Hello there; I am 20+ weeks pregnant. 20 week scan shows no concerns with baby. I was found to have high HBA1C in June 2022 after two major abdominal surgeries, post surgery sepsis & ileus with triggered Crohns! Despite this being on my records and being classified as a diabetic by the NHS I received no support or advice from a diabetes midwife or anyone else around how to manage my blood sugars in pregnancy. My HBA1C tested 3 weeks ago has come down to 46. I am on metaformin 1000 mg with dinner. I asked to be given a Libre device when I saw my consultant 2.5 weeks ago and she referred me to the obstetric medicine team who from the word go started talking about insulin. I asked for dietician support to help me plan meals since I have Crohns and IBS: the dietician called me a week after I’d been using the Libre. During this call I discovered the Libre device targets were not properly which means I was mistakenly thinking my time in range was better than it was. The dietician was really unhelpful/ she was not interested in having any conversation about what I was eating and did not share any information about the changes I needed to make because my fasting levels were high. She spent the entire time repeatedly telling me that I need to go to the hospital right away to collect insulin. On my insistence she sent me some standard advice that is given for diabetes which didn’t tell me anything I didn’t know.
I am really upset by the lack of proactive, personalised care from maternity services even through I was promised I’d get “better care”. I don’t feel the metformin dose has been optimised and all options explored. I am now having to pay for a very expensive private gestational diabetes dietician to help me manage my sugars better. My worry is that when I asked the consultant if they will take me off insulin after the baby is born; he said “ we shall see” and when I voiced my fears to the NhS dietician that I fear I will be left on insulin and never taken off, she agreed. We all know that the NhS throws women to the dogs in the postpartum period and Gps are very reluctant to off any partum/ postpartum advice and support. Mine said they want to have nothing to do with the pregnancy because it’s high risk! I feel very let down.
Has anyone who was on metaformin before getting pregnant and in early pregnancy taken insulin and been succesfully taken off it after giving birth ? I am due to have an elective caesarean at 37/38 weeks. I see endocrinology- it’s a new person every time and they are only interested in my thyroid levels. So no hope there either
I am really upset by the lack of proactive, personalised care from maternity services even through I was promised I’d get “better care”. I don’t feel the metformin dose has been optimised and all options explored. I am now having to pay for a very expensive private gestational diabetes dietician to help me manage my sugars better. My worry is that when I asked the consultant if they will take me off insulin after the baby is born; he said “ we shall see” and when I voiced my fears to the NhS dietician that I fear I will be left on insulin and never taken off, she agreed. We all know that the NhS throws women to the dogs in the postpartum period and Gps are very reluctant to off any partum/ postpartum advice and support. Mine said they want to have nothing to do with the pregnancy because it’s high risk! I feel very let down.
Has anyone who was on metaformin before getting pregnant and in early pregnancy taken insulin and been succesfully taken off it after giving birth ? I am due to have an elective caesarean at 37/38 weeks. I see endocrinology- it’s a new person every time and they are only interested in my thyroid levels. So no hope there either