Hello doctor,
My wife is 5 weeks pregnant. She has type 2 diabetes. Her HbA1C was 6.6% one month ago. She was taking tablet Melmet SR 500 mg twice daily. After confirming pregnancy, we checked her sugar level for fasting and postprandial for three consecutive days, average around 140/165 mg/dL. So as per our diabetologist, she started using Novorapid four units three times a day. She took the insulin four times till now, starting from the day before yesterday, snd today, we checked her fasting blood sugar, and it came as 138 mg/dL.
My queries are as follows:
1) Does insulin takes time to improve sugar levels?
2) We heard that diabetes makes an impact on the baby. Will these sugar levels impact our baby?
Kindly help.
Hello,
Welcome to icliniq.com.
Thanks for the query.
Diabetes during pregnancy has to be managed systematically, and a diabetologist cannot handle a pregnant mother. The dosing of insulin depends on the mother's weight and the multiplication factor for the first trimester. Insulin shows immediate sugar control within 24 hours. But simple blood sugar profile is not recommended for calibrating dosing for pregnant women. It would help if you got an OGTT (oral glucose tolerance test) with 75 g glucose and fasting for 12 hours before the test.
Then the requirement of insulin could be ascertained and calculated for the mother. It is just 5 weeks and early pregnancy; the viability needs to be established by the arrival of heart rate. The chances of missed abortions are high in uncontrolled diabetic mothers.
Please follow up with all the reports for evaluation and advice.
Regards.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. recommendations of the American Diabetic Association include prescribing Metformin to prediabetic patients, those who are at high risk of developing diabetes especially if under 60 years of age. Both, Metformin and lifestyle modifications as ... Read full
I take insulin, but my sugar levels are high. What should I do?.. description, it is clear that you need an increase in the dosage of insulin. However, it is also a good idea to reflect on your lifestyle and see if you can make any changes. If you are eating foods that increase blood sugar levels, especially swe... Read full
Do my insulin values indicate pancreatic cancer?No history of diabetes in the family ... I was told by my doctor that I had to keep monitoring my blood glucose since I could develop diabetes later on, and since I have never had a problem with ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
Ask your health query to a doctor online?
Ask an Obstetrician & Gynaecologist Now