any diabetics go past 40 weeks

Hi,

I am a type II diabetic who has been induced at 39 weeks with my first
pg, and would have been induced at 39 weeks 3 days with my second
except we got me going at 39 weeks with a sweep and some castor oil to
avoid the scheduled hospital induction. Both times induction was
actually scheduled because of BP issues, but I found out after that I
could have taken higher doses of bp meds rather than being induced, but
the docs would have wanted to induce at 40 weeks just because of the
diabetes anyway.

I really don't want to be induced this time. I am wondering, do any
diabetics stay pg after 40 weeks and just continue to get NSTs and
biophysical profiles, or should I just give in and be induced at 40
weeks if I haven't went into labor. I don't want to do anything to
compromise the health of the baby, so if I really need to be induced I
will.

KC

wrote:

Hi,

I am a type II diabetic who has been induced at 39 weeks with my first
pg, and would have been induced at 39 weeks 3 days with my second
except we got me going at 39 weeks with a sweep and some castor oil to
avoid the scheduled hospital induction. Both times induction was
actually scheduled because of BP issues, but I found out after that I
could have taken higher doses of bp meds rather than being induced, but
the docs would have wanted to induce at 40 weeks just because of the
diabetes anyway.

I really don't want to be induced this time. I am wondering, do any
diabetics stay pg after 40 weeks and just continue to get NSTs and
biophysical profiles, or should I just give in and be induced at 40
weeks if I haven't went into labor. I don't want to do anything to
compromise the health of the baby, so if I really need to be induced I
will.

I would think that much would depend on how well controlled
your diabetes is.

Best wishes,
Ericka

I really don't want to be induced this time. I am wondering, do any
diabetics stay pg after 40 weeks and just continue to get NSTs and
biophysical profiles, or should I just give in and be induced at 40
weeks if I haven't went into labor. I don't want to do anything to
compromise the health of the baby, so if I really need to be induced I
will.

Isn't the risk with diabetics the size? Isn't it type I diabetics who have
labour issues, needing to be very careful to control the blood sugar during
labour? I'd be wanting to find out why they want to induce you? Diabetes is
too vague an answer, if they say because of the size of the baby, then you
know that is not recommended, if they give you other reasons then you have
to find out the answers to those.

Cheers

Anne

Isn't the risk with diabetics the size?

The risk is also an early aging of placentas. I don't consider size an
issue for me at all because my babies have not been big (but have had
large heads) and have birthed very very easily. I am sure I have room
to birth a bigger baby if I need to.

KC

The risk is also an early aging of placentas. I don't consider size an
issue for me at all because my babies have not been big (but have had
large heads) and have birthed very very easily. I am sure I have room
to birth a bigger baby if I need to.

can you ask for scans to check that? that's what non diabetic women who want
to avoid induction do after 42 weeks

Anne

see also alt.support.diabetes....they are very smart over there!


wrote in message
oups.com...
Hi,

I am a type II diabetic who has been induced at 39 weeks with my first
pg, and would have been induced at 39 weeks 3 days with my second
except we got me going at 39 weeks with a sweep and some castor oil to
avoid the scheduled hospital induction. Both times induction was
actually scheduled because of BP issues, but I found out after that I
could have taken higher doses of bp meds rather than being induced, but
the docs would have wanted to induce at 40 weeks just because of the
diabetes anyway.

I really don't want to be induced this time. I am wondering, do any
diabetics stay pg after 40 weeks and just continue to get NSTs and
biophysical profiles, or should I just give in and be induced at 40
weeks if I haven't went into labor. I don't want to do anything to
compromise the health of the baby, so if I really need to be induced I
will.

KC

wrote:

Isn't the risk with diabetics the size?


The risk is also an early aging of placentas. I don't consider size an
issue for me at all because my babies have not been big (but have had
large heads) and have birthed very very easily. I am sure I have room
to birth a bigger baby if I need to.

They can do a pretty good job of checking placental
functioning, so if that is their only concern for you, you could
refuse induction and just monitor placental functioning.
Just as an FYI, I'm sure you know one of the potential
issues is the risk of neonatal hypoglycemia. If your blood sugars
aren't (or haven't) been under decent control, the baby is flooded
with excess glucose, causing the baby to manufacture more insulin
to handle it. If you suddenly remove that glucose, that excess
insulin causes the baby to go hypoglycemic. If the baby goes
*too* hypoglycemic, that can be quite dangerous. Obviously, one
time the baby is at risk for that is right after birth, when the
baby has to rely on nursing to get food. Another risky period is
during labor, if you are not eating and drinking during labor.
You want to make sure that you're keeping your blood sugars
stable during labor too.

Best wishes,
Ericka

Ericka Kammerer wrote:
wrote:

Isn't the risk with diabetics the size?



They can do a pretty good job of checking placental
functioning, so if that is their only concern for you, you could
refuse induction and just monitor placental functioning.
Just as an FYI, I'm sure you know one of the potential
issues is the risk of neonatal hypoglycemia. If your blood sugars
aren't (or haven't) been under decent control, the baby is flooded
with excess glucose, causing the baby to manufacture more insulin
to handle it. If you suddenly remove that glucose, that excess
insulin causes the baby to go hypoglycemic. If the baby goes
*too* hypoglycemic, that can be quite dangerous. Obviously, one
time the baby is at risk for that is right after birth, when the
baby has to rely on nursing to get food. Another risky period is
during labor, if you are not eating and drinking during labor.
You want to make sure that you're keeping your blood sugars
stable during labor too.

Best wishes,
Ericka

Thanks, you are right I do know about keeping good glucose control and
about low blood sugars in the baby after birth. I always do keep tight
blood sugar control. I have found it very easy to keep good blood
sugar during labor I guess because the uterus is burning the sugar off.
Both my dds did have low blood sugars at birth though. My first dd
had low blood sugars for 2 days, but I think it was because she was not
really ready to be born when they induced her, and they did also cut
her chord immediately, so perhaps that made things harder for her too.
My second baby had just 1 low blood sugar that was cured by her
drinking one bottle of sugar water. I have heard other diabetics say
their babies went low at birth despite the mom's good control. Perhaps
it is because we diabetics so frequently get babies out before they are
ready.

KC

can you ask for scans to check that? that's what non diabetic women
who want
to avoid induction do after 42 weeks

I think I will talk to my doctors about this, and perhaps will insist.
It is what I would prefer.

Thanks,

KC