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Care of pregnancy in a patient who has had a Whipples procedure.From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sun Jan 13 04:44:37 2008
31 y.o. G1 who had a Whipple’s procedure at age of 26 for what turned out to be a benign neuroendocrine tumor. She has done remarkably well after her surgery and has essentially lead a normal life with no special modifications in diet, life style or need of meds. I sent her off for her glucose tolerance rest after her second visit at 19 weeks and the 1 hr value was 14.7(14.7 X18 &4.6) (for those who still live with the old units), with that value I sent her off to our local Endocrinologists for start of insulin and any other recommendations. Now at 26 wks and started fetal surveillance with biweekly NST weekly biophysical profiles, dopplers of umbilical vessels normal and normal Middle cerebral flow. Besides taking all the precautions for gestational diabetic requiring insulin, does anyone have any other suggestions?
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Take care, John
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