Pregnancy & Diabetes
My greatest challenge: 9 months of pure happiness. 9 months devoted 100% to my Baby.
Being diabetic type1 and have a child: it is quite possible !!!!
During our pregnancy and even before our "green light" (good HbA1c), we still need more to ensure our diabetes. Making our glycemic curves are as flat possible because the little be developing in our stomach takes the brunt of our glucose patterns, and they are not good at all for him ...
The "diabetic pregnancy" is considered "at risk". Therefore, we followed very closely (monthly visit diabete and gynecologist) to see if your baby is developing properly. It is highly recommended to choose a maternity at least Level 2 (Neonatal service 'and intensive care if problem), or ideally Level 3 (Neonatal ICU and specialized in monitoring high-risk pregnancies). Personally, I gave birth at the Hospital Antoine Béclère (Level 3) in Clamart (92) is in the department of Professor René Frydman (which was part of the team of the first "test tube baby" in 1982). His service is leading to high-risk pregnancies, and those who followed me were great.
Impossible for us not to be hypo or hyper during our pregnancy but must limit the maximum quantity and duration! The goal is to have the prettiest glycemic curves (= smoother) and prettiest HbA1c. Personally, I was at 6.2% of all throughout my pregnancy. My days were punctuated by many glycemic control (20 / day), long postprandial steps (the area had no secrets for me!), And counting all the grams of carbohydrate consumed. All this allowed me to minimize glycemic variations. It was a full time job where I had put everything aside to be concentrated 100% on my baby.
They vary widely, and throughout pregnancy according to our hormones and growth Baby! During the second quarter is set up insulin resistance, due to the hormones produced by the placenta. Doses then increase on a regular basis. Insulin requirements may be multiplied by 2, 3 or 4 ... everything is possible! Personally, it was x3. During pregnancy, do not hesitate to increase its doses, the only goal is to keep our closest blood glucose 1g / l to avoid glycemic shock Baby. In the last weeks of pregnancy, I had many of Monitoring to monitor the baby's heartbeat.
In the absence of complications, childbirth is often triggered 38 SA in France. It triggers the birth because babies of diabetic mothers are at higher risk of fetal distress, but also to the baby, often already correct weight, not from growing again.
Personally, I went up to 39 weeks. At this stage, baby is "finished" and considered futures. They told me to come on April 22 if Baby had not pointed the tip of his nose. Thing, that suddenly I did, and with a smile because no contraction .... !!! Triggering 8am 'epidural after 10am ... nice evolution until 21h. Then, after it went to hell. But the essential point being that everything is very well finished: Mister Eliott pointed the tip of his nose to 1:56 April 23 !!!
I personally kept my insulin pump and managing my diabetes. My blood sugar has remained between 0.9 to 1.10 for the duration of the work. Checks every 30 minutes. Glucose perf allowed me to have "my dose of sugar." No meals. I typed a hyper post childbirth stress related ... but Eliott was out, and it was not serious!
Eliott was in perfect health: 52 cm and 3,910 kgs. Baby 'heavy weight' and diabetic Mom: it earned my Eliott a lil tour neonate unit with monitoring the first 3 days of blood glucose. The main risk at birth for children of diabetic mothers, the risk of hypoglycemia. During life in utero, the baby's pancreas is already functional and produces insulin. The child being 'fed' via the umbilical cord; it receives nutrients from the blood of the mother. Thus the fetal insulin secretion is dependent on blood glucose mom: when mom is hyperglycemia, the baby produces more insulin to compensate and vice versa (hence the "heavy weight" often). At birth, the umbilical cord is cut and the baby does not receive the glucose content in the blood of the mother; If mom was hyperglycemia in the last few hours before delivery, pancreatic baby may continue to produce a lot of insulin; and there is hypoglycemia.
Despite having been separated from my Eliott for 12 hours (Eliott was administratively in Neonatal, and could not get out, and I made my bedridden of Caesarean 2 highest floors), I could still breastfeed my Eliott, and this for 10 months. It was awesome. A beautiful moment! Full time job, certainly! But for the most beautiful gift of life !!!! I invite you to take a turn on the site of the very pretty Association Women Diabetics .