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As a type 2 diabetic woman, I was shocked to discover how little information is available about pregnancy and diabetes. At first glance, it looks as if there's a ton on the topic. Google "
pregnancy and diabetes" and several million pages come up. But dig a little closer and you'll see the majority of those pages are about diabetes of pregnancy, or
gestational diabetes.
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I brought my new daughter home from the hospital in mid-June. Along with all the other exciting developments in our lives - I got to pack away my insulin syringes.
I am a Type 2 diabetic. I developed gestational diabetes with my son 4 years ago and did not make the lifestyle changes warranted after his birth. It's thought as many as 60% of women with gestational diabetes will eventually develop Type 2. 18 months later I was diagnosed with Type 2 diabetes. I am controlled with metformin (oral medication), diet and exercise.
By the 4th month of this pregnancy, I required insulin to keep my sugars within targets. Pregnancy targets are much stricter than non-pregnancy Type 2 levels - less than 90 fasting, less than 120 2 hours post-prandial.
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I have many friends with type 1 diabetes. I have a few friends and many relatives with type 2 diabetes. I possibly have the MOST boring diagnosis story I have ever heard.
In 2003 I was pregnant with my son. I was given a glucose tolerance test at 28 weeks gestation. If you've never had one of these; they make you fast 12 hours and go to the lab first thing. They draw blood, then you drink a nasty syrupy concoction that is 75 grams of glucose.
They draw blood again after 1 hour and again after another hour. Then I asked the nurse for a place to lie down and I crashed out (my first clue my results might be high). In an hour, they woke me and drew more blood then sent me on my way.
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Kerri asked in
my comments how my diabetes reacted post-delivery.
It was amazing. I was up to 38 units of insulin a day, as well as 2000 mg of Metformin (aka Glucophage). The morning I was scheduled for my c-section (for non-diabetes reasons) I did not take my insulin per instructions. I couldn't eat anyway because of the surgery. My diabetes team wanted me at 110-120 bgl pre-surgery, so I actually had to have a little glucose in my IV drip 2 hours before surgery because I had dropped into the 90's.
I did not need another drop of insulin while in the hospital. I haven't needed it since except for a
few dietary indiscretions. (READ MORE)
In an exclusive interview with Glamour magazine, Academy Award-nominated actress Salma Hayek admitted that she suffered from diabetes during her pregnancy. The news of her temporary bout with diabetes has the entertainment industry shocked and wanting answers.
In what has already been a turbulent year for Hollywood following the Halle Berry public relations disaster, another mega-celebrity has come forward to reveal her struggles with the disease.
Avon, for which Hayek has served as spokesperson since 2004, announced that it has begun an internal investigation into whether or not Hayek had diabetes while representing the cosmetics giant.
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I found some old blood work results from 2002 and was comparing them to my recent results. In 2002 I was a newlywed and had not had gestational diabetes yet. The only inkling I had of any blood sugar problems was a strong family history of type 2 diabetes and a diagnosis of hypoglycemia when I was 19.
My numbers are exponentially better today. Fasting sugar, cholesterol, triglycerides, HDL; you name it. This got me to thinking about my health and lifestyle today versus 5 years ago. I may be 5 years older but I should be feeling 10 years younger!
The biggest change, health-wise; is that I no longer smoke. 27 years of a pack plus a day are history. I have been smoke free for almost 22 months now, this alone would bring up my HDL levels. I remain very proud of this and it continues to remind me that I can change old ingrained habits.
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I found some old blood work results from 2002 and was comparing them to my recent results. In 2002 I was a newlywed and had not had gestational diabetes yet. The only inkling I had of any blood sugar problems was a strong family history of type 2 diabetes and a diagnosis of hypoglycemia when I was 19.
My numbers are exponentially better today. Fasting sugar, cholesterol, triglycerides, HDL; you name it. This got me to thinking about my health and lifestyle today versus 5 years ago. I may be 5 years older but I should be feeling 10 years younger!
The biggest change, health-wise; is that I no longer smoke. 27 years of a pack plus a day are history. I have been smoke free for almost 22 months now, this alone would bring up my HDL levels. I remain very proud of this and it continues to remind me that I can change old ingrained habits.
(READ MORE)
I had one of those moments today that reminded me what I enjoy most being a writer: It gives me access to things I would otherwise never experience. Today I got to sit in a room filled with diabetes experts--nurses, doctors, dietitians--you know, people with lots of letters after their names. I had no business being a part of their group, but as a writer who tends to focus on diabetes, I was invited in.
The seminar was on gestational diabetes and the treatment of pregnancy complicated by pre-existing diabetes. To many people, this may not sound very exciting, but to me, it was better than going to a rock concert (and don't get me wrong, I love music!).
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I went for my 6 month endo appt week before last. I finally got my bloodwork back in the mail. That's one thing I really dislike about my doctor. I think it would be so much more effective to have the test results in front of us for the discussion.
By the way, where I write "doctor", feel free to substitute "physcian's assistant". As with most doctors who are in demand, he has 4 PAs that also see patients. The office tells you that you can make appointments with anyone, but if you want to see the actual MD, it takes a couple more months of waiting or accepting the oddball times, like 7:45 am on a Monday or 11:55 on a Friday - they close at noon on Fridays.
My HbA1c went up from 5.5 to 5.7. I realize that is still an awesome result and nothing to complain about, but I'm sure it's directly related to the 12 lbs I have gained in the past 6 months. That dreaded holiday weight that I was so afraid of? Yes, that would be about 8 of those pounds.
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I have been keeping a dirty little secret. I don't know why it feels like a dirty little secret, it's legal in 50 states and not immoral.
I've told everyone I haven't needed insulin since Kate was born. I was up to 30+ units a day of NPH. I haven't taken any NPH since her birthday. I also had an insulin pen of Humulin for the days that I just didn't control myself at lunchtime. Sometimes it was lunch out with the girls, or birthday cake at work, or just unfortunate run-ins with the evil vending machine. But it was important to control my sugars for the baby's sake, so I did what I needed to do.
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