WOMENS-HEALTH Messages for April, 1997: Re: Sonja, Am I diabetic?

Re: Sonja, Am I diabetic?

From: barbara (anonymous@obgyn.net)
Tue, 15 Apr 1997 09:25:54 -0500 (CDT)

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In reply to: Sonja: "Am I diabetic?"

At Tue, 15 Apr 1997, Sonja wrote:Snipped >
>Or could I be pre-diabetic or glucose intolerant?
>
>What is my next step? What investigations would you recommend? I am
>interested in trying to have another baby but very much afraid that
>history will repeat itself.
>

Dear Sonja, I also am sorry about the loss of your baby. You may have missed Darcy's post so I am reprinting it. If You go to the archives under diabetes you will find aVery good web site sent in by Roberta Speyer. Click on the URL and you will have a wonderful insite into pregnancy and diabetes.

Hope this helps. Where In Australia do you live?

I was so sorry to hear about your loss. It sounds like you were borderline for some of the risk factors, including gestational diabetes (only my personal-experienced non-medical opinion!). Just thought I'd share a little of my experience in case it helps you.

I gave birth 18 months ago (I was 34) and was diagnosed with gestational diabetes during my 7th month (pregnancy-related, disappeared after the birth). Once diagnosed, my OB discussed a lot of the increased risks and the procedures and extra care that would be taken because of it. He was (and is) a great doctor! Mine was not diet-controlled, so in addition to the diet I was on twice-daily insulin injections, after being referred to an endocrinologist. My OB explained that risks and complications included macrosomia, increased chance of a breech baby and therefore increased c-section rates, the possibility of the baby being born hypoglycemic, and an increased risk of a stillborn baby. The last was a kind of catch-22 position...the risk of having a stillborn baby is much greater if a diabetic mother carries to term, so my OB didn't want to wait until my 40th week to deliver. On the other hand, babies of diabetics tend to have delayed lung maturity, so my OB didn't want to deliver too early and have respiratory problems to worry about. I felt like I was in a very precarious position! I had so much fluid that my OB couldn't tell size or position, so I was sent for another ultrasound at 36 weeks which showed an estimated weight of 9 lbs and a breech baby. I realize that ultrasounds aren't definitive and do have an error factor, but in my case the ultrasound was very accurate, because I gave birth a week later to a 9 lb 10 oz baby. My son was delivered by c-section because my OB didn't believe that versions were worth the risk with larger babies (and judging by the estimated size, even if he hadn't been breech that c-section was sounding pretty good!)

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