Weight Gain in Pregnancy

Weight Gain in Pregnancy

Just how much weight gain is normal in pregnancy?  We know the baby, placenta and fluid around the baby comes to about 5 Kg (11 lbs) but the mom also has a bigger blood volume, lays down some more fat stores and may carry excess fluid.  The Institute of Medicine in the US released suggestions for weight gain in pregnancy in May 2009 and Health Canada are using much the same.  I find it easiest to plot the weight gain on a page over the course of the pregnancy. You can down load the sheet I created based on the IOM recommendations as a PDF file, found under charting,  just print it in landscape format and use it yourself.

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Morning sugar rise

Morning sugar rise

 

My sugar rises in the early morning even if I don’t eat!

A puzzling and frustrating issue for many with diabetes and pregnancy is that the blood sugar may rise coming into breakfast time even though no food was taken.  The usual scenario is the woman checks  her sugar when going to the bathroom at five or six in the morning,  takes nothing, goes back to bed and then at eight AM the sugar is higher by 1 mmol/lI (18 mgs/dl). Just what is going on?

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How much is too much – insulin

How much is too much – insulin

145 units of insulin a day, is this dose of insulin too much?

A person without diabetes makes approximately 30 to 40 units of insulin a day.  We usually think of the dose in terms of body weight and people with Type 1 diabetes (non-pregnant) use about 0.5 to 1.0 unit per kg of body weight, so about 35 to 70 units a day typically.  If some one with type 1 diabetes becomes pregnant then the  hormones from the placenta block how insulin works, they become insulin resistant and so need more insulin. The dose will often go up one and a half to two fold, ie if you were on 60 units a day pre pregnancy you could easily end up on 100 – 120 units a day.

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