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Q:  I am 10 weeks pregnant, have PCOS, and am IR. I'm not on any meds currently for the IR, but my Dr. wants me to start insulin shots or go on an insulin pump. The reason is - I've tried glucophage and couldn't tolerate it. So he told me I have to be on something because when I check my blood sugar levels, my levels vary from 120's all the up to 180's. I will do what I have to ... even if its shots, but before I do, is there anything else I can try? And what is happening to the fetus now while I'm not on meds and my blood sugar levels are so high? I'm afraid there are risks and my Dr. has told me of none. Please help me!

A: If you have high blood sugars during pregnancy, it is very important to control them. There are obstetricians who specialize in Maternal-Fetal Medicine which includes diabetes with pregnancy and I suggest you consult one of them ASAP. You need to be seen for the doctor to be able to determine the best treatment for you.

Hope this is helpful.

Geoffrey Redmond, MD

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