PREGNANCY-BIRTH Messages for June, 2002: Re: insulin resistant

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Re: insulin resistant

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 30 Jun 2002 13:43:17 -0500 (CDT)

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In reply to: kimberly: "insulin resistant"

At Sun, 30 Jun 2002, kimberly wrote: >
>i am 33yo and 36wks pregnant. i have gestational diabetes that was dx'd
>at about 6wks (early testing due to ob hx- stillbirth at 29 1/2wks-cause
>unknown and gd in that pregnancy). i have required insulin throughout
>this pregnancy and my levels were well under control at a very low dose.
>recently my levels have begun climbing however to unacceptable levels
>(130's-170's) fasting and after meals. the insulin dose has been
>increased 5 times in the last 4 weeks but my levels do not seem to be
>responding. the baby has been followed very closely with serial u/s's
>due to his falling beneath the 10th percentile and we are having nst's
>2x/wk. i have been strict with my diet all along and am very worried
>about what problems could arise now due to my levels remaining high.
>what is usually done in a case like this? could i be looking at early
>induction? thanks for your response.-kimberly

Kim

It is not unusual to have changing insulin requirements at the end of a pregnancy. The combo of sugar fluctuations, nst results and baby growth will determine when the baby will be delivered.

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: Sarah: "missed period.... continue taking birth control?"
Previous message: William F. von Almen, II, MD, FACOG: "Re: Ectopic"
In reply to: kimberly: "insulin resistant"

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