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February 10th, 2012
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I had to laugh at the lead paragraph on this story.

"In the first study to use continuous monitoring throughout pregnancy , researchers found that levels of glycemic control differ significantly between women with type 1 diabetes and those with type 2."

I would think that blood sugar levels between type 1 and type 2 patients always differ significantly. The nature of the different diseases make it sort of obvious. I don't know why pregnancy should be any different.

Let me throw in a disclaimer here - I am not a medical professional, I'm not even in a field related to medicine. This is my own interpretation of the article. Discuss anything you find interesting with your own doctors. You can read the abstract here as well.

But as I read the Yahoo article, preparing to make jokes about it in a (this) blog post, something stopped me short.

Both groups of women had normal levels for only half of the 12-hour monitoring day during the critical early phase of pregnancy. In other words, at least 25% of the day they were out of range.

When I changed endocrinologists a couple pregnancies ago, my new doctor was adamant about me contacting them as soon as I found out I was pregnant and starting insulin right away. He wanted very tight control from the get-go.

This doctor wanted my fasting levels below 90. My HbA1C was 5.8, and my fasting numbers weren't bad, so I thought he was being over-zealous. But a good A1C is only a small part of the puzzle. Spend 18 hours a day at low or normal and 6 hours of highs can be disguised.

Now I have another little piece of information helping me to understand why my doc treated me as he did. And another reason to partially credit my darling daughter's healthy arrival to my new endo.




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Julia
JuliaJulia lives behind the Tofu Curtain, in the Pioneer Valley, in Western Massachusetts. It's a nice place. She likes it there. Her eldest daughter, Olivia, has type 1 diabetes. She's also 13. It's a real toss-up as to which is more difficult -- the diabetes or the teen-age drama. (Read More)
Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
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