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From St. Paul, Minnesota, USA:

My wife got diabetes at 26 and is 44 now, and under fairly tight blood sugar control, especially now that we want to get pregnant. She has an endocrinologist, and a high risk pregnancy OB-GYN. She has minor background retinopathy, and the start of microalbuminuria. Needless to say, we're worried about her health, but she gave birth to a healthy boy eight years ago, and both did fine. Can she preserve her eyes and kidneys if she gets pregnant again?


Probably the key measure to take to minimize any risks during pregnancy is good glucose control prior to conception. If your wife can bring her hemoglobin A1C into the normal range a month or two prior to trying for another pregnancy and maintain it there during the pregnancy, her risk for problems with her own health as well as the fetus will be reduced. Target blood glucose values should be fasting less than 105 mg/dl and 1 hour postprandial less than 130 mg/dl (or 2 hour postprandial less than 120 mg/dl). Be aware that your wife's age and presence of diabetes will increase her risk for developing preeclampsia which can have adverse effects on kidney function.


Original posting 10 Mar 97


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Last Updated: Tuesday April 06, 2010 15:08:54
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