I am new here and hoping to get some answers from people who have “been through it!”
I am 34 years old. About a year and a half ago I was diagnosed as diabetic. My primary doctor at the time told me type 2. I basically got sick with some form of hand foot mouth and about 3 to 4 months later went back to the doctor and a1c was through the roof. 11! Maybe totally unrelated. I felt like I was having some issues prior to that as well.
My primary put me on metformin and I was able to bring my a1c down to about 8 and then down slightly again with the start of trulicity.
Fast forward to now. I started seeing an endocrinologist to get ready for pregnancy and was put on Lantus and some meal time insulin. Currently I am still looking like type 2 but don’t really fit the molds. My numbers looked much better and a1c is currently 6.8. We got pregnant but last week we were told it was a blighted ovum and I had a d&c. We were 10 weeks into the pregnancy.
My specific question is what insulin changes do you typically see early on in pregnancy. When I found out I noticed very unexplained highs. I went from 20 units daily for lantus. About 3 weeks ago I was switched from lantus to levemir and am now on 22 units twice daily. My endocrinologist tries to explain that we were increasing the amounts anyway and they are unrelated to pregnancy. I think I disagree. Earlier in the pregnancy I was seeing huge swings but better over all control. I feel like I needed more insulin as things progressed. Two weeks ago I could barely stay under 200 overnight and would get up and correct with humalog 1 to 2 times in the middle of the night. Now I am much more in range and going low often on the same dose.
Anyone relate? Any advice? I want to get my a1c in tight control before we try again. Any help is appreciated!