Confused about my diagnosis

By aleddon Latest Reply 2009-05-09 01:38:10 -0500
Started 2009-05-06 14:17:27 -0500

I was diagnosed with diabetes when I was 8 weeks pregnant. My doctor said that since it was so early in the pregnancy that I had it before I got pregnant. I started on insulin and continued on it after giving birth. I saw my internal medicine doc a couple of weeks ago and she said I have type 1 diabetes and to keep on my insulin. Her reasoning for the diagnosis is that the insulin is working and not dropping my blood sugar.

Soooooo…Does any of this make sense?

8 replies

aleddon 2009-05-06 16:05:33 -0500 Report

I know that if I don't take my insulin, my BS skyrockets (fastings in the 300's, etc).

Don't get me wrong, I don't mind the shots (I got used to them while pregnant) and there are SOOOOO many other diseases out there that I could have that can't be controlled, but still.

kdroberts 2009-05-07 07:49:48 -0500 Report

If that's the case then you almost certainly have diabetes and if the insulin works then I would stick with it, regardless if you turn out to be type 2. Gestational diabetes is tricky, I read somewhere that something like 20% of people diagnosed with it actually had undiagnosed type 1 or type 2 and the tests done during pregnancy picks it up.

How long has it been since you gave birth? You should wait a good 3 months, probably longer really, before getting further testing because of all the hormone changes going on. An oral glucose tolerance test is a good idea but you will need to work carefully with a doctor because it would be best to do it while not on insulin. However, if you are seeing numbers in the 300's then I don't really think one is needed, a c-peptide and insulin antibody test would be more appropriate.

Aryana 2009-05-09 01:38:10 -0500 Report

Actually, most women who have diabetes while expecting, can expect to get it with in 15 yrs of giving birth.. I was boarder line with my last one, shes 14 now, I was told if I gain 50 lb or when she turns 15 which ever comes first I can expect to be full blown.. Alot of women who become either type 1 or 2 while pregnant will carry the problem on even after the baby is born, alot of times depends on a few factors,,, One how well its controlled before they give birth, how big the baby is, and how high the levels got… Good luck and I hope things work out for you

Mom and boys
Mom and boys 2009-05-06 15:59:17 -0500 Report

The whole diabetes thing and pregnancy can be confusing. I would advise you to get further testing. If they want you to stay on insulin go to an endocrinologist.

I was gestational twice. After the first and very difficult pregnancy there was some question about what I would eventually be. It took a long time for my body to start working correctly (18 months) but I ended up being diet controlled after each pregnancy. My youngest is 7 and I am now type 2

dameyers 2009-05-06 15:50:10 -0500 Report

So many doctors are telling people that they have diabetes who actually don't. Please request a 3 hour glucose test to be certain that you have diabetes. This is the only true test in my mind that can give you peace of mind.

John Crowley
John Crowley 2009-05-06 15:05:27 -0500 Report

Well, I don't know enough about gestational diabetes to be able to comment about your doctor's initial statement that you must have had it longer.

But I can tell you that there is a specific blood test for type 1 diabetes that checks for the antibodies that attack the pancreas. Also, you can get a c-peptide test that measures how much insulin your pancreas is producing. You should request these tests from your doctor so that you know for sure what's going on with your body.

I do understand your doctor's "rule of thumb" evaluation. It kind of makes sense that if your body was producing insulin and you were injecting insulin, you would be experiencing low blood sugar. However, that seems a little unscientific way to diagnose. That's just my two cents.

aleddon 2009-05-06 15:08:26 -0500 Report

I know there is a test (my husband was diagnosed with type 1 at age 23 and they did the test then) but my doc never even offered it.