Our expert says:
There is a definite relationship between low blood sugar levels, the presence of ketones, and the incidence of miscarriages. There is a greater relationship noted between the ketone levels and the liklihood of miscarriages and in most cases of hypoglycemia is associated with elevated ketone levels, especially in patients using insulin. It is in some cases suggested that maintaining a SLIGHTLY elevated sugar level in early pregnancy may not be such a bad thing in order to avoid the hypo's. However, this may not be the only problem and that genetic factors and other causes of miscarriages should be excluded first before basing all the facts on the blood sugar levels only.
It is not advisable to use metformin as a substitute for insulin, as metformin is, in its own right is suspected of being associted with problems/congenital defects.
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