I'm diabetic and preg. I'm taking 2 diabetic class "C" med. one doc.says its OK another says no way.
Topic: Insulin case scenarios
April 19, 2019 / By Shannen Question:
So which one do I go with . The one that says no, says I should use insulin. The other says keep taking my oral meds.HELP
Best Answers: I'm diabetic and preg. I'm taking 2 diabetic class "C" med. one doc.says its OK another says no way.
Orchid | 7 days ago
The best thing for you to do is check with your endocrinologist and see what they think. At the hospital that I work at, Ladies with diabetes are followed in the high risk clinic and are also followed by a hospital appointed endocrinologist that specializes in this area. Every woman is different so it is usually a case by case scenario
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I'm a type 1 diabetic since age 7 and have always been on insulin. I also have 3 children so I know that diabetes is really hard to control in pregnancy, especially your blood sugar levels. I would suggest you let your endocrinologist and OB talk to each other to get the best answer. And keep testing your blood sugar constantly. The further along you get the more insulin your body will need. If your blood sugars get out of control it could potentially cause serious harm to your baby. Good Luck!
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When I developed diabetes with my last pregnancy I was told that being pregnant that I couldn't take oral diabetes medication. I had to have insulin. Listen to ypur obgyn, they should know how to properly treat you correctly. If in question seek the option of another obgyn.
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Your best bet would be to ask your pharmacist. While doctors know what meds treat what conditions, their main concern is the people that they're treating. Your pharmacist, however, knows everything there is to know about drugs...side effects, who should and shouldn't take them, what conditions they're meant to treat, etc. Drugs are a pharmacist's job.
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Originally Answered: Diabetic cat getting better?
It does sound like your cat is improving and you're seeing less urination. But I agree with other comments that you shouldn't just go by those signs. I also agree with Ken that the way to really know what's going on is to learn to test her blood glucose at home using a glucometer like the ones for humans. Walmart has one called Reli-on and Walgreens has one called True Track. Both of those have test strips that are considerably cheaper than the other brands but work fine.
To get started with the insulin you may have to agree to the testing at the vet. but the trouble is it's often unreliable because stress can affect blood glucose and appetite so it doesn't give as accurate a picture of what is really going on as testing in her normal home environment. So it is advisable to learn how to do that so you can keep regulating at home.
If you go ahead and get her on the insulin and get her regulated, it can help her heal so maybe she won't always need it. But if the diet change is not quite doing it (and it sounds like it's not if she's still urinating more, even if that has improved) and you just go with the flow and leave her with high blood sugar, she is likely to get worse, and you could end up with the cat going into DKA and a much more expensive vet bill to save her life.
But if you can learn now to test BG, maybe you can convince the vet that you can do the curve (testing before a shot, then every 2 hours until the next shot) at home, and maybe that would save you some of the cost of that bill. Here is a collection I put together of veterinary sources on home blood glucose monitoring for diabetic pets https://docs.google.com/View?docid=dfcfh... Maybe this can help convince your vet this is not some wild idea by a bunch of non-professionals, just in case he/she has never had a client do this. My vet was not familiar with it and was skeptical at first but became very much a supporter.
Try to get the vet to prescribe a long acting insulin like Lantus or Levemir.. those tend to be good ones for most cats, who have a fast metabolism. There have been studies showing cats had a better chance of remission on Lantus than on shorter acting insulins. (btw if you do get Lantus, don't believe the package that it only lasts a month; it should last for several months if you keep it refrigerated and don't shake it, drop it, or reuse needles and avoid injecting air into the bottle)
The DM dry is NOT nearly so low carb as the Friskies you are feeding, so no way would I switch to that stuff. I wouldn't call it low carb at all. The canned DM is low carb. but the vet who developed that food (the Dr. Hodgkins that BiPetual mentioned) has said that the pate style kinds of Fancy Feast are just as good! FF is like a step up from Friskies and neither are top quality but much better than feeding a high carb dry, or even the dry "prescription" foods for diabetics.
Check out felinediabetes.com and their forum , you can get a lot of good advice on there about foods, insulin, learning to test blood glucose etc.
And here are some good links http://www.felineoutreach.org/Education/...