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My wife is type 2 diabetic and during while planning for pregnancy we consulted an endocrinologist at a reputed hospital in Bangalore. He checked her H1AC levels and asked us to go ahead and try to conceive.

Now she is around 5 to 6 weeks pregnant. She has been on Glycomet 250 mg (Metmorfin) for the past 2 months. We consulted a gynecologist and during the ultrasound scan, the fetus appeared healthy (yolk/sac) , expect that the heart beat of the fetus was not yet found. They suggested we have a scan again on 14th may

But meanwhile her insulin levels have been over 140 to 200, one and half hours after food. We consulted the endocrinologist about these high levels, but he asked us to wait until they locate the heart beat of the fetus in the upcoming scan, before my wife is put onto insulin.

We are really worried because of her high levels ((140 to 200) 90 minutes after meal), that if these might have already had any adverse effect on the baby?

I request you to please guide us and provide answers to these queries:

1. Because of the high levels mentioned would there have been any affect on fetus (6 weeks now)
2. If there any problems with the fetus, when will we come to know about it? and what can we do about it?
3. Do you think it is better for us consult another endocrinologist?

Please email us back as we are really worried.
 

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Hello ShanKarm:

Firstly, a Big Congratulations to you and your Wife. :)

1. Because of the high levels mentioned would there have been any affect on fetus (6 weeks now)

Since each pregnancy differs it would be difficult for anyone to say if there would or would not be an affect(I presume you mean injury) to the Fetus, with her numbers.

2. If there any problems with the fetus, when will we come to know about it? and what can we do about it?

Usually most(if any)problems with a Fetus can be detected between 3 - 6 months. Some injury to a Fetus may not be noticed until a Child is over 3 months old. Some affects of course may not be due to Diabetes.

Some test results or opinions of a Technician may not always be accurate. If a Fetus or Child is affected in some way then you and your Wife will most likely need to work with her Healthcare Team or your Child's Dr. to treat the Fetus or Child to make improvements for their Future.

3. Do you think it is better for us consult another endocrinologist?

If you and your Wife feel that she is not being properly cared for by her present Endocrinologist then by all means get another opinion. Not all Endocrinologists agree on the same treatments.

Please try to keep your Wife from being too stressed. Stress does raise some Diabetic's blood sugars and the pregnant Woman's stress can upset her Fetus.
 
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