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Question: From Pensacola, Florida, USA: I have had Type 1 diabetes for 16 years and I am currently 13 weeks pregnant with my fourth child. I do not have any complications so far. I see my endocrinologist for the first time tomorrow since moving back to this area. My pre-existing clause lifts tomorrow and I am getting started with my diabetes care. My last A1c was 5.7 taken a few weeks ago and I am wondering if it is recommended that I begin using an insulin pump during pregnancy. I am hoping I will be able to do it, but fear that the endocrinologist will not be in favor of it. I am highly resistant and am now taking nearly 200 units of Humalog and NPH per day. Answer: Congratulations on your pregnancy. Your hemoglobin A1c is at a good level. If you want to use an insulin pump, I think that would be fine. However, good glucose control can also be maintained with standard insulin injections. You are certainly taking a lot of insulin. This often happens during pregnancy due to increased insulin resistance as a result of various placental hormones. Because of the large amount of insulin you require, a steady infusion via a pump might be a better choice. Discuss this with your endocrinologist. OWJ Original posting 20 Dec 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 12:01:34 2006
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