From London, England:
I was diagnosed with gestational diabetes at 29 weeks and am now just over 35 weeks. Within one week, it was decided that my sugars were too high for diet control alone and I have been taking Humalog injections four times a day.
My post meal readings, although very rarely over 10 mmol [180 mg/dl], are within range (4 to 7 mmol/L [72 to 126 mg/dl]) even after modifying my diet. As a result, my insulin usage has increased and I am now concerned about the high levels of insulin I am taking and the possible effect on my unborn child. Currently, I take 58 units of Humalog and 20 units of Humulin Insulatard before breakfast, 20 units of Humalog before lunch, 48 units of Humalog before dinner and 30 units of Humulin Insulatard before bed. Although my pre-meal levels are within ranges, about 85 to 90% of post meal levels are over 7 mmol/L [126 mg/dl] and we are now looking at increasing insulin again. Is there a limit and is it possible that insulin is just not working for me?
It is very common in gestational diabetes for insulin requirements to increase as the pregnancy progresses. You are not doing anything wrong. Your body is just producing higher levels of the hormones that block the action of insulin. I have taken care of patients who required two times the amount of insulin that you are taking. The insulin does not cross the placenta and will not affect the baby. So, continue to work at keeping your blood sugar values within the appropriate range.
Last Updated: Tuesday April 06, 2010 15:10:04
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.