Comments on: Another Gyne questions - DM related http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/ Blog for the diabetics who use an insulin pump to control diabetes Thu, 20 Nov 2008 09:25:32 +0000 http://wordpress.org/?v=2.2.1 By: Jennie Mui http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25900 Jennie Mui Sat, 02 Jun 2007 14:47:47 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25900 Thanks for the clarification. I only stated what my sister has told e. --Jeana Ü ----- Original Message ----- It isn't the lowest pill on the market now Thanks for the clarification. I only stated what my sister has told
e. –Jeana Ü
—– Original Message —–
It isn’t the lowest pill on the market now

]]> By: colin_140 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25899 colin_140 Sat, 02 Jun 2007 00:58:34 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25899 << Do you have other risk factors like smoking that the doc is taking into consideration? I'm on Ortho-Cyclen (not Tricyclen) and also have moderate high blood pressure. The Accupril is taking care of my bp, so I'm not concerned about the bc pill. In my opinion (and my situation), a surprise/unexpected pregnancy is a higher risk. Check with your endo about it. My endo is aware of my taking the bc pill and hasn't said anything negative about it. One other side effect of the bc pill is that it can make you a little more insulin resistant. >> True Connie....remember that certain drugs/medications can also affect the effectiveness of the contraceptive...especially antibiotics. I teach my patients to either refrain from intercourse while on antibiotic therapy or use another form like condoms as a back-up. I've gotten a number of ladies in OB clinic - diabetic and very much pregnant....Joan:) << Do you have other risk
factors like smoking that the doc is taking into consideration? I’m on
Ortho-Cyclen (not Tricyclen) and also have moderate high blood pressure. The
Accupril is taking care of my bp, so I’m not concerned about the bc pill. In
my opinion (and my situation), a surprise/unexpected pregnancy is a higher
risk. Check with your endo about it. My endo is aware of my taking the bc
pill and hasn’t said anything negative about it. One other side effect of
the bc pill is that it can make you a little more insulin resistant. >>
True Connie….remember that certain drugs/medications can also affect the
effectiveness of the contraceptive…especially antibiotics. I teach my
patients to either refrain from intercourse while on antibiotic therapy or
use another form like condoms as a back-up. I’ve gotten a number of ladies
in OB clinic - diabetic and very much pregnant….Joan:)

]]> By: colin_140 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25898 colin_140 Fri, 01 Jun 2007 16:50:53 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25898 << Micronor. It is the lowest dose available and she's doing fine. You might want to ask your doctor about this specific pill. HTH, Jeana Ü >> woops! touchpad again.....micronor is a one type type of hormone....progesterone...which basically makes your body think it's pregnant. It isn't the lowest pill on the market now....go to medscape.com then link with medline for oral contraceptives.....Joan:) << Micronor. It is the lowest dose available and she’s doing fine. You might
want to ask your doctor about this specific pill. HTH, Jeana Ü
>>
woops! touchpad again…..micronor is a one type type of
hormone….progesterone…which basically makes your body think it’s
pregnant. It isn’t the lowest pill on the market now….go to medscape.com
then link with medline for oral contraceptives…..Joan:)

]]> By: colin_140 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25897 colin_140 Fri, 01 Jun 2007 08:43:13 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25897 << Micronor. It is the lowest dose available and she's doing fine. You might want to ask your doctor about this specific pill. HTH, Jeana Ü >> << Micronor. It is the lowest dose available and she’s doing fine. You might
want to ask your doctor about this specific pill. HTH, Jeana Ü
>>

]]> By: colin_140 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25896 colin_140 Fri, 01 Jun 2007 00:35:32 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25896 << Am I making this up, or is the latest word on birth control pills and DM that a low-dose pill is ok, barring high blood pressure or heart disease? I have fibroids that make bleeding really heavy, and my gyne said that if I WASN'T diabetic, he would put me on the pill in a heartbeat, but that with DM the risks of stroke or heart attack are too high already, and he isn't willing to add it into the mix. Of course, being on the pill would also solve my difficulty with going on methotrexate for arthritis, as pregnancy is CONTRAINDICATED in that case! Anyhow, I appreciate your input! And I thought that the recommendations had been changed recently.....any comments? Thanks Joan the (usually) lurker >> Hi Joan the usually lurker: this is Joan the nurse....nice to meet you. <!--more--> Yes, some of the recommendations have changed. However, there are much lower doses of oral contraceptives available on the market now than in the past. And, the concern is the risk of stroke related to blood clot formation and heart attack as well. We know that there is still controversy regarding use of ERT estrogen replacement therapy as well. If you have a good endocrinologist, and no history of hypertension or phlebitis or past heart attack, then the topic should be discussed with endocrine to weigh options, and then make a decision. Hormones can affect our ability to maintain a lower blood glucose, so all has to be weighed carefully before starting anything. Work together with both of them...gyn & endo to come up with a reasonable solution....Joan :) << Am I making this up, or is the latest word on birth control pills and
DM that a low-dose pill is ok, barring high blood pressure or heart
disease? I have fibroids that make bleeding really heavy, and my gyne
said that if I WASN’T diabetic, he would put me on the pill in a
heartbeat, but that with DM the risks of stroke or heart attack are
too high already, and he isn’t willing to add it into the mix. Of
course, being on the pill would also solve my difficulty with going on
methotrexate for arthritis, as pregnancy is CONTRAINDICATED in that
case! Anyhow, I appreciate your input! And I thought that the
recommendations had been changed recently…..any comments?

Thanks

Joan the (usually) lurker >>
Hi Joan the usually lurker: this is Joan the nurse….nice to meet you.

Yes, some of the recommendations have changed. However, there are much lower
doses of oral contraceptives available on the market now than in the past.
And, the concern is the risk of stroke related to blood clot formation and
heart attack as well. We know that there is still controversy regarding use
of ERT estrogen replacement therapy as well. If you have a good
endocrinologist, and no history of hypertension or phlebitis or past heart
attack, then the topic should be discussed with endocrine to weigh options,
and then make a decision. Hormones can affect our ability to maintain a
lower blood glucose, so all has to be weighed carefully before starting
anything. Work together with both of them…gyn & endo to come up with a
reasonable solution….Joan :)

]]> By: Bert Gould http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25893 Bert Gould Wed, 30 May 2007 09:49:26 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25893 Joan (the "lurker"), That's odd that your Gyn won't put you on a bc pill. Do you have other risk factors like smoking that the doc is taking into consideration? I'm on Ortho-Cyclen (not Tricyclen) and also have moderate high blood pressure. The Accupril is taking care of my bp, so I'm not concerned about the bc pill. In my opinion (and my situation), a surprise/unexpected pregnancy is a higher risk. Check with your endo about it. My endo is aware of my taking the bc pill and hasn't said anything negative about it. One other side effect of the bc pill is that it can make you a little more insulin resistant. During my "off" week of the month, my BGs are lower and I usually have to lower my basal to keep from going low. Connie Joan (the "lurker"),

That’s odd that your Gyn won’t put you on a bc pill. Do you have other risk
factors like smoking that the doc is taking into consideration? I’m on
Ortho-Cyclen (not Tricyclen) and also have moderate high blood pressure. The
Accupril is taking care of my bp, so I’m not concerned about the bc pill. In
my opinion (and my situation), a surprise/unexpected pregnancy is a higher
risk. Check with your endo about it. My endo is aware of my taking the bc
pill and hasn’t said anything negative about it. One other side effect of
the bc pill is that it can make you a little more insulin resistant. During
my "off" week of the month, my BGs are lower and I usually have to lower my
basal to keep from going low.

Connie

]]> By: Cathy Oleta http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25892 Cathy Oleta Wed, 30 May 2007 02:50:45 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25892 yes, i'm courious too... as I've been on birth contol pills for years. I have type I does that make a differnce?? Faith yes, i’m courious too… as I’ve been on birth contol pills for years. I have
type I does that make a differnce??
Faith

]]> By: sabine170 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25891 sabine170 Tue, 29 May 2007 19:28:50 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25891 I don't know about the recommendations, but I am on a low dose b/c pill for my perimenapause symptoms. The name is Alese and it really helps. I have had DM for 45 yrs. Gail I don’t know about the recommendations, but I am on a low dose b/c pill for
my perimenapause symptoms. The name is Alese and it really helps. I have
had DM for 45 yrs.
Gail

]]> By: Jennie Mui http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25890 Jennie Mui Tue, 29 May 2007 13:15:41 +0000 http://www.diabetic.netslonguirado.com/2007/05/29/another-gyne-questions-dm-related/#comment-25890 My sister who is diabetic and has had bypass surgery is on a b/c pill called Micronor. It is the lowest dose available and she's doing fine. You might want to ask your doctor about this specific pill. HTH, Jeana Ü My sister who is diabetic and has had bypass surgery is on a b/c pill called
Micronor. It is the lowest dose available and she’s doing fine. You might
want to ask your doctor about this specific pill. HTH, Jeana Ü

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