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Re: Help: Does having PCOS, Insulin Resistance, Previous miscarriage
From: Anna (anonymous@obgyn.net)
Fri, 8 Aug 2003 21:31:54 -0500 (CDT)
Yes I was detected with high sugars at 14 weeks in my last pregnancy.
So technically it was not GDM but was borderline before ..
At Fri, 8 Aug 2003, Donna wrote:
>
>Hi Anna:
>
>Yes, you are considered a high risk pregnancy. It is possible that you were
>diabetic with your last pregnancy and no one knew it. Had anyone done a sugar
>challenge test on you? Did your doctor have you checking your blood sugar? Were
>they regularly checking your urine for sugar in the urine? When I became diabetic
>at 23 weeks with my first pregnancy, there were no signs of sugar spilling into my
>urine.
>
>I have been blessed to have two children, full-term and healthy, even though I
>have PCOS and weighed 295 and 325, respectively, when I got pregnant. I also was
>31 and 35 years old, and developed gestational diabetes. So while your dr. may be
>"safe" in saying he'd like you to lose weight before your pregnancy, it is
>possible to be overweight or even severely obese and still have a healthy
>pregnancy.
>
>With my first child I developed diabetes around week 23, with my second I
>developed it at week 12. I suspected I was diabetic early with my seonc because I
>had asked my dr. for a glucometer at the beginning of my pregnancy so I could
>check my fasting blood sugar. Normal range for pregnant women is 70 to 90
>fasting; the day mine hit 100 I had an appointment with him anyway, and my
>in-office urine test confirmed blood sugar in my urine. I was started on insulin
>(whcih I took with both pregnancies) and I followed a diabetic diet, and things
>were, thankfully, just fine.
>
>I did end up having a c-section which is a very common complication with women who
>have PCOS and gestational diabetes. The dr. could not let the baby go past the
>due date because the placenta breaks down, so we induced and after 14 hours of pit
>labor, my very un-ripe cervix had only dilated to a 5. So a c-section it was, and
>with the second one we just skipped the induction and did the c-section.
>
>The most important thing, I would think, is to find ONE high-risk doctor that is
>willing to follow you all the way through. It is odd that a clinic would rotate
>you through OB-GYNs. If you have a reproductive endocronologist, that would be
>ideal becuase they specialize in high-risk pregnancies by default. You need and
>deserve highly competent medical care, especially after your first experience. I
>am so sorry to hear of your loss, and hope it is your very last one.
>
>Please feel free to email me privately at:
>dmirabile@att.net
>
>Thanks.
>
>Donna in Utah
>
>Anna wrote:
>
>> Hi everyone,
>>
>> In my previous pregnancy of 5 months, I was with a different OB than my
>> current one. She was quite good but her office and the endocrinologist
>> were not really working together which bothered my husband and I. Before
>> we could do something about it, at one of my regular OB checkups I was
>> told there is no heartbeat and there had been a fetal demise. My
>> current OB doctor did my D&E and was very good and specializing in
>> pregnancy complications. I transferred to his overall healthcare group
>> which has endo, high risk OBs etc all communicating through one system
>> which I liked.
>>
>> So one of the things that has been bothering me is although my OB is
>> good, he doesn't have time as he is so popular and his appointments are
>> booked 2 months in advance usually. Also at his clinic there is a
>> rotation with all OBs (so I would have to repeat my history all the time
>> - they never read the notes!). The endo who I am working with asked me
>> not to get pregnant till I lose 30-40 pounds. I am at 27.5 BMI right
>> now. Despite this, my husband and I made the decision to TTC after
>> consultation with a maternal fetal specialist.
>>
>> Now with PCOS, being a borderline diabetic, a previous miscarriage at 21
>> weeks shouldn't my OB/OB's office proactively be contacting me and
>> putting me on a plan (diet + medication + monitoring)?
>>
>> I can't keep switching doctors but I am very concerned about not getting
>> the care that I think I need. What are things that need to be monitored
>> for pregnant PCOSers (I didn't know I was a PCOSer in my last
>> pregnancy).
>>
>> Thanks for your time.
>> Anna
>>
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