advertisement
 

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

From Morning Sun, Iowa, USA:

I am a 40 year old female with type 1 diabetes for 36 years and on an insulin pump who has had A1cs of 7.4-7.5% but would like to have them lower. I have documented hyperglycemia eight days prior to menstrual cycle so my doctor has recommended starting oral contraceptives to help with blood glucose management. I have taken them in the past, but didn't know at my age if it would be wise. Is this recommended for a 40 year old non-smoker? I have taken them in the past, but didn't know at my age if it would be wise.

Answer:

Unless you also need contraception, I'd first try increasing your insulin for the eight days before your menstrual cycle. Speak with your physician, but if you are high all day, the easiest might be to increase your basal rates for those days. If the main problem is going up higher, you might need to adjust your premeal bolus doses.

Oral contraceptives have been used in the past for patients who have DKA [diabetic ketoacidosis] associated with menses and are unresponsive to adjustment of insulin. Remember, oral contraceptives themselves often increase the blood sugar requiring adjustment of insulin.The risk of complications for anyone using oral contraceptives increases with age, and is always slightly higher in individual with diabetes.

TGL

DTQ-20020611220718
Original posting 3 Jul 2002
Posted to Daily Care

  
advertisement


                 
  Home Return to Top

Last Updated: Tuesday April 06, 2010 15:09:34
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.