Author Topic: Dr Bernstein answers questions on Diabetic Pregnancy  (Read 887 times)

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Offline JillT

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Dr Bernstein answers questions on Diabetic Pregnancy
« on: 01 October 2015, 10:41:29 AM »
Thought this might be of interest to expectant mums or those planning to get pregnant:

https://www.youtube.com/watch?v=pN4Ay6xVFAI
I'm Not Dead Yet
66yo Female, Western Australia
T2 DX'd 7/3/12 - GTT: Fasting 6.4 - 1 hr 14.2 - 2 hrs 12.9
BMI 7/3/12 = 30.4 –> 24.3 (20.18% weight loss)
HbA1c - 12/3/12: 6.2% - 25/1/16: 5.2% - 33
Idiopathic Interstitial Lung Disease/Pulmonary Fibrosis - DX'd Oct 09
No medications
Eating to my meter & Eating real food – Low carb/no grains works for me

Offline Pattidevans

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #1 on: 01 October 2015, 06:59:48 PM »
In some ways it's a good video, except that Bernstein is such a dreary presenter plus it's aimed at pregnant mums in the USA.  In the UK it would be unlikely that you would be able to choose your gynae... you would get who  was available locally, unless there were two clinics both within your area and you may have that choice.  I also worry that it might cause more preggie ladies to panic as it presents a somewhat gloomy picture of diabetic pregnancies.  I know tons of our mums who have had healthy babies have worried about spikes during the period where organs are formed, and it's all been OK in the end.

That's just my personal view and of course I've never been pregnant....
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 Liam

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #2 on: 01 October 2015, 08:04:00 PM »
I totally feel you on the way he makes videos. He is so deflated and ums..and ahs...the whole time. So flat. I still watch his videos when they pop up in my list of new videos. He is also very all or nothing, you either get non-diabetic numbers (like his book will tell you how to do) or everything bad is coming your way. There is no room for the unexpected dinner out or a treat now and then. I know many of our members can live with his type of very low carb but I just can't myself. I eat less carbs than anyone else I know but high compared to lots of our members.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Liam

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #3 on: 02 October 2015, 12:47:56 PM »
Did I understand right that the third trimester hypos might be caused because the baby can now produce their own insulin and so are cleaning out the glucose from the blood? I don't think his video is really that great outside of two points, you can eat low carb and the baby will be fine (and ketones ain't going to harm the baby) and that keeping blood sugars in normal range leads to the best outcome (well duh, that is the case for almost everything )
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #4 on: 02 October 2015, 01:56:36 PM »
Quote
Did I understand right that the third trimester hypos might be caused because the baby can now produce their own insulin and so are cleaning out the glucose from the blood?
That's what I got out of it too.  I am now trying to think whether our ladies on here have reported lowering insulin in the 3rd trimester, or increasing it.
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 Liam

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #5 on: 02 October 2015, 02:50:38 PM »
Oh I thought I remembered third trimester hypos being a common thing with our ladies. Maybe I'm misremembering.
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #6 on: 02 October 2015, 03:12:35 PM »
No, you are probably right.  I was just saying I couldn't remember which way round it was.
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 Dollyrocker

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #7 on: 03 October 2015, 10:52:35 PM »
My insulin requirements gradually increased through the pregnancy, there was definitely no noticable drop in tri 3. That said, you are firefighting the spikes so harshly that it would be impossible to tell if you needed less or if you stacked your insulin too much!


7/2014 7.2 (55) / 4/2015 7.3 (56) 1/2016 7.0 (53)
pumping with a shitty Accu Chek Insight

Offline Liam

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #8 on: 04 October 2015, 11:55:06 AM »
I might have been wrong about the 4rd tri hypos. I thought I remembered them being common but it has been so long since we had a full blow by blow account of a pregnancy I could be wrong. 
DX Type I 1994.    Novorapid Animas Vibe pump
HbA1c 3/10 10.2%, 7/10 8.1%, 12/10 7.5%.
2/11 7.8%, 8/11 8.6% 9/11 8.3%.
3/12 62 (7.8%). 10/12 67 (8.3%)
4/13 63 (7.9%) 6/13 59 (7.5%)
1/14 71 (8.6%) 7/14 59 (7.5%) 11/14 (6.7%)
3/15 56 (7.3%) 12/15 49 (6.6%)
Ramipril: 10mg Quetiapine: 550mg Metformin: 2000mg

Offline Pattidevans

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Re: Dr Bernstein answers questions on Diabetic Pregnancy
« Reply #9 on: 04 October 2015, 03:27:22 PM »
Actually, even given that issue, Dr Bernstein doesn't say a lot other than curb carbs and normalise BGs.  I thought everyone knew that anyway?
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