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Question:

From New Jersey, USA:

Can a woman who has had diabetes for 15 years have a healthy baby? She has not been in tight control till now. What are the chances of a baby with health problems? My wife is 29 years old and one month pregnant.

Answer:

If she's willing to "go for broke" with 8-12 blood sugar tests a day, and almost daily (at least weekly) phone calls to adjust her insulin doses to get perfect blood sugar levels, and is under the care of an experienced diabetes team, she'll probably do just fine. The concern is that high blood sugars early during the pregnancy might result in abnormalities in the developing baby, and also that high blood sugars later in the pregnancy might result in a big baby and problems with the delivery.

Because of the inevitable problems with occasional low blood sugars, she (and you, and everyone) should be prepared for occasional insulin reactions: you should know how to use glucagon, and both of you should carry quick-acting sugar to counteract low sugars when they occur.

Besides zillions of blood sugars, she also should get an eye exam now, and at about 8 months, and a 24-hour urine sample to check for urine function, to be sure of how her own body is doing.

WWQ

Original posting 13 Nov 96

  
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Last Updated: Tuesday April 06, 2010 15:08:52
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