Diabetes

Question
Posted by: Betty | 2012/08/25

Q.

3 month pregnant and type 1

I have just been told i have type 1 diabetes - i am three months pregnant - fasting sugar 6.5 after two hours 15.1 - now I am on insulin - could this be a pregnancy related diabetes or will this be a life time diabetes problem. will I only know this after the baby is born

Expert's Reply

A.

Diabetes expert

Dear Betty
Targets for glucose levels during pregnancy, assuming you are otherwise well, is a fasting glucose of less than 5.5 and 1 hour after the meal(1 hour after first bite of food) less than 8.Diabetes diagnosed in pregnancy is normally Type 2 diabetes, so I am not sure if you truly have type 1 or 2. The fact that you use insulin doesn’t mean that you are type 1, but just that it is the best way to control glucose during pregnancy if levels are high. If you have pregnancy related diabetes, then it will improve when you deliver, but you remain at increased risk for getting diabetes later in life. If you have diabetes which was present before pregnancy, but only picked up in pregnancy, then it will most likely persist post pregnancy, but you may only need tablets. If you have type 1 diabetes, then it will remain after pregnancy, and you will remain on insulin.

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user comments

C.

Posted by: Diabetes Expert | 2012/08/30

Dear Betty
Targets for glucose levels during pregnancy, assuming you are otherwise well, is a fasting glucose of less than 5.5 and 1 hour after the meal(1 hour after first bite of food) less than 8.Diabetes diagnosed in pregnancy is normally Type 2 diabetes, so I am not sure if you truly have type 1 or 2. The fact that you use insulin doesn’t mean that you are type 1, but just that it is the best way to control glucose during pregnancy if levels are high. If you have pregnancy related diabetes, then it will improve when you deliver, but you remain at increased risk for getting diabetes later in life. If you have diabetes which was present before pregnancy, but only picked up in pregnancy, then it will most likely persist post pregnancy, but you may only need tablets. If you have type 1 diabetes, then it will remain after pregnancy, and you will remain on insulin.

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