Hey, everybody! I'm Katherine, diagnosed with diabetes in February/ March, and due to delivery my first baby January 31st. When I was diagnosed, my A1C was like 11.5. Now, last month's A1C check was 5.9! :D
I had a great OB and midwife who left my diabetes care to my equally wonderful endocrinologist and just asked to see my numbers at each appointment. But when I went for a ultrasound, the doctor I saw there wanted to mess with my insulin a little. It was fine with my endo, so no problem.
Then we moved about an hour away and I started seeing a new OB. (Well, I've only met his two midwives so far). The midwife I saw yesterday wants to totally change up how I do everything. She wants me to test fasting, and 2 hrs after breakfast, at 4pm, and at bedtime, so only 4 times a day instead of the 7 times recommended by my endo. She also wants to completely change up my insulin and all dosages are in "incriments of 5" which is how she likes to do it, she says. Previously I had been taking 12 units NPH at breakfast, 2 Regular at lunch, 2 Reg at dinner, and 14 NPH at bed, plus a sliding scale before meals as needed. No corrections for highs yet since my body is still making some of it's own insulin. So going from 2 Reg to 5 Reg is huge for me- more than double what I've been taking.
Granted, I've had more highs recently, but I really think that should be addressed by my endo, not my nurse-midwife!
I'm thinking now I should have told her to call my endo before trying to change anything with me and that my last A1C was proof that he's doing a good job, but it takes me time and talking to other people to think things through.
Has anyone else run into this struggle? What did you do about it? How did your BGs turn out (and your baby, if you've given birth already)?