I posted this in Gestational Diabetes and Diabetes and Pregnancy forum too so forgive me if someone has had to see this twice! Anyway, my subject line pretty much sums up my question -- though actually I have quite a few. Please understand that I am consulting with all the appropriate medical professionals (endo, high risk ob, nutritionist, cardiologist) and I am not asking you for medical advice -- or any advice at all, really, I just want to hear from other type 1s who have had kids, thought about it, etc. And if you all think I'm taking a terribly high risk, please share that -- I feel like no one has told me honestly yet.
Anyway, I am 43 and pregnant. I was pregnant once before, in 2007, but I miscarried. After that, it turned out that though I am fit, active, (was) normal weight, had A1Cs consistently in the 6s, and have been pescetarian for 25 years (eat a variety of veggies and fruit, fish but no meat and low-fat dairy) I had a coronary blockage. I was devastated and in shock, given that I've done everything as right as I could, and also given that I'd had no other diabetic complications at all. I had a stent placed, and life has gone on, relatively problem-free.
My husband and I were certainly not trying to get pregnant this time, and at the moment I think we want to get excited but we have a lot of fear and anxiety and we haven't yet decided if we will risk proceeding with the pregnancy. We have a consultation on Friday with a high risk OB who knows my deep dark medical history, and she'll tell us more about options for terminating as well as the real risks of complications and abnormalities.
In the meantime I just would love some other human voices -- some words from people who know the fear of trying to do this while diabetic. If it were you, what would you do, given my geriatric age (child-bearingly speaking) and my history of heart disease? Kidneys are functioning normally and all else is in good working order. Though, honestly, if I had been trying to get pregnant I'd have lost 12 pounds first, but nothing I can do about that now.
If anyone has experiences to share, both good outcomes and not so ideal, I'd love to hear. Also, if anyone has advice for keeping blood sugars in the pregnancy target, I need all you can give me. Hormones have changed all the rules - namely, there don't seem to be any now.
Also am wondering: is it possible to be an insulin dependent Type 1 diabetic, keep blood sugars within the target range during pregnancy AND not gain a ton of weight? I really don't want to gain as much as I know just packing on the insulin will cause me to.
Whew. Long one. Lots of anxiety and fear here -- thanks for letting me share it, and I hope to hear from some of you.