36 doctors weighed in:
I have type one diabetes and my A1c is 5 but im insulin dependent how will that affect trying to get pregnant ?
36 doctors weighed in

Dr. Melissa Young
Internal Medicine - Endocrinology
11 doctors agree
In brief: Should be ok
If you maintain good glycemic control, you should not have much trouble conceiving.
You will need close follow up during pregnancy because your Insulin requirements will change. You will also need an eye exam.

In brief: Should be ok
If you maintain good glycemic control, you should not have much trouble conceiving.
You will need close follow up during pregnancy because your Insulin requirements will change. You will also need an eye exam.
Dr. Melissa Young
Dr. Melissa Young
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2 comments
Dr. Sahba Ferdowsi
great answers! Wishing you the best!
Dr. Faryal Ghaffar
Agree rainwater does not carry parasite unless it was pooled and contaminated from another source
Dr. Quang Nguyen
Internal Medicine - Endocrinology
10 doctors agree
In brief: Should be OK
Your A1c is excellent.
Looks like your diabetes is well controlled. The only thing you need to do is make sure the bs continues to be this good during your pregnancy. I see no reason why you can't start trying to conceive.

In brief: Should be OK
Your A1c is excellent.
Looks like your diabetes is well controlled. The only thing you need to do is make sure the bs continues to be this good during your pregnancy. I see no reason why you can't start trying to conceive.
Dr. Quang Nguyen
Dr. Quang Nguyen
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Dr. Pam Yoder
Obstetrics & Gynecology - Maternal Fetal Medicine
9 doctors agree
In brief: Fetal > fertility fx
Before trying to conceive, women with type 1 diabetes should do several things.
First, see the internist who is helping them manage their diabetes, determine if any tests or treatments are needed, discuss how to maintain optimal control before and during pregnancy. See a maternal-fetal medicine specialist or experienced OB for consultation. Continue or start taking folate (folic acid). Record bs and periods.

In brief: Fetal > fertility fx
Before trying to conceive, women with type 1 diabetes should do several things.
First, see the internist who is helping them manage their diabetes, determine if any tests or treatments are needed, discuss how to maintain optimal control before and during pregnancy. See a maternal-fetal medicine specialist or experienced OB for consultation. Continue or start taking folate (folic acid). Record bs and periods.
Dr. Pam Yoder
Dr. Pam Yoder
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2 comments
Dr. Pam Yoder
Also see my health guides on Diabetes in Pregnancy https://www.healthtap.com/health_guide/39 https://www.healthtap.com/health_guide/18
Dr. Wendy Askew
A1C of 5 is optimal! Great job on ur control- u won't have any increased risk of birth defects at that level. Regular periods=shouldn't b pr
Dr. Ahmed Yousry
Obstetrics & Gynecology
7 doctors agree
In brief: Diabetes control
Patient with diabetes should not be worried to try to conceive provided that sugar is controlled and the a1c kept below 5.
5.

In brief: Diabetes control
Patient with diabetes should not be worried to try to conceive provided that sugar is controlled and the a1c kept below 5.
5.
Dr. Ahmed Yousry
Dr. Ahmed Yousry
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Dr. Corey Bosin
Obstetrics & Gynecology
2 doctors agree
In brief: Good A1c
Often, elevated a1c levels are associated with miscarriage.
In addition, elevated glucose levels at the time of conception may increase the chances of a fetal cardiac defect. Often, to tighten the fasting and 2 hour postprandial levels, many docs would recommend regular Insulin on a sliding scale. Also, don't forget to exercise and eat right.

In brief: Good A1c
Often, elevated a1c levels are associated with miscarriage.
In addition, elevated glucose levels at the time of conception may increase the chances of a fetal cardiac defect. Often, to tighten the fasting and 2 hour postprandial levels, many docs would recommend regular Insulin on a sliding scale. Also, don't forget to exercise and eat right.
Dr. Corey Bosin
Dr. Corey Bosin
Thank
Dr. Mary David
Obstetrics & Gynecology
2 doctors agree
In brief: Control is important
Good control is extremely important.
A hemaglobin a1c of 5 is excellent. Poor control during early pregnancy increases the risk of birth defects. Generally obs try for tighter control than at other times. You will have an increased risk of a cesarean section and can expect to be monitored much more closely. If you have any diabetes associated eye problems, they can worsen during pregnancy.

In brief: Control is important
Good control is extremely important.
A hemaglobin a1c of 5 is excellent. Poor control during early pregnancy increases the risk of birth defects. Generally obs try for tighter control than at other times. You will have an increased risk of a cesarean section and can expect to be monitored much more closely. If you have any diabetes associated eye problems, they can worsen during pregnancy.
Dr. Mary David
Dr. Mary David
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Dr. Leo Eschbach jr
Obstetrics & Gynecology
2 doctors agree
In brief: Iddm
The three major potential fetal/pregnancy complications among women with pregestational diabetes are: congenital malformations, spontaneous abortion, and macrosomia.
Hyperglycemia is probably the most important determinant of these risks. Thus, the importance of achieving good glycemic control before conception and maintaining good glycemic control across gestation cannot be overstated.

In brief: Iddm
The three major potential fetal/pregnancy complications among women with pregestational diabetes are: congenital malformations, spontaneous abortion, and macrosomia.
Hyperglycemia is probably the most important determinant of these risks. Thus, the importance of achieving good glycemic control before conception and maintaining good glycemic control across gestation cannot be overstated.
Dr. Leo Eschbach jr
Dr. Leo Eschbach jr
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Dr. Laurel Walton
Obstetrics & Gynecology
1 doctor agrees
In brief: Well controlled
If you are well controlled prior to obtaining pregnancy you risk of obtaining pregnancy or having a child with a birth defect is no higher than the general population

In brief: Well controlled
If you are well controlled prior to obtaining pregnancy you risk of obtaining pregnancy or having a child with a birth defect is no higher than the general population
Dr. Laurel Walton
Dr. Laurel Walton
Thank
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