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Family Planning

I am 23 years old, and I recently found out I’m five weeks into an unplanned pregnancy. Last week, my A1c was 10.2%, and I’m really, really worried about birth defects and the health of the baby. What are my chances of having a healthy baby?

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I have had type 1 diabetes for 24 years, was diagnosed with gastroparesis when I was seven weeks pregnant, and two days later I had a miscarriage. I have had two healthy pregnancies in the past with no problems, and I want to get pregnant again. Can gastroparesis cause miscarriages? Can you please tell me the risks of having gastroparesis and pregnancy?

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I’ve noticed quite a few questions recently from women undergoing IVF and dealing with Type 1 diabetes. Is there any connection between Type 1 diabetes and infertility? Would trying metformin do any harm?

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I have heard conflicting reports about using Humalog during pregnancy, and would like to fully understand the options before becoming pregnant. What is the current thinking?

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I am 26 years old, my A1c has been under 7% for the last year or so, and I am thinking of becoming pregnant, but part of me wants to wait three years. How much does my risk of complications go up each year I have diabetes? Is waiting three years asking for more problems?

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What issues do I need to consider before committing to my boyfriend? We are considering marriage. He has had type 1 diabetes for over ten years. I am particularly concerned about fertility, sex, activity levels and potential major disabilities.

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I met with a perinatologist recently who said that a woman with diabetes must deliver between 38-1/2 and 39-1/2 weeks. I asked the doctor’s reasoning and was told that the placenta of a woman with diabetes ages prematurely, necessitating early delivery for the safety of the baby. Is this accurate information? Is the placenta’s premature aging (if that actually does happen) moderated by tight glucose control?

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My husband and I are trying to conceive our second child. Are my odds of conceiving lower because my husband has type 1?

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