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February 22, 2002

Family Planning, Type 2

Question from Bridgeport, Washington, USA:

I am 27 years old, I was diagnosed with type�2 diabetes about three months ago, and I've been controlling it with Avandia [rosiglitazone]. I check my blood sugar every morning, and it runs 102-142 mg/dl [5.7-7.9 mmol/L]. I've asked my doctor what would what would be my risk if I got pregnant, and she tells me it's kind of impossible or I am risking it. However, I've heard people say they were pregnant and had diabetes and were fine.So, before I decide to tie my tubes, I want to make sure I'm doing the right thing. Do you think I could get pregnant and be able to control it and not take shots of insulin?

Answer:

First of all, if you decide to become pregnant it will be very manageable. You will have to take insulin. Oral hypoglycemic agents have not been studied in women with type�2 diabetes. In fact, you will have to start insulin before you get pregnant.

There are some risks to a pregnancy in a woman with diabetes such as developmental abnormalities in the fetus. With good glucose control (particularly before you become pregnant) and close surveillance of the fetus, these risks can be minimized. Therefore, I would suggest that you think very carefully about having your tubes tied, because with proper care it is possible for you to have a healthy pregnancy.

OWJ