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I am pregnant and I am diabetic
Hello sir/mam
I am having diabetic since 4 year and I was in medication reclimet xr and zavamet. Now I am pregnant and taking human mixtard 30/70 insuluin. Morning dose 30 and pre dinner dose 34 but my sugar is not in control . My fasting sugar is 120 and pp lunch sugar 240 and pp dinner sugar 250. So suggest me what to do next. I have to change insulin ???
Answers (2)
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Dr. Tanvi Parikh
General Physician
11 yrs exp
Pune
Your fasting and PP sugars are above the recommend goals for pregnancy. Uncontrolled diabetes in pregnancy can increase risk of preterm delivery, large baby, affect the baby’s heart and kidney development, increase risk for cesarean and cause low blood sugar in the new born. Mixtard insulin is not ideal and doesn’t work best to improve your sugars, particularly in pregnancy. Long acting insulin called basal insulin and shirt acting insulin which is taken before each meal is more suitable and effective in pregnancy
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Please consult online to discuss changes in insulin
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Dr. Mohammed Zaid
Diabetologist
14 yrs exp
Chennai
It’s best to change your insulin from your current pre-mixed regimen to a basal-bolus regimen. Through the course of pregnancy, your insulin requirement may increase and giving a pre-mix wouldn’t be ideal.
Diet control & regular exercise is utmost important and keep an eye on your weight gain. You do not want to gain more than 9kg through the course of pregnancy
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.