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Q: Pregnant with type 2 diabetes
asked by: shankarm on May 11th, 2009
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My wife is type 2 diabetic and during while planning for pregnancy we consulted an endocrinologist at a reputed hospital in Bangalore. He checked her H1AC levels and asked us to go ahead and try to conceive.

Now she is around 5 to 6 weeks pregnant. She has been on Glycomet 250 mg (Metmorfin) for the past 2 months. We consulted a gynecologist and during the ultrasound scan, the fetus appeared healthy (yolk/sac) , expect that the heart beat of the fetus was not yet found. They suggested we have a scan again on 14th may

But meanwhile her insulin levels have been over 140 to 200, one and half hours after food. We consulted the endocrinologist about these high levels, but he asked us to wait until they locate the heart beat of the fetus in the upcoming scan, before my wife is put onto insulin.

We are really worried because of her high levels ((140 to 200) 90 minutes after meal), that if these might have already had any adverse effect on the baby?

I request you to please guide us and provide answers to these queries:

1. Because of the high levels mentioned would there have been any affect on fetus (6 weeks now)
2. If there any problems with the fetus, when will we come to know about it? and what can we do about it?
3. Do you think it is better for us consult another endocrinologist?

Please email us back as we are really worried.
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Dr. Linda Burke-Galloway , MD
replied on May 15th, 2009
Pregnancy with Type 2 Diabetes
You might consider obtaining a consultation from a Maternal Fetal Medicine specialist that is a ob-gyn physician that specializes in high risk pregnancies. You did not mention your wife's HA1c level but standard of less than 7.0 indicates well controlled diabetes.

You did not mention whether your wife was taking insulin prior to becoming pregnant or was the diabetes controlled with diet. The American College of Ob-Gyn standard for well controlled diabetes is a glucose level of 145 or less one hour after meals. Based upon your description, your wife appears to have values that exceed that level.

Obtaining a Maternal Fetal Medicine consultation as soon as possible will assist your wife in obtaining proper glucose control of her diabetic condition.


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