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Expecting The Best: Diabetes, Pregnancy, And Blood Glucose Control

by Laura Hieronymus, RN, MSEd, CDE and Patti Geil, MS, RD, LD, CDE Pregnancy can be a special and exciting time in a woman's life. The anticipation begins as soon as you hear the words: “You're expecting a baby.” Once you've gotten used to the amazing news, you may wonder about such things as whether the baby will be a boy or a girl, when the baby is due, and, perhaps most important, what you need to do in the meantime to make sure the baby stays healthy and develops normally. All women feel a certain amount of anxiety and sometimes even fear about how pregnancy will affect them, and whether their baby will be healthy and normal. Women with diabetes are no different, but they do have one more thing to be concerned about: maintaining control of blood glucose levels. This is true whether a woman has type 1 or type 2 diabetes before becoming pregnant, or whether she is diagnosed with a condition called gestational diabetes during pregnancy. The good news is that if a woman who has diabetes (of any type) learns as much as she can about managing her blood glucose, and puts that knowledge into practice, she can have a healthy pregnancy and a healthy baby. Blood glucose control essent Continue reading >>

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Popular Questions

  1. Daffy2016

    Hi all
    I'm 37 weeks and was diagnosed with GD at about 25 weeks. It's been controlled through diet and exercise, no insulin needed. Baby's growth is fine and all was normal at a 34 week ultrasound.
    For about the last week, my blood sugar levels have dropped from an average of mid to high fives to mid to low fours. My midwife has booked me in to see the ob in the hospital on Tuesday as she thinks there might be an issue with my placenta function falling, hence the lower levels.
    Of course I'm now quietly freaking out. I did the GD education class and read all the material and nothing said anything about low levels being a concern. I spoke to the diabetes educator at the hospital and he agreed with my midwife - it's the same person who did the education session and I wish I'd had the presence of mind to ask why he didn't bother to include this information at the time!
    Has anyone been in a similar position and how did you go? Was everything okay?

  2. Riotproof

    I thought the only level they worried about being low was the overnight pre breakfast one.
    I tried to make sure my "supper" was more substantial. 30g cheese and the carb unit of crackers, which seemed to sort it out.
    Best of luck!

  3. Daffy2016

    Thanks Riotproof. Both my fasting numbers and post-meal numbers have dropped, and I'm not getting much of a rise after eating either - even if I add more carbs.

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