Author Topic: Pregnant diabetic in need of help  (Read 3480 times)

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Offline Bex37

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Pregnant diabetic in need of help
« on: 03 July 2014, 04:36:32 PM »
Hi there,

I'm currently 26wks 4d pregnant and am exhausted all of the time. I'm struggling with the slightest of physical things. Even walking up the stairs makes me out of breath and I just feel really sluggish all of the time. The tiredness does seem to get more pronounced after meals which I guess is down to a blood sugar surge. I'm also on iron tablets as I'm anaemic. I've been wanting this baby forever and now I feel really guilty because I'm not enjoying my pregnancy as I just want to sleep all of the time. I'm also finding it really difficult to be my usual bubbly self and am ridiculously forgetful. Does anyone have any advice? I'm desperately in need of any help you might have to offer regarding what might be wrong. I'm in contact with my diabetic team once a wk and they just put it down to pregnancy but I'm sure other women are not this permanently exhausted. 

Many Thanks in advance

Becky xxx

Offline feejee

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Re: Pregnant diabetic in need of help
« Reply #1 on: 03 July 2014, 05:27:50 PM »
Hi there, How are your numbers after meals? Is your diabetic antenatal team happy with your control?

Honestly, I know this isn't very helpful, but I would take every chance you have to sleep now. The weather is so hot which is tiring in itself, let alone when you're growing a baby. All the  hormones, and now you're growing bigger makes sleep more difficult.  I don't think I've had unbroken nights sleep for over a year, as I started waking regularly in e night from about 20 weeks just being uncomfy/loo runs.  It's tiring stuff.  I should think the anaemia is not helping either- I know I am struggling with tiredness now as I am anaemic from the birth.  Fingers crossed you will go back to normal once baby arrives (obviously apart from the general sleep deprivation), though from experience it took a good 12 weeks after for my hormones to start to become normal again.

Do you see a midwife as well as the diabetes team? Maybe you could have a chat with her/him about it.  Do you think you could be feeling a bit depressed, as you say you're not yourself, or do you think that is down to feeling so tired? post natal depression can start before baby is born. Are you worried about the pregnancy, as that can be very draining as well. 

I wouldn't worry about feeling exhausted, I would rest as much as you can. I felt out of breath during pregnancy as baby grew (they reckoned my monster was 6lb already at the 24 week scan!), and his bum/feet were up in my ribs hence not much room to breathe.

Type 2. Diagnosed Feb 2012.  On metformin 2 * 1000mg. Invokana (Canagliflozin) 100mg
hbA1c on diagnosis: 128 mmol/mol or 13.8%
6/12: 60 mmol/mol or 7.8%, 
10/12: 6.6%, 03/12: 6.5% Cholesterol: 4.16 (HDL:0.88, LDL: 2.6, 3G's: 1.56)
10/14: 5.6%
02/16: 7.5%
02/16
6/13: 6.6%
4/14@:5.7%

Offline himtoo

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Re: Pregnant diabetic in need of help
« Reply #2 on: 03 July 2014, 05:42:13 PM »
Hi Bex
first -- Hi and welcome to the forum  :)
second -- -- i can't really help with the pregnancy bit being a bloke -- but i am willing you to feel better as i find it hard enough just being diabetic so goodness knows how you cope with pregnancy as well  :nurse:


feejee is right to mention blood sugar levels -- they can make me feel tired at anything above about 9 so it is something keep a close eye on
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline sedge

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Re: Pregnant diabetic in need of help
« Reply #3 on: 03 July 2014, 05:46:33 PM »
Hi Bex

I worked with a girl going back, who from about 2 months on was falling asleep at her desk.  She landed up eating her tea and going to bed every night at about 8pm, in order to even get up in the morning.

And she wasn't diabetic, she was as fit as a flea and never swung the lead or made excuses not to come to work.

So it's probably just one of those things, but yes! of course you HAVE to pay a LOT more attention to your BGs.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: Pregnant diabetic in need of help
« Reply #4 on: 03 July 2014, 06:41:30 PM »
Hi Becky

So sorry to hear you aren't enjoying your pregnancy.  Are you T1 or T2 and are you testing at the times you feel so washed out?  If so what numbers are you seeing?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline Bex37

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Re: Pregnant diabetic in need of help
« Reply #5 on: 04 July 2014, 11:43:28 AM »
Hello again,

Thank you all so much for responding!!! Really wasn't sure anyone would. Thanks Feejee for making me feel a bit more normal. You're right I haven't slept through for ages as I have to get up every couple of hours to use bathroom or change position because my ribs are aching. I wondered about depression too but I don't feel really sad just too tired to get excited about anything. However saying that I was taking a mild anti depressant following 2 miscarriages last yr. I stopped at around 4 months into this pregnancy, which may have been the wrong thing to do but I was worried about the baby. Plus I still felt really tired back then too.
In answer to Patti's q's I'm a type 1 diabetic. I've been on an insulin pump for 2 1/2 yrs. My overall b/s average is not bad. It was 6.3 at the last hospital appointment. The consultants/nurses keep telling me I'm doing a good job. However on a daily basis I have hypos and it can also go as high as 11/12 after meals. I seem to feel worse when it's moving up or down and am very resistant in the mornings. I've always been v sensitive to insulin but never felt this washed out before as a result of b/s levels.
I'm going to see my nurse again today so we can look at b/s patterns after 2 mornings of fasting.

Many thanks again for all your advice and help :)

Bex

Offline sedge

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Re: Pregnant diabetic in need of help
« Reply #6 on: 04 July 2014, 10:26:31 PM »
What most of the 'girls' here did Bex, was to bolus enough to avoid a HIGH spike, and then snack at 2 hrs to avoid the hypo - search for posts by Winni, she I think gave a better explanation of how to do it (well thinking about it, she ought to really - she's a science teacher in a secondary school!  LOL) - and she was pumping so that makes it easier to compare for you - but most of the ladies followed suit because it really seemed to work for all of them whether pumping or MDI.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Pattidevans

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Re: Pregnant diabetic in need of help
« Reply #7 on: 04 July 2014, 10:28:13 PM »
Quote
In answer to Patti's q's I'm a type 1 diabetic. I've been on an insulin pump for 2 1/2 yrs. My overall b/s average is not bad. It was 6.3 at the last hospital appointment. The consultants/nurses keep telling me I'm doing a good job. However on a daily basis I have hypos and it can also go as high as 11/12 after meals. I seem to feel worse when it's moving up or down and am very resistant in the mornings. I've always been v sensitive to insulin but never felt this washed out before as a result of b/s levels.
You are indeed doing wonders honey!  I am also on a pump and it's bloody hard to stay under 11/12 after meals.  I find it practically imposible and I am not preggie.  Be confident, you should be, you are doing so well!

What Sedge says is spot on too!
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline feejee

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Re: Pregnant diabetic in need of help
« Reply #8 on: 04 July 2014, 11:02:29 PM »

Also wanted to second Sedge's comment. At my first antenatal class all the women got into a group and talked about their pregnancy niggles, carpal tunnel, nausea, dizziness etc. all the men went to the other corner and moaned about how much we women all slept. So it's not just diabetics, but all preggo women. I would nap at work in my lunch hour, get home eat and be in bed by 7pm most nights!

Is this your first baby? It's a terribly exciting as well as worrying time.
 
Type 2. Diagnosed Feb 2012.  On metformin 2 * 1000mg. Invokana (Canagliflozin) 100mg
hbA1c on diagnosis: 128 mmol/mol or 13.8%
6/12: 60 mmol/mol or 7.8%, 
10/12: 6.6%, 03/12: 6.5% Cholesterol: 4.16 (HDL:0.88, LDL: 2.6, 3G's: 1.56)
10/14: 5.6%
02/16: 7.5%
02/16
6/13: 6.6%
4/14@:5.7%

Offline Bex37

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Re: Pregnant diabetic in need of help
« Reply #9 on: 08 July 2014, 10:07:31 PM »
Thanks for all the advice lovely ladies. Extra bolus and a snack 2hrs later sounds like an excellent idea! I'll try it tom and let you know how I get on. It's been so helpful hearing from you all and also makes me feel less alone. It's my first baby so it's all trial and error. Thanks again for the support  :D xxx

Offline Pattidevans

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Re: Pregnant diabetic in need of help
« Reply #10 on: 08 July 2014, 10:53:11 PM »
Keep logging in Bex and ask any question that occurs to you.  We'll all try to support you as best we can.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline himtoo

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Re: Pregnant diabetic in need of help
« Reply #11 on: 09 July 2014, 07:16:30 AM »
Keep logging in Bex and ask any question that occurs to you.  We'll all try to support you as best we can.

even us blokes !!! glad our ladies have been able to assist and reassure as usual
this forum is excellent !
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline vinuthamb

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Re: Pregnant diabetic in need of help
« Reply #12 on: 01 October 2014, 10:55:53 AM »
I am vinutha, My HA1Bc is 8.9. I am planing for conceiving. But i should reduce HA1BC to below 6. how can i reduce it.

Offline Pattidevans

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Re: Pregnant diabetic in need of help
« Reply #13 on: 01 October 2014, 02:59:56 PM »
Vinutha

In order to give you any ideas at all we need to know a little more about you.  For example are you T1 or T2.  What meds (if any) are you on and if you are T1 on insulin what type of insulin regime are you on?  What is a typical day's diet?
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 April 2016.


© 2015 Patti Evans

Offline vinuthamb

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Re: Pregnant diabetic in need of help
« Reply #14 on: 06 November 2014, 04:16:35 AM »
Hi,

I have Type1 diabetes. I am in an Insulin Novomix 30 and GP2 and GP3 and Europa 2mg.

Can any one please suggest how to reduce the HA1bc