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Question:

From Monroe, Louisiana, USA:

I am 29 and I have had type 1 diabetes for 17 years. I struggled with my HMO to get an insulin pump because I was going into several comas (3-4 times a month) with blood sugars averaging 15 to 30 mg/dl (0.83 to 1.67 mmol/L). My doctor and I tried several insulin adjustments but I could get any reprieve from the lows. Then, I became pregnant for the first time, but went into another coma at four weeks. When I was at eight weeks, an ultrasound determined that my baby's heart was not beating and I had a D&C. Did that coma or comas prior to my pregnancy cause me to lose my baby?

Answer:

There are many possible causes of pregnancy loss. Maternal hypoglycemia can affect the fetus but I am not sure if it can lead to fetal death. Low blood sugars prior to conception would have no effect on the fetus.

OWJ

DTQ-20000629211455
Original posting 29 Jul 2000
Posted to Family Planning

  
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Last Updated: Tuesday April 06, 2010 15:09:12
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