Preconception Optimization
The preconception period is the ideal time to prepare for getting your glucose/blood sugar within the normal range. This sets your pregnancy off to the best start and can significantly reduce your and your future baby’s risks.
It can reduce risks of anomalies and early pregnancy loss. Receive comprehensive information on optimizing your diabetes management and glucose control BEFORE pregnancy to maximize impact on outcomes!
Diabetes in Pregnancy
Diabetes in pregnancy takes many forms. Frequently it is pre-existing type 1 or type 2 diabetes. With advancing understanding, we now know there can also be several other types including MODY and LADA.
Tara Cardinal, CNM, ARNP works to support you in managing your blood glucoses within a normal range during pregnancy while you receive your prenatal care with the provider of your choice.
Gestational Diabetes
Gestational diabetes can be a vague diagnosis with numerous metrics and definitions. In general, if your blood glucose is higher than normal in pregnancy, you are considered to have gestational diabetes due to the increased risk this can have for you and your baby in pregnancy, birth and beyond.
Postpartum Transition
Postpartum is a critical time with fluctuations of insulin needs that can benefit from support provided by Tara Cardinal, CNM, ARNP, BC-ADM, CDCES until you re-establish with either your endocrinologist or primary care provider in the postpartum period to continue the management of your blood glucose.
You will not be left in limbo without support transitioning blood glucose management in postpartum period. You will have access to ongoing care in order to stabilize management inter-pregnancy and entering next desired pregnancy or stage of life in choice!
Diabetes Technology
Technology is revolutionizing the experience of managing blood glucose in pregnancy!
Continuous Glucose Monitoring
Dexcom, Stelo and Libre are all very common continuous glucose monitors used in pregnancy and will be supported.
Insulin Pumps
There are a variety of insulin pumps available for use in pregnancy. These reduce the burden of your work in having to manage frequent injections with increasing doses as pregnancy advances. These are now approved for use for those with Type 2 Diabetes.
Tara Cardinal, CNM, ARNP, BC-ADM, CDCES is experienced in starting and managing insulin pump use in pregnancy.
Due to being a solo practice with limited resources, some individuals with insulin pumps might require a higher level of care than can be provided by myself and will be considered on a case-by-case basis. Some will need to be closely and collaboratively co-managed with their maternal fetal medicine and/or endocrinology teams.
Whatever the cause of elevated blood glucose in pregnancy, Tara Cardinal, CNM, ARNP, BC-ADM, CDCES strives to provide personalized care to enable managing it within normal parameters to optimize outcomes.
