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Question:

From Michigan, USA:

Where can I get the best care for my situation? I am 28 years old, type 1 diabetic for 15 years. I experienced 3 miscarriages back about 7 and 8 years ago. I was told my levels for Lupus were raised but that it was "clinically insignificant".

My doctor said the miscarriages were probably due to uncontrolled diabetes at the start of pregnancy. I am skeptical of this explanation because I was in very good control during the second and third pregnancy. My control was not so good for the first one.

I have a new endocrinologist now, and she says keeping diabetes in good control is dangerous. I received excellent care from children's hospital and the Barbara Davis Center during my teen years, but now I live in Michigan and it seems hard to find quality care, especially all in one hospital. I do not want to suffer another miscarriage! I currently use a hospital in a small town in Michigan.

I would like to hear from other Type Ones who have trouble carrying to term.

ACAR4@compuserve.com

Answer:

The cause of your pregnancy losses may be difficult to determine. Poor glucose control can contribute to a loss as well as to congenital abnormalities. However, there may be other nondiabetic causes as well. I often have patients come to my office pregnant and in poor control, but this does not always result in a miscarriage. Therefore, I think you need a more thorough evaluation to determine a cause of your losses.

Tight glucose control is important for an optimal outcome of pregnancy, but the risk you run is hypoglycemic events.

OWJ

Original posting 16 Nov 1998
Posted to Family Planning

  
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Last Updated: Tuesday April 06, 2010 15:09:02
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