Question

Dear Doctors.
Had a two IVF done, One went to ectopic (Doc Said) and other went to miscarriage with B-HCG level 3900 (4th week pregnancy ).
During the IVF, I have noticed that my Glucose level was fluctuating (Mostly between 150 to 200) but strange thing was, It’s always high in evening times.
My Doc implanted the Embryo, when my HBA1C was 7 and the following medicine was prescribed after embryo transfer (ET)
Tab Estrabet 2 mg.
Cap Strone 400 mg
GEL Utreva GEL 8% w/w
Cap KQ-100
Cap Consevel Tab Wysolone 10 mg
Tab Zinetac 150 mg
Ing AqSusten 25 mg
Inj Busarlin 0.5 Unit
Injec Endokine Before ET, Doctor need to create some lining in Uterus and for that She suggested the below medicines Cap Consevel Cap KQ-100
Cap PureZest 400 mg
Inj Busarlin
oestrogel
Latest Report for Thyroid and Sugar T3: 114
T4: 8.80
TSH: 2.632 HBA1C: 9.1
I have also contacted with Diabetologist doing the IVF process and he suggested us the below medicines Before ET: Metformin HydroChloride 1000 mg, 2 Tablets after lunch and dinner but I felt vomit and loose motion Then Doctor asked me stop taking tablet and start taking insulin injection (10 Unit after dinner)After embryo transfer, start taking insulin injection (10 Unit after dinner)Once the pregnancy had confirmed with B-HCG 400, then he asked me to take insulin before each meal (Nova Rapid :- 5 – 8 units) I have a question, How the pregnancy got affected with sugar and how we can control it. I have seen many woman’s turn to diabetic during the pregnancy.
Is there any side-effect of the injections and medicines that I am taking which may turn into legitamte diabetic. I don’t feel any symptoms of being diabetic.
I would strongly suggest that this case would be handled by those doctors who handled this kind of case before.
I have also tried to visit the apollo Doc (name can’t be taken) but he started turning me to move into apollo hospital.
Losing the patient and money every years with disappointing.

Dr.Jayant Vishe · Accepted Answer

GDM or hyperglycemia in pregnancy need to be controlled by
Diet, medicines and Insulin Your HBA1C is bit high. As you said you unable to tolerate Metformin which is routinely used in GDM. So the last resort is always Insulin. GDM can affect foetus or mother of not controlled. We use Mixtard Insulin too. Current regimen seems OK to me.

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