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Type 2 & want to conceive...but scared!
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K_Diddy posted:
I'm a 28-year-old Type 2 diabetic (diagnosed 3 and a half years ago), and I've been thinking about trying for a baby, but I'm so afraid that something bad would happen to me or the baby. I also have chronic HBP and triglyceride issues, so to me the situation seems very bleak - almost not even worth trying. This year I have been working on losing some weight and getting my sugar levels down (although they are still not where the should be), but the idea of actually having a successful, healthy pregnancy seems impossible. What can I do?
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phoenix31674 responded:
You need to discuss this with your doc and probably a high risk OB, but if you can lose the weight and get the blood pressure and blood sugar under control, you should be able to have a successful, though closely monitored pregnancy. Have you been seeing a nutritionist who can help you find an optimal diet? I know that trying to sift through all the information can be overwhelming and a licensed nutritionist can help you find the right meal plan for you both before and during pregnancy.

Best of luck.
 
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candy352 responded:
Hi I am also a Type 2 diabetic. As long as you are careful with your diet and get your issues under control, you should be able to have a healthy bouncing baby! Im pregnant now and have to be extremely careful. I meet my doctor every week. I have to write down what I eat and check my sugar at least 4 times a day. The nutritionist is also helping me with a meal plan. As long as you are under control, and have all of the specialists helping you, you should be ok. Good luck!
 
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K_Diddy responded:
Thank you Phoenix and Candy for your support. I know I should talk to my doctor about the possibly conceiving, but I'm just trying to wrap my head around the idea that it could happen and everything would turn out ok.

Candy, I hope you don't mind me asking, but if your pregnancy was planned, how long before you conceived did you have good control over your sugars/were you in your target range? And is seeing your doc twice a week pretty standard for a high risk pregnancy for us diabetic gals?
 
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candy352 replied to K_Diddy's response:
It wasn't as controlled as the doctor would have liked. The doctor wanted my fasting to be under 95 and between 70 and 135 one hour after each meal. My levels were about 120-130 every time. When I saw the diabetic educator, she admitted me to the hospital to get my levels where they wanted. I was there for about 3 days. But now the levels are great. I actually see my doctor once a week and was told that I would continue to see her once a week until the baby is born. I think it is standard, because I had a coworker that recently had a baby and she was diabetic. She went through the same thing.
 
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snh571 replied to candy352's response:
My MFM said the same thing, but when they say below 95 fasting they really mean way below 95. My numbers have been consistantly below 95 but because they are not below 90 there not low enough. I even had an 87 and he wasn't happy with that and increased my insulin dose.
 
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candy352 replied to snh571's response:
Oh wow. My doctor would be pleased with those levels. She definetly wouldn't increase my insulin with levels that low.
 
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snh571 replied to candy352's response:
I at least have MFM off of my back but my OB is still giving me a hard time about my fasting numbers. He wants them lower but MFM, who are the ones managing my GD are happy with them. It sucks being in the middle.
 
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candy352 replied to snh571's response:
Yeah it does. What levels do your OB want you to have?
 
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snh571 replied to candy352's response:
They have been averaging 90 fasting but he wants then lower. He didn't say how much lower, just lower. Right now I'm stuck in labor and delivery because my blood pressure and blood sugar is too high.
 
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K_Diddy responded:
OK guys, I have another question: I've been monitoring my sugars for several months, and making healthier food choices. Average waking blood sugars are around 145, 2 hours post-dinner sugars are around 105-110...I think these ranges are awesome (considering 6 months ago there was nothing I could do to get them under 250), but obviously, they are a decent amount higher than the other pregos with diabetes are reporting...what else can I do to try and lower them more so I can get the green light from a doc to TTC? My A1C as of February was 7.2, I'm getting it checked again this week.
 
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snh571 replied to K_Diddy's response:
I think the magic number for your A 1 C is 6.5. The OB's also prefer if you do your post meal testing at 1 hour instead of 2. My diabeties educator told me to limit my carbs to 13 per day with six meals/snacks a day. Since I was put on this diet I lost 6 lbs the first weeks and have not gained any more weight since. I am 35 weeks now. I just had an US and baby was weighing in at 6 lbs 12 oz. And that is a 2 lb 4 oz weight gain in the last 4 weeks. So baby gained weight and I didn't, go figure.
 
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K_Diddy replied to snh571's response:
Great info, this is really helpful. For your carb servings, is that 13 carbs, each serving being <15? Or how does that work? I'm currently limiting myself to 6 servings per day (about 40 grams per meal) and no more than 15 grams of sugar per day.
 
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snh571 replied to K_Diddy's response:
Yes, 15 gm per carb. I usualy do 30 gms for breakfast, snacks, and dinner, and 45 gms at lunch. I also have at least 1oz of protine with each meal or snack. The protine slows down the absorption of the carbs to help keep your numbers level. I had to put my extra carb at lunch because of my fasting numbers.
 
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candy352 replied to K_Diddy's response:
Yes a carb serving is 15 grams, which includes the sugar. The doctor would also want you to have your sugar level under 95 for fasting, but the levels after meals seem perfect! I usually have 1-2 carb servings for breakfast and snacks. I eat a snack after every meal. And protein does help so include that in your snack. For lunch and dinner, I will have 2-3 carb servings. Every doctor is different with what they want your levels to be, so I would suggest asking your doctor.


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