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T1 diabetes - bumps, births, babies & beyond!(336 Posts)
New thread, form an orderly queue here please >>>
<barges in>.....wanders off to be sick
Afternoon ladies. Just, y'know, marking my place.
Oh thank goodness someone knows how to start and ljnk a new thread lol
rue sounds fairly complicated if I get one(obv not sure yet) will need help from all u ladies
Oh spotty you poor thing.
Wow, rue I hadn't realised that pumps could be set differently - amazing. 1st pump appt. now in 10 days time.
Oh thank goodness someone knows how to start and ljnk a new thread lol
rue sounds fairly complicated if I get one(obv not sure yet) will need help from all u ladies
Hi again ladies sorry been abit AWOL not alot happening this end, 30 weeks and i have my next scan in 2 weeks. Bloods aren't great through the highs aren't prolonged so thats something, i'm still testing 2 hourly and feel abit guilty for that but i can't physically/mentally do one hour readings less than 7, i end up hypo 3x a day.
Baby was measuring just under 50th centile, head quite big but tummy normal, so in terms of sugars i think he is ok, my bump is measuring 1cm behind, with my eldest i measured 4cm ahead and with my second baby i measured 2cm behind, so somewhere in between i think
fasting bloods are between 6.5-7.5, best i can do with the dawn phenomenon, i've been told by them to eat jam on toast before bed even if my levels go to 12-14.. errrr no! I'd rather go to bed on a 7 and wake on a 7, rather than go to bed on a 14 and wake with a 4!! What does everyone else think? Seems too dangerous if my basal is bringing me down by 10mmol! lol. So i just said "ok" and have continued with what i'm doing. Their obsession with a fasting blood sugar in the 4's is beyond me, its too risky yet they don't get it.
hellbunny have to say while pregnant I was given a 4-6 target range but not despite doing it for my self wasnt encouraged to test between meals alot and then at 2 hours not one (thats how the diary I was given was set out) and yes they did encourage me to have a supper in case I was dipping then rebounding during the night.
Soo the 1:1 ratio worked for breakfast was 3.0 for breakfast then 4.9 for lunch but had 2 jelly babied for the 3 and took 5u for breakfast tho it was 52g so ok, im not 1:1 for lunch though as I tose to 9.3 by dinner so had to add a correction to dinner insulin would you guys try a 2:1 then for lunch? Or 3:1?
wow typos lol sorry new phone
Hi ladies. Glad to report all going well so far for me, the highest reading I've had over the last few weeks has been 10 something which is pretty good going for me and my hypos that I had been having during the night seemed to have settled now I have my Basel dose about right (still in the low 4's but if I lower it any more it's a bit on the high side for my liking)
I was warned I might loose the ability to recognise a hypo and it seems to be happening already and I'm not even 12 weeks yet. I tested before dinner and it was 2.4, I felt absolutely fine. It's happened before and I would just run my sugars high for a month or so and everything would be fine but don't want to do that for obvious reasons, anyone have any suggestions? I religiously check my levels before driving and always have lucozade in my bag but my worst nightmare is being told not to drive until the babys born.
Hell bunny - saying 'ok' and getting on with what you're doing is the only way sometimes! The theory vs the practice of what they expect can be very different at times.
Mrs smith - I didn't lose any hypo awareness when pg so don't worry just yet. Just do regular tests maybe one and then two hours after meals to figure out what is happening.
I just found it odd she told me to have jam on toast lol, shes lovely though so i won't criticise her too much, shame the rest of them aren't as nice, but i often think unless they have this they won't know what its like with the constant changes during pregnancy, you can have everything going well then all of a sudden bam more resistance and everything goes mad again.
I'm 31 weeks friday and i'm guessing bubs has had a growth spurt, i was on 10 units for 2x toast with cheese or similar(keeping my 1hour reading around 8.5, 2 hour reading was around 5) and i've been upping it, today 16 units and still 10-11 two hours after, i've been waiting 30 minutes too which is abit hard timing wise looking after my little ones, but its made rock all difference lol. I'm going to try going out for a walk in the morning first before breakfast then coming back/inject/eat to see if the walk makes me more sensitive to insulin or something, its all trial and error, fingers crossed!
Hoping i would increase to 2:1 and you can always change it again, as you don't want to increase too much then have a bad hypo, i'm not ratio'ing atm just picking similar meals and having a set amount so my advice might not be spot on lol, hope it works though!
Mrssmith my awareness is ok for now but in early stages it did go abit and also with my last baby too, just keep testing as much as possible, i over test for this reason, with me being late on now i'm constantly hot/shaky/weak so often feel hypo yet i'm not, so abit the opposite now.
My nurse said they're not sure why people lose hypo awareness but it could be because your control is much tighter which would make sense
I think thats about right, my levels were pretty non diabetic in my last pregnancy, my 1hour readings were always less than 7 and i think i had one reading of 10mmol, but it was so dangerous, i remember getting out of the shower and thinking "oh its been a hour i'l just check now" and it was 1.8, i hadn't a clue! My levels haven't been so good this time but i tend to know now when i'm in the 3's so thats the good side of it, i feel abit guilty on our baby though but with me having 2 young little ones i was finding it impossible to look after them for fear a reading of 6 would be a 2.6 in ten minutes, sorry thats abit of a ramble x
hell bunny, I was told not to go bed below 10mmol to avoid morning lows. Sometimes it worked sometimes it didn't!
My hypo awareness is rubbish and has been for oooh, 5 years maybe.
Have to say my hypo awarness isnt what it used to be and I was supposed to run 8-10 for a month or so but havent as yet as im worried about my eyes.
Urgh. 1.45 hypo. 2.6. One of those where I can't remember what treats a hypo and so have just stuffed face (loads of grapes, glass of milk and chocolate). Ffs.
Urgh, bona, I know that feeling.
I had a 1.8 at work this morning and ate my whole packed lunch! It was 09:30
this heat is making me feel hypo but I'm not woke up last night feeling so dizzy, bit levels were normal! hope everyone is ok and their bumps/babies too x
My poor baby is so hot and sticky, breastfeeding is miserable for her
6 months today - how the hell did that happen ?
I had an ice-cream after lunch (with no insulin) and still my sugars stayed below 7mmol! Crazy.
I'm too HOT! And so is M. He's done nothing but snack all day, not fed for longer than 5 minutes at a time so I've got about nothing done. Hope the rest of you are managing better!
I saw this article linked on another thread, seems interesting - insulin and breast milk production though it's not clear whether it impacts T1s I would assume it does?
Yes the heat is tricky tho I'm not putting in any official complaints as I love it really!!
T has definitely been feeding more which I assume is thirst and I've noticed his poo seems more watery. Assume I'm just producing more liquid in my milk to keep him hydrated? I've been putting him to bed in a v thin muslin sleeping bag with just a nappy! Tonight we've moved bedroom to the loft where I've been able to create a through-draft and it is so much cooler!
Bg levels totally screwy tho.
Diec, can't believe V is 6 months. Seems unbelievable!!
Ds has slept through the past three nights
I'm having awful supply issues and boob refusal at night though. He's been getting up on all fours and rocking!
Wow diec six months! Have you started weaning?
Who's got mysugr report app then?
Today she's had banana mixed with breastmilk twice, but proper feeds straight after.
We've been putting her to bed in just a nappy.
This heat is killing me! Sugars were 12.9 2 hours after breakfast, then frantically dropped to 3.1 (without correcting) then literally chased hypos all day and haven't gone above 6 aside from evening meal which again is high feel guilty for baby, worried about the highs as its getting to be every breakfast and evening meal its in double figures 2 hours after, i don't know what to do other than keep increasing? When i wait 20 minutes i hypo before i've even started eating.
Got a growth scan next tuesday, eye/foot check monday.
I hope everyone else is ok xx
Hell bunny. Just keep increasing and then snacking if need be to prevent hypo. The targets are so tight that personally i find it very hard to be so low after 2 hours without hypo-ing.
The only other option is to low carb... I did that quite a bit before pg but found I craved the full feeling that only carbs can bring. So I just had shed loads of insulin to cover!
Today I felt myself going low a couple of hours after breakfast, had a full bottle of lucozade (as was walking in the heat with pram), then had lunch of tuna and bean salad and melon with no insulin AND one of those coffee cooler things from costa in the afternoon and was 6.2 before dinner!
I'm having a bit of a nightmare at the moment. My novorapid is now taking 3-4 hours to peak, I'm injecting an hour before breakfast and still reading around 10 an hour later then hypo 2hours after that. Then i go high again with the correction and its a struggle to get down again before he next meal. I had soup and bread for dinner and my blood sugars have been climbing ever since, sitting around 11.7 now despite two 4unit corrections. Will now definitely hypo between 2-3am. Argh!!!!!
At least I don't have ketones this evening (so far). Gonna down a couple of pints of water if I can.
I'm going to put my day levemir up and try to low-carb it tomorrow I think. I can't have this every day. I'm 33 weeks now
ginger the low carb idea is a good one, probably easier now in the warm weather than in winter when all you want to eat is mashed potato!
When I had soup during pregnancy I never had bread with it, but added sweetcorn or lentils to the soup to fill me up.
Yay, all clear on the eyes! The damage that had occurred during my pregnancy appears to more or less have corrected itself, so I'm back to annual appointments.
Great news - what a relief. That reminds me I need to go in for an appt too. No damage when pregnant but think they like to check anyway. I think I'll have to ask DH to take a morning off work as would be weird being in sole charge of DS without being able to see!!
diec thats great news!! How old is your lo no? Im hoping when I go back in October to get good news too
hoping she's 6 months now.
Yes, bona I left her with my mum as my eye clinicis the sloooowest on earth!
I forgot to renew my driving licence shit shit shit it runs out on Wednesday
spotty phone the dvla and ask them to send you out a letter that says you are allowed to drive while waiting on new licence thats what I had to do. It basically says u r ok to drive as long as your doctor is in agreement
Oh ok. Phew. I will send it off special delivery today. They send it out so far in advance I always forget about it they've had my mums for six weeks!
I didn't even know licences had to be renewed, good job there's a way to sort it out spotty.
I've just had my first pump appt. - hardly had to do anything, just showed the registrar my bg diary and he said he'd definitely recommend a pump. His decision is mainly based on the fact that I'm a 'good' diabetic who's doing things right, but still can't achieve tight enough control.
Now we wait for the dr. who controls the funding...
Hi guys, I'm glad I found this thread! Thought I was going mad! 29 weeks and insulin resistance kicking in now - waking up with 6s and 7s despite putting nighttime basal up. Mornings are crazy - taking 4u novorapid on waking then 6 u for half a pitta bread (15g carbs) with low carb filling, still only just about manage to get it into range before lunch.
Seeing the doctor /nurse tomorrow, sometimes I think they just don't understand what we go through and don't think their advice always helps!
I hate this part of the pregnancy, until now I was having a fair amount of insulin but it was working and doing it's job, now it feels like it's pot luck whether it works or not and i'm so paranoid about harming the baby. Haven't had loads of highs, it can go up to the 9s after meals but it's getting it down again without going hypo which is the holy grail. The temptation is just to bolus aggressively but then of course you go hypo which is what happened in my last pregnancy - 3 times a day or so until the end.
I'm just getting through with the thought that all being well this will be my last pregnancy so last time I have to go through this. Shame though as I would enjoy being pregnant were it not for this.
Growth scan tomorrow so feels like its the day of reckoning, hopefully baby will be ok and just needs to stay ok now for next 10 weeks.
spotty mines was around 4-5 weeks I would phone them though and explain to them they were nice to me and offered me the letter.
maggie your bg readings sound really good to me! I had to take loads of insulin from 28 weeks prob 3 times my normal and was constantly correcting(still am even though my dd is 3.5 months)
I agree with hoping, your bgs sounds totally reasonable for this stage of pregnancy. Well done
Wouldn't it be a letter from the doctor you need though? It's all very well telling the policeman that you're ok to drive as long as your dr says so but how are they to know what your doctor thinks?
Agree maggie they sound great, it's hard not to panic though!
Hi all, had the growth scan today and it's all good - baby is slightly below the mid point for gestational age but well within the range so sonographer said that's good. Hba1c was 36 - don't think it's ever been so low. Doc has put my night time lantus up by 4u to try and catch the morning high - may make me go a bit hypo later on but I'll just have to try and fiddle with the short acting dose. Generally though it's not too bad and I'm reassured that baby seems to be growing normally at the mo although I keep thinking I can't get complacent!
I have a sneaky confession to make I keep pigging out loads at bedtime, I think because I am generally 'good' in the daytime so I see the evening as nibble-time plus I am beginning to get extra hungry now. I always inject for it though. Eg last night I had a pitta bread with cheese, two biscuit bars, three chunks of choc and an apple- ended up injecting 20u for that lot which should have got the sugar out of my blood, according to the usual bolus calcs. Does anyone else do this or is it just me? I'm going to be as fat as a house by the time the baby is born, but I don't care right now just concentrating on getting through the pregnancy.
Hope everyone else is ok.
Had my growth scan today, 32+4! Baby is measuring 4lb 10oz and around 75th centile for his measurements, except his head which is close to the top! Omg the heads coming first aswell lol.
Sugars aren't great but they said i'm doing well despite the weather, post breakfast is high (10mmol one and two hours after, just won't come down!) so increasing every other day to try again, saying that i've not had any readings in the teens for a while thank goodness.
He was sticking his tongue out on the scan, and the sonographer confirmed a little boy again (she wasn't sure at our 20 week scan) so bought some cute little sleepsuits for him, i love baby/kids shopping it really cheers me up, does anyone else feel like this? lol
Maggie your bloods are good, don't worry! I get hunger pangs, esp at night but i try and avoid it as i hate injecting rapid before bed incase of a hypo, it seems to hang in me for up to 5 hours so i end up testing hourly or going hypo, i try and eat alot in the day time to see if it helps, i'm at the stage now though i feel like i can't eat much as bump is taking up so much room!
Hi Hellbunny we seem to have the opposite approach, you eat more in the day me at night. what I struggle with most is doing any exercise, I just can't win - if I take my usual insulin then go for a walk in the afternoon I will without fail hypo (and usually quite badly due to the physical exercise), so today I had a hypo mid afternoon, treated it with fruit juice and then had a tea cake, thought I won't inject for tea cake as going on walk, after 1 hour walk I was 11. Can't do right for doing wrong eh.
Congrats on the boy news/confirmation - yes I love shopping too, I'm on team pink this time so had to stop myself buying too many clothes this time as I went mad with my son. The most frustrating thing is not knowing what size to buy - with my son I bought newborn stuff but he was absolutely tiny, even tiny baby stuff was on the big side for him (he was 5.5 lbs at 38 weeks) so had to get smaller clothes although he soon grew. This time round I've got tiny baby and newborn sleepsuits and will prob. have a whopper now! Although as my son was small maybe this means this one will be too - who knows.
I have been pre injecting 4u novorapid about an hour before breakfast to try and combat the post breakfast high - its either that or severely restrict carbs before lunch. Seems to be working ok for now - the other trick is to eat half your breakfast wait half an hour and then the other half (injecting all the insulin before eating the first half) although that can be a hassle if you've got life to be getting on with. I'm trying all these tricks to see what works. May be worth a try.
At least I have finished work now (had to finish early so now on the sick) so I can concentrate on my diabetes - and enjoying the sunny weather. I can't complain it's a good time of year to finish work.
spotty the dvla letter was just to confirm that my license was in process incase I needed that proof as your still allowed to drive while they are doing that (they did have a backlog at the time) but they said to me 'that is as long as your doctor would deem you fit' so im assuming they neant I hadnt recently been told not to drive.
maggie and hellbunny sounds like you are both doing great. my hba1c roughly 33 weeks was told was too low and I had to bring it up but then I was having daily at least 1 hypo
Can't believe they said it was too low hoping - didn't know it could go too low in pregnancy. I know there is risk of hypos but I found in my last pregnancy that some hypos were inevitable to stop the highs - it really is a case of being between a rock and a hard place, and I for one would rather have too many hypos than too many highs. What was your hba1c if you don't mind me asking?
I would say one mild hypo a day in late pregnancy is probably normal, obviously the less the better but it becomes a trade off situation of hypo or high for a lot of ladies.
I put my lantus up 4u last night and it seems to have made a difference, my reading this morning was 5.6 which is a lot more like it should be, just hope it does not send me low all day as it may throw my bolus dosages out.
maggie sorry I dont remeber exactly and I always asked for it in % so it was like 5.2% ish but was having 1 hypo a day on a good one myb 2-4 on a bad one like below 2 sometimes
Im ping ponging all over the place on holiday in blackpool so not eating in any way healthy
Lucky you hoping to be on the beach in this amazing weather!
I just crashed to 1.9 an hour after dinner - I love the summer, but grrr not these blomming bgs.
What do you all do with homemade cakes wrt carbs do you just guess? I made some giant cookies with over a pack of butter and two different types of sugar in they were rather yum bit of trial and error on the insulin though
I guess quite a lot of things - I sort of guestimate based on a kind of sixth sense I've developed after several years of basal-blousing. Doesn't always work but it's such a faff to work out the exact carbs of everything - drives me crazy. As I'm testing after my meals/snacks I can always correct any highs/lows before they get too high/low so it's not like an error would effect me all day.
Seem to have had the dawn phenomenon again this morning despite putting my basal up. Does anyone else have this? Seems no matter how much I inject at night time it's always hovering around 7 when I wake up.
maggie I'd love to be 7 on waking! I was 16.2 this morning ffs, must've been a liver dump due to a hot-weather hypo.
Just dropping in to say what a bloody nightmare I've been having with BGs. Have had several high teens over the last few days as well as waking high and a couple of mornings having a hypo hangover. Urgh. Love the sun but not its ill effects
Thinking of you preggers people - the heat must be a killer!
P.s. welcome maggie
P.p.s. - when I was hardcore carb counting, I would calculate all the carbs used in a cake (obviously you have measured the ingredients) then either slice it into a set number of pieces and calculate the carbs in them so you know each time you have a slice OR work out the carbs per 100g then measure each chunk as you eat it. Now I just guesstimate
Oh I like the working it out per 100g idea. Might have to make some more... They're oat and raisin so super healthy
I'm waking up with 5s but going to bed with 8s as I don't want to hypo overnight in the heat but I'd rather wake up a bit lower....can't be doing with a hypo hangover
I seem to rise in the morning whatever I do so have started injecting 4u NovoRapid as soon as I wake up (usually about 6.30 - thanks to my noisy 2 year old) but I don't know where it goes, before pregnancy this on its own would send me hypo within half and hour but now if I do this I may have got it down by one or two points by breakfast a couple of hours later if I'm lucky. At least then I'm not starting the meal high which always makes it ten times harder to get it back within range after.
Its crazy how much insulin I need in the morning now, this morning I had 8u for 20g carbs on top of my 4u top up, and was level most of the morning, dropping a little before lunch (but still ok at 4.2). This on top of 32 u basal per day.
Also my bump is huge, much bigger than last time, I had worried this was due to big baby or excess amniotic fluid but my scan was normal. it's probably just me getting extra fat from eating lots of food and injecting lots of insulin. I really do seem to have gone enormous and am fully expecting to spend the rest of my life trying to get the weight off...but will leave all that until after the baby's born, getting her out safe and sound is all I'm worrying about at the moment.
I do envy these mothers who put on a neat little bump which pings off the minute they give birth - Unfortunately I am at other end of the spectrum.
I'm 6 months post-pregnancy maggie and I do something similar when I first wake up, 2u or so to cover my cup of tea and dawn phenomenon, then I have my normal 10u to cover breakfast an hour later (which is 5u of carbs. and used to require just 5u of insulin before I got pregnant!)
Maggie - some bumps are just bigger than others. It is a total myth that insulin makes you put on weight. Non diabetics have insulin floating around too, if you think about it so dont fret that you are making yourself bigger! Nothing makes you put on weight other than what you put in your mouth (except when pregnant because there are all sorts going on then!!)
This morning I tested after breakfast/just before going out and it was 6.8 by the time I got to town 15 minutes away it was low (not sure what as I hadn't taken my tester was only going to be an hour). Nightmare.
Had dd's first sports day today they had Pimm's!
Morning all. Sorry to hear of your hypo Spotty - its a bu99er isn't it, sometimes you can do exactly the same thing with different results. My dawn phenomenon was worse this morning at 8.2, despite increasing my basal to 24u. If i increase this any more I'll be going hypo later on in the day so don't want to do any more.
I do wonder if I had a hypo in the night as I felt a bit rubbish on waking this morning and had quite a lot of insulin last night with my meal as we were entertaining. I usually wake up, but how would I know when I hadn't? Oh well the midwife said to go back to see the doctor next week if it's still a problem. It's the one measurement you can't control, unless you wake up at 4am to do a correction bolus (not appealing!). Very frustrating. Last time I didn't seem to have too much of a problem with it, but I know every pregnancy can be different.
Is anyone having a planned C-section? I had such a horrible time last time with my induction, the syntocinon made me contract really strongly, squeezing baby's cord and his heart rate started dropping I'll never forget the sound of it slowing down on the monitor, so they rushed me in for an emergency section. he was fine, but I thought I may lose him, so not prepared to go through that again and chosen to have a planned section.
Apparantly diabetic ladies have a 2/3 chance of needing a section if they go the induction route anyway, which I think is really high - with odds like that I just decided to go for the section. It wasn't too bad last time, I recovered pretty quickly. I just want to get the baby out safe and sound, everything else is secondary.
I had an emergency section last time after being induced and have decided if I have another baby, like you would ask for a planned section this time as couldn't bear the stress of knowing my baby wasn't coping with the contractions. Friends who have had a planned section said it was much better than an emergency section and recovery much quicker too. Hope all goes well for you.
maggie my 1st labour with ds ended in emcs this time round with dd I was booked for an elcs totally different experience much calmer though would say only a little bit quicker recovery.
I think I'm the only one on the thread not to have had a CS? If I were you I would ask for one this time. I've also heard a planned one is quicker to recover from etc. I think the only worry people have is their milk taking longer to come in (if you wish to bf) but it's not a big problem.
Just thought I'd say hi, I'm still here but turns out life with 3 tiddlers is a bit hectic
M is 9 weeks old already and weighs approx a ton. He's in 0-3m stuff and its none too roomy already. Doesn't like the heat much though!
rue im with him on the heat thing lol
ok help last couple nights I have been going to bed with a decent bg between 5-7 waking around 4am-5am with it up a bit say 7-9 so have taken small amount of insulin 1-2 units but have risen even more on waking was 10.2 this morning?? I had reduced my nighttime levemir as per dsn instructions but was consistently high so put it up again which worked along with the 5am dose but now isn't do I put it up again? Also its affecting my readings all day I did my ratio plus correction for breakfast but rose to 11.2 so have had correction and wont eat till later but im stumped
and pissed off unless im having hypos as dp has been watching kids and letting me have a cpl hours to sleep in mornings. Should I up my ratio do you think?
Good to hear from you rue, not surprised life's a wee bit stressful with 3! Hopefully you're finding enough time to take care of your health too.
maggie I did correct highs that way while pregnant but now im trying hard to get steady
not that its happening
The dvla thing is worrying tho as far as I was aware your licence was only revoked if you had 2 major hypos a year ie ones where you needed medical help? Though I am aware that by law now we have to test before driving and at minimum 2 hourly intervals on long journeys
I just checked and it says on website that it had to be 2 serious hypos within 12 months so an a&e admission treated by paramedics or where another has had to treat u as u were unable
dont think id declare it unless I was treated officially though
Also, the guidance states that doctors can report someone to the DVLA if they think they are withholding info / potentially a danger to other road users so patient confidentiality is out of the window here. I probably sound a little paranoid about it all now, but it's a healthy paranoia - as far as I'm concerned I'd rather be over-paranoid and keep my licence! I didn't fancy being stuck at home all day in the winter with a toddler and a newborn whilst they took my license off me for a year!
I didnt know any of that it was never mentioned to me my consultant during pregnancy never once mentioned driving though I will be cautious about what I write in my book to be fair its highs im tackling right now right enough and I do feel funny when going low
I've had a years revoke, fortunately got my license back now - and equally fortunately, I live in London so got a freedom pass for the year I couldn't drive - that was great, it covered tubes buses trams and some trains, across all zones and was worth a fortune! Especially since I live out in the sticks and getting into central London costs over a tenner normally
I would be screwed if my licence got revoked....we have one bus a week where I live and are seven miles from the nearest "town"
Hi rue - nice to hear from you! Glad the lo is doing well, tho can't believe 9 weeks have passed,
Maggie - I'm with you on the hypos thing. IMO medics spend far too much time worrying about hypos when of course the real damage is done through highs. I remember being crushed when I got my first hba1c in the '5s' and rather than being congratulated on tight control warned that I must be having countless hypos (I wasn't). Of course the driving thing is important but I hope most of us are sensible enough not to take any risks there. But to me a couple if minor hypos a week are all part of good control.
Speaking of good control, mine has gone out of the window. I think it is this heat but I'm constantly rollercoastering up and down. Even when my control is less than perfect normally, I am usually able to keep relatively stable and in single figures. Right now I am hypo-ing, over correcting, waking high, the lot! Given my control pre preg and during pregnancy I'm pretty disappointed!
Meanwhile, ds is thriving. He turned 4 months last week, weighs nearly 16lbs and is very long. He smiles and giggles all day long and is far cheerier than I deserve probably. His sleeping is getting there - usually just one wake a night and that is getting later and later. Sometimes just thinking about how much I love him makes me well up. Right! Enough soppy rubbish, I feel thirsty and have to check how much I over treated my post lunch hypo.
Wow Bona ds is just 16lb at eight months!
bona ive been pinging up n down too I went to bed at 5.2 last night ellie slept till 6.30 by which point I was 11.1 last night I had a late lunch so by time I had snack/supper I was 13.7!! My dsn said to reduce my levemir but surely if im rising when I dont eat it needs to go up??
Your dsn maybe suspects that your levemir is too high causing you to drop low, hypo then bounce back up. Before changing it I would set the alarm and do a couple of 2am tests to see what is happening....
Great that dd is sleeping through already. Me and DS not there yet and he is much older!!
Wow bona T is getting big! V is only 14lbs and a few oz, although I'm having her weighed this pm, so it might be nearer 15lbs now.
I'm havjng similar morning craziness - yesterday I was 22.1!!!!!!!!!!!! I admit I had been 1.8 in the middle of the night though.
bona she is good most of the time the 6-6.30 thing is new usually its 4 or 5am but still thats great. Sorry I meant my morning levemir was thinking that if my bg is fine around a normal dinnertime but rises if I don't eat then it needs to go up? Night Time is a nightmare and it cab be fine till 5-6am then shoot up so I tend to test abd take correction when ellie is up for a feed but its not ideal
Ok having a really crappy cpl of days i just cant get stable last night I was 9.6 before bed took 2u still same at 2am another 2u still same at 6am took 3u was 6.9 by 9.30 but didnt eat and rose to 10.2 wtaf!!
Hi Hoping. I'd say you need to increase your correction doses, my boluses now seem to come in multiples of 10 - had 20g carbs snack last night with a reading of 8.3 injected 10u novo and 24u lantus, and no idea what happened next as I went to sleep but I didn't hypo so it can't have been too much - woke up 6.6 this morning so dawn phenomenon still trying to raise its ugly head (although not as bad as it was).
2 units seems a massively small correction dose to me now for a reading in the 9s, although before pregnancy it would prob be too much.
Thanks maggie its hard to gauge as I took 1u the previous night at 7.0 and was 2.2 by 6am same levemir so god knows, pre pregnancy it was a bit easier to correct but after ellie its completley tits up lol I added a 3u correction to a v late breakfast around 10.30 but by 2pm 3.4 aaahhhh!@
By 6 am your correction dose would be long gone if you took it the night before hoping (assuming you are on basal bolus) so that low would have been due to levemir not your rapid acting.
I struggle in the afternoon, I have to inject so much in the morning and I rarely hypo before lunch, it all seems to pile up in my system and hit mid afternoon, so I usually need a snack around then to stop it from crashing.
I don't know whether reducing my daytime lantus is an option, my doctor is away next week so I'm seeing the DSN but I really don't like her, she rubs me up the wrong way. When I accidentally took too much lantus one morning she said to halve my dose the next evening, which I knew would make me high the next day - may be an ok approach if not preg but not when preg I'd rather have the lows than the highs. I ignored her and was fine. My tack with her now is to just smile and nod and agree when I see her then do my own thing. the diabetes midwife is better than her! I should be switching back to my regular hospital for diabetes care after the birth but couldn't have my baby at that hospital as didn't live in the catchment area, so I only have to put up with her for a little while longer. I don't think half of the diabetes HCPs know what they're talking about when it comes to diabetes and pregnancy, it's so complicated I just end up trying to figure it all out on my own usually.
Sorry little rant there but you really do feel like you're on your own sometimes with this - well I do at least.
Sorry i did not explain myself well yeah my cirrection dose would have been gone what I meant was usually if id gone to bed at 6.9 by 6am id be high but for some reason I was low?! your right alot of them just dont seem to grasp how frustrating it is at all. Im so fecked off by the highs but all my dsn seemed bothered by was the lows!! I honestly dont mind if I have even one mild hypo a day if it means the rest of my nos are good, I got told off for taking large doses then snacking for hypos I quote "you are just feeding tge insulin then" grrr I cant win right now. Maybe it will get better as it gets cooler??
I agree hoping, all they care about is lows, but the highs make me feel really ill. Both should be focussed on.
Have you heard that Theresa May's got T1? I dislike her immensely, but maybe her diagnosis with raise T1's profile and educate people. I'm fed up of being confused with old/overweight/unhealthy T2s and being asked daft Qs, like 'have you got the high sugar type or the low sugar type?'wtf.
Hi Hoping - to avoid getting told off you have to censor what you tell them sometimes. They expect us all to be like little machines and just take the perfect dose for the perfectly timed and counted meals and snacks. I for one will over inject for my evening meal to buy some 'snacking carbs' although my dsn doesn't seem to mind. I have told my doctor that I see it as a trade off, I'd rather have some hypos and less highs and that is my choice to make etc. As I am quite assertive they tend to leave me alone now, but I do down play my hypos and try and test on my other meter that they don't know about if I know I am having one. My strategy is to just go along with whatever they tell me at consultation and then decide for myself which advice I will implement and which I won't. Luckily at the mo I'm not having too much trouble - a little bit of dawn phenomenon but I'm not putting my basal up anymore as it will send me low all day so hopefully so long as I catch it fairly early in the morning and do a correction dose it'll be ok.
Dreading seeing the DSN tomorrow, she does my head in but luckily I will not be staying with her after the birth as it is not my normal hospital (I couldn't give birth at the hospital I get my usual diabetes care from) so will only see her a few more times.
Just remember, sad but true but you are on your own with diabetes most of the time, I get more help from websites like these than the medics.
I drew the short straw and got the horrible DSN today, she started arguing with me straight away said she couldn't possibly advise me on whether my nightime basal was right or not as I had not done reading in middle of night (even though I'd done one at 3 am that was not good enough), so at one point I said 'don't worry I'll just work it all out myself ', at which point I think she realised she'd overstepped the mark and mellowed a bit. Anyway she has reduced my basal nightime and day but she was about as much use as a chocolate tea pot.
Luckily the doctor is back from holidays next time and then only a few more appointments until D-day which will probably (all being well) be 27th September now as that's when I'll be 39+0.
Apart from that all was well with the bebe and my hba1c is 36/5.4. She said the morning highish readings were not too high to worry about as I couldn't take any more basal, so I'm not going to fret about those.
Getting fed up of these hospital appointments now and being treated like I'm some sort of machine - will be glad to go back to six monthly appointments after the baby is born.
Hi all. Haven't been on here for a while. Hope you're all doing ok.
I have a question. Did you all test for ketones every morning during pregnancy? I've seen some recommendations to do this with type 1. As my morning sugars have been good throughout the pg (under 7.0 every morning) I've only tested when sugars have gone over 10.0. Is this right? I've just hit the 36 week mark, have been fairly relaxed recently and now I've found a new thing to worry about. Isn't it typical??
Ginger I always had ketones first thing even if my levels were perfect (only know from when the mw checked wee fortnightly) they were never worried and I never had them at any other time of the day
Wow maggie, nice 5.4
ginger I tested for ketones twice in my whole 8 months of pregnancy!
I had my 3rd post-natal diabetes appointment today - my Hba1C is 6.8 and the dr has told me to treat my 1u of CHO to 2u of Novorapid ratio as 1.5u of Novorapid. Hard without a demipen. Anyone else do this?
Ginger, I did what you do, only tested for ketones if my blood sugar was above 9 or 10. Hope your pregnancy continues to go well, not too long to go!
Diec, I haven't even been contacted by my diabetic team post pregnancy! They are pretty useless and I've had bad hypos but just managing it myself.....bit like my pregnancy!
The joys of so called diabetic specialists. I even asked my doctor 8 weeks post baby if I could book in to test my hba1c to be told no! So much for preventative care, it's a joke!
Hope everyone is doing well!
Thanks diec and newbie. I am going to stop worrying about ketones now.
Hopefully I will find out my induction date tomorrow. I do need this baby out soon as pelvic girdle pain is becoming agony!
ginger much the same as the others I was told to test after 2 readings of 10 in a row and that ketones on a morning r related most likely to needing to eat, not long now weeks?
newbie its terrible isnt it I had to call the dsn at my hospital alot to get an appt and found out that im on a waiting list for consultant clinic could be a 12 week wait!!
diec forgive my ignorance but what is CHO? Is it your insulin/carb ratio? Ive just got a novopen echo that the dsn sent to me in post (they were waiting on a delivery) it does half units and renembers your last dose plus how long ago it was taken. Does everyone get new meters/pens from dsn?
Hi hopingfor! I think the ketone thing I read about testing every morning was from an American site. They're always the worst for getting me in a panic! I emailed my DSN and she has now officially banned me from Google! :D
No, not long now. I'm getting nervous!
Novopen echo sounds good. I have a Demipen but haven't had a new one for ages. I'm also toying with the idea of a pump...
ginger yeah google is not a friend I had to stop googling retinopathy as I was scaring myself silly and the american websites are the worst lol ive been toying with a pump too as dp can be bad last 2 mornings all good 6.5 and 5.6 but today was 5.7 at 4am then 11.7 by 8am!!
I thought it was really hard to get a pump? Pretty strict criteria?
Ginger what I do is work out the grams of carbs per 1 u of insulin, then just divide the total carbs in the meal by this to get the dose for that meal - much easier than messing round with half units and things. So if you are having 1.5 u per 10 g of carbs this is apx 1 u per 7 g of carbs, so just divide meal carbs by 7 and that's your dose.
spotty it may well be as I haven't really asked for 1 yet but the dsn did say that dp is 1 of the things that a pump would help tho I probably won't qualify on that as its fine for a few days then hits again n ive no idea why
Re: pumps, I am only at the first stage, but...I have been told that I'm an ideal candidate as I am a 'good' diabetic who is still having problems and who has occasional debilitating hypos - key word 'debilitating'.
diec but if you say they are debilitating doesnt that call your driving licence into question? Obv I have no idea it was just my dsn said the only thing they could do for dp was a pump?!
I'm pretty sure you can google the criteria (might be in the NICE guidelines?)
Hmm, when I did my DAFNE course they made it sound like the pump option was there if we wanted it. I might just enquire when I go back to my post-baby appointments. Especially if we decide to have a second baby (I said IF!!!)
So I got my induction date today. I'll be 38+1. I felt in a daze after it had been booked. I had a wobble where I wanted to say no, he'll come when he's ready but I went with it. I know it's the sensible thing.
If anyone wants to share their induction stories, feel free!
ginger thats the impression I got from my dsn too that it was an option if I wanted to but the reality is prob different also as im in Scotland myb its different? Im sure you will be fine and for that reason I wont tell you about my induction with ds (who was 1st dc) ellie was an elcs
I will tell you about my induction with ds (I won't tell you about dd as I was so, so ill kidneys failing etc it was all very rushed).
So I went in at 35 weeks with only my hand bag and they didn't let me out I had to have steroid injections etc. on the Sunday morning the out the 24 hour pessary in and dp and I hung around being bored. By bed time I was getting mild period pains. They increased over the night and by 4/5 am I was in a fair amount of pain but able to breathe through it. I asked for pain relief but was told no. Then it all stopped and I slept for two hours. Woke to them being ten times stronger. At about 8:30 I went for a wee, came back and was sick that's when the mw came back and agreed I was probably in labour so she would take the pessary out (as I'm writing this ds is eating my toes ) anyway she took it out and said I was 4cm and could go up to labour ward. By the time they had space (labour ward was closed) my contractions were 7 on 10 and I went a bit crazy until I got the gas and air that really calmed me down. There was a couple of hours of me begging for an epidural and shouting at them because the were making me lie on my back.
Dr came in they said baby needed to come out now so got the ventouse and gave me episiotomy. Then I needed to push so they let me and ds was born in 20 minutes I would do it all again tomorrow
but dp said no
My friend had GD and she was induced at 39 weeks. She had a good labour/birth too
Thanks Spotty. I've got an appointment next week with midwife to talk it all through but good to hear from others who've gone through it. I am scared but trying to mentally prepare.
Oh also before things went wrong and I was hoping to get to 38 weeks my specialist mw said I could labour in water (early stages).
Here are things I would recommend looking into/discussing with your mw:
How are they going to induce you?
Refusing CFM so you can move around
Will you consent to forceps?
Will they put you on a sliding scale? (I did first time not second)
Delayed cord clamping if baby is well
Does your dh know how to test your sugar level? They will want it done every hour and you won't be able to do it yourself towards the end
Thanks spotty. I certainly will take those questions along with me.
DH does know how to blood test me though hasnt done it for a while. That's a good point though. I'll get him to do some practise ones
I called dp stupid because he took so long the meter switched off
My induction story wasn't so great - got to around 4 inches dilated after 24 hours, lying there high as a kite off the diamorphine, loads of medics rushed in saying there was a problem and to lie on my side, baby was in distress. His heart rate was plummeting where the cord was being squeezed by the contractions, so they switched off the syntocinon and rushed me into theatre, he was out within about half an hour. So...worst half hour of my life but he was absolutely fine and happy ending. Kind of ruined the birth experience so that's why I'm having an elective section this time.
Sorry to put anyone off, but ginger did ask for stories. I'm sure this is a pretty unusual occurrence though, most people are fine.
I would refuse syntocinon I have to say. I would say I'm happy for pessaries and if need be broken waters but if nothing happens after that I would want a CS. I would have synto if I got really far along say 8/9cm or even in the pushing stages and things tailed off but not otherwise.
I've read a lot of negative things about induction. It would be nice to hear some of the more positive stories as i am feeling pretty anxious.
I'm not overly keen on having the oxytocin but also want to try to avoid a c-section as I want to be out of hospital as soon as poss. It's hard to know what to do.
I've been through an awful lot during this pg with heavy bleeding, diabetes, hypothyroid, cervical surveillance due to previous cervical surgery, an unsupportive employer, anxiety, OCD and Pelvic Girdle Pain. I feel like I've fought every step of the way! So I'm frightened about what awaits me with induction but I'm also frightened what could happen without induction.
They will keep you in hospital for the baby's sake as much as yours - even if you have a completely trouble free labour they need to make sure the baby can regulate its own blood sugar which I think needs at least 24 hours observation after the birth.
I was out 48 hours after my c section so not sure it would have made that much difference if I'd had a normal delivery, maybe shaved off a day (although my LO had low blood sugar at first) but it's not like you'll be out within hours with a vaginal delivery and have to stay in for days on end with a c section.
Having been through it all I have to say it's put me off induction, and if I can't have a natural birth I just want to go the section route. There is a 67% chance you will need a section anyway ifyou are diabetic, according to my midwife. Sorry but those are the stats. but if you want to try for a vaginal delivery I wish you all the luck in the world.
"it's not like you'll be out within hours with a vaginal delivery and have to stay in for days on end with a c section."
I actually though this is how it worked. (Shows what I know!) Ok. Well, now I'm reading up a bit more on inductions I am feeling a little more accepting of a c-section if that's the way it goes. Its encouraging to hear you were out 48 hours after yours. I think I should ask my MW what my hospital stats are too.
I suppose I just don't know how my body will respond to induction. So instead of fretting over the worst-case scenarios I need to just see what happens.
Well I didn't need a CS either time, with dd (36 weeks so not near term) I only ended up with forceps because they had to deliver her before I had the chance to properly push, otherwise I'm quite sure she would have been born vaginally too. I was discharged less than 24 hours after having DS as he was in SCBU. I agree with just seeing how it goes. Have a search for the threads on positive inductions I think it will help you.
hoping you may be right about debilitating putting your driving licence at risk, but I don't drive so not sure. Sorry.
Thanks spotty. Yes I have been looking at threads on positive inductions. It's good to know it works for some. With any luck I'll be one of them.
ginger if it helps I was out within 48 hours both times with both an emergency and planned section and that was with ellie needing help with her bg.though I would agree if it gets to needing pitocin id just go for section. Obv every hospital is different but with the planned section I was 1st on the list due to being diabetic which also meant I was back first and got a private room(all planned sections/diabetics went to same ward and was a seperate theatre from emergencys) I can tell you about the induction with ds wasnt all bad but ended in emcs
Ginger - I felt very like you when I was expecting DS and was desperate for induction to work so that all would be as 'normal' (haha) as possible.
For me, induction simply did not work. Absolutely nothing happened at all. My cervix was so closed that they couldn't even give me a sweep and the pessaries over 2 days did absolutely nothing.
So I ended up with my worst case scenario of a cs. However I want to stress that this was in no way traumatic, it was pretty 'easy' for me and DS suffered absolutely no ill effects. It's such a truism but when you have dc in your arms who cares?? My main fear had been him being taken away from me due to being hypo - but his bg were perfect at all 6 readings they took in his first 24 hours.
The other thing to bear in mind is that ,for some, induction can be the start of a series of interventions. So you have a pessary, then have waters broken, then a drip and the stats are much higher then for an instrumental delivery. Not great either. In an ideal world we diabetics would just be allowed to go into labour naturally with our non giant babies and get on with but sadly that's not the case.
FYI I would have been ready to leave hosp after 2 days but DS lost a bit of weight so we stayed. For me, the hardest thing about the section was that my milk took 4, nearly 5 days, to come in. Thankfully I had banked colostrum to give him which I would highly recommend.
Anyway I hope some of this helps!
I was induced at 38 plus 2, the pessary worked first time and within 2 hours I was 3cm dilated, I had my waters broken and was constantly monitored. Only downside to this is that you are hooked up to machines etc so not ideal for moving about but my hospital didn't give me a choice, I'm in Scotland so not sure if its different rules up here. I had gas and air which helped with my contractions but my MW advised I took an epidural due to the strength of my contractions and the fact that my labour was progressing slowly. I would honestly say the epidural was fine, you still feel the contractions but they are much more bearable. Sadly for me, I didn't dilate past 5cm and my LO wasn't coping v well with my contractions so I ended up with an emergency c section but I promise it was fine. My LO was born safe and healthy and that's all that you care about! I was discharged after 2 days. I think I could have got out sooner but my LO had low BS so had to be monitored. Post c section, again it was fine and I was up walking very quickly. It was a little sore but really not that bad. In all honesty, if I was to get pregnant again I would ask for an elective section as my own opinion is that the recovery, baby bonding etc is not affected but I understand others may have a different view. I guess I just wanted to reassure you that my induction despite ending in a section was still a good experience. Best of luck! X
Thanks newbie, Bona and hopingfor. I am trying to be realistic about everything but its the unknown isn't it? Maybe he'll decide to put an appearance in before then anyway. Operation sex, curry and raspberry leaf tea starts next week! :D
Oh, how do you bank colostrum by the way? Do you do it before baby is born? Does everyone produce it even if their milk doesn't come in? I'm not leaking anything yet that I'm aware of.
Ginger some people can't get anything out before the birth. Look on the LLL website. You need sterile syringes and to hand express. You will only have colostrum until your milk comes in probably day 4/5 (it's usually later in diabetics I think).
Speak to your midwife I was told I couldn't start until 36 weeks but ds was born before then!
Right, another question for the midwife! Thanks! X
Ginger, don't expect mw to know much about this (sorry). When I appeared at hosp with all my frozen colostrum the mws were all like That is despite the NICE guidelines on diabetic pregnancies recommending this.
I paid a private lactation consultant to come to the house and show me what to do. I started at 36 weeks (when I started mat leave). You just need sterile 5 ml syringes. If you get a good mw she can give you some otherwise you can buy them in boots etc.
You then basically hand express drops at a time. The first few days I was getting 1 ml per sitting or something pathetic but as your technique improves you'll get more. I never leaked but you can get colostrum 36 weeks or earlier in some cases (they advise against starting earlier as nipple stimulation can trigger labour).
You also need breast milk freezer bags so you can pop your full syringes in there. DH then brought them to hosp in batches inside a cool bag with ice packs. The hosp will also have a fridge.
This all just means that you are able to avoid formula top ups (if that is important to you while you wait for milk to arrive).
DS still lost quite a bit of weight while I waited for my milk and became jaundiced but didn't need blue lights and had just two formula top ups before starting to regain weight. He has been exclusively breast fed since then and is a right wee porker!
Thanks Bona. I had no idea you could do this. I had a bread
St feeding specialist session as part of NCT. I will email her to see if she can help or knows someone who can
Breastfeeding specialist! Doh!
Good plan! I think she should be able to help or refer you on. Also check out LLL in your area as suggested below. Good luck - any questions let me know.
Oh my hospital has a specialist mw I never saw a community one
Nightmare night went to bed at 4 never woke up till now so im 16.6 f**k haven't been that high in a while cant believe that missing out on a few units in early hours has meant im this high!
Just tested half an hour after correcting (couldn't settle until I knew it was on way down) and it had risen only by 0.2 but still wtaf I dont however have ketones so it cant have been high long right??
Spotty - I didn't see a community one either, this was at the diabetic pregnancy clinic. Honestly there were so many things I wish I'd commented on but in actual fact was just so pleased to be heading home with DS after all the appointments and hosp time!
Hoping - that is a huge difference. Dawn phenomenon then I reckon.
Hoping I think you're an ideal pump candidate.
My mw in clinic was so lovely. I often see her if I'm at the hospital for appointments in peads and she always stops for a chat (remembers my name etc) I think I love her a bit
The mw's on the ward though are pretty clueless!
bona spotty im thinking its dp only other thing I guess is perhaps a hypo and liver dump my dsn seemed to think that a pump would be best for 'true' dp without going on a cgm how do they classify it as true? Also dp is not in the guidelines so id prob struggle for funding? Should I put up my levemir do u think? Will give it a anothet cpl nights right enough as I think its down to not taking insulin at 4-5am
spotty I wish I could still see the consultant I haf during pregnancy but no doubt it will be back to the po faced ones I used to see that have a bit of a god complex
Hell what am I doing wrong?! Normally id test at 10pm then feed ellie n go to bed but I retested tonight I was 4.1 at 10pm by 11pm 9.2 at which point I took 3u just before 12 im 12.4?!?! I had dinner at 7.30 so I dont think its that totally stumped
Just popping back on to say thanks for induction advice and questions to ask midwife. Spoke to her yesterday and feel much less stressed about it all.
Also MW was incredibly encouraging about hand expressing colostrum, gave me a pack which included syringes and instructions, gave me a little demo and said I'm welcome to use the birth centre freezer if I manage to express and freeze it. Phew!
Ginger that all sounds great I'm glad you're feeling more positive
Hopingfor it really does sound like a pump could be the way to go for you. I hope your clinic agree and can sort that out for you if its what you want. In the meantime i think I'd be tempted to put my night levemir up. And set an alarm to keep an eye in things in the night. x
ginger yes I think it may well be a better option than dripping a unit or 2 till midnight tgen having to get up at 4am to ensure im not too high in morning. Oooh cant be long now when do you go in? Another thread baby.
Has anyone heard from puds??
Hopingfor - after seeing my friend's pump in action I now really have my heart set on one. Though my clinic may have other ideas as I do t fit their criteria. Well maybe I will post birth, I can barely remember my pre-preg control!
I go in on Wednesday afternoon for my induction. But I've a sweep booked for Monday. I think if my cervix isn't looking "favourable"I may tell them to forget the sweep though. I hear it only really works if you're ready anyway.
I have the same concerns ginger dont think I will meet the criteria n couldnt afford it myself.
How exciting, not sure with my 1st preg with ds they gave me a sweep a cpl days before said they couldnt even reach my cervix it was that far back but was 2-3cm by the tues evening though no real pain so I didnt know till they went to put pessary in lol
I had a sweep at 36 weeks with dd and was contracting the next day when I went in for induction
I've been convincing myself that the mild cramping and low down pressure ive been feeling is my cervix dilating. But I've had no significant increase in cervical mucous and no show so I might be deluding myself!
You never know ginger I was 2-3cm with hardly anything other than the odd twinge that I put down to nerves lol
How are you ginger ?? And everyone else of course?
How'd it go Ginger?
I didn't get a sweep as they couldn't get anywhere near it! Hope your cervix was a bit more favourable.
Well I had the sweep at about 2:30pm today. It was difficult because my SPD had me in tears of pain before she even touched me with having to lie on my back! Once I got into a less painful position it wasn't too bad. It did hurt but was manageable. She said I was about a fingertip dilated so I figure no more than 1cm and my cervix didnt feel particularly stretchy.
Nothing dramatic has happened since. No show, no contractions. Just some mild cramping (which I was getting anyway!)
Bit of an anticlimax really
Poor you ginger if you ask me the examinations are the worst bit of labour/pregnancy etc. at least she could reach it when I went in to be induced with ds (35 weeks second baby) she could barely reach it I wasn't dilated at all but it still went well.
I just gave myself my evening levemir dose by accident. It's double my morning one
Oh blimey. Lots of top-up snacks for you today then?
I was up all night blood testing to catch a 3am hypo which I then over corrected. Bah!
Well the weirdest thing is it won't effect me until tomorrow looking forward to a carby day
Get some doughnuts in! :D
Spotty - better than taking your evening dose of levemir in novo rapid which I have done at least three times in the past. Thankfully I've always realised what I've done - 20 units or so of novo not great just before bed!!
Ginger - keep us posted! A new thread baby is just what we need
Went to see a friend and her twins today. Teeny tiny little boys of 5.3 and 6.4 lbs. unbelievable that DS was ever as little as 6lbs 9 (he dropped to that a few days after birth).
DS can pull himself up now he's not even nine months yet and only 7.5 corrected! I want another one already but not allowed <humph>
Definitely time for a new thread baby!
Huge good luck for tomorrow ginger hope it all goes well and quickly. Thought id post just now as its my ds 1st day at school tommorow so id likely forget
or be unable to see through tears
Thanks, all. Feeling nervous but I'll be fine when I get there I'm sure!
I'll update when I can xx
Good luck! It will be fine keep your eyes on the prize
Good luck! Think of the carbs you can eat afterwards!
Sorry to have missed the build up ginger, fingers crossed for it all.
We've been at the seaside - V was not a fan of the beach, not enough shade.
I had a pre-pregnancy appt. today with obstetrician just to see what the future might hold after the trauma of the cs.
She seemed positive and we agreed that the best course of action would be to get myself into labour around 36 weeks (like I did by mistake this time!). She said that I should get and become confident with the pump before trying to get pregnant again. Madness! Of course I'm not planning anything yet, maybe in 2 years time. I just like being informed and prepared.
Hi Diec. Nice to hear from you!
Sounds like good planning to me. I'm thinking about 2 years too. Can't decide whether to resign myself to a cs or consider pushing for a vbac (prob madness but it seems weird never to have had a contraction).
I thought you couldn't be induced with a vbac? Two/three years is a good gap I think hard work though
Spotty I have no idea. You might be quite right! Guess if I felt v strongly about it I could refuse induction and wait for labour... Or just have the cs and be done with it!!
I had early contractions, but I REALLY want the real thing.
So I'll be pushing for a vbac. Yes, induction is possible after cs, my dr. confirmed it, but said that she'd only be happy to try a sweep and the drip both with time limits.
Good to know. The consultant told me that if I had cs this time, chances of a vaginal delivery next time were practically zero. But I like to take these things with a pinch of salt.
Wonder how Ginger is...
I was wondering about ginger too bona
Finally got a consultant appt for next month 5 months post baby! Got dsn tommorow hoping to get the ok to return to fitness classes from bg point of view but having now googled it I need to find out if its ok in regards to my eyes too
Hello! Well after a fairly gruelling induction that eventually failed, DS1 was born in the early hours of yesterday by c-section. We ate currently having a bit of a struggle getting the breastfeeding going but other than that all is well! He is absolutely gorgeous and his BGs post-birth were normal. O managed to wangle a single room for post natal and we're going to be discharged tomorrow xxx
Aww congratulations ginger
Good work on his bgs too, my baby's were pretty low.
My 1st postnatal hba1c is 6.2% I said hmm its gone up a little dsn looked at me like said its great and I should not be correcting at 4 -5am for dp?! Do u all just nod along and then do it anyway?
It hasnt been great today but had bad news today
Ginger - congratulations!!! Bf'ing WILL take some time to get going because of the cs. My milk took 5 days.
Just persevere with colostrum and if nec give some formula to top up but don't give up on bf'ing (unless you want to of course).
Hoping - great hba1c. I can't understand why she wouldn't want you to correct. Any rationale given? I tend to ask for their reasons and try to at least explain my point of view. Sadly, in the end, I often just smile and nod (and then do what I want).
bona not really just that she thinks taking insulin at this time will cause me to go low it doesnt immediately but may be contributing to post lunch low though id rather eat a couple jelly babies around 11am than be sitting high for a few hours! She also told me off for taking insulin before bed but didnt have a better suggestion for the steady 9pm till midnight rise any suggestions?
Hoping that's mad! Novo rapid lasts for 3 hours max in most people so how could taking it at 5am make you low at lunchtime? Have also has folk tell me not to take insulin before bed but I do it routinely - again medics are completely obsessed with hypos when it is highs which do the real damage!!
As for your lunchtime lows all I can think is to use less insulin for lunch or have a snack just before the usual snack time. Or have you fiddled with the long acting? Reduced levemir or changed the time you give it?
bona I know crazy right! I tend as its so very close to lunch to have a cpl jelly babies just its more the steady dinner to bed rise thats annoying me.
ok ladies looking for advice I used to be active and did 2 moderate to high impact fitness classes a week but had to give up almost as soon as I became pregnant as I had bleeding. I really want to return slowly but worried about the impact on my bg have spoken to dsn who said to reduce my with meal insulin by at least 20% and start class at about 8 what do u do when exercising? Also if rue is still about while dsn said it should be ok at low impact(which it will be for at least a couple months) still a bit of a concern?
Whoops I meant worry in relation to my eyes.
I alway do normal insulin but eat something before hand and after.
I've run out of insulin. I'm so forgetful these days. I was meant to be going out tomorrow but instead I've got to go begging to the chemist. I'm so annoyed at myself.
Bl00dy hell spotty! Panic.
hoping I wouldn't do any exercise on less than 10mmol.
Does anyone else have pre-dinner phenomenon? I rise massively between about 4pm and dinner time.
It was ok diec the pharmacist was very
Hi diec well exercise is going to take a while to work out as I went in at 7.6 dropped to 6.9 halfway had some more jellybabbies throughout ended at 7.4 but then by 2.5 hours later was 18.3!! small correction had me hypo 4 hours later sigh. Will be a whilebeforre I try my normal I think
as I can barely walk my legs are soo sore
Well good on you for giving it a go hoping! The most strenuous exercise I've done is run 20 metres after my cousin's car because she'd forgotten her camera!
Hoping. It should be your long acting you adjust I think not mealtime? Of am I making that up?
I'd go to your class, check bg before and after and take lucozade with you. Then test test test.
I did a lot of spinning last year before my wedding. At first it played havoc but your body gets used to it and in the end I was just reducing night time levemir by a couple of units. Good on you
Spotty - I have come close to that a couple of times recently and have run out of strips twice.
My diabetes is a nightmare at the moment. My husband has had to call for an ambulance twice in the last 4 months and the last one, I was unconscious. Am so scared especially given I have the LO. I test every day and usually have such good control but recently it seems I can be fine one minute then plunge below 1 within minutes? They seem to happen so quickly so unless I catch them really quickly, it doesn't seem to matter how much glucose sweets I take or fresh orange, I can't get my sugars back up? Then on the other side, having been as low as 1.7 and managing to catch it, my sugars go up to 14. Am terrified to have them lower than about 7 or 8 before bed just in case but up until recently, I was very comfortable and controlled sitting between 4 and 6, what is happening??
I have recently had carpal tunnel release surgery (on Tuesday), and am pretty stressed with work, do you think that may be affecting my control? I don't want to say to my GP as they would probably advise DVLA and take my licence off me, although I always test before driving given what has been happening but not sure the DVLA will see it like that?
Am so fed up as now panicking about swinging between extreme lows and highs.
Have my appt with diabetic team at the hospital next month after complaining when they tried to cancel my appt for the 3rd time as I've never seen them or spoken to them since having my LO in January which I do think is pretty bad, I thought they may have at least called me to follow up post baby but no, probably shouldn't be surprised given how rubbish they were during my pregnancy.
Grrrr, rant over! Hope everyone else is doing better than me!
newbie that sounds very scary! I think surgery and stress will have an effect on bg certainly does for me. Do you have the glucose inj in the house? I was given 1 while pregnant its for severe hypos so oh could inject me with it if the need arose apparently it is what paramedics would do obv still need hospital but glucose would be in quicker.
I also tend to go high after a hypo and had
still do a habit of then correcting that which I get told off for as it can drive you hypo again.mayabe too much long acting? Is your hypo awarness down? Mine is lower than it was but still kicks in around 3 and way before less than 2 do you have any diabetic complications? I only ask as was told a way to get awarness back was to run at 8-9 for a month. I havent due to my eyes tho.
Im not sure that it matters whether your tell your gp or not as youve been treated in hospital it will be on your records will it not? Dont they send reports to your gp? Might depend on where you are? Am I right in thinking your also from scotland?
Can sympathise re appts I had to nag and have one for next month too, but after my 1st ds until becoming pregnant with dd I only seen nurse at gps
Goodness newbie sounds scary. I think you're an ideal candidate for a pump. Yes you will, unfortunately, lose your licence if the dvla find out about this. Anymore than one (maybe two?) serious hypos a year and it's revoked. Sorry you're having such a hard time getting an appointment
bona you didnt imagine it I was told start by taking 20% off my rapid before going and long term possibly reduce long acting
Not got any complications and never ended up in hospital as they managed to rouse me with the injection and then fed me sugar so thankfully wasn't admitted. I've reduced my Lantus to see how that goes but still feel I'm running higher than I'm comfortable with but partly that's due to me being scared to go hypo. Yes, I'm in Scotland. NHS24 don't seem to send reports to the GP (thank goodness!).
Maybe I'm just under the weather and its all having an effect. Think my warning signs are okay, usually can tell I'm hypo but other times they come from nowhere so I'm just testing lots to keep an eye on them.
Thanks for your replies x
Hi, I've missed so much! Newbie poor you, but you said you're stressed, so maybe it's connected. I have had crazier sugars when stressed with family problems and also during my finals at university.
I'm still struggling with dawn phenomenon and feel like death 9 mornings out of 10
I hope everyone else is well.
Hi newbie - I think you might need to check the driving rules because you might already be in breech of the terms of your license. I know it would be awful to lose it but hurting yourself, your LO or someone else and / or being charged for dangerous driving etc would be worse. Poor you.
Diec - good to hear from you. I've been so lazy diabetically speaking. For once mornings are ok but the rest of the day...
I am trying too bona, but things just get in the way! I often get to dinner time and realise I've only tested 4 times throughout the day. During pregnancy and pre-return-to-work I was testing 10 times a day.
I'm very much looking forward to next appt. to find out if I'll be allowed a pump - only 1 month to go!!! My obstetrician has also sent a supporting letter outlining the hypos I had during pregnancy and various other things.
Hello all, not been on in a while, sorry to hear you've been having a hard time Newbie.
Well I am having my section on Monday. Can't wait - fed up of being pregnant now, and I'm 38 weeks tomorrow. They can't get this baby out soon enough!
I had a bad retinal bleed a couple of weeks ago, was absolutely gutted but it's cleared a lot now just praying it does not bleed again before Monday. Then I guess it'll be more laser, I was hoping not to need any more but I guess the retinopathy had other ideas. Hoping once the baby is out then the retinopathy will stop progressing, as my eyes were really stable up until a few weeks ago so I'm sure it's the pesky pregnancy hormones.
That'll be it for me and pregnancy - two diabetic pregnancies in one lifetime is enough! Seriously considering getting sterilised at some point as I don't think I could physically take another pregnancy no matter how much I wanted the baby, and I wouldn't want to be in the position of having an abortion.
Has anyone else suffered with complications in their pregnancy and has it put you off having any more kids?
I've found you again! Thread dropped off my list, am back and just off to catch up on the posts
Summary: all fine, bloods a bit high though. M is 4 months old, still massive (was 16lbs last week), very smiley baby. Sleeps pretty well at night, which is a relief. Not rolling over, teething or weaning yet!
Ah plenty of time for all that Rue. Glad all is going well.
The thread has been quiet glad to hear from you all.
maggie I had no problems at all with my eyes until 2nd trimester then had background then in 3rd trimester was told one of the micro bleeds was borderline so ive been to opthamology and am back again Oct just hoping its stable. Like you I dont think id want another as id be too worried about my eyes and the hassle with 2 already.
my 1st consultants appt went ok she wants ne to run between 5.5 and 8 to help hypo awareness to cone back at 4 assures me my eyes will be fine
Sorry for losing you all Am back at work ds is almost ten months and toothless. Still in 3-6 month clothes! Still bf which I'm happy with.
Good luck for cs on Monday our newest baby!
Hi Hoping, sorry to hear you've also had eye troubles. I nearly didn't have a second baby because of my eye troubles but was told the risk of the retinopathy coming back was low after I'd had extra laser and who knows what might have happened if I'd not, it could have been a lot worse.
Luckily the bleed has nearly cleared now as I was afraid of giving birth blind in one eye (a couple of weeks ago I could not see out of this eye at all).
At least I am managing to have the baby I so wanted, as if I had known this would happen I might have been too scared to risk it.
Just praying the retinopathy stops now, and I do not bleed again before it can be treated.
This has really blighted the end of my pregnancy, I was doing so well up until now! Insulin resistance has really gone through the roof now though, I am injecting in multiples of ten, eg just had 40 units novorapid for dinner at a friends house, then another 10units for a fruit salad when I got home. Crazy amounts but seems to be what I need to avoid going to high.
Only one more day of this, as after tomorrow eve I'll be on nil by mouth until my CS on Monday.
Can't wait to meet my little baby and will all be worth it - will keep you updated.
maggie I gave birth blind in one eye. Twice. Different eyes though! Not as bad as you might expect...I've had 2 x vitrectomies now to clear the gunk and seal the rogue vessels, and no problems since then - my most recent (final, last ever etc) pregnancy caused no problems with vision.
Good luck for the CS on Monday
Wow Spotty, 10 months already?! M is in 3-6 month clothes too, but he's only 4 months old
Maggie - good luck! Looking forward to hearing about our new thread baby.
Spotty - eeek! How is it going back to work? I thought DS was going to have early teeth but they haven't appeared yet. Don't worry about what clothes size he's in - they all vary so much and it's just an average anyway. You've done so well to keep bf'ing!
My ds is 6 months now, still ebf but slowly introducing solids now. He's still not sleeping through the night other than on a handful of occasions but am ever hopeful.
Oh I'm not worried bona dd is 3.3 and still in 18-24 month clothes. I make them tiny!
Ds has been sleeping through since seven months. I decided to try and settle him with patting etc if he woke after less than 4 hours and after two nights he was sleeping through (he always settled really quickly and never complained). He eats really well and for over a month now I've stopped mashing food and he just has it cut up.
Works ok, I'd rather not be there I'm knackered with all the running around but it's only three half days which means I can continue bf and we can afford a holiday next year both dc have been pretty unsettled since I went back so waiting it out currently, I've only been back three weeks
Sirry maggie I also meant to say good luck for monday.the insuli resistance is amazing during pregnancy looking back at my diary its hard to believe the doses I was taking! my dd was a elcs and I was 1st taken to theatre because of being diabetic hope it works that way in your hospital too
Hi I have type 1 diabetes and I am newly pregnant, I have bad nausea though, what would you recommend that I eat please? Thank you
Hi xalyssx Congratulations think what helped me most was eating small amounts regularly which is not easy when your diabetic but things like cheese cold meat etc that dont affect bg cucumber somehow worked for me with my dd but with ds it was always cold meat
How far along are you? Most of us on thread have had babies in the last year(or am I wrong) or so and are happy to help. How are your bg going?
Thank you I will try that :-) I'm only about 7 weeks along but I want to try and have a better pregnancy than last time... I only found out that I was pregnant when I was 4 months gone
xalyss that must have been a huge shock! where u in time for your 20 week scan? I think the consultant I had during pregnancy would have been hard on me if I hadnt known till then lol
I found 2nd pregnancy much harder than the 1st nausea was terrible but the main reasons where other complications worked out fine in the end and dd is 5 months almost 6 now
Yeah I was 17 weeks approx, my only symptoms were nausea and high blood sugar levels but I put that down to being at catering college
Hi how is everyone? maggie what did u have a boy or girl?hope you and baby are well.
I have my 2nd opthamology appt tommorow keep ur fingers crossed for me all is ok
Hoping, how did it go? Had mine yesterday, pleased to report that all is stable and the consultant doesn't want to see me for 4 months this time. She dangled the carrot that if it's still stable at the next appt she'll downgrade me to 6-8 month appointments
Also, I had M with me, he was asleep before we left the house and only woke up on the bus on the way home, 4 1/2 hours later I'm astonished he slept as well as he did last night!
Hi rue thats great!! In mine he said there was 1 micro in left eye but he wasnt 'convinced'by it and another like that in right eye along with 2 that were definite micro bleeds but were well away from central vision he said he would have been more suprised if there had been zero changes in a type 1 after this amount of time and 2 pregnancys?! Anyway ive been discharged to my routine checks tho im hoping it will be 6 months rather than a year. Can I ask for that?
is m sleeping better for u? I think sometimes they actually sleep better at night if had naps during day.
M is sleeping really well at night these days, not so much during the day! He cat naps during the day, with the odd (every 2-3 days) really long 3 or 4 hour nap. But the long naps depend on being at home mostly, and it's rare he can avoid being dragged out of bed to do a school run/take the big ones to swimming/etc.
And I don't see why you couldn't ask for 6 monthly appointments, give it a go they can only say no.
Aw thats good ellie is the same really unless my oh is a 10am start then she gets to sleep again after her 7am feed, lucky babies!!
Im going to ask when I see dsn atvend of this month just for my peace of mind so glad this little group exsists keeps me calm about things abd rue your knowledge and advice about my eyes has been so good im so grateful
Hi, just to update gave birth to a baby girl, Faye, 6lbs 1oz, last Monday. Both doing well. My eye has not got any worse, according to one doctor I saw the retinopathy has not progressed but some vessels which developed last year have been pulled by the eyeball jelly, resulting in bleeding. The bleed has subsided a lot now and hoping it will clear completely before too long.
I'm having some laser next week and praying that will be the end of it. At least I have not developed new vessels in the pregnancy.
Seems quite a lot of us have had eye problems in pregnancy, well that's enough babies for me now (two).
I'm finding it harder than I thought to go back to being a 'normal' diabetic. The temptation to slack off now I've had the baby is enormous! I know I can't though.
Good luck to all those still due
Congratulations maggie, and welcome to the world Faye what gestation was she in the end, she's not big by any stretch!
Hope your eye settles down asap, too.
Congratulations maggie aw lovely n tiny!
Hi Rue and Hoping. She was 38+3, not big at all even for that gestation. My son was even smaller at 5lbs8oz at 38+2. I must make em small. Either that or my placenta packs up at the end as they were both very average on the growth scans. The diabetics producing big babies thing certainly hasn't been true for me - then again my hba1c was below 6 throughout and I was paranoid about high blood sugars.
Have those who've had their babies had big ones? i'm convinced it is more a risk in the gestational diabetic population who don't know they have diabetes until it's found on screening, therefore giving some time for the baby to grow big from high blood sugar before diagnosis.
Hoping, I would ask for 6 monthly appts if you are worried. If they say no, just go to your GP in six months and get them to ask for you to be seen as they won't ignore a referral from a GP - you can say you are really worried etc. I had this problem with my eye hospital they did not want to see me for 9 months despite me being in 3rd tri of pregnancy and having a bleed a few weeks later. I made a complaint about it as I'm sure they are mainly doing it to get the waiting lists down. I've gone private now as I'm in a health cash plan at work, but it is limited to a certain amount of treatment so I'll need to get referred back to the NHS again once I've exhausted it.
My eye hospital is like being in a third world country, they couldn't even give me a date for laser as they had a backlog so there was a waiting list, not great when you're pregnant and worried about your eyes! I'd hate to think of people getting worse just because they don't have enough resources to treat them straight away but unfortunately it seems to be the case, I'm just hoping I won't need urgent treatment there again.
Hey maggie thats terrible thats truly crappy you have had to go private I plan on bringing up and asking for 6 monthly check with dsn when I see her at end of this month. My ds was 7lbd 10.5oz and dd 8lbs 6.5oz so not small but hardly giant considering my oh is 6ft 4 and both me and my sister were bigger born to a non diabetic mum in fact my younger sister who was my mums 2nd was 9lbs 14oz! Of course she is naturally skinny now
Congratulations Maggie! Lovely name dd was 8lb at 36 weeks and ds 7lb18 at 35+4 my hba1c was below six but neither were planned so I think maybe that contributed?
I've got a cold and I feel rubbish. Bm 20 this morning
Ooh I dunno Maggie - my HbA1c for DD was 5.5, and she turned up at 39+3 weighing 9lbs8 control wasn't quite as good for DS2, but still around 6, he was 37+5 and 10lbs8
We'll ignore DS1, he is a surviving triplet born at 31+3, and weighed 3lbs8!
All were planned PGs and control good beforehand.
Argh woken up at 20 again!! This is the worst cold I've had in ages do they effect everyone like this? I've injected 10u as my correction is1:1 at the moment but I don't want to start yo-yo ing which is what happened yesterday.
Ladies. I've come for a shake.
My control is all over the place and I feel like I'm not on top of things like I usually am. I'm eating carbs like they are going out of fashion - not just sweet stuff but pasta, crisps, all sorts I'm hypo-ing and hyper-ing like mad. I wake up in the morning scared to test and with not the first idea of what will be on the meter. I've gone literally years without a reading in the high teens and now I've had several of 20+. I'm so ashamed because I understand my ratios and what to do but I'm just not doing it.
I'm due to go for bloods but I can face it as I'm worried about my hba1c. I know what I have to do, but seem to have fallen spectacularly off the wagon.
My poor DS is probably getting horrible, poor quality milk as a result.
Someone please slap me. And sorry for the me me me post. I hope you are all well.
Ps congratulations maggie and I love the name.
Bona I'm the same as you but as ds is on nursing strike I know my insulin requirements have dramatically increased but I can't be bothered to try and sort it
bona and spotty if it makes you feel better ive never been good at cutting out carbs though I do obv try n take the correct insulin for what I eat. That being said im still yoyoing have been changing ratios with dinner being a big problem in that if I do 2:10 im low before bed if I do 1.5:10 I rise steadily from 9pm-12 and now again find the only way I can get a good morning reading is to test around 3-4am when I can be anything from 8.5-12 and take a correction answers on a postcard plz lol
I'm not a low carber but I have been eating lots of chocolate and skittles
spotty cant say I like skittles, chocolate on the other hand most weeks I try to not have anything sweet mon-fri then allow myself some at weekends otherwise id cave n binge. Often find my bg is more stable at weekends not sure how that works
I wouldn't say I low carb either but I do try to be a bit sensible. Although I can work out how much insulin to take even with carby things I do find that the higher the carb level of a meal the more chance there is of getting it slightly out and ending up high or low. And when I say I've been bad, I've been really bad - like the other night I have a big bag of kettle chips and a packet of biscuits for dinner. I mean ffs!!
Ooh Spotty, you've gone Spooky!
Well hba1c was 5.8 with some hypos tho not as many still I have to 'relax' shouldnt be correcting at 3am id far rather have hypos than be running high.
Just found out hba1c is 5.5, well chuffed! That's me 10mths post baby so pleased I've managed to keep control
Wow, impressive! I need to go for a blood test, not got hosp appt till next year (was the first available one ) but they've asked me to get bloods done in the meantime. I don't want to, I suspect it's gone a bit mental...
I have found out that I am 13 weeks pregnant with identical twins! I guess that must be why I am more insulin resistant than in my last pregnancy. The other day I had a really bad migraine, which normally only happens when I am very high, but when I did a blood test I was 1.5mmol!
newbie what did they say to you just out of interest ive had 2 hba1c post baby 1st was 6 last 5.8 but consultant wants me to 'relax a bit' I appreciate that hypos r not something I want but neither is being high
Rue ive honestly thought that my hba1c woupd be really crap but some how its been good.
wont be for long got a crappy head cold so am either in the teens or low
thealyss very exciting!! How are your bg going?is it even harder with 2 babies?
I lost you all. I DKA'd following a horrendous sickness bug. I've just got out of hospital, my levels weren't that high when I was ill (11-15) but I ended up in the intensive treatment unit I got discharged yesterday but still feel awful. My potassium levels are really low and my heart rate is averaging 110bpm
Oh no spotty that sounds awful!! How are you now?
I was away for weekend for my 30th so 2 days of eating and drinking levels were up n down but mostly up
I'm ok but I still feel awful. Not sure how I'm going to get my potassium levels back up or heart rate down. Also finding it hard to get bm's below 12, they seem stuck there.
Oh Spotty, that sounds dreadful! Re potassium, aren't bananas and dried apricots meant to help? Though tbh I'd go and get a supplement for a while I think!
I've finished all my slow k, they only gave enough to last this morning and I've got something which helps you to retain it
I think I'm going to have to complain to the hospital as they messed up my sliding scale (1.8-31 over night) my consultant wasn't happy. They hadn't been continuing with my bolus so just giving the act rapid through the drip it probably added another day or two onto my recovery
Hi all. Can I join thread? I'm 11weeks with baby no 4. Type 1 diabetic on an insulin pump and cgm.......not been too bad so far, quite a few lows but no bad hypos yet and thankfully my sensor has been picking up my dropping sugars well. Off for NT scan next week and then I can be 'officially pregnant'.
I haven't read the whole thread so so will have to catch up with who is pregnant and how far on.
Spotty, that sounds horrid. I had similar with my dc2 after a tummy bug but don't remember issues with potassium levels. How many weeks are you? Hope you are feeling better soon.
Sorry spotty, having just read through bit of thread looks like you've already had your baby, doh! X
I'm on a pump too, paradigm veo but don't have the cgm. There's one or two others who are looking at it, but nobody else has one yet - you can help sing their praises lol.
I think most of us are postnatal now, my ds (dc3) is 6 months old, I've been type 1 for 30 years so have done 3 pregnancies with it now - is this pg 4 with type 1 for you? If so, respeck
My doctor wasn't happy, said it was too low and it needed to raise it. I'm mad as I test all the time to make sure I stay in a good range but he said, technically with 5.5 I'm not diabetic?! I just nodded and left as it's easier than trying to explain I just look after myself.
Hu Rue, yes no 4 as type 1. Completey bonkers really but that biological clock was ticking very loudly . Wasn't easy sailing with my older ones but I'm fairly confident I know what to expect this time round! I've had many pregnancy complications from pre eclampsia, haemorrhage, blood transfusions, dka, prem baby and emergency sections thanks to the diabetes but still I'm crazy enough to go back there again.....note to self THIS WILL BE THE LAST TIME !
I have the animas vibe pump and the cgm is built in so only one bit of kit to wear plus a sensor/ transmitter. I've self funded sensors for the last year and I really like them. It is expensive but I feel they are invaluable in getting on with life without worrying about being hypo. My last HbA1c was 6.2 % and I genuinely avoid going hypo I think mainly thanks to the sensor. The last few weeks have been more tricky as I've been having the first trimester lows and sometimes the sensor with its 20 min lag doesn't detect it dropping. I am happy to answer any questions on the cgm!
Yay - another Type 1 who is expecting! I've been feeling quite alone. I'm 7 weeks with my first. I've had a pump for 5 years now but unfortunately no amount of persuasion will get me a CGM.
I haven't experienced any first trimester lows yet - in fact quite the opposite. I seem to be cranking the insulin up and up and up despite the fact that I low carb and have not been eating much.
I'm traveling in the US with work this week too which is not helping my levels much. It's all such a stress!
Congratulations on your pregnancy. I found my insulin needs increased in the first weeks but around week 8-9 it dropped and I had to reduce my basal rates by around 20-30% and was much more cautious over my bolus e.g I would combo bolus for the a bit less than my carb ratio but then end up cancelling the combo as I was low.......I would be cautious in case same happens to you. To cope with the higher levels I usually ran a higher temp basal rate after every meal but in fairness I have eaten purely carbs for the last 11 weeks to combat nausea and I'm usually a low carb girl!
With my CGM I sorted it out direct with animas and have just paid for it myself. It is expensive as sensors are £185 for 4 and the transmitter is £350. The sensors are only guaranteed for 7 days but I usually get 14 days out of them so monthly cost is around £100 plus you have to factor in the transmitter which is only guaranteed for 6 months. They replaced my first transmitter as it ran out at 6 months and 1 day so I have only paid the £350 once and been using the cgm for 1year now. I think the costs are similar for the stand alone dexcom 7.
Which pump are you ?
Thanks for the head's up on the changing bs levels. My basal rates are up 25% from pre-preg rates and I'm having to keep increasing my bolus ratios too. I took 3.5 units for a cheese omlette this morning! Luckily I haven't had too much nausea yet - although I'm weirdly having a strong aversion to hot food at the moment so eating a lot of salads.
I have a Medtronic Veo pump. I'd love the CGM to go with it but it's just not something I could afford at the moment (DP and I bought a doer upper house literally the week before my BFP so we are truly broke atm). i might try and raise it again at the hospital next week.
For the past 5 days I've been having high readings of about 10 during the night at about 2am. I'm nervous about increasing my basal overnight but I guess I had better do it...
It's all a bit of a headf**k if you'll excuse the expression! I've had HbA1c's of between 6-6.9 for the past 5 years but pregnancy is really challenging my control
spotty the hospital messed up your sliding scale?! Definitely complain!
newbie I kept getting told I will lose all hypo awareness and its dangerous to have my hba1c so low? Sure it wont be as good in January when I next have dsn.
rue I had to wait till 12 weeks after my post natal check at gp but your wait is really long!
Hi to bojangles and otter
otter my DSN funded one sensor for a CGM when I was pregnant with DS1, it was a revelation! Worth asking your clinic I reckon, they might agree.
Hope you don't mind me joining this thread. I was about to start a new one looking for fellow diabetics but then I came across this one.....
Type 1 16 years - since my DD was a few months old. No diabetes picked up during pregnancy but she was 10lbs 4oz born . We're now TTC our 2nd and fingers crossed will be expecting in the New Year. I have lots to learn about diabetes during pregnancy......
Will have a read back through the previous messages on here to see what is going on.
Hi nia welcome wow thats really rubbish they didnt pick it up during your pregnancy with your dd! Or is the gtt a relatively new test?
Theres a few of us post natal and some pregnant also a good mix of us on pumps and mdi so ask anything I found more help on here than anywhere else
hi Hopingforno2, thanks for the welcome. I'm sure I'll have lots of questions in the coming months.
I was diagnosed when my DD was 8 mths old so whether I developed it in pregnancy is questionable but given her size I'd say it's likely (though no medic would ever agree lol). I was never offered a gtt.
Am guessing from your username that you are a mum already and TTC? How old is your LO?
Have done so much research on the internet about diabetes and pregnancy which I found really scary so it will be good to hear from people who have really experienced it.
I'm fearful at the moment about being induced and then needing a CS. Have a real phobia about operations. Struggling to get any information locally about hospital policy.
I went for a pre-natal visit a few weeks ago and they looked at me like I had 2 heads. no one knew what to do with me and wondered why I was there.
I've started taking 5mgs of folic acid (requested from GP following my own research) and managed to get my HbA1c down to 6.6% but am hoping to better this before January. It is the best result I've ever had so am really pleased that the hard work is paying off.
Hi nia I've had two pre term inductions, first forceps but second nice easy delivery well done on your hba1c. I hope you get decent care just from this thread you can tell how different the standard of care is between areas
Hi nia I have 2 dc now my youngest is 7 months and my oldest 5 years now but when I joined I was ttc dc 2 and havent namechanged.
your hba1c is great!I only got prescribed 5mg folic acid when I found out I was pregnant so its good you already have it. Antenatal care when your a t1 is very different from a normal pregnancy and varies from area to area. Where are you(very roughly obv lol)? For me I was at a clinic from 6 weeks every 4 weeks unless bg was playing up till 36 weeks then every 2-3 weeks till 36 weeks then twice a week for monitoring and t1 are delivered at 38 weeks in my area. Lots more scans too with ds it was 8,12,20,28,32,34 and 36 weeks. With dd I had other issues that were not to do with diabetes and was scanned even more but dd is a happy 7 m9nth old now. I had an elcs with dd and it was very straightforward I was 1st down and home after 2 days.
How old is your dd? From your post around 17?
My control is awful I just can't stabilise it! Was 6.7 before lunch but 3.1 after. I had a toffee crisp and it shot up to 15. I'm injecting 2u/10g+2u for luck but I'm still struggling. I didn't eat all of my lunch so that's the only reason it went low. Gah.
Hi SpottyTeacakes, it is really reassuring to hear that neither of your preterm inductions ended up with a CS. I am so scared by the idea. I was 42+6 when my DD was born (very overdue, they kept delaying induction and by 42+6 it wasn't required!) I had a long (38hrs) but fairly easy labour and am worried they would intervene this time around.
Reading back over a few of your posts it sounds like you've been having a bad time of it lately. Horrible time of the year for illness - especially with little ones picking up all sorts of bugs and bringing them home to us. I hope you are feeling much better really soon.
Do you ever find that you drop a bit low soon after lunch but still have a stomach full of undigested food. So the hypo treatment on top can cause sugars to soar. I get this a lot and am still trying to find a way of getting insulin absorption to match food digestion. Much easier said than done.
Hopingforno2 thank you so much for the info about extra scans and appts. Thank goodness I live quite close to the hospital as it sounds like a lot of visits. I'm in the South Wales area. Did they tell you why babies are routinely delivered at 38 weeks in your area? Would be interesting to find out the policy in different areas of the UK. Were you also diabetic when having your oldest child?
My DD will be 17 next year. Quite a big age gap. I've forgotten pretty much everything I ever knew about babies
I'm just struggling with my ratios at the moment. I thought I had my levemir sorted but after going to bed at 6.7 I've woken up at 11.2 tbh I still haven't sorted it from finishing breast feeding and now the illness on top of it!
It obviously depends on your consultant, mine was very pro vaginal delivery if possible and with ds all I had was one pessary and everything else just happened. I think it's more likely to work with it being your second too
Hi nia yes diabetic with both. It was explained to me as being due to the placenta ageing more quickly than a normal one though they are not sure why this happens, in fact it was put quite bluntly to me 1st time round that diabetics babys were more likely to be stillborn after 38 weeks and were usually big by then. In my 2nd pregnancy with dd at one point I thought they may deliver even quicker as growth scans said she was on course to be 10lbs at 38 weeks but she came out at 8lbs 6.5oz so they can be inaccurate lol. I think most of the ladies in here have been no later than 38 weeks?? With my ds I went in to labour myself at 38 weeks though then had my waters broken and a pitocin drip unfortunately at the pushing stage an hour in he was not making an appearance so I had an emcs. Which is the reason for the elcs with dd plus size they were concerned about shoulder becoming stuck. That said you have had a successful labour so no reason why 2nd shouldn't go just as smoothly I think im the exception rather than the rule iswim.
spotty snap have a cold thats lingering a bit keeo thinking I have my ratio sorted but then can go to bed at 5 and wake up at 4am in the teens very frustrating and can go low one day but the next with same food insulin etc be high. I guess to be fair im not eating all that healthy
Eugh 20.1. I'm so fed up
spotty just had one of those nights myself was 3.2 before bed so had something to eat at 3am I was 17.1!! Took 3.5 units woke again at 6am 15.2?!took 4 more units and thankfully by 8.15 was 6.8 but im expecting a crash at some point and the dsn says dont correct at night!
Argh this cold is ruining everything. 14u for a portion of spaghetti carbonara and it was still 9.2 two hours later
Hi ladies,been lurking for a while but think its time to well and truly settle in here...
Up until now everything been going really well but had my routine clinic appointment today and baby is big,measuring roughy 39 weeks and I'm only 33+5, estimated weight 7lbs. Got to have another scan in two weeks and a plan will be made from there but got a feeling im going to end up needing a section. Wouldn't mind if I hadn't been trying really hard to keep my sugars under control and for the most part they have been but all seems to have gone to pot in the last few weeks. Always knew this was a possibility of course but I've had a perfect,textbook pregnancy up until now.
Anyone been told similar and had a happy ending?
Hi anothermrssmith I was told with dd that she was big though they didnt say in weeks just that she was likely to be 10lbs or over at 38 weeks!! This was one of the reasons I had an elcs but not the only one my ds I was given drip despite already being 3cm dilated without any intervention and it ended in emcs they advised against induction due to the small risk of scar rupture and dd supposed size but in the end dd was 8lbs 6.5oz and in all honesty the elcs was not a bad experience at all very organised and calm
Hi all. I'm 5+0 weeks pg with baby no 1, am 28 years old and had type one for 27 years.
Now,I'm very anxious!!! Having an early scan next Monday but not really sure why this is necessary? Any tips from one diabetic to another? Thanks in advance.
Everyone I need your help! Control had been awful since I DKA'd and now I'm ill. I've got a fever and bm of 16. We're off to London today. I can't remember what I'm meant to do when I'm ill
Ps to any newbies who can help I'm not pregnant anymore so don't need to worry about that!
spotty you poor thing its so hard when your ill I dont think ive ever been told what to do I tend to just test and correct more often though whether thats the right thing to do im not sure. Having a rubbish time just now too so will watch with interest to see advice my ds was ill now dd has bronchiolitis so odds r im next.
We've had an awful time too, after I was in hospital dd had a chest infection (nearly hospitalised) and dp and ds had an ear infection. Oh and even better I got an infection in my finger from testing!!
I can tell my level is sky high atm but need to get ds to sleep we haven't been home long from London.
oh no spotty how awful. Hopefully though you can throw of the infections and be better in time for Christmas. Here's a link for sick day rules but I wouldn't want to recommend large doses as I've never used 'sick day rules' and I wouldn't want you swinging too low.
Test for ketones though with a 20.8 and keep up the fluids.
VJONES welcome. Have sent you a couple of messages before but think I keep missing you on other posts!! Congratulations on the fantastic news!! See if you can find my pm in your inbox.
I think they do the early scan just to check that your dates are correct and you're not further along than you think..... (They might not be able to see much so early on so they may want to do an internal scan - so be prepared for that. I know some people have said no they'd rather not have that and just waited a few more weeks for a scan)
Hope everyone is looking forward to Christmas!!!!!!!
Thank you Nia that link is great. Ketones level 1.2 I have no idea what that means
Is it the glucomen meter spotty the ketone strips for mine say 1.5 and up is red to see or speak to doctor 0.5-1.5 is yellow im a bit like that when im unwell I can take a correction and continue to rise even if I dont eat you must be feeling miserable. My dd is unwell she has bronchiolitis and the stress of worrying if she wil be ok and whether she will need to go to hospital is pushing my bg up a bit
Thanks hoping. Poor you I hope your dd is soon on the mend. We're never ill but there seems to be so much going round.
And yes it is the glucomen such a good way to test them
Thanks spotty its such a worry hope your better soon too.
+ = 1.5 (1500)
++ = 4 (4000)
+++ = 8 (8000)
++++ = 16 (16000)
I think the + 's are like the urine sticks. So 1.2 would be the first shade the ketostix goes. Not too bad could be a lot worse like that horrible shade of burgandy the strips turn when you're majorly high
Level down to 6.4 and ketones 1.0. Temp is down too but was yesterday and then started going up again in the afternoon. Now should I see a doctor?
spotty if youve had ketones constantly for a long time I probably would though if your not eating your body produces them as well doesn't it? Im currently sat at open access at my gps with dd as she threw up most of what little she has taken in past 24 hour's and only had 2 wet nappies not sure if they will think im crazy since she has been diagnosed already but for my peace of mind.
I've made an appt. I'm sure my temp will go up again later plus they might be able to hurry an appt with my consultant who, apart from when I was in hospital, I haven't seen since I was pregnant
Always best to get it checked out especially with a baby
Apparently I'm very strict because I like my first morning reading below 6 and after meal below 8
Drs were good, just a virus they think, but phoned the diabetic nurse (new so I haven't met her) to check what she thought.
spotty you may have to ask gp to refer you again as mine had to and it took 12 weeks to get an appt!!
dd is still in hospital back on oxygen and has a nasogastric tube
Surgery diabetic nurse phoned today to check on me and said she would chase up the appt and if they can't get me one soon I will see her in jan. She's also the post natal etc nurse and I love her
Back from works Xmas do four glasses of wine later
MERRY CHRISTMAS ALL.
Hope everyone had a wonderful festive season and sugars haven't been too out of control.
I hope your daughter made it home in time for Christmas hopingforno2
How are you coping with the ketones now Spotty?
In your last post you wrote "surgery nurse....." you know you're a diabetic when you read it as 'sugary nurse'. Took me a while to read it properly.
Hope you had a wonderful Christmas too nia and everyone else. My dd got home on 23rd thankfully
Hi ladies ok I really need some help. My bg nos from 6pm onwards are driving me round the bend last night is typical for last week or so. I had a late lunch so dinner was also a tad later than normal however I checked at 17.30 my was 4.5 2 hours later its 12.1!! So I take a correction as well as the insulin to cover dinner by bedtime my bg is 5.1 however at 3am its 9.6 so I take a correction but having had a long lie and only just woken up its 11.2 do I up long acting? Admittedly healthy eating is not happening however the rises are often more than 3 hours after a meal! Sorry its a bit ranty im just so p****d off being diabetic is feeling like a curse right now.
what treatment regime are you on? pump or mdi??
In my case the more I eat, the longer digestion and therefore the later the bg rise.
Whilst the insulin is active in my system things are ok but as soon as that wears off (around 3 hours later) I see a rise.
This doesn't really happen at other times of the year when I'm eating more healthily and more regularly. Just seems to happen when I overindulge or when I'm eating snacks on top of meals. I think I have pretty slow digestion anyway so the more I put in the worse I make things.
I've whacked my background rate up to 150% 3 days ago (which is quite drastic) but it seems to be working and I haven't had a hypo yet. 25th-27th sugars were 9-15mmol/l 28th-30th I've been back below 8mmol'l 'ish even after meals.
In your case though it seems a bit difficult because at times you are having nice low readings (4.5 and 5.1) so increased background may push those into hypos?
It's a toss up between upping the background or testing and correcting more frequently. Bit hard overnight though.
Are you able to get hold of your DSN for advice?
Thanks for replying nia im mdi though have been thinking for a while that a pump may work better for me with my overnight rising bg but I dont think I would qualify as my last hba1c(6.1) I was told was low though I am on waiting list for dafne which I understand is 1 of the requirements.
your probably right an increase in background may make me hypo. Im trying a different tack tonight having spent all day with very very little carbs to get my bg back down I was 3.5 at 22.50 so have just had to have jelly babies and also had a no carb snack to see if it makes any difference my only other theory is the night increase are actually hypos followed by liver dump then dawn phenomenon on top? Thing is it seems that if I dont have my meals 'on time' I have a rise in bg which would suggest background isnt righr??
I would say increase your long acting. I've increased mine by 6 units already and my level is about 7 when I wake up now. I also need a ridiculous amount of insulin to cover meals now too, I find.
i used to have terrible dp on mdi (to give an idea, i now have basal rates ranging from 0.7u per hour to 3.2 @ 35 weeks pregnant; pre pregnancy the 24 hour profile was the same but about 1/3 of what it currently is).
i found that if i increased my basal enough to be flat overnight (ie my midnight zero iob test was 4-5 & i woke in same place) daytime was a constant feeding frenzy with very little bolus insulin required. i also tried supplementing lantus with a medium acting insulin but im afraid the only way i maintained decent control was a 4 am alarm and a good slog of novorapid.
you actually dont need to have poor control to get a pump (and in my opinion is a total waste of nhs money to give to someone who hasnt got the basic level of intelligence required to get ok control let alone use a pump to fine tune their needs); my hba1c was never above 6.5 on mdi but i was able to clearly demonstrate that i achieved this only by waking myself frequently to test and inject.
it does sound like your basal is off, but dont underestimate how slow your digestion can be later in pregnancy (esp if your pigging constantly of fatty roasts like me lol); im doing combo boluses (ie some now spread rest over a few hours) frequently; so splittin may be an option.
have to be honest and say in late pregnancy i find carb ratios to be only a starting point: useful if im eating something of known and moderate carb content (eg toast or chocolate bar) but most things is more about an educated guess. i try to overestimate rather than under as much easier to raise bg with snack than correct when im so insulin resistant.
hope this helps.
Yes, I overestimate insulin too - I'm only 6 weeks but am pretty insulin resistant already. And, like you, I find I need extra Novorapid in the early hours to make sure my waking level is low enough. However, I may try increasing my Lantus even more to see if this does the job instead.
luckily i pump now so dont need to but i still test several times overnight....easiest way to keep it low and level!
you will probably find things shift in the other direction in a few weeks, but maybe not, pregnancy affects us all differently!
VJONES were you insulin resistant at all before pregnancy?
I always thought sensitivity increased in the 1st trimester. Goes to show how everyone is different - especially during pregnancy.
Hi ladies! It has been a long, long time since I posted!
All well here. DS is 9 months old - can you believe it? I go back to work in 2 months. Still bf'ing and control still less tight than pre-baby but confident of getting it under control when I'm back to work and have a little more space/time during the day! It isn't terrible just slightly neglected. Not sure my next hba1c will be 5.4% like last time!
Anyway, how is everyone? Hoping, spotty, Diec, rue?
I also see we have some new members, so hello!
I don't really know if I was insulin resistant. I think I probably was, as I was having quite large doses, and have had diabetes since I was one. Got my first pregnancy diabetes consultant appt next week. What can I expect?
Hi bona my dd is also just 9 months a couple days ago absolutely no interest in crawling as yet will roll wherever she wants to go go or squeak at her big brother and gets what she wants that way. Im soo envious of you I go back to work 19th of this month totally dreading it
Pretty sure my hba1c will be rubbish compared to last time too.
how is everyone?
I'm wondering about scans. When do we have scans,as pg diabetics? I had a dating scan a few days ago (8 weeks) but am confused about the others we have. Can anyone help?
other than some people having an early scan like you did, you will have the standard 12 & 20 week scans, then around the same time you should be offered a foetal cardiac scan, and at 24 doppler scan to assess the efficacy of your placenta and hence risk of pre eclampsia. then at weeks 28, 32 & 36 you will be offered sequential growth scans to establish whether your baby is showing a normal pattern of growth, cord blood flow and liquor volume.
in terms of diabetes appointments it will depend very much on what your control is like and how you manage it. so if you are someone who is in tight control, doesnt have issues with hypos and will be self managing your changes in insulin, then they will want to see you a lot less frequently than somebody that needs more help. i use a contour usb meter so basically download and print the log and trends and they just check that i didnt get hba1c of 5.5% by having loads of hypos. oh and they generally make a few dumb comments about "ooooo your dropping 3 points overnight your basals too high" after iv explained several times that having had toast etc before bed then set alarm for 2am my blood sugar was 7 so i corrected....
Thanks. I've been told already that all pg diabetics see the consultant every two weeks, which I guess is just what they do in my area because I've had great control for years now so am not a cause for concern at the moment.
My levels seem to run slightly high and I'm still getting the hang of how much insulin I need now but hopefully it'll settle down.
Was hoping I would get an extra scan between 12 and 20 weeks so we can find out what we're having ;-)
vjones, with the appointments they often have a standard protocol of appointments but you should be able to discuss this and if you feel its too frequent, explain why, both in terms if your health but also your work commitments. if they feel they need to see more in terms of numbers, you can suggest emailing with the understanding that if they arent in the right place, you might have to come in more frequently.
if they want your bp and urine to be checked more frequently then you can usually get these done without the excessive wait at your gp practice; just establish what the boundary is for any concern eg if bp more than x or 2+ protein you will come to the clinic.
make sure YOU are happy with whatever schedule you arrange. the standard practices are often designed to be suitable for the poorest controlled highest risk diabetic, and they should be prepared to adapt with your personal circumstances in mind.
ps. due to hideous experience i had with first pregnancy and the fact i wanted referral through different hospital, i chose to have private scans at 8 & 11 weeks and didnt go to nhs until 18 weeks this time; private scan 75% certainty of it being boy at 11 weeks. its a boy. private scans arent ridiculously priced to be honest....
Wow,didn't realise the baby's gender was even developed enough at that stage! How much did you pay if you don't mind me asking?
Hi vjones I think how often you see consultant and are scanned must vary by area and hospitals. I was seen every 4 weeks till late 2nd trimester(unless having issues with bg) then every fortnight and twice weekly the last 3 weeks but I think thats due to concerns I was needing slightly less insulin. In terms of scans with my 1st straightforward pregnancy with ds I had an early scan, 12 week scan, 20 week scan and then fortnightly growth scans from 26 weeks. Hope that helps I had a private gender scan with 2nd pregnancy at 16 weeks(didnt want to know 1st time)that said girl and was right dd is sleeping in her cot at end of my bed.
I lost you all again! Hope everyone's getting on ok.
I'm so fed up. I'm struggling quite a bit and my hospital are being shit
My consultant said he wanted to see me two months after I was discharged following dka. Last month I still hadn't heard anything so got my nurse (from gp surgery) to chase it and they didn't know anything about it. Made my dr do a new referral and I received an appt for April with the consultant who I've never seen!! (I've been seeing mine for ten years). So now I'm at a point where my levels are all over the place, I've been in hospital because of it, I'm completely fed up I have bruised legs, lumpy stomach and painful fingers and I haven't been seen in a clinic for over a year. I've got to ring my consultants secretary every week to see if there's been a cancelation.
I'm going to try everything I can to get a pump. Children get them automatically and I know I'm jot a child but I used to be
spotty poor you my levels are not the best right now either, have gone back to body step and feeling a bit stressed as my mum had been recovering from what we thought was hepatitis due to a rare reaction to antibiotics but her most recent blood test shows one of the levels are not reducing well the other has gone back up anc she has had more tests to be carried out I am so worried about her also 1st day back at work tomorrow
Oh poor you hoping are you getting any further with a pump? My hba1c is 6.5. I thought it would be higher, am I right in thinking if me levels are yo-yo ing that can make an ok hba1c reading?
Not really spotty I did ask again last week when I saw my dsn if it may be an option to give me better control but I didn't think I met the criteria apparently they are getting more funding for pumps and if mdi isnt providing good control then id be in with a shout however my hba1c at last check was 40 I think thats 6%? But like you im sure thats due to yoyoing more than stability! Its a weird one though as when I checked 2 hours post lunch on sunday I was 9.9 but as I was working didnt correct by 1 hour later I was 5.8!!so had I corrected I would have gone hypo. I also got offered a last minute place on dafne for 10th feb but cant do it as wouldn't be able to get childcare for 9-5 mon-fri well I could for Friday bit thats no good another week and my sis in law could have helped but not those date so a long wait now. I forget are you on a pump spotty?
how is everyone else havent seen rue bona or diec puds
No, no pump for me I'm so fed up I feel like I'm running out of places to inject!
spotty you poor thing. Have tonsay um totally fed up too but its a combination of everything thats bothering me diabetes is only a
large part of it.
you dont have to have poor control to get a pump. whilst NICE guidelines might say certain things, its down to how the consultant controlling the purse strings perceives things and making a compelling case to him or her.
poor control plus a pump, doesnt result in automatic improvement. it is brilliant tool but you need to put in lots of hard work to figure things out and then and only then can you achieve more stable control. i would hand on heart say that you need to understand enough about how things are working to eliminate the really problematic readings before you even think about a pump. have you read 'think like a pancreas' by gary scheiner? its about £10 on amazon and utterly brilliant. i got it very early in my diabetes career and it enabled me to ignore the well meaning but useless advice i got from diabetes nurses etc (it is written by a US diabetes educator that has diabetes himself) and also 'pumping insulin' by john walsh is brilliant even if not pumping yet! i hope this doesnt sound condescending i am just trying to help and want everyone with type 1 to feel healthy and in control and not reliant on nurses and doctors to help them feel that way!!!
Also, HbA1C alone is not a measure of control. If yours is 6% then yes maybe on the surface of it you wouldnt think poor control, but you have had DKA and lots of hypos, that is not good control and if this is the criteria being applied in your area, and you want a pump, use that to your advantage.
I have terrible dawn phenomenon, and have basal rates that vary 4 fold as a result. On MDI obviously this is a disaster if you are using a flat profiled basal such as lantus. The only way I could manage on this (as was not prepared to run with the stupid advice from diabetes nurse that it was ok to wake up with blood sugar of 10) was to set my alarm for 4 am and take a big slug of novorapid. in pump application this type of lifestyle compromise is considered a big deal - my hba1c at the time was in the low 6s but i was getting up several times in the night to achieve this which is considered too much hassle (the people that wrote the rules obviously dont have kids!).
Hope things start improving for you soon.
Well I saw the nurse and she thinks I'm going low over night and wants my evening levemir reduced which fills me with horror! I don't think I am going low over night as I tend to wake up if I do, or at least wake up with a headache. Hba1c was actually 7.0 so receptionist read it wrong
My consultants secretary said if there's no cancelation by Friday she will over book me into an appt so at least I can see him.
Levels have been in the 4s and 5s today which is good. Rations seem to be 2u/10g at breakfast 1.5/10 and lunch and 1/10 in the evening, anyone else (not preg) like that? So frustrating. Apparently there's a metre that tells you how much bolus insulin you're carrying etc but you have to go on a training session to use it.
Apparently 1u/10g is too much for dinner
Spotty, could you do a 3am test to see if you are dipping low? I know it is a pain to set the alarm but it would be worth checking out I think.
She did suggest that but I'm not a good sleeper and if I get woken up at that time of morning I can't get back to sleep. Also question I should know the answer to, just don't trust myself atm, hypo three hours after eating is background insulin (most likely), right?
hey spotty, 3 hours after meal is tricky one...novorapid is advertised as lasting up to 4 but i assume 3 myself, people find different tho. is this in afternoon tho? lot of people have big dip in basal insulin need late afternoon so could be the culprit.
on the night time thing is really is worth testing; i tend to set alarm every night! like you i wake if i go low; i never have rebound highs either, and need way more basal at night. if that is the case might be worth considering injecting novorapid at 4-5am so its active the problematic times; increasing basal will just make you low and/or hungry at other times of day esp afternon (if your on lantus or levemir)
ps the ratios you were saying. yup on shots and not pregnant mine varied even more i think. maybe 1u:5g breakfast; 1:10 lunch and1:15 evening (so slightly compensating for not being able to vary basal rate on injection too).
It was three hours after breakfast, which I thought I had sorted re novorapid. My levemir is split. I know I should have a fasting day but it would make me feel rubbish.
bugger...hmmmm. its kind of hard to pinpoint. maybe if you eat same thing tomoro, do same amount of levemir and bit less novorapid (like 1u to 7g) and see how that works? easier to see effect of changing novorapid as will only affect that time and not mess whole lot up.
dont beat yourself up about fasting sometimes just eating quite samey boring food and making tweaks thatway helps. i feel your pain, once this babys out im going to be on the major faff of sorting it all out again, and so bloody fat i dont want to b feeding hypos all the time!
good luck and sorry its hard at the moment.
Thanks. Breakfast is 2u/10g atm. I do tend to have the same for breakfast but the time I eat it can vary by two hours which is another factor I suppose....
Spotty you'd only have to wake in the middle of the night for two nights to figure it out. No fun but I don't think there is much point in guessing at it...
Definitely no hypos at night. Ds has had an awful cold these last few weeks as has dd so we've been up a fair bit. Ruled that out a while ago.
Just got back from consultant and he's put me on the waiting list for a pump. He's seen I've done everything I can and thinks it's just lifestyle/hormonal causing it to be so erratic. I'm so pleased, I know it'll be a wait and a lot of work though
Hi all im not type 1 myself but my DD is diagnosed at age 10 now age 13, since I fell pregnant she has been asking lots of questions about if she can have a baby when she is older ect her nurse has talked her through it and what she would need to do ect (hopefully wont be for a good few years yet lol) nice to see there is support out there for when the time comes im curently 13+2 with DC4.
That's lovely jojo. I expect things will be even easier by the time she has her own children
Hopefully Spotty, good luck with getting a pump hope your not waiting too long, life is so much easier with a pump (they should be available to all) DD is due an upgrade in December and they now have them minus the wire exciting stuff
Hi all, I can't find a more up to date version of this thread so am presuming all has been quiet for a few months. Don't know if anyone remembers but I posted back last year when I was just pregnant with no4. I've been type 1 diabetic for 14 years which covered all three previous pregnancies. I got my pump with my last DC 5 years ago.
I'm now 31 weeks with this pregnancy and overall it's been ok, HbA1c has been 5.8, 6 and 5.9. I wear a CGM and have avoided too many hypos but do still get the occasional post meal spike but it rarely lasts for more than an hour. I've been really pleased with my control and other than the occasional blip don't think I could have done better.
I'm at the stage of the dreaded growth scans. All was well at 24 weeks, nicely plotted all measurements on 50th line. By 28 weeks we had jumped on all lines to 75th and by 30 weeks baby had jumped for abdomen and head to 100th. Clinic said its fine as long as she stays on that line now, but given jump from 50th to 100th I'm obviously worried that her growth is accelerating. Back at 32 weeks for next scan.
My last pregnancy was very difficult and it has taken 5 years for me to dismiss those pesky broody hormones to have another because of the complications. DD was born by section at 34 weeks weighing over 9 lb after her measurements went off the growth charts and my body started to struggle. My HbA1c was slightly higher then (high 6's) and I genuinely thought this time with my CGM and tighter control I could avoid a repeat of accelerated growth.
I'm feeling pretty fed up that despite all my hard work I'm looking at another early delivery and a big baby again. Anyone have any thoughts or experienced similar?
Hi bojangles I didnt want to leave you unanswered but havent been in that position sorry. That said with my 2nd pregnancy with dd I ended up with growth scans from 26 weeks and at one of the last around 35 weeks was told she was over 8lbs so would 10-11 at 38 this was part of the reason alongside previous emcs I had a planned cs in the end dd was 8lbs 6.5oz so either she grew very little for 3 weeks or the scan was 2-3lbs out. Like you for the most part my hba1c was on 5s hope all goes well at growth scan.
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