I have been loving your videos! I noticed you had basically the typical Prenatal care (when it comes to those without diabetes) when it came to how often you visited your OB team (besides the nonstress tests). I always hear that when I get pregnant that I will practically live in the doctors office, whether it's visiting my endocrinologist, dietician, diabetic adviser, etc... I guess my question is whether or not that's really necessary. I want what is best for my future baby, but I guess that as long as my A1c stays normal and in check I don't really want to spend all that money on visits that may not be deemed important to t1diabetics who are in control of their sugars already.
Hey, thanks for the comment (sorry for my late response, I've been out of the UA-cam world for a bit). Yes, I did have a pretty typical prenatal experience minus the non-stress tests at the end. It was because of a few reasons: 1. My A1Cs were normal and my blood sugars were very close to that of a non-diabetic, therefore I wasn't expected to have the typical kind of complications you can get as a diabetic; 2. I shopped around for, and found an OB who was willing to trust me and treat me like any other patient. The first clinic I went to would have given me the standard diabetic treatment despite my normal A1Cs. It all depends on your practitioner and what they are comfortable with. I feel so lucky that I had a doctor who was willing to trust me and my blood sugar control! I would say though that if you don't have normal A1Cs, then the extra stuff is probably important to do. Those teams at the high-risk OB clinics can be very helpful if your A1C is on the high end when you get pregnant. To answer your question, I think the only reason the extra stuff is necessary is if you have high blood sugars. The main culprit behind complications in a diabetic pregnancy are high blood sugars. If you don't have high blood sugars (or too low), you shouldn't have the typical diabetic complications.
Yay, so happy to see you upload a video again, missed your face! :) "Naughty treats" haha that sounds dreamy. Did you get along with your nurse and did your nurse appreciate your note? You managed your blood sugars with your husband alone during the whole labor, there were no problems with doctors interference? PS, happy thanksgiving :) xx
Hey! I feel the same way about uploading a video, YAY! Finally! haha... The nurses at the birth center were awesome! I got along with all of them and found that they were very kind and helpful. Especially the postpartum nurses, they were sooo nice. Very grateful! And yes, we managed my blood sugars. Since my doctor knew me, she put on her orders that I was to manage my blood sugars. I think if I had had a different doctor they wouldn't have let me, but since it was my doctor she was ok with it.
I stayed under 100 most of the time. I'd say my range was between 60-100 80% of the time. I went above 200 4 times, and had my fair share of lows in the 40s and 50s.
Yes, but high blood sugars can make the baby have lows after they're born, right? I think it's safer in the doctor's opinion because he/she doesn't want to deal with you getting low, but if it's done carefully, it's possible to have normal blood sugars in labor too. I wish doctors would take the approach that they should try as hard as possible to give their diabetic patients good blood sugars, instead of making it easier on themselves and letting us run high. It's not fair that doctors let us be high like that in my opinion.. At the same time, I totally understand that approach. I used to purposely run high at night because I was afraid of dying in my sleep. But those highs were hurting me too! The differences is that highs will kill you slowly, while lows could be an emergency. But why settle for either? I wish it was easier to keep blood sugars stable.... Diabetes really sucks, huh? (sorry for my diabetes rant! lol) Hope you don't hear it as an attack on you. I'm totally with you, and get what you're saying!
yes diabetes does suck, I think its just hard to achieve good blood sugars when one works. I worked fulltime in a shift work job. I couldn't afford being low normal because more often then not it would go too low and I couldn't just stop work to eat and I was never hungry and always nauseated so lows were really bad. the perfect world would be essentially having someone with you 24/7 to check blood sugars for you and give you insulin or sugar as needed. But so hard in pregnancy cause blood sugars just spike for no reason at times, and at times would drop. I could eat the same thing one day and be perfect and the next be high or low. they hospitalized me in the end to control the blood sugars cause they wanted me low normal but under hospital care because they wanted to prevent true lows to prevent effects on baby as it could damage the baby growth and brain function as my body would try to keep me alive over baby.. common with a cure
I have been loving your videos! I noticed you had basically the typical Prenatal care (when it comes to those without diabetes) when it came to how often you visited your OB team (besides the nonstress tests). I always hear that when I get pregnant that I will practically live in the doctors office, whether it's visiting my endocrinologist, dietician, diabetic adviser, etc... I guess my question is whether or not that's really necessary. I want what is best for my future baby, but I guess that as long as my A1c stays normal and in check I don't really want to spend all that money on visits that may not be deemed important to t1diabetics who are in control of their sugars already.
Hey, thanks for the comment (sorry for my late response, I've been out of the UA-cam world for a bit). Yes, I did have a pretty typical prenatal experience minus the non-stress tests at the end. It was because of a few reasons: 1. My A1Cs were normal and my blood sugars were very close to that of a non-diabetic, therefore I wasn't expected to have the typical kind of complications you can get as a diabetic; 2. I shopped around for, and found an OB who was willing to trust me and treat me like any other patient. The first clinic I went to would have given me the standard diabetic treatment despite my normal A1Cs. It all depends on your practitioner and what they are comfortable with. I feel so lucky that I had a doctor who was willing to trust me and my blood sugar control! I would say though that if you don't have normal A1Cs, then the extra stuff is probably important to do. Those teams at the high-risk OB clinics can be very helpful if your A1C is on the high end when you get pregnant. To answer your question, I think the only reason the extra stuff is necessary is if you have high blood sugars. The main culprit behind complications in a diabetic pregnancy are high blood sugars. If you don't have high blood sugars (or too low), you shouldn't have the typical diabetic complications.
Yay, so happy to see you upload a video again, missed your face! :) "Naughty treats" haha that sounds dreamy. Did you get along with your nurse and did your nurse appreciate your note? You managed your blood sugars with your husband alone during the whole labor, there were no problems with doctors interference? PS, happy thanksgiving :) xx
Hey! I feel the same way about uploading a video, YAY! Finally! haha... The nurses at the birth center were awesome! I got along with all of them and found that they were very kind and helpful. Especially the postpartum nurses, they were sooo nice. Very grateful! And yes, we managed my blood sugars. Since my doctor knew me, she put on her orders that I was to manage my blood sugars. I think if I had had a different doctor they wouldn't have let me, but since it was my doctor she was ok with it.
When I was in labour I had to skip the lantus the night before and had iv glucose running. Never ate tabs that's why the iv was crucial
what was your usual blood sugar range during pregnancy?
I stayed under 100 most of the time. I'd say my range was between 60-100 80% of the time. I went above 200 4 times, and had my fair share of lows in the 40s and 50s.
If you had to do it again take glucose and run a hit High. That's protocol with my endocrinologist
Yes, but high blood sugars can make the baby have lows after they're born, right? I think it's safer in the doctor's opinion because he/she doesn't want to deal with you getting low, but if it's done carefully, it's possible to have normal blood sugars in labor too. I wish doctors would take the approach that they should try as hard as possible to give their diabetic patients good blood sugars, instead of making it easier on themselves and letting us run high. It's not fair that doctors let us be high like that in my opinion.. At the same time, I totally understand that approach. I used to purposely run high at night because I was afraid of dying in my sleep. But those highs were hurting me too! The differences is that highs will kill you slowly, while lows could be an emergency. But why settle for either? I wish it was easier to keep blood sugars stable.... Diabetes really sucks, huh? (sorry for my diabetes rant! lol) Hope you don't hear it as an attack on you. I'm totally with you, and get what you're saying!
yes diabetes does suck, I think its just hard to achieve good blood sugars when one works. I worked fulltime in a shift work job. I couldn't afford being low normal because more often then not it would go too low and I couldn't just stop work to eat and I was never hungry and always nauseated so lows were really bad. the perfect world would be essentially having someone with you 24/7 to check blood sugars for you and give you insulin or sugar as needed. But so hard in pregnancy cause blood sugars just spike for no reason at times, and at times would drop. I could eat the same thing one day and be perfect and the next be high or low. they hospitalized me in the end to control the blood sugars cause they wanted me low normal but under hospital care because they wanted to prevent true lows to prevent effects on baby as it could damage the baby growth and brain function as my body would try to keep me alive over baby.. common with a cure