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Question: From British Columbia, Canada: My wife (35) has been diagnosed with Type 1 diabetes for the past 3 years. She also has mitral valve prolapse [a heart condition] which is not causing any difficulty or symptoms at this stage. Would a pregnancy be desirable given the aforementioned? Answer: Probably one of the most significant factors contributing to successful pregnancy outcome is preconceptual glucose control. Basically the closer that fasting and postprandial blood sugar values are to normal (I use less than 105 mg/dl fasting, and less than 130 mg/dl at 1 hour postprandial as guidelines) the greater the likelihood that the risk of congenital abnormalities will be minimized. However, do not drive yourself crazy over an occasional elevated blood glucose value. As a global view of glucose control, it will be worthwhile measuring a hemoglobin A1C value. If this is in the normal range during the preconceptual period, there is also a reduced risk of effects on the fetus. During pregnancy the same blood glucose values are followed. This is especially critical during the embryonic period (conception to 9 weeks gestation). But is also important throughout pregnancy to prevent excessive growth of the fetus. The fact that your wife has had diabetes for a brief period of time places you in a relatively low risk group for pregnancy complication. Mitral valve prolapse is common in women and should not represent any major risk to a pregnancy. OWJ Original posting 14 Apr 97

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:01:30 2006
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