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Question: From USA: I'm now four months pregnant and my endocrinologist told me to get my readings down into the 60 to 100 mg/dl [3.3 to 5.6 mmol/L] range. When I tried, my blood sugar would just continue to drop, mainly when I was sleeping. He didn't discuss any insulin changes or diet changes, nothing. He just told me that I was doing better than I had been, even when my readings were dropping down into the 30s mg/dl [1.7 to 2.2 mmol/L] and twice within a week I had dropped to below that and needed a glucagon shot. What should I do? Answer: Your endocrinologist is being a bit overaggressive with your insulin management. To give you some perspective, in my practice, I recommend a fasting glucose of 70 to 90 mg/dl [3.9 to 5.0 mmol/L], a pre meal blood sugar less than 100 mg/dl [5.6 mmol/L] and one hour post meal less than 130 mg/dl [7.2 mmol/L]. I also tell my patients that they will not always achieve this and to not fret too much over an occasional high glucose value. It will not have a huge impact on the pregnancy. In fact, at this point in pregnancy, I would prefer some hyperglycemia (mild) over profound hypoglycemia (to the point of needing resuscitation). So, I would suggest that you raise your concerns with your obstetrician and endocrinologist to better adjust your glucose control. Changes in both insulin dosing and diet may help. OWJ DTQ-20060404170533 Original posting 6 Apr 2006 Posted to Pregnancy and Hypoglycemia

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:10:06
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