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When I was in the third trimester of pregnancy last spring, I began asking about breastfeeding and my various medications. Thyroid was a no brainer, since it's just replacing what my body doesn't make itself. If I had needed insulin after delivery, that was no problem for the same reason. The big issue was taking metformin.
My Ob/Gyn said "Ask your Endocrinologist." My pharmacist said
"OH NO, NOT metformin!" My endo said "No, you can't take metformin while breastfeeding." His Physician's Assistant later said "Sure, you can take metformin and nurse, but Dr. Endo isn't comfortable with our office telling you that officially; so do your own research and make up your own mind."
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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 may be a little full of myself, but last week I looked up the requirements to become a diabetes educator. Sitting with my coworker earlier this month and
comparing war stories about our diabetes and the intermittent calls from my mom or my aunt about
the best ways to manage my nearly 91-year-old grandmother's type 2 diabetes really give me a thrill. Maybe that sounds kind of kookie, but I suppose I have simple pleasures.
So, anyway, I'm not becoming a diabetes educator, mainly because I'd need to become a registered nurse (I think) and, frankly, that's not something I want to do. I was a little disappointed, though, reading the list of requirements and realizing that this was something that was out of reach for me.
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