Recently found out I’m pregnant. I did a lot of planning prior to this and talked to both my endo and my OB… My endo doesn’t treat pregnant women, she deferrs everything to OB. I thought I had found a wonderful OB who would take me on. She said everything was fine and just to call as soon as I was pregnant because I was high risk. She wanted to see me right away.
Now her office says they don’t treat type 1 diabetics in pregnancy and I need to go somewhere else. Wth?!?!
On top of that my blood sugars are high and have been between 200 and 300 except the 2 low excursions I had last night. All of this is out of character for me and I don’t know what to do to fix it. It seems like when I correct I go low but it takes 3-4 hours for the insulin to work!
You need to see a high-risk OB who has experience managing patients with Type 1 diabetes ASAP. Because blood sugars between 200 and 300 are not healthy for anyone much less someone who is pregnant. I have no idea what your particular treatment regimen is, but the vast majority of pregnant women with Type 1 these days utilize an insulin pump and a reliable (a.k.a. Dexcom) continuous glucose monitor to maintain very tight control, e.g. fasting BGs in the double digits and post-prandial excursions no higher than 140 (or even less). I recommend contacting your state’s medical board for a list of high-risk OBs in your area; I doubt they will be able to answer which high-risk OBs have experience with Type 1 diabetes. This may require you to start making phone calls and asking. Alternatively, if you are comfortable stating the city and state in which you live, there may be some members who could recommend a particular high-risk OB.
Oh, and congratulations, juliannaergrl, on the good news, and keep us posted!
Definitely start calling high risk OBs right away (or Maternal Fetal Medicine doctors). It is especially important to keep tight control during early fetal development. You may also find some endocrinologists that work directly with high risk offices - that’s the situation I’m in. My endo has a direct relationship with my MFM specialists, and they work together to monitor everything.
While I am T2, I have found that my needs have changed drastically during this pregnancy - including at the very beginning, and again mid- second trimester.
Congrats on your pregnancy! It is frustrating that your doctor and endo both mislead you, I hope you can find appropriate care soon.
I am on a pump and a dexcom and I have pretty good control, until this. I know I need a high risk OB but I also need a referral to see them and I need to see by OB for the referral.
I know high blood sugars hurt the baby… That’s why I am so upset.
I don’t personally know about T1 and pregnancy, but I do know that a very high profile T1 woman is pregnant right now: Kerri Sparling at sixuntilme.com. I would go to that website and shoot her an email. She might know how to find the best high-risk OB or know someone who would know how for your area. It’s worth a shot.
First, congratulations on getting pregnant!!! When I got pregnant, I personally needed to increase my basal doses and bump up my fast-acting dosea right away - the increased progesterone is notorious for causing insulin resistance. I second the pp and recommend you call a high risk ob or maternal fetal medicine place - they will hopefully see you very quickly since you are already pregnant! It is great that you have a cgm - this has been my greatest tool in achieving my targets. There will be a lot of changes and adjustments but you can do this!!!
Thank you Maria. My OB called this morning and she has me set up for Tuesday at the diabetes clinic at the women’s health center. I am so happy to hear that other people had to increase right away because I really thought something was wrong and was fighting it. Much enter today though. Been less than 130 since this morning… Not to keep it that way!
