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06 Apr 2006

Diabetic and Need to fall Pregnant
Good Doc,

I am diabetic and using insulin. My question is in the morning when i test myself it will always be above 7 mmol is this bad news or not. Again i am 1.56 and weigh 85kg and need to fall pregnant, is insulin affecting my chances or not. Your response is highly appreciated.
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Fertility expert
fertility expert

01 Jan 0001

Dear Dell

It is much safer to try to conceive whilst using insulin. Most gynaecologists would change a patient from oral hypoglycaemic agents to insulin when they intend to conceive, as insulin is far safer. The absolute levels of glucose is not of major concern if the levels remain below 10ml per litre. However, it is believed that the levels of Ketones is of greater importance in the early conceptual period, as it may be linked with embryopathy. Ketones often occur in cases of excess insulin use, which may cause a temporary starvation effect and therefore extremely tight control in the peri-conceptual period may be advisable.
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