New comments on 'Diabetes, Miscarriage and trying again'

New comment from cristina_4-07-09

Fri, 19 Sep 2008 11:56:16 -0500

hey I have a question for you ok so you say you had a miscarry am so sorry I have had 2 already and trust me I didnt like them at all so am 9wks prego again and am scared I have type 1 diabetes and on my first visit they told me that my Hemoglobin A1C was at 12. something and the doctor wasnt happy at all they wanted to to get an abortion that pretty much I would have a miscarriage but I said no that it didnt't matter what happen I was goin trough with this I knew there is a god out there that will help me so know they did blood work again on me and my Hemoglobin A1C this time were at 8. something which she says it didnt make sense because weeks before they were so high but am scared I havent spot at all I dont have any symptoms at all do I have something to worry about

cristina_4-07-09

New comment from Dr. Q

Wed, 23 Jul 2008 18:00:29 -0500

1. A routine blood sugar test is not routinely done unless one strongly suspects diabetes

2. Once it's in the normal range, then one can proceed

3. Insulin is the safest way, although metformin is used by some docs

Dr. Q

Diabetes, Miscarriage and trying again

Wed, 23 Jul 2008 14:41:19 -0500

Hi Doc,

I became pregnant w/ twins through IVF last February 2008 and had a miscarriage on May 18, 2008. I was almost 12 weeks at the time. I was hospitalized and was told that I had Type 2 diabetes and that the babies would have a 30% chance of birth defects because my Hemoglobin A1C was 10.3. I was told a Hemoglobin A1C over 8 increased the risk to 30%.

I was obviously not aware that I had type 2 diabetes and I was devastated to find this out. I was further devastated that it could pose such a great risk to both myself and the babies.

I have 3 questions for you:

1) Prior to proceeding w/ IVF, shouldnt my fertility doctor have performed a simple blood sugar test on me to clear me for possible diabetes and is a blood sugar test part of the panel of tests that fertility doctors typically do prior to having a patient proceed w/ IVF?

2) How low should my Hemoglobin A1C be and for how long should I maintain it at that level before I should get pregnant to make sure that both me and my baby remain healthy?

3) What is your opinion on taking Metformin to control blood sugars while pregnant? If you do not recommend it, what medication would be safe for both mother and baby during pregnancy? Is using insulin during the whole 9 mos to control my blood sugars the safest way?

Thank you for your help!

Seeker