QUOTE(gaoying @ Apr 12 2009, 09:55 PM)
thanks a lot Mariya, for all your suggestions and sorry for the delay of replying.
Very nice to hear that you have two healthy boys. this give me a lot of hope. how well your blood sugar needs to be controled during pregnancy? my ob and indo suggested from 70 to 120, but with the hormone changes, my sugar always swings a lot, especially now. oh, i also have graves disease, which make things worse. even though i'm not taking any medicine now, because my indo thinks now my t3 is normal but my adrenaline glands might be getting messed up too. i just can't believe why these all happen to me. does anyone else who have type one have all these hormone messed up together? with all the hormone changes in my body, sometimes my sugar would go high or low a lot in the mornings or afternoons depends on different time of the month. i don't know if anyone else notice the swings? even when i do the same insulin dose and same carb intake. i would find the huge swings of sugar depend on different days.
i want to control my sugar very well for my baby, that's why i have the pump with CGMS which helps a lot, but it freeks me out to see my sugar soaring up to 200 or more a lot now. any suggestions will be highly appreciated. thanks
Take a deep breath and relax. None of the things you do to control your diabetes and hyperthyroidism can be 100% guarantee that all will be fine. But I'm not sure anything in life is, so all you can do is do your best. My BG was not 70 to 120 all the time. I've had 30s and 300s during pregnancy no matter how much I tried to avoid it. Try to anticipate BG changes based on time of pregnancy (1st trimester - lows, 2nd and 3rd trimester - increased insulin needs and highs) and your own observation of your body. CGMS is your friend coz it can alarm you for the times you couldn't predict things. Don't panic when you get out of range because it's going to happen. Just correct BG as fast as you can back in range and adjust insulin dose accordingly. It truly is a game of catch up - BG changes and you catch up with it.
Other than that, Graves disease can be a problem during pregnancy (preterm birth, stillbirth, infant with hypo or hyperthyroidism). I'm not telling you this to scare you but to make you aware maybe to be more vigilant about signs/symptoms of preterm labor, do your kick counts when time comes and be on the lookout for something abnormal. That being said, it sounds like your doctor is on top of your hyperthyroidism. And the complications I've mentioned happen generally when hyperthyroidism is not controlled. So, your doctor will probably check T3, T4, TSH a couple of times during pregnancy. If you notice increased heat intolerance, fast heart rate - over 100 or you lose weight give him a call because perhaps you need to check your thyroid hormones again. But honestly, compared to diabetes, hyperthyroidism is a lot easier to manage and should not be a problem for you. Let me know if you have more questions.