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Insulin during pregnancy

C

CheerColl

New member
We are TTC, and my CF nurse practitioner told me to plan on being on insulin when pregnant (a shot with every meal!) She said only one CF patient in our clinic didn't need insulin during her pregnancy, but that I shouldn't get hopeful because that patient was "an anomaly"

She gave me an Rx to get a glucose tolerance test, so they will have pre-pregnancy numbers to compare to.

I don't have CFRD...just wondering what you all think, I am so glad I can ask other CFers!
 
C

CheerColl

New member
We are TTC, and my CF nurse practitioner told me to plan on being on insulin when pregnant (a shot with every meal!) She said only one CF patient in our clinic didn't need insulin during her pregnancy, but that I shouldn't get hopeful because that patient was "an anomaly"

She gave me an Rx to get a glucose tolerance test, so they will have pre-pregnancy numbers to compare to.

I don't have CFRD...just wondering what you all think, I am so glad I can ask other CFers!
 
C

CheerColl

New member
We are TTC, and my CF nurse practitioner told me to plan on being on insulin when pregnant (a shot with every meal!) She said only one CF patient in our clinic didn't need insulin during her pregnancy, but that I shouldn't get hopeful because that patient was "an anomaly"

She gave me an Rx to get a glucose tolerance test, so they will have pre-pregnancy numbers to compare to.

I don't have CFRD...just wondering what you all think, I am so glad I can ask other CFers!
 
C

CheerColl

New member
We are TTC, and my CF nurse practitioner told me to plan on being on insulin when pregnant (a shot with every meal!) She said only one CF patient in our clinic didn't need insulin during her pregnancy, but that I shouldn't get hopeful because that patient was "an anomaly"

She gave me an Rx to get a glucose tolerance test, so they will have pre-pregnancy numbers to compare to.

I don't have CFRD...just wondering what you all think, I am so glad I can ask other CFers!
 
C

CheerColl

New member
We are TTC, and my CF nurse practitioner told me to plan on being on insulin when pregnant (a shot with every meal!) She said only one CF patient in our clinic didn't need insulin during her pregnancy, but that I shouldn't get hopeful because that patient was "an anomaly"
<br />
<br />She gave me an Rx to get a glucose tolerance test, so they will have pre-pregnancy numbers to compare to.
<br />
<br />I don't have CFRD...just wondering what you all think, I am so glad I can ask other CFers!
 
P

PedsNP2007

New member
Hi Colleen,

I had a 2 hr glucose tolerance test and it showed "diabetes" per the number. However, with monitoring sugars and "watching" my intake (as much as I can hehe), I have not had to use insulin. I am TTC soon and I went to the endocrine team. They told me that pretty much I will have to use insulin since I had an abnormal OGTT. Some people can get by with watching their carb intake, others will have to use insulin.

Before you get worried, just get the pre-pregnancy OGTT. That will tell you what your baseline endocrine function of your pancreas is (try to do it when you are as healthy as possible as sickness makes you more insulin resistant which can affect your OGTT). Under stress (ie. pregnancy), that may change, but no need to worry preemptively. Sometimes one's pancreas can step it up to meet the demands that a pregnancy brings. If the OGTT pre-pregnancy is abnormal, then they know that you should be monitored closer than the normal 20-24 week OGTT during pregnancy. You may just get an OGTT during the first trimester to see if you definitely are having abnormal glycemic control. Other OBs may just have you start monitoring blood sugars prior to and during pregnancy, following up with them for management.

There is a thread in this pregnancy forum that has a lot of info on CFRD during pregnancy.

Jenn
30 year old cf, cfrd
 
P

PedsNP2007

New member
Hi Colleen,

I had a 2 hr glucose tolerance test and it showed "diabetes" per the number. However, with monitoring sugars and "watching" my intake (as much as I can hehe), I have not had to use insulin. I am TTC soon and I went to the endocrine team. They told me that pretty much I will have to use insulin since I had an abnormal OGTT. Some people can get by with watching their carb intake, others will have to use insulin.

Before you get worried, just get the pre-pregnancy OGTT. That will tell you what your baseline endocrine function of your pancreas is (try to do it when you are as healthy as possible as sickness makes you more insulin resistant which can affect your OGTT). Under stress (ie. pregnancy), that may change, but no need to worry preemptively. Sometimes one's pancreas can step it up to meet the demands that a pregnancy brings. If the OGTT pre-pregnancy is abnormal, then they know that you should be monitored closer than the normal 20-24 week OGTT during pregnancy. You may just get an OGTT during the first trimester to see if you definitely are having abnormal glycemic control. Other OBs may just have you start monitoring blood sugars prior to and during pregnancy, following up with them for management.

There is a thread in this pregnancy forum that has a lot of info on CFRD during pregnancy.

Jenn
30 year old cf, cfrd
 
P

PedsNP2007

New member
Hi Colleen,

I had a 2 hr glucose tolerance test and it showed "diabetes" per the number. However, with monitoring sugars and "watching" my intake (as much as I can hehe), I have not had to use insulin. I am TTC soon and I went to the endocrine team. They told me that pretty much I will have to use insulin since I had an abnormal OGTT. Some people can get by with watching their carb intake, others will have to use insulin.

Before you get worried, just get the pre-pregnancy OGTT. That will tell you what your baseline endocrine function of your pancreas is (try to do it when you are as healthy as possible as sickness makes you more insulin resistant which can affect your OGTT). Under stress (ie. pregnancy), that may change, but no need to worry preemptively. Sometimes one's pancreas can step it up to meet the demands that a pregnancy brings. If the OGTT pre-pregnancy is abnormal, then they know that you should be monitored closer than the normal 20-24 week OGTT during pregnancy. You may just get an OGTT during the first trimester to see if you definitely are having abnormal glycemic control. Other OBs may just have you start monitoring blood sugars prior to and during pregnancy, following up with them for management.

There is a thread in this pregnancy forum that has a lot of info on CFRD during pregnancy.

Jenn
30 year old cf, cfrd
 
P

PedsNP2007

New member
Hi Colleen,

I had a 2 hr glucose tolerance test and it showed "diabetes" per the number. However, with monitoring sugars and "watching" my intake (as much as I can hehe), I have not had to use insulin. I am TTC soon and I went to the endocrine team. They told me that pretty much I will have to use insulin since I had an abnormal OGTT. Some people can get by with watching their carb intake, others will have to use insulin.

Before you get worried, just get the pre-pregnancy OGTT. That will tell you what your baseline endocrine function of your pancreas is (try to do it when you are as healthy as possible as sickness makes you more insulin resistant which can affect your OGTT). Under stress (ie. pregnancy), that may change, but no need to worry preemptively. Sometimes one's pancreas can step it up to meet the demands that a pregnancy brings. If the OGTT pre-pregnancy is abnormal, then they know that you should be monitored closer than the normal 20-24 week OGTT during pregnancy. You may just get an OGTT during the first trimester to see if you definitely are having abnormal glycemic control. Other OBs may just have you start monitoring blood sugars prior to and during pregnancy, following up with them for management.

There is a thread in this pregnancy forum that has a lot of info on CFRD during pregnancy.

Jenn
30 year old cf, cfrd
 
P

PedsNP2007

New member
Hi Colleen,
<br />
<br />I had a 2 hr glucose tolerance test and it showed "diabetes" per the number. However, with monitoring sugars and "watching" my intake (as much as I can hehe), I have not had to use insulin. I am TTC soon and I went to the endocrine team. They told me that pretty much I will have to use insulin since I had an abnormal OGTT. Some people can get by with watching their carb intake, others will have to use insulin.
<br />
<br />Before you get worried, just get the pre-pregnancy OGTT. That will tell you what your baseline endocrine function of your pancreas is (try to do it when you are as healthy as possible as sickness makes you more insulin resistant which can affect your OGTT). Under stress (ie. pregnancy), that may change, but no need to worry preemptively. Sometimes one's pancreas can step it up to meet the demands that a pregnancy brings. If the OGTT pre-pregnancy is abnormal, then they know that you should be monitored closer than the normal 20-24 week OGTT during pregnancy. You may just get an OGTT during the first trimester to see if you definitely are having abnormal glycemic control. Other OBs may just have you start monitoring blood sugars prior to and during pregnancy, following up with them for management.
<br />
<br />There is a thread in this pregnancy forum that has a lot of info on CFRD during pregnancy.
<br />
<br />Jenn
<br />30 year old cf, cfrd
 
J

JazzysMom

New member
It doesnt guarantee that. For me I didnt have the patience to change my diet to avoid triggers without losing weight so I just used insulin.

People that have the patience to concentrate on their diet or dont lose weight so easily will have a better chance of staying off insulin.

Dont let them scare you.......

Monitoring your sugars is the ONLY way to know!
 
J

JazzysMom

New member
It doesnt guarantee that. For me I didnt have the patience to change my diet to avoid triggers without losing weight so I just used insulin.

People that have the patience to concentrate on their diet or dont lose weight so easily will have a better chance of staying off insulin.

Dont let them scare you.......

Monitoring your sugars is the ONLY way to know!
 
J

JazzysMom

New member
It doesnt guarantee that. For me I didnt have the patience to change my diet to avoid triggers without losing weight so I just used insulin.

People that have the patience to concentrate on their diet or dont lose weight so easily will have a better chance of staying off insulin.

Dont let them scare you.......

Monitoring your sugars is the ONLY way to know!
 
J

JazzysMom

New member
It doesnt guarantee that. For me I didnt have the patience to change my diet to avoid triggers without losing weight so I just used insulin.

People that have the patience to concentrate on their diet or dont lose weight so easily will have a better chance of staying off insulin.

Dont let them scare you.......

Monitoring your sugars is the ONLY way to know!
 
J

JazzysMom

New member
It doesnt guarantee that. For me I didnt have the patience to change my diet to avoid triggers without losing weight so I just used insulin.
<br />
<br />People that have the patience to concentrate on their diet or dont lose weight so easily will have a better chance of staying off insulin.
<br />
<br />Dont let them scare you.......
<br />
<br />Monitoring your sugars is the ONLY way to know!
 
A

ashleydog

New member
I haven't had to have insulin with either of my pregnancies.
At one point inbetween my pregnancies my hemoglobin A1C was high, but after monitoring my blood sugars for a few months, not one came back out of range. My OB does "extra" glucose tolerance tests, but I have passed every one. I wouldn't worry too much about possible complications unless you get one, the stress of that doesn't help <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
A

ashleydog

New member
I haven't had to have insulin with either of my pregnancies.
At one point inbetween my pregnancies my hemoglobin A1C was high, but after monitoring my blood sugars for a few months, not one came back out of range. My OB does "extra" glucose tolerance tests, but I have passed every one. I wouldn't worry too much about possible complications unless you get one, the stress of that doesn't help <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
A

ashleydog

New member
I haven't had to have insulin with either of my pregnancies.
At one point inbetween my pregnancies my hemoglobin A1C was high, but after monitoring my blood sugars for a few months, not one came back out of range. My OB does "extra" glucose tolerance tests, but I have passed every one. I wouldn't worry too much about possible complications unless you get one, the stress of that doesn't help <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
A

ashleydog

New member
I haven't had to have insulin with either of my pregnancies.
At one point inbetween my pregnancies my hemoglobin A1C was high, but after monitoring my blood sugars for a few months, not one came back out of range. My OB does "extra" glucose tolerance tests, but I have passed every one. I wouldn't worry too much about possible complications unless you get one, the stress of that doesn't help <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
A

ashleydog

New member
I haven't had to have insulin with either of my pregnancies.
<br />At one point inbetween my pregnancies my hemoglobin A1C was high, but after monitoring my blood sugars for a few months, not one came back out of range. My OB does "extra" glucose tolerance tests, but I have passed every one. I wouldn't worry too much about possible complications unless you get one, the stress of that doesn't help <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
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