Diabetes and pregnancy

Good I am also diabetics and I am considering being a mother.I have the hemo to 8 and my endocrine as it is logical has told me to wait for me, but I have asked him to derive me to an endocrine in the clinician of Barcelona who is a specialist in pregnant and future diabetics and he told me not and k continue working.With this Covid a year ago of the last analytics, they made a telephone visit to me and only tell me that I have to continue working.It is clear that I will continue working but a help how to put on the bomb would not be bad Aunk outside for a while.What would you do ??Thank you

@Lidiii The first thing requires that they do you from the hemo every 4-5 months at most because without that how do you improve or not?The pump can help you make faster adjustments but it is not magical, the work of counting rations, knowing your body, knowing how to adjust insulin you have to do it the same.I don't know if you have it already controlled that or not, but a review is always good.With bolis you can get good control too, education in diabetes is more important than the treatment you use.I do not carry a bomb and have been 3 years around 5.5 and the last one before I was embaraza was 5. I got more seriously and with the Free alarms in 130 to avoid hyper and I managed to go down.Also reducing hydrates, for 3 years as low in hydrates and that has helped me a lot.But the most important thing is still thinking that it is a good diabetological education and knowing your body well and how it reacts to different foods, changes in hormones, etc.In pregnancy it is a hormone party and requires many adjustments, I am changing doses all day.
I do not know if they finance the Free, if not, it insists because for pregnancy it is important to see the graph of the whole day and that does not go up between hours and surely helps you improve the see the graphics.
Cheer up and see if you are lucky with the bomb because in some places I think it costs a lot to get them to put it on.But that does not prevent you from getting pregnant, can be done without it, only a little more effort is needed.

Yesssica_a said:
@lidiii The first requires that they do you analytics of the hemo every 4-5 months at most because without that how do you know if you have improved or not?The pump can help you make faster adjustments but it is not magical, the work of counting rations, knowing your body, knowing how to adjust insulin you have to do it the same.I don't know if you have it already controlled that or not, but a review is always good.With bolis you can get good control too, education in diabetes is more important than the treatment you use.I do not carry a bomb and have been 3 years around 5.5 and the last one before I was embaraza was 5. I got more seriously and with the Free alarms in 130 to avoid hyper and I managed to go down.Also reducing hydrates, for 3 years as low in hydrates and that has helped me a lot.But the most important thing is still thinking that it is a good diabetological education and knowing your body well and how it reacts to different foods, changes in hormones, etc.In pregnancy it is a hormone party and requires many adjustments, I am changing doses all day.
I do not know if they finance the Free, if not, it insists because for pregnancy it is important to see the graph of the whole day and that does not go up between hours and surely helps you improve the see the graphics.
Cheer up and see if you are lucky with the bomb because in some places I think it costs a lot to get them to put it on.But that does not prevent you from getting pregnant, can be done without it, only a little more effort is needed.

Thank you very much, if I will ask for an anilitic the problem you call and call and do not answer.If I bought the free, unfortunately they do not finance it to me and the truth is that he is going great.You are right I have to start knowing myself now I am at that time.Thanks for so many tips

@Yessica_a I have read that you carry a low diet in hydrates and wanted to ask you what they have told you about pregnancy, I try not to eat many hydrates because if it is not impossible to maintain the 65-130 objectives that mark in pregnancy, my current hemoIt is in 5.2 but I inevitably have ketone bodies in urine when I wake up, in the doctor I have told you not, but they insist very much that it is very bad for the baby and that I have to eat hydrates every 4h, and at night at 12It is the last thing I need 🤦 I would like to know more opinions because of course, I inevitably feel bad if one day I do not mend or do not like something at dawn because I am a little high or whatever ...

@erpla I told my endocrine on the last visit just before the implementation and told me that I saw the low hydrates diets well while they are not very strict (basically including vegetables and some fruits and legumes if they do not feel bad, which is what it isthat I do).
I have not seen me for pregnancy, I have the first echo tomorrow because I'm still 8 weeks.I have not seen the midwife or gyne so I don't know what they will tell me.Anyway, I have investigated it a lot and I am clear that I am not going to eat every 4 hours or to get a wake of hydrates, they tell me what they tell me.
The ketone bodies harm the baby if they are above normal like us (risk of ketoacidosis), but at normal levels they are not harmful.We would not have survived as a species if they were.Now we are in a time of abundance and we can eat every 4 hours and all the hydrates we want but it is an exception in history.Normally throughout our evolution there has been food shortages and those rich in hydrates such as fruits only in season, and cereals and the like they have been very long in human food.It would not make sense that we would have developed the ketone bodies as an alternative fuel to glucose if they were harmful to something so necessary for the survival of the species such as reproduction.Also in pregnancy they occur much faster, it would not make sense that the body produces them more easily right at that time if they are harmful.Sometimes doctors insist on following what they learned 20 years ago even if it goes against all logic.I suppose that all these beliefs are based on diabetic pregnancies of years ago that they ended up in ketoacidosis because control with rudimentary methods then was not as good as now.Only those who are updated realize that it makes no sense and see things differently.There are many nutritionists and doctors who in gestational diabetes recommend low diet in hydrates, I do not see much difference with a well -controlled type 1 type with insulin.
They have not told me anything yet but if they tell me I will not pay attention to them, in nutrition issues they are generally outdated all doctors.I will look at myself in blood to see that they are below 3 and voila.I have gone from 2 meals to 3 but because I am more hungry and I feel like breakfast and I also calm the nausea in the morning.But I continue with few hydrates and I plan to continue like this and I am not willing to eat every 4 hours and less get up at dawn.As something more fruit than before (1-2 a day) and little more I have varied.
I am clear that the high glucose is demonstrated without any doubt that it is harmful to the baby, instead the ketone bodies provided they do not rise too much there is no evidence that they are harmful and they have no sense that they are.In addition, babies are born in ketosis and while exclusive breastfeeding usually maintain ketosis.I do not see because it will be harmful before birth and then not if we are all clear that the best thing for the baby is breastfeeding.
I cannot advise you what to do, that has to be a decision of yours and you choose what you choose will be fine.Simply with all the information makes the decision that you consider better for you and your baby and do not feel bad about it.As patients we have the right to inform us and decide, not to impose anything or make us feel guilty for making a decision or another.

How well explained @yessica_a, Bravo, I stay a lot with the phrase of "as patients we have the right to inform us and decide, not to impose anything or make us feel guilty for making a decision or another."Many endocrine sometimes seem that they are forgiving your life ... I directly or comment on the low diet in hydrates, step into controversies or that they put my head like a hype.

nigiri said:
how well explained @yessica_a, bravo, I stay a lot with the phrase of "as patients we have the right to inform us and decide, not to impose anything or make us feelguilty for making a decision or another. "Many endocrine sometimes seem that they are forgiving your life ... I directly or comment on the low diet in hydrates, step into controversies or that they put my head like a hype.

Sometimes it is the best, you tell them to do everything and then do what you think best.But it is sad that we have to get to that point of lying to the doctor when your work is not imposing or affirming.They should inform and help what they may even agree with the patient's decisions.Even if they think he is doing something harmful they are nobody to impose that you do not do it, all they should do is inform the risks that that supposes.

Thank you very much @yessica_a the truth is that if your endocrine gives you approval in pregnancy that leaves me calmer, the truth is that both my endocrine and my educator are young, I do not understand why so closed in this matter, but it isIt is true that many times I think that there will be non -diabetic pregnant women will not eat so many safe hydrates.I will continue doing what I want, haha
Thank you and a lot of encouragement with pregnancy!I already wishing the end of 🤣

erpla said:
thank you very much @yessica_a the truth is that if your endocrine gives you the approval in pregnancy that leaves me calmer, the truth is that both my endocrine and my educator are young are youngI do not understand why so closed in this matter, but it is true that many times I think that there will be non -diabetic pregnant women will not eat so many safe hydrates.I will continue doing what I want, haha
Thank you and a lot of encouragement with pregnancy!I already wishing the end of 🤣

You already have very little.Let everything go very well.

Hello again.I haven't written, well, tell you that I lost the baby, they told me that it could be from diabetes because I got out of control, but what could be for other causes.I spent it and I still have a bad time and well, now on Monday they asked me for the Medtronic Insulin bomb, they told me to control the basal, but I don't know what it is, they put it in Mérida.I have pregnancy contraindicated until I control, I currently have a hemo of 8, and I wanted to ask those who take a bomb that such is the adaptation period and if good control is achieved well.I have read about pumps and it is a jaleo, leo square bowling and the storms and it seems complicated, I suppose that in the formation everything will explain to me.Thank you!

@SONIII I'm very sorry, go shit.When it happened to you, did you have the hemo in 8 too?It is quite high both to want to get pregnant and for normal day to day.I do not use bomb but all the people I know that carries it is delighted, surely at the beginning it costs you but it will be worth it and as soon as you have the lowest hem, to try again.Greetings and take care of yourself :)

Hi @Sonii I feel a lot what happened to you 😓
My experience with the bomb has been very good, they gave me a 4 -day 5 or 6 -hour course every day where not only was the pump handling, but also diabetological education, rations, exercise, food, all handled with the pump.We left there with the pump on and very well prepared those that we did together.
On the other hand at the time of control is phenomenal and especially if it controls you the basal ones, that means that they will also put the associated sensor that is the most important thing at the time of control.
My bomb pregnancies have had them with 5 hemoglobin, it is not easy but it is possible.Much encouragement !!

@nigiri Thank you !!Well, it happened to me in September, I had 7, and from there I have climbed to 8. I hope to control it well with the bomb and try again when they give me the approval and that everything goes well.Greetings and thank you very much for the spirits 😊

Surely @Soniii!Do not lose hope, today science is on our side so with a little effort, you will get that good control and an upcoming pregnancy.

@erpla Thank you very much!Let's see if next time everything goes, it is true that I am already afraid, but well.Yes, they told me that they put me a meter and bomb, so I hope to control well and not to despair.Your experiences help me a lot, we will be in contact here and I tell you and if doubts arise 😅.All the best!

Of course, @Sonii is a very difficult and tired process because they are many months worried and with constant changes in basal and ratios, I have already scanned haha ​​no more pregnancies because mental health suffers, but with 780 it will beMuch easier if she herself adjusting the basal as you will see it.Good luck!

@Soniii I'm very sorry.
I hope you do well with the pump and stabilize those numbers ...

@anif thank you very much!Let's see if everything is going well when they put it on me, I hope it doesn't take long.All the best

Hello,

For those who are pregnant or those that you have already had children.What glycemic values ​​do you have?Because I just found out that I am pregnant and my sugar is already going crazy ... I've been doing 200 days for several days that I later get down and be in rank again but I am based on correcting, correcting and correcting ..It overwhelms me to think that I can't control this damn diabetes and something happens to my baby.What percentage in rank were you?

Thanks for everything!!

Hi @Carmen85, I am already in the end (week 37) And according to my experience you have to constantly make adjustments because the hormones change the insulin needs.I have my objective range in 70-120 already from before pregnancy and normally I am around 70% in rank and above I do not usually go from 150. I have practically not lying peaks throughout the pregnancy but at the beginning if I had any200.
In my case I carry low food that makes it very easier for me to climb after meals.Try to control everything possible that you do not climb much and when you climb you correct quickly but also obsessions that stress does not help.In the second quarter, management usually becomes easier because there is not as much change of hormones as at the beginning and then the third quarter is also quite stable but with a lot of insulin resistance.You will have to climb the doses a lot but once you adjusts it gets good.I am much more stable now than before pregnancy with the rules.
I encourage and calm that surely everything is going well.