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Hi all,

So I'm T2 and 3 months pregnant. I have never really had any help or guidance with my diabetes as now I'm pregnant I'm worried I'm going to do something wrong. I spoke to a diabetic specialist midwife a few days ago, she said I should have been given much more folic acid by my GP than I got. So I'm concerned about the effects of this. My other concerns are that struggling with my blood sugar reading. I don't know where I should be and what to do to correct the readings I'm getting. The midwife said she may start me on treatment but what could this be? What treatments are most likely?

Here's my last few days of test results, 7 tests a day is what the midwife told me to do. Please let me know what you think.

Tuesday. Wednesday. Thursday
Out of bed. 3.2. 8.2. 3.3
After breakfast. 9.7. 9.8. 7.5
Before lunch. 8.6. 6.3. 10.7
60 mins after lunch. 8.3. 8.5. 3.9
Before dinner. 8.6. 3.1. 5.4
60 mins after dinner. 10.8. 10.2. 8.8 Before bed. 5.8. 7.2. 5.6

Any help you can give me would be much appreciated. Rosie. X
 

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Are you using insulin at all? Some of your numbers are a little high. What does your usual diet consist of? Proper nutrition is quite important during pregnancy, both for the Mother and for the baby.
 

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I just had my third baby in April and I've been diabetic for all three.

With my last I had to use medication - glyburide - but that combined with diet kept my numbers in the normal range. With my first two I did it by diet alone. My fastings were to be under 90, and my two hour numbers under 120. A personal goal was to keep it under 120 at one hour too.

Here is the meal plan I followed:

Breakfast: 15g carbs, 2 protein (14g)
Snack: 30g carbs, 1 protein
Lunch: 30g carbs, 3 protein, 2 veg, 1 fruit, 1 milk
Snack: 15g carb, 1 fruit, 1 protein
Dinner: 30g carbs, 4 protein, 2 veg, 1 fruit, 1 milk
Snack: 15g carbs, 1 protein

You can find serving sizes all over the web...so you just have to familiarize yourself with those.

Now, I realize that I could have cut way back on the carbs and would not have needed as much medication, though I was hesitant to go too low-carb while pregnant, b/c I wanted to make sure my baby got everything he needed.

Some weeks my numbers ran higher and I cut back the carbs, going down to 15g or leaving off fruit/milk. It all depended on my glucometer, and it changes a lot as your pregnancy progresses...your placenta makes you even more insulin resistant than you are normally. Some weeks my numbers ran lower and I added back in more carbs to keep me from going too low.

Some doctors will prescribe glyburide, but most will go to insulin if you cannot keep your numbers in line by diet alone. Also, I was not to have fruit or milk before lunch because we're generally more sensitive to carbs in the mornings. I had to lower my breakfast carbs to about 7g b/c my number was spiking to the 140s at one hour with the full 15g. Different doctors will give you different limits. Some are more strict, some aren't... but ideally you want to stay always below 140, but under 120 is better. It best mimics the normal person's blood sugar and gives your baby the best chances... when your blood sugar is normal, you can avoid the complications that usually come with a diabetic pregnancy - big baby, placental deterioration, pre-eclampsia, etc.

I lost 30lbs throughout my pregnancy...went to 40 weeks 2 days and our little boy was perfectly healthy and my smallest one yet at 8lbs 10oz. We have bigger babies anyway b/c of genetics, but controlling my sugar kept him from getting too big. My placenta was in perfect condition, and I never developed high blood pressure or pre-e.... my OB was incredibly impressed, considering he thought I was a ticking time bomb b/c of my size and diabetes. But you absolutely CAN have a normal, healthy pregnancy if you keep tight control of your numbers, and don't be afraid to accept medications to help you. The placenta makes it ten times more difficult to control your blood sugar while pregnant.

As soon as you give birth, you will need to lower your medications if you are put on any. I spent a day in the 40-50 range, stuffing my face with nothing but carbs in order to keep my glucose up. Now that I'm breastfeeding, I don't need any medication at all, and my numbers are great. I am following a more low-carb diet though...but even when I do eat a large amount of carbs, my number rarely goes over 140. I'll have to wait and see what happens when I eventually wean.

Hopefully that helps a bit.
 

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I just wanted to add you need to add snacks in there... you should eat 5-6 times a day as it keeps your blood sugar more level and helps you feel satisfied.

I can also offer more specific help with fasting numbers if you can tell me if you are on any medications already. It's the trickiest number to get right, and it all depends on your bedtime snack and what medications you are taking, if any.
 
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