I am type 1 diabetic patient. I take regular h mixtard insulin thrice a day as 50u-25u-25u. My current sugar level is fasting-110&pp 210. Sometimes in morning I feel hypoglycemia and I behave like a mad. Is this is due to hypoglycemia? Also want to know that how men with type 1 diabetic plan for child. How much is chance of getting baby diabetic. How diabetic affects pregnancy.

Dr. Prabhakar Laxman JatharEndocrinologist50yrs exp

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Hello, thanks for the query. Some times with insulin occasionally hypoglycemia does occur. When glucose levels go below 70 mg then some patients show different kinds of behavior. So if you have to take care and see that glucose levels do not go too low. One way to that is use a long acting insulin like glargine or degludec which provide almost 24 hour action (degludec is almost 30 plus hours). Plus add a rapid acting insulin 1 or 2 doses before luch &/or dinner to reduce post food high glucose levels. Dosage needs to be monitored based on blood glucose levels. As regards pregnancy and diabetes, if mother is diabetic before pregnancy then there is a need to strictly maintain glucose levels between 90 to 120 mg through out the day (in 24 hours) to help proper development of the baby, avoid large baby and for having desired out come of pregnancy. Therefore, it has to be a team work with patients gynecologist, physician or endocrinologist. Because preexisting diabetes can also cause problems with retina in pregnancy. Another aspect with this particular person with a bmi of 32.25 kgs/sq meter (normal < 23 kgs/sq meter), there is already grade 1 obesity. There is an excess of almost 22 plus kgs. This can lead to further difficulties. If you have any questions please do come back. Thanks.  

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