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Re: Dr. Sam--diabetes , pregnancy and met
From: Micha (anonymous@obgyn.net)
Fri, 28 Mar 2003 10:49:46 -0600 (CST)
Hi, thanks for responding. By four weeks pregnant I mean four weeks
since conception, six weeks since my last period.
My doctor said she spoke with a diabetes specialist from Duke University
and this specialist said I could still get gestational diabetes even
while on met. She also said no one in the US is recommending met while
pregnant and that it crosses the placenta and the long term effects are
unknown. I've spoken to some endocrinologists myself and they all lean
toward my staying on it. It's just a little scary when you are actually
pregnant and need to pick just the right moment to go off of it. Just
to be clear, are you saying I'm less likely to get gestational diabetes
if I'm on metformin?
At Thu, 27 Mar 2003, =?iso-8859-2?q?Zalányi wrote:
>
>Dear Micha,
>
>Your dr's position is funny at best. The complications from metformin are due in the first trimeter (neural tube defects), so if she afraid of the complications, she should be afraid during that period, not later. She is right that you are "vulnerable" to gestational diabetes (I would say prone to), so why does she want to leave it untreated and expose you and your fetus to the consequences?
>What do you mean be 4 weeks pregnant? At four weeks you still expect your menses?
>Looking forward to your info
>
>Sam
>
>> Dr. Sam, I've been taking metformin for three years now and it has
>> helped my pcos dramatically. I'm 39 yrs old and just four weeks
>> pregnant. My gyn is very uncomfortable with my staying on met past the
>> first trimester. But of course I can do it if I want to. She said with
>> pcos, I am very vulnerable to gestational diabetes whether I stay on met
>> or not. I thought the met would stop me from getting gestational
>> diabetes. If I go off of met at week 13 am I more vulnerable to gaining
>> weight and getting diabetes. I'm very scared to go off of a medicine
>> that's changed my life. What's your opinion.
>> thanks.
>>
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