Hi,
I have been Type 2 Diabetic since 2015. I am currently pregnant for the first time (1st trimester - 9 weeks). I have been on Novomix 30 twice daily with 14-0-14 units and increased to 16 units twice after the confirmation wherin I cut the Metformin tablets. This was the dosage suggested by my doctor in my home country. My HbA1C is at 6.5 . However, now I am in Europe and unable to travel to my homeland due to travel restrictions and not wanting to risk the travel. I was instructed by my Gynec that I must consult a local doctor for my Diabetis and put me on to a doctor. The new doctor has changed me from Novomix 30 to Novorapid (6-6-6 units ) and 20 units of Toujeo along with a very strict diet that leaves me hungry even after a meal ( I am unable to sleep due to hunger and am unable to function even). I am currently consuming 1/4th of my normal food intake however, my post food (1 hr after food measured as per advice from doctor) levels have constantly been over 200. I havent gone over 200 in over 3 years now. This is leaving me worried as I am scared this might affect my child and in this country, I am expected to go exactly as per the doctors instructions.
Managing type 2 diabetes during pregnancy, especially when adjusting to a new healthcare system and dealing with travel restrictions, can be incredibly challenging.
Continue to closely monitor your blood sugar levels, as you're doing. Keep a detailed record of your readings, along with notes about your meals and how you're feeling. This information is invaluable for your doctor to adjust your treatment plan.
If the new diet is leaving you constantly hungry and unable to sleep, this needs to be addressed. It might be necessary to adjust the diet to ensure you're getting enough calories and nutrients, especially during pregnancy. A referral to a dietitian, particularly one who specializes in diabetes during pregnancy, could be very helpful.
Novomix 30 and Novorapid/Toujeo are different types of insulin with different action profiles. It's important to understand why your doctor made these changes. Novorapid is a rapid-acting insulin, and Toujeo is a long-acting insulin, and they may require more precise timing with meals and monitoring.
High blood sugar levels during pregnancy can have various effects on both the mother and the baby. It's important to strive for optimal glycemic control to reduce risks.
Finally, remember that managing diabetes during pregnancy often requires frequent adjustments and close monitoring. It's important to work with a healthcare team that listens to your concerns and involves you in decision-making about your care.