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Welcome to the forum @mrsnnm

Sincere condolences for your miscarriage, and sorry to hear you are feeling so tired at the moment :(

But huge congratulations on your pregnancy!

Hope you find it helpful, and reassuring, to compare notes with others on the forum 🙂
 
everydayupsanddowns said:
Welcome to the forum @mrsnnm

Sincere condolences for your miscarriage, and sorry to hear you are feeling so tired at the moment :(

But huge congratulations on your pregnancy!

Hope you find it helpful, and reassuring, to compare notes with others on the forum 🙂
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Thankyou so much! Yes it has been really helpful and less lonely to know that there are others willing to share advice with me when medical professionals are not being so helpful.
 
mrsnnm said:
Thankyou so much! Yes it has been really helpful and less lonely
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That’s what we are here for! 🙂

Perhaps not so much advice, as shared experiences, and a reduced sense of isolation. Plus suggestions and things that have been mentioned to others by their clinic/HCPs.
 
Hey lovely, I managed to get a much earlier appt with the midwife at a different hospital so now i am receiving antenatal care there and my bloods have calmed down. I am seeing her every week. Had a scan last week which showed baby with a strong heartbeat so hoping baby is still good! 9 and a half weeks now. However, work has not been great. Currently off as there was a case of ringworm in my class. Spoke to my gp and midwife who signed me off for a week as i am a high risk and if i did catch it, i would be at risk. Work are trying to get me back sooner and now restricted my pay to ssp. So honestly I've been on and off phone to midwife and union. Luckily seeing midwife on Friday who said they will be able to write a letter to employer. How are you? 🙂
 
Great about your bloods calming down @mrsnnm And so lovely to hear baby’s doing well 🙂
Rubbish about your work though. I hope you get that sorted.

I’m ok. My work is being a pain too but, unlike ringworm, their issue is a lot harder to cure 🙄
 
Thank you so much, we ended up increasing the lantus and slight tweaks to my lunch and dinner insulin which has really helped. And honestly, i cried so many happy tears at the scan, the pure relief 🙂 and to see the heartbeat and everything, was so magical so hoping baby continue to be okay 🙂 thankyou so much, i am hoping my appt on Friday will really help. I have been told that I will be seen by the hospital every week which i am glad about as I am still a bit anxious about this pregnancy. Ohhh gosh! I really hope what is happening with you and your work gets sorted...sounds like a nightmare 🙄 but i am glad you are okay!
 
Found out my recent hba1c today - 37! And i was like wow that's really good, but my consultant said that it means I've had too many lows :rofl: im so used to it being in the 40s that i thought 37 was amazing lol! Also I'll be on Levimir (change from Lantus) with 2 doses, one in am, one in pm. Hope you are all okay
 
mrsnnm said:
Found out my recent hba1c today - 37! And i was like wow that's really good, but my consultant said that it means I've had too many lows :rofl: im so used to it being in the 40s that i thought 37 was amazing lol! Also I'll be on Levimir (change from Lantus) with 2 doses, one in am, one in pm. Hope you are all okay
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What does your Libre or other CGM show your time below range as? If it is more than 4% below 3.9 then yes you are having too many hypos. HbA1c in the 40s is brilliant though so continue to aim for that if you are spending too much time below 3.9 at the moment.

I love Levemir. It enables you to adjust your basal more closely to your body's needs, not just with the doses but also when you take it. I usually take mine as soon as I wake up (before I get out of bed) and then when I climb into bed at night and I need a lot less at night than in the morning (3units at night and 22 in the morning at the moment) but sometimes I get a pattern of my levels rising in the evening, so I bring my evening Levemir dose forward to about 7pm and that fixes it for me.
It will probably take a bit of adjustment, getting your doses right but hopefully you will find a significant benefit once you get the hang of it.
 
Yeah it is definitely more than 4% lol, it's funny as i thought the lower your hba1c is the better, but they said it is lower where they would want it :rofl:
Ahhh thankyou for sharing your experiences with Levimir, it sounds like overall it is a good choice 🙂 i do hope it works out for me as well as it has done for you! Do you have your doses 12 hours apart as currently i take Lantus at 9.30pm so been advised to take in the morning at 9am?
 
To start with I injected 12 hours apart and they also started me off on even doses, 7units in the morning and 7units in the evening, but after my DAFNE course, where I learned to adjust it, I found the split needed changing and then I came out of the honeymoon period so then doses needed increasing and then I found that injecting as soon as I woke up in the morning before I got out of bed, helped with Dawn Phenomenon/Foot on the Floor syndrome and I even flirted with setting my alarm for an hour before I was going to get up and injecting it and going back to sleep, but after I month or two I ran out of enthusiasm for that tactic 🙄 My evening dose slowly diminished and migrated towards bedtime and mostly that is when I take it now, but if you are starting on an even split, I would also start off taking them 12 hours apart, but once you get experienced using it you may want to adjust that. It sounds like perhaps you mostly rely on your nurse to advise you on on your basal insulin, so be guided by them. The doses overlap slightly so you have to understand that changing the timing will increase or decrease the overlap and that will have consequences. If you understand how that overlap works you can adjust the timing to give you more basal activity when you need it and less when you don't, which is what I love most about it, but you have to be quite switched on and it takes time and experience and during pregnancy is probably not the time to experiment, so stick with what your nurse suggests.
 
mrsnnm said:
Yeah it is definitely more than 4% lol
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I don’t think having more than 4% of bgs below 4 is funny!! Being 4% hypo means spending a whole hour a day under 3.9, if you’re at more than 4% hypo then you’re putting yourself in serious danger of losing hypo awareness through the amount of hypos. You could have a serious low that causes permanent damage, lose your driving licence, lots of potential serious consequences.
 
Yeah it is definitely more than 4% lol, it's funny as i thought the lower your hba1c is the better, but they said it is lower where they would want it :rofl:
Ahhh thankyou for sharing your experiences with Levimir, it sounds like overall it is a good choice 🙂 i do hope it works out for me as well as it has done for you! Do you have your doses 12 hours apart as currently i take
Lucyr said:
I don’t think having more than 4% of bgs below 4 is funny!! Being 4% hypo means spending a whole hour a day under 3.9, if you’re at more than 4% hypo then you’re putting yourself in serious danger of losing hypo awareness through the amount of hypos. You could have a serious low that causes permanent damage, lose your driving licence, lots of potential serious consequences.
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Ohhh this response is sad. I am very responsible for my diabetes and unfortunately you have completely taken a negative spin on my text. I wish you peace.
 
mrsnnm said:
Ohhh this response is sad. I am very responsible for my diabetes and unfortunately you have completely taken a negative spin on my text. I wish you peace.
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Not sure what’s sad about my post, it’s realistic. It’s vital that you do something to reduce the amount of hypos and not just laugh at them as you seem to
 
rebrascora said:
To start with I injected 12 hours apart and they also started me off on even doses, 7units in the morning and 7units in the evening, but after my DAFNE course, where I learned to adjust it, I found the split needed changing and then I came out of the honeymoon period so then doses needed increasing and then I found that injecting as soon as I woke up in the morning before I got out of bed, helped with Dawn Phenomenon/Foot on the Floor syndrome and I even flirted with setting my alarm for an hour before I was going to get up and injecting it and going back to sleep, but after I month or two I ran out of enthusiasm for that tactic 🙄 My evening dose slowly diminished and migrated towards bedtime and mostly that is when I take it now, but if you are starting on an even split, I would also start off taking them 12 hours apart, but once you get experienced using it you may want to adjust that. It sounds like perhaps you mostly rely on your nurse to advise you on on your basal insulin, so be guided by them. The doses overlap slightly so you have to understand that changing the timing will increase or decrease the overlap and that will have consequences. If you understand how that overlap works you can adjust the timing to give you more basal activity when you need it and less when you don't, which is what I love most about it, but you have to be quite switched on and it takes time and experience and during pregnancy is probably not the time to experiment, so stick with what your nurse suggests.
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Thankyou so much for your advice lovely 🙂 i have been self correcting since the DAFNE course but I find now where I am pregnant, my numbers are different so been in regular touch with the nurses to be 100% sure that all is good.
 
Lucyr said:
Not sure what’s sad about my post, it’s realistic. It’s vital that you do something to reduce the amount of hypos and not just laugh at them as you seem to
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All I can do is wish you eternal peace within yourself best of luck.
 
Lucyr said:
Not sure what’s sad about my post, it’s realistic. It’s vital that you do something to reduce the amount of hypos and not just laugh at them as you seem to
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If you wasn't so judgemental and read the posts beforehand, you would have more clarity and understanding. Hope you grow in eternal peace 🙂
 
mrsnnm said:
Thankyou so much for your advice lovely 🙂 i have been self correcting since the DAFNE course but I find now where I am pregnant, my numbers are different so been in regular touch with the nurses to be 100% sure that all is good.
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Yes, I imagine having things change so dramatically and frequently during pregnancy must be a bit scary and certainly important to be guided by your nurse during this time as they will have far greater understanding and experience of what to expect than myself. Hope Levemir works as well for you as it does for me. It was lovely to read about your scan and seeing the baby's heart beat. Must be so exciting and a bit terrifying all at the same time! Wishing you lots of luck and do keep us posted with your progress.
 
rebrascora said:
Yes, I imagine having things change so dramatically and frequently during pregnancy must be a bit scary and certainly important to be guided by your nurse during this time as they will have far greater understanding and experience of what to expect than myself. Hope Levemir works as well for you as it does for me. It was lovely to read about your scan and seeing the baby's heart beat. Must be so exciting and a bit terrifying all at the same time! Wishing you lots of luck and do keep us posted with your progress.
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Yes I have been surprised how much things can change, especially dosages that worked before are different now. I completely agree, the team have really been great so far. Aww what kind words, thankyou so much 🙂 thankyou for your support and advice, it has been an anxious time but things are looking good! I hope everything continues to be great for you 🙂 and i shall
 
mrsnnm said:
Found out my recent hba1c today - 37! And i was like wow that's really good, but my consultant said that it means I've had too many lows :rofl: im so used to it being in the 40s that i thought 37 was amazing lol! Also I'll be on Levimir (change from Lantus) with 2 doses, one in am, one in pm. Hope you are all okay
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My pregnancy HbA1Cs were all lower than that. I don’t remember every single one, but 33 was common. I was told it was fine as long as I wasn’t having too many hypos. If you reduce the hypos, you could still have a good HbA1C 🙂

I’ve probably said this already, but set your Libre alarm in the 5s so you get warning of drops. Pregnancy can bring some really fierce and sudden hypos. They can also happen at unexpected times.

Levemir is a better option than Lantus anyway, and I think they prefer pregnant women to avoid Lantus, or at least they did some years ago. If you have Think Like A Pancreas, there’s a really helpful pregnancy/insulin needs graph in there. Just small but really shows the changes and at what stage they usually happen. They are massive changes. Don’t worry about them. Focus on keeping your blood sugar in range and taking the insulin you need. Also, carry lots of hypo treatments and snacks with you (I used to take cake bars and flapjacks). At one stage, my lunchtime ratio changed so drastically that I was taking minimal insulin for a whole lot of carbs and top-up carbs! At another stage, my breakfast dose went up to 20 units whereas pre-pregnancy it had been 5 units. It’s quite mind-blowing to experience (but not in a bad way).
 
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