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type 1 effectz
I just found out I'm roughly 4 1/2 weeks pregnant and I did not plan for this. So my blood sugars are out of control and have been since I was diagnosed in April of this year how safe if at all is it for me to have this baby? What kind of problems would baby and myself be facing?
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4940325 tn?1363038957
Blood glucose levels can have a significant impact on a developing baby, particularly during the early weeks of gestation.  Depending on how "out of control" you have been, the baby is at an increased risk of defects to the brain/nervous system, heart/circulatory system.  We always advise prospective moms to achieve reasonable blood glucose control prior to attempting to conceive:  An A1c (which reflects 3 month average) of less than 7%, and reasonable stability without extreme highs or lows.  

Given that we cannot change history, you can put yourself in the best position for a successful pregnancy by managing your diabetes intensively from this point forward.  It is usually best to work with a high-risk obstetrician and Certified Diabetes Educator who are experienced at the management of diabetes through pregnancy.  Use of an insulin pump and/or continuous glucose monitor may also be to your advantage.

There is a series of excellent articles on all aspects of managing diabetes through pregnancy at the "Diabetes Sisters" website:  https://diabetessisters.org/pregnancy.   I would also recommend the book "Balancing Pregnancy with Pre-Existing Diabetes" by Cheryl Alkon.
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