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December 1st, 2008
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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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I attended a seminar this morning about pregnancy and diabetes, and heard some really scary stuff. It's a sheer miracle my little boy is healthy. Aparently, just one high a day wipes out all the benefits of good numbers the rest of the day. And this doctor refered to a "high" as anything OVER 120 at ONE HOUR! According to her chart, I should have had a 15 pounder!!


Wow, that's shocking. No wonder my daughter was almost 8 lbs. I know I had many highs over 120 the last month or two. Thanks for the info!


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Kim Doty
Kim Doty has had Gestational and/or Type 2 diabetes since 2003. She lives in Colorado with her husband and children. She blogs about her world at On Line On Life On Insulin.(Read More)

Latest Posts: HFCS Brouhaha | Dishwasher Replaces A1C Test | Did You See Ruby?

George Simmons
George Simmons is a father and husband living with type 1 diabetes. A self proclaimed "born again diabetic," George began blogging as a way to meet other people living with diabetes and learn more about managing his disease. (Read More)

Latest Posts: Not By Choice | Hope | An Explanation

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