advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Washington, DC, USA

I was diagnosed with Type 2 diabetes two years ago. I am 27 years old. I've read that before becoming pregnant, women with diabetes should be on insulin therapy for at least 6 months. At a recent visit with my doctor, however, he stated that since my diabetes was under good control, he planned on simply taking me off metformin. One hour after eating, my blood sugar still is high, over 200. It doesn't come down into the normal range for another hour or two. Won't blood sugars this high harm a fetus, and won't they climb higher if I'm taken off metformin and not started on insulin therapy?

Answer:

Your postprandial blood sugar is much too high. If you are planning on becoming pregnant your blood sugars should be near normal (fasting 60-90 mg/dl, 1 hour postprandial less than 130-140 mg/dl). If this occurs for at least a month prior to conception, that would be fine.

What is critical is the blood glucose control at the time of conception and for the first 10 weeks of pregnancy when all the organ systems of the embryo are developing.

The bottom line is that I would recommend that you start insulin for better glucose control.

OWJ

Original posting 22 Feb 1998
Posted to Family Planning

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:08:56
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.