Good afternoon!
My name is Elena and I am currently pregnant 34 weeks, my second daughter.In my first pregnancy I had gestational diabetes, rather "mild, if it is correct to use that term.
In the glucose overload curve I had two altered values, but very close to the limit, and with diet and exercise everything was controlled, without insulin.My daughter was born by caesarean section (because they were buttocks, without having anything to do with diabetes) just a few days after turning 40 weeks and weighing 3,800 kg.In the ultrasound of week 33 a weight of 2,500 kg was estimated.
In this second pregnancy the glycemia curve only was altered in a value (the first after overload) and not in excess (200), but I preferred to carry a follow -up with endocrine, by caution.
I make controls with glucometer day yes and day, on an empty stomach and at the time breakfast, eat and dinner.Until now, all the postprandial values that I have measured are correct, the limit that was indicated is 140, being my values between 100 and 130, approx and the highest breakfast, followed by dinner and finallyFood. However, at breakfast I have proven that under levels of almost hypoglycemia at two hours.
The fasting values come out of a little altered days, no matter how small rank, since they are always between 92 and 99, being the limit indicated 95. This circumstance of fasting values also occurred in my first pregnancy and the endocrine does notIt gave importance.
My question comes to Raiz that last week, in the ultrasound of the 3rd quarter, it would be told that the girl's weight was 2,400 kg and the econgrafa scored "macrosomy", an issue with which I am not totally satisfied, sinceDepending on the tables that I have consulted this weight, only the 90th percentile in some of them, being in other tables below.
Seeing the term Macrosomia, the endocrine prescribed me insulin, in extremely low doses (2 units before the fast action meals and 5 at night, slow action).He justified it by saying that if there was macrosomia, insulin was necessary although the glycemia values were normal.
I do not understand this difference in endocrine criteria with respect to my first pregnancy, since in this case the girl weighs a little less, the measured values of postprandial blood glucose are similar or better than in that pregnancy, my first daughter did not reach macrosomy inThat occasion and I was not prescribed insulin, I even told me to eat a little more, since everything was right ...
Why is insulin necessary on this occasion, if not even the possible macrosomia is clear?
I am not afraid to inject insulin, neither for its effects nor for the punctures, but such a strict control generates a lot of stress, that I am willing to assume if it is totally necessary, but not if it is not.
I would appreciate a lot of opinions about whether you consider the prescription of insulin in this case (I have decided not to start treatment until they consult the endocrine, tomorrow 22).
Sorry for extending me so much and thank you very much!