Fetus has a sweet tooth.

Thursday, November 3, 2011

So you're thinking baby... go see the doctor first


Many diabetes doctors strongly recommend their female patients practice some sort of reliable birth control to avoid accidental pregnancy. Although you might not fully understand the relationship between your uterus and your pancreas, these docs want to prevent the increased risk of congenital heart and neural tube defects that come with having high blood sugars during very early pregnancy, before you'd ever have a positive pregnancy test.

Because of that increased risk to the baby, endocrinologists recommend that women start practicing aggressive blood sugar control and get their Hemoglobin A1c (Hb A1c) tests below 7.0 before abandoning contraception and letting nature take its course. In fact, many endocrinologists want to see even lower Hb A1c levels, like below 6.0 in non-diabetic range, before giving the pregnancy green light.

Those are some super aggressive goals, and will likely be difficult for many ladies to meet. This is yet another reason to meet with your endocrinologist to try to find strategies to help you get there. Often a change of insulin doses or other medication, carbohydrate counting refresher course, or a week or two of food and blood glucose logs are all you need to breath new energy into your diabetes management routine. A potential pregnancy is a great motivator.

1 comment:

  1. Finally the pregnancy test kit showed that you are positively pregnant! You double-check by going to an ob-gyne and after undergoing a battery of tests the doctor confirmed that you really are pregnant.

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