Work with an endocrinologist first so you can get that relationship grounded. You'll see him/her beyond the pregnancy, so you'll want someone who knows you forwards and backwards before everything changes. They might be able to hook you up with a Certified Diabetes Educator, who can work with you one on one on a more frequent basis.
Interview OBs and find out what their practices are. Do they automatically induce diabetics for no reason other than they are diabetic? Will they let you go into labor naturally or do they induce everyone. What are their 3rd Tri expectations? (I went in twice a week for NSTs starting at week 32.)
Then you'll want to see if your hospital hands over the reigns completely to your OB/MFM team or if you can continue seeing your endocrinologist while pregnant. (Both hospitals I belonged to did this.)
You'll be testing a LOT more than what you are now. But your A1C looks good.
Post by housecarder on Jan 21, 2015 22:17:19 GMT -5
Just as an addition to ^, I am type 2 diabetic and was diet controlled before my pregnancies. I went to insulin during both and now take oral medications. You'll def want to test more once you become pregnant as your levels can quickly get out of whack because of the hormones. I think I was in my first trimester when I had to be put on insulin. If your A1C is good I don't think that you should have to test more before getting pregnant unless your endocrinologist recommends it.
And I always erred on the side of caution when I felt like something was wrong while pregnant. Don't ever be afraid to call your OB or endocrinologist with questions.
Post by orriskitten on Jan 27, 2015 9:07:50 GMT -5
Another Type 2 diagnosed during my first pg (was GD then it never went away. Prior to that I hadn't had a blood test in 10 years. Totally my fault I was undiagnosed. I had such a fear of needles). I was on insulin both pregnancies. with DD who was my first, I started on oral meds and then went on to insulin at 5 months. After delivery just metformin. Pg 2, I worked with my endo who put me on an insulin pump. Omg it was so much easier!!
I'd say get a good relationship with an endo you like. My first pg was controlled by an mfm who was horrible. I ended up having to be admitted to the hospital for insulin adjustment because they needed to increase my doses very quickly. She would only up me by 2 units each adjustment even though my numbers were atrocious. She also wouldn't let me calculate and do adjustment doses. I found my endo who helped educate me and got me doing my own calculations. I loved him so much that I actually had my DS before we were initially planning on TTC because we were moving.
Second pg, the mfm only did ultrasounds and monitoring and my endo controlled my diabetes. I really preferred it that way. It was a doctor who knew me, knew my capabilities and worked with me. My experience has told me that mfms will assume you are dumb as bricks, whereas endos deal with patients who need to do this for life and need to be smart enough to get some things.
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