if you were on Lantus before pregnancy, there’s no reason to discontinue it in favor of a different long acting insulin.
The pump will make things easier for you, hopefully, and will certainly make adjusting insulin dosages throughout pregnancy a lot easier! Your insulin needs can change from week to week.
I think he wanted me off the Lantus for that exact reason. This morning, my sugars weren’t too bad. They weren’t great either though.
I’ve got all the forms for my pump I’m just waiting for my insurance company to approve it.
I think that Lantus isn’t always given for pregnant women because its effects on children under 6 is yet to be fully understood. Is your doctor a GP or an endo? An endo or another doc who specializes in working with pregnant women with diabetes might have a bit more insight on this. If you are using insulin to control your blood sugars, my guess is that you should be continuing with it throughout the entirety of your pregnancy. Hopefully you will be up and running with this pump soon. Good luck to you and Congrats!!