That's what the nurse practitioner from my OB's office said in a call this morning. "Your A1c is 6.4 & the Doctor is VERY Concerned About That."
As I've mentioned in a recent post, she wants my A1c under 6 (which it was for nearly all of my last pregnancy).
Even better? The NP said, "Are you on a diabetic diet?" So I explained that I'm on intensive insulin therapy via pump, because when I hear "diabetic diet," it's usually in the context of a T2 or pre-D controlling their BG via a strict diet. She interrupted me and said, "I know that, but she's worried about your glucose levels and wants you to go for a nutritional consult."
Nutritional consult? Really? She thinks I must not know how to eat well for my blood sugar, when she's seen me have such great control before? I may not always make the best choices, but I find the suggested need for a "nutritional consult" slightly insulting. This, from the woman who told me to eat peanut butter to bring up a bad low blood sugar. (Yeah. Really.)
But luckily, she was calling partly to confirm who my endo is, so they can recommend she order this consult for me. My endo knows I know my stuff. I faxed her a note about the situation and said that if there's some sort of pregnancy-specific training her CDEs could offer, great, but I didn't want to end up sitting though Whole-Grains 101.
Oh, and they also think I should start seeing the prenatalogist sooner rather than later. I did the research after you ladies assured me that there have been many healthy babies born to women with quite varied A1c scores on this site, and it's not until 7 and up that "risks to the fetus" are seen at higher rates than women without diabetes.
I like my OB, except she stresses me the hell out over my BG! Yes, I want to get my A1c down before we get to the point where the baby can start gaining weight too fast. But yikes... I'd have expected a response like this for a much higher A1c!
Thanks, I just needed to vent. :)