From Houston, Texas. USA:
I am 30 years old. I have PCOS. It took a long time to find out what was wrong and it was a long few years. I thought I was going through menopause at 27, or a mental break down, so putting more insulin into scares me to no end.
After a few years everything stabilized and I was able to get pregnant. My first pregnancy, I had gestational diabetes, controlled totally by diet and exercise. The baby was totally fine. However, during my current pregnancy, diet and exercise aren't helping, despite my hard work on it. I was not tested for gestational diabetes this time. They had me just start tracking my fasting sugars and sugars one hour after eating, beginning at 12 weeks and on. I was not able to get my fasting sugars below 90 mg/dl [5.0 mmol/L]. Most were around 110 mg/dl [6.1 mmol/L]. All other tests through the day where well below 120 mg/dl [6.7 mmol/L]. Some were even lower than my fasting sugars.
They put me on insulin, 20 units of Lantus to start. It did come down a little to 100 mg/dl [5.6 mmol/L]. I was told to cut cheese out my evening snack of turkey, cheese, and milk, and, at same time, increase my insulin to 30 units. I did as they suggested and it dropped to around 95 mg/d 5.3 mmol/L] average for fasting sugars; the rest of the day was low, 100 mg/dl [5.5 mmol/L] an hour after eating. The 95 mg/dl [5.3 mmol/L] wasn't good enough so they upped it again to 38 units, which took my fasting insulin back to more than 100 mg/dl [5.5 mmol/L]. Then, I was told it was because of hot dog wieners and the fat in wieners for evening snacks, so they told me to increase the dosage to 48 units.
Since I have PCOS/insulin resistance, is continually increasing my insulin really the answer? Is it really because of the fat in wieners like they say? Should they try a dose of 34, before increasing it again? At night, after snack/insulin dose I test at X number and seem to drop only one point per hour. I don't notice me dropping and then climbing like they say. I am very frustrated. Could someone explain this?
It is common for women with gestational diabetes, whether or not they also have PCOS, to require large doses of insulin. On occasion, I have treated patients with over 100 units/day. It is all a matter of insulin resistance. To overcome this, you just need more insulin. Once you deliver the baby, this excess insulin requirement will drop significantly.
Original posting 10 Mar 2004
Posted to Gestational Diabetes
Last Updated: Tuesday April 06, 2010 15:09:54
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