#pregnancy and insulin

[alex51324]

"The bill – the Right to Contraception Act – would enshrine into federal law a right for individuals to buy and use contraceptives, as well as for health care providers to provide them. It would apply to birth control pills, the plan B pill, condoms and other forms of contraception."

One GOP member said:

“This is a show vote. It’s not serious,” GOP Sen. John Cornyn of Texas said. “Plus, it’s a huge overreach. It doesn’t make any exceptions for conscience. … It’s a phony vote because contraception, to my knowledge, is not illegal. It’s not unavailable.”

So...you blocked the bill because it's unnecessary, ...and you also blocked it because it doesn't include a carve-out that will let you make contraception unavailable.

That is definitely not at all what someone would do and/or say if their party was planning to restrict access to contraception if they take power in 2025!

(PS: Per that same link, they also want to repeal the prescription drug pricing agreements that Biden negotiated, including the one that caps insulin at $35.)

[happywitch416]

Waiting for Mom's surgery to start and composing an essay on why hospitals and medical care should not have religious affiliations.

[moreclaypigeons]

started hrt today<3

[vamptastic]

its like so fucked to me that PCOS is almost always diagnosed in middle aged women bc of fertility issues unless the person in question has a very obvious and severe case or lobbies their doctor at length about it. this would not be so upsetting to me if PCOS didn't massively increase your risk of developing type 2 diabetes in a way that is largely preventable! or if PCOS didn't make it damn near impossible to lose weight, meaning many people have their symptoms dismissed be it for other health problems or PCOS symptoms themselves over something they have next to no control over.

[shubhragoyal]

Managing diabetes during pregnancy with insulin is crucial to ensure the health of both the mother and the baby. Proper insulin therapy can help control blood sugar levels and reduce the risk of complications, such as premature birth and birth defects.

Read More: https://www.drshubhragoyal.com/welcome/blogs/diabetes-management-during-pregnancy-with-insulin

[susantaylor01]

Side Effects of Insulin During Pregnancy

What Expecting Mothers Need to Know Pregnancy is a critical period where both the mother’s and the baby’s health are closely monitored. For women with diabetes or gestational diabetes, insulin therapy is often recommended to manage blood sugar levels effectively. Insulin, a hormone that regulatesblood glucose, becomes necessary when the body either does not produce enough or does not use insulin efficiently. However, while insulin therapy is essential fo managing diabetes during pregnancy, it is important to be aware of the potential side effects and how tomitigate them. Understanding Insulin Therapy During Pregnancy Insulin therapy is commonly prescribed for pregnant women with pre-existing diabetes (Type 1 or Type 2) or gestational diabetes (GDM), a condition where high blood sugar levels develop during pregnancy. Maintaining optimal blood sugar levels is crucial for preventing complications such as preterm labor, preeclampsia, and excessive fetal growth (macrosomia), which can lead to difficulties during delivery

Common Side Effects of Insulin

Hypoglycemia (Low Blood Sugar) Hypoglycemia is the most common side effect of insulin therapy. It occurs when bloodsugar levels drop too low, which can be dangerous if not addressed promptly. Symptoms of hypoglycemia include dizziness, sweating, shaking, confusion, irritability, and, in severe cases, loss of consciousness. Pregnant women on insulin should regularly monitor their blood sugar levels and be aware of the signs of hypoglycemia. Keeping glucose tablets or sugary snacks on hand is advisable to counteract any sudden drops in blood sugar.

Weight Gain Insulin can contribute to weight gain, which is a concern for pregnant women who are already gaining weight as part of a healthy pregnancy. Excessive weight gain can increase the risk of developing complications like gestational hypertension and can also make it harder to manage blood sugar levels. A balanced diet and regular physical activity, as recommended by a healthcare provider, can help mitigate this side effect

Injection Site Reactions Repeated insulin injections can sometimes cause skin reactions at the injection sites, such as redness, swelling, or even lipodystrophy (abnormal fat distribution). Rotating injection sites and using proper injection techniques can reduce the risk of these local side effects

Allergic Reactions Though rare, some women may experience allergic reactions to insulin. Symptoms can range from mild (itching, rash) to severe (difficulty breathing, swelling of the face or throat).Any signs of an allergic reaction require immediate medical attention.

Increased Appetite Insulin can increase appetite, which might lead to overeating and subsequent weight gain. Managing cravings and sticking to a healthy, well-planned diet can help control this side effect

Blood Pressure Fluctuations Insulin therapy may influence blood pressure, although the exact mechanism is not fullyunderstood. Monitoring blood pressure regularly is important, especially for women who are at risk for or have been diagnosed with preeclampsia. Managing Side Effects: Tips for Expecting Mother

Regular Monitoring: Frequent monitoring of blood glucose levels is essential to avoid both hyperglycemia and hypoglycemia. Continuous glucose monitors (CGMs) can provide real-time data and help in making necessary adjustments to insulin doses.

Diet and Exercise: Following a diet plan that is specifically tailored to the needs ofpregnancy and diabetes can help manage blood sugar levels and mitigate some of the side effects of insulin, such as weight gain. Exercise, as approved by yourhealthcare provider, can also be beneficial

Communication with Healthcare Providers: Regular check-ins with your healthcare team, including your obstetrician, endocrinologist, and dietitian, are crucial. They can adjust insulin doses as needed and provide guidance on managing side effects

Emergency Preparedness: Always have a plan in place for managing low blood sugar episodes, including carrying glucose tablets or other quick sources of sugar.

Mental Health Support: The stress of managing diabetes during pregnancy can take a toll on mental health. Seeking support from a counselor or joining a support group for pregnant women with diabetes can be helpful.

NEW SCIENTIFIC BREAKTHROUGH OFFERS HOPE FOR BETTER DIABETES CONTROL.

Conclusion Insulin therapy is a vital tool for managing diabetes during pregnancy, ensuring the health and safety of both mother and baby. While there are side effects associated with insulinuse, most can be managed effectively with careful monitoring, lifestyle adustments, and open communication with healthcare providers. Understanding these potential side effects and how to address them can help expecting mothers navigate their pregnanciesmore confidently and healthily

[littlewiseeyes]

Good news for those of you that keep up with me ☺️

So I was going to post this right after my Dr. appointment from a week ago. Because that appt. went well and I got taken off another medication. But here's why I'm glad I waited! I got that monthly sign yesterday my womb is healing. This process is slow but sure. I want to heal thoroughly, mind body and soul. But my womb is a sweet spot. I want to carry to full term, no induction this time, a beautiful healthy baby. Lisa is gorgeous. Her health is my fault though. Some will say don't say that. I can feel it, she goes through what she goes through because of me.

We make the best of it. She fights and I'm right there with her to help with the battles. I will always wish in my heart though that I made better choices. For us both.

I do feel it's meant for me to have two children. I've seen two babies in my dreams and I could tell they were mine. I want them both. And as soon as the time is right, momma will have them 😄❤️❤️

[wellhealthhub]

Diabetes Medication for Weight Loss: A Comprehensive Guide to Managing Type 2 Diabetes with Byetta

At WellHealthHub.com, we empathize with the formidable challenges faced by individuals coping with Type 2 Diabetes as they endeavor to effectively manage their condition. This comprehensive guide endeavors to elucidate the multifaceted aspects of Byetta, a medication that has exhibited promising outcomes in the regulation of blood sugar levels among individuals contending with Type 2 Diabetes.…

[chronicallyjude]

My insulin is gonna have to be increased again tonight and I'm so annoyed cause I always feel like garbage for 2-3 days after and I swear if this time it doesn't start working I'm gonna flip my shit. This pregnancy is destroying my health both physically and mentally.

[innonurse]

Endometriosis genetic research could provide new therapy options

- By InnoNurse Staff -

Researchers from the University of Queensland in Australia have contributed to the biggest genetic study of endometriosis ever conducted, uncovering new information on the genetic variants that raise risk of the illness.

Read more at University of Queensland

///

Other recent news and insights

Smart nanotechnology for more precise insulin delivery (Monash University)

During labor, novel imaging technology creates real-time 3D maps of uterine contractions (Washington University School of Medicine)

[kcinpa]

TL;DR Project 2025

Project 2025 has crossed my dash several times, so maybe tumblr is already informed about the hellish 900-page takeover plan if Trump wins office again. But even the articles covering Project 2025 can be a LOT of reading. So I'm trying to get it down to simple bulleted lists…

Navigator Research (a progressive polling outfit) found that 7 in 10 Americans are unfamiliar with Project 2025. But the more they learn about it, the more they don't like or want it. When asked about a series of policy plans taken directly from Project 2025, the bipartisan survey group responded most negatively to the following:

Allowing employers to stop paying hourly workers overtime

Allowing the government to monitor people’s pregnancies to potentially prosecute them if they miscarry

Removing health care protections for people with pre-existing conditions

Eliminating the National Weather Service, which is currently responsible for preparing for extreme weather events like heat waves, floods, and wildfires

Eliminating the Head Start program, ending preschool education for the children of low-income families

Putting a new tax on health insurance for millions of people who get insurance through their employer

Banning Medicare from negotiating for lower prescription drug costs and eliminating the $35 monthly cap on the price of insulin for seniors

Cutting Social Security benefits by raising the retirement age

Allowing employers to deny workers access to birth control

Laurie Garrett looked at the roughly 50 pages within Project 2025 that deal with Health and Human Services (HHS) and other health agencies, and summarized them on Twitter/X in a series of replies. I've shortened even more here:

HHS must "respect for the sacred rights of conscience" for Federal workers & healthcare providers and workers broadly who object to abortions, contraception, gender reassignment & other issues - ie. allow them to deny services based on religious beliefs

HHS should promote "stable and flourishing married families."

Require all welfare programs to "promote father involvement" – or terminate their funding for mothers and children.

Prioritize adoptions via faith-based organizations.

Redefine sex, eliminating all forms of gender "confusion" regarding identity and orientation.

Eliminate the Head Start program for children, entirely

Ban all funding of Planned Parenthood

Ban birth control services that are "egregious attacks on many Americans' religious & moral beliefs"

Deny pregnancy termination pills, "mail-order abortions."

Eliminate Office of Refugee Resettlement; move all refugee matters to the Department of Homeland Security

Healthcare should be "market-based"

Ban all mask and vaccine requirements.

Closely regulate the NIH w/citizen ethics panels, ensuring that no research involves fetal tissue, leads to development of new forms of Abortions or brings profits to the researchers.

Redirect the Office of Global Affairs to promoting "moral conscience" & full compliance w/the Mexico City policy

The CDC should have no role in medical policies.

"Because liberal states have now become sanctuaries for abortion tourism," HHS should use every available tool, including the cutting of funds, to ensure that every state reports exactly how many abortions take place within its borders, at what gestational age of the child, for what reason, the mother’s state of residence & by what method.

I'm still looking for a good short summary of the environmental horrors that Project 2025 would bring if it comes to fruition…

[gtzgoblin]

Okay so as someone who's had a kid I don't want to minimise anything at all because I'm in groups and I've seen preterms and many complications and a lot of pre-eclampsia but I'd like to stick my oar in.

I was told when I was like 15 by a doctor I wouldn't be able to have kids. I was later informed I would HAVE to have a C-section if I did. I now have a kid and I didn't need a c-section to get her out.

This isn't to say the pregnancy wasn't hard work because oh my god it was. I didn't have a CGM, I didn't have closed loop (worth bearing in mind a lot of closed loops aren't licensed in pregnancy because of the targets being too high, a lot of them stick to 6's and pregnancy wants to be 4s and 5s. I believe ypsomed is one of the licensed ones). It is really really important to know beforehand how much work you need to put in and what can go wrong if you don't. I would hate to think anyone would not know the risks and suffer something devastating because of that.

My hba1c when I got pregnant was 52. If I was gonna do it again I'd go lower from the start but since having my kid it's been in the 40s regardless. I got it down to 36 I think. I got pregnant very fast so was due back into preconception within a few months and ended up in the actual pregnancy clinic instead.

The first 20 or so weeks are mostly lows. Oh my god the lows. Never ending. You hypo after hypo after hypo. Obviously, I'd hope with tech this would be a little less extreme but I got obsessed with needing low numbers so I just let the hypos happen. Some of them were not pleasant and I acted really weird about it compared to my usual hypo self.

After about 20 weeks your placenta is formed and your hormones are pumping and you start going up. The amount of insulin I needed in the end was ridiculous, like 5 or 6x what I was on normally. One thing to recognise towards the end is that if you have a sudden drop in sugars/insulin requirements it can be a sign of placenta failure and you need to get checked out immediately.

No idea what my % time in range was coz like I said I didn't have a CGM funded at the time and I bought a libre (libre1!) but coz of the increase in fluid I presume (this was 6ish years ago) it wasn't accurate. They also didn't have alarms which would have been super useful at the time. If I were to guess, I'd say that I would be very low on the highs, and very high on the lows.

I limited carbs to 30g per meal. Gave up cereal, bread, pizza and joy to make sure I had as steady readings as possible. My Christmas dinner was mostly carrots. Snacks were cheese and nuts and chicken and boring stuff. As a consequence I didn't gain any baby weight that wasn't the baby. I was also prescribed folic acid pre-conception, aspirin to prevent preeclampsia from 12 weeks and vitamin d. I think I was fingerprick testing 12-20x per day too.

Baby had no malformations or concerns and was on the 50th percentile the entire time. I am in the UK and so have the NHS to thank for appointments every two weeks (excessive as I adjusted my insulin myself the entire time), scans at 12, 20, 28, 32 and 36 weeks. I was really really stringent and controlled with everything I did, but for the sake of 38 weeks I wasn't particularly bothered by it.

I was induced at 38 weeks exactly, had a relatively textbook induction with a scare at the end needing forceps but that was nothing to do with the betes and everything to do with that baby being far too long for me to push out. I wasn't refused a water birth in the early stages but I was knackered and didn't push for it. There are wireless monitors now that some people use if their hospital has access, but as soon as you need the drugs or start to push I think you have to get out of the pool. Baby was 6lb5oz, totally healthy. We've had her tested using the ELSA study and she's very low risk of getting type 1 herself.

After giving birth my sugars went mental and took about 4 years to fully recover. Breastfeeding was brutal and caused me hideous hypos, and the usual parent tiredness and ready meals thing isn't good when you're diabetic. I gained a lot of weight from hypo treatments and bad eating during the first year or so of her life. I would for sure do that differently if I was to have another.

Pregnancy does make it harder to keep your diabetes under control, and poorer control does have worse outcomes. You have to be aware of that going in. Unplanned pregnancy happens, but I've seen people get their hba1cs down fast in that situation and have healthy pregnancies (be aware of the risks to your eyes with a sudden change in control though, pregnancy can also cause a change in retinopathy which can be reversible in some cases but not in others). Preconception clinics can help with the planning stage, but I'm aware this is limited to where you are in the world. My team were fantastic, I'm also aware some people's aren't. Contraception, where available, is recommended until your hba1c is 48mmol/l (is that 6.5%?) to avoid unplanned pregnancies which can feel quite intrusive. The recommended healthcare, especially in the UK, can also feel quite intrusive but to be honest I didn't mind so much because I was lucky with my works pregnancy protection and also having a good hospital team.

There are risks to the baby as well of malformations and miscarriage, these risks seem to be lowered (but not excluded fully) by having a lower hba1c. Obviously there are risks in all pregnancies and the folic acid helps as well as making sure your control is as good as can be. The baby's blood sugar will also be monitored after birth, and if born early there is a higher risk of needing a stay in PICU.

This is obviously all subjective and I'm aware due to multiple factors (NHS, good diabetes care, me being a healthcare professional, me having reasonable control anyway, my husband being willing to change our entire lifestyle, both of us being obsessive over details and researching every single bit of it before we tried to get pregnant, an easy time getting pregnant (IVF is another beast) and no complications for me before getting pregnant (normal weight and BP, minor retinopathy that hasn't changed, access to tech and insulin without needing to sell my fucking kidney) and during the pregnancy (barely any sickness, no preeclampsia) meant it was a fairly easy ride.

I don't want to minimise the risks because they are there and they are higher than the general population, and you have to plan and be sensible and rigid and boring as fuck. But I also don't want people to spend their teenage years scared and miserable thinking you can't have a family or that no one will want to be with you because of that like my overdramatic self did. You really have to work for it and things can still go wrong even despite your best efforts, but it's not pre-destined to be disastrous just because of your diabetes and only your diabetes.

I do have a healthy kid who's now almost 6 and a healthy(?) self who is getting on to be old as fuck tbh. It can go well.

Obligatory insulin-pump-bump post from 31 weeks which is making me wince as I remember the back pain.

As for passing on the risk I looked at this article before we started trying, it's quite informative: https://diabetes.org/about-diabetes/genetics-diabetes#:~:text=If%20you%20are%20a%20woman,developed%20diabetes%20before%20age%2011.

This isn't a paper but is worth a look, and I don't think it's just UK based: https://breakthrought1d.org.uk/knowledge-support/living-with-type-1-diabetes/health-and-wellbeing/pregnancy/

This is way too long a post, I'm very sorry for hijacking the OPs as well as you've read something terrifying and I understand why you're feeling the way you do. I'm not sure if this is reassuring or not, but I guess I wanted to say that all of those websites that say type 1s can have a normal pregnancy aren't lying, because it does happen and maybe isn't as rare as it seems when you go down the paper-horror-rabbit hole (and again, not minimising, it's really important that you gather all the information you need to make a choice and those are a far better source than google AI but the clinical nature of things can take away the human touch/understanding and without a sounding board make it seem worse/unobtainable).

If anyone at all wants to ask any questions I'm only an expert by experience but I love to talk about myself, so, feel free to hit me up 😂

Me growing up: knowing that there is a lot of risk with pregnancy when you have type one diabetes

Me actually researching it now: horrified because I was not even close to understanding how badly these risks can be

Just search the title and author and it comes up.

"Type 1 Diabetes Mellitus and Pregnancy" by Roberto Vargas, John T. Representative, MD, Serdar H. Ural MD.

[lonelynpc]

Medical Inaccuracies I Commonly See In Fics

the titanium skull: characters getting hit on the head and just walking it off or having no repercussions.

swiss army doctor: this doctor knows everything about every specialty. bow before them.

that's my son!: a medical professional treats a loved one.

no nurses needed: the doctor does everything.

companionless, powerful, resolute (CPR): a character does CPR for more than 2 minutes without getting fatigued or swapping out without compromising the quality of their compressions.

shocking asystole: it is simply not a shockable rhythm. please, stop shocking asystole.

'tis but a scratch: a character coughs up or vomits blood but then is fine. also when someone gets shot or stabbed in the hand, leg or shoulder with no lasting impacts.

sims pregnancy: character takes a test the morning after and it's positive.

a refreshing nap: comatose patients waking up and moving around immediately.

neck needles: a character injects something into someone's neck with ease, i guess their neck veins are just magnetised or something.

zap zap: electrocution with no burns, entry or exit, nerve or cardiac damage, dislocations, etc. did you know one of the causes of the less common posterior shoulder dislocation is electrocution?

i don't need this anymore: character gets stabbed and pulls. out. the. blade. to no ill effect.

tourniquets, tourniquets and more tourniquets: a character is bleeding? oh no, time to grab the TQ.

calm, level-headed, tranquil: this character is such a seasoned professional that they don't get an adrenaline rush anymore.

one-way ticket to the afterlife please: character uses a medication or treatment that would do the opposite of treating their condition but it works somehow. (hypoglycaemic patient uses insulin for example)

bumper cars: character is in a major car accident and just walks away with minor injuries.

here's all that confidential information you ordered: character asks for an update on an injured or sick character and the staff just give them the information without consent.

instant absorption: character is given a drug and it works immediately.

[shubhragoyal]

Diabetes Management during Pregnancy with Insulin

Introduction

Pregnancy is a beautiful and exciting time for any women and her family, but it can also bring challenges, especially for those with diabetes. Managing diabetes during pregnancy is crucial to ensure the health and well-being of both mother and baby. This can be done by following various medical methods and procedures which are as follows;

I. Insulin Dosage during Pregnancy

During pregnancy, the body's insulin needs increase due to hormonal changes and the baby's growth. As a result, many women with diabetes need to adjust their insulin dosage during pregnancy. The insulin in pregnancy dosage should be determined by a healthcare provider and may need to be adjusted throughout the pregnancy. 

It is essential to closely monitor the blood sugar levels and adjust the dosage accordingly; this will help prevent potential complications for both mother and baby.

II. Diabetes Management Guidelines during Pregnancy 

The management of diabetes in pregnancy guidelines recommend close monitoring of blood sugar levels and regular check-ups with a healthcare provider. This includes regular prenatal visits and visits with a diabetes educator or dietitian. 

A diabetes management plan should include regular physical activity and a healthy diet. This will help keep the blood sugar level in check and prevent potential complications. 

Monitoring for gestational diabetes is also important. This is a form of diabetes that develops during pregnancy and usually goes away after the baby is born. However, it increases the risk of complications such as pre-eclampsia and macrosomia, a condition where the baby is more significant than usual..

III. Managing Diabetes during the First Trimester

The first trimester of pregnancy is crucial as the body's insulin needs rapidly change during this time. Close monitoring and frequent adjustments to insulin dosage may be necessary during this period. 

This period is considered the most vulnerable time in diabetes management, as a small mistake can cause serious complications.

IV. Insulin Intake during Pregnancy 

Insulin intake during pregnancy must be closely monitored. It's essential to keep track of the dosage, timing, type of insulin used, and any changes to the insulin regimen.

This information should be shared with healthcare providers to ensure appropriate adjustments are made. This will help prevent potential complications and ensure the safety of both mother and baby.

Read More: https://www.drshubhragoyal.com/welcome/blogs/diabetes-management-during-pregnancy-with-insulin

[rabbits-of-negative-euphoria]

speaking of Pearl Davis--and speaking as someone who finds the current "fat positivity" movement morally repugnant--one thing that really irks me about the redpill space's view of women is this idea that whatever a man can achieve through exercise, a woman can also achieve the exact same way in the same time frame.

a healthy exercise regimen for a woman looks like daily walks and strength training 2-3x per week. she should not be doing HIIT often, and especially not on her period, but she probably won't be getting a period at all if she trains the same way a gym bro does.

a healthy and sustainable rate of weight loss for a woman looks like 2 lbs per week. when I hear a woman say she dropped 20 lbs in a month, I know she's either going to gain it all back or encounter chronic health issues (like my very own gallstone, which women develop at a rate nearly 3 times higher than men).

Women metabolize more lipids, and correspondingly less carbohydrates and proteins, than equally trained and nourished men. Females tend to have a greater proportion of body fat than men, which is stored in the gluteal-femoral region in women compared with the visceral area in men. Total cross-sectional muscle area is 60%–85% lower in women than in men, and greater muscle mass activation requires increased need to replenish stores and increased glycogen breakdown turnover. Males have greater skeletal muscle mass, and women have more body fat. There is also an overall increased left ventricular end-diastolic volume in males compared with that found in females.

also noted in the study is the decreased insulin sensitivity some people experience after a HIIT workout, and I would argue insulin resistance is women's greatest hurdle when it comes to losing weight

we were designed to store fat to sustain ovulation and pregnancy. it is not only easier for us to gain it and harder for us to shed it than it is for a man, the very strategies that work for a man may work against a woman.