by annegarrett (2525 Posts), Mon Mar 29, 2004 08:03 pm
Response from our Expert:
You are not eating too much protein. Unfortunately, you have significant proteinuria in the face of type II diabetes. Given that you are 12 weeks, I am confident that you had the problem BEFORE you became pregnant.
You probably have diabetic nephropathy. It is important that when you are not pregnant your blood sugar AND blood pressure are treated aggressively. BP's should be < 130/80. Treatment with an ACE-inhibitor should decrease your proteinuria and protect your kidneys.
While you are pregnant, your BP might be treated to a similar standard. In general, aggressive treatment of BP in pregnancy is controversial - but not in women with diabetic nephropathy. Your health condition is manageable in pregnancy, but it needs an aggressive approach by someone with experience with diabetic nephropathy in pregnancy.
I would recommend looking for care with a perinatologist in one of the medical centers in LA. You might best ask for someone with experience with diabetic nephropathy in pregnancy.
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