u/Primary-Vegetable580

I’ve been on insulin for fasting blood sugar for a month and had a follow up anatomy/growth scan today. At 20 weeks my baby was in the 67th percentile abdominal circumference and 37% for his head. At 24 weeks he is now 86th percentile abdominal circumference and 26th percentile head. So he’s got a tiny head and a giant abdomen. Not only do I think it’s going to be almost virtually impossible to deliver this baby vaginally with a tiny head and giant abdomen, I’m also really sad and distressed that I’ve been doing my hardest to keep my blood sugar in check and it doesn’t seem to matter. I’m overall in range 90-95% of the time now. My fasting is even in the mid or low 80s now when it was like 100-106 before. I really thought I was doing good getting that down to even below 90.
I was prediabetic before pregnancy, and maternal fetal medicine wants to say I was type 2, which is now on my medical records. I have a problem with this, because my blood sugar has never been in type 2 ranges on labs and my a1c was also only 5.7….which is just barely prediabetic. So now I’m feeling like I’ve got labels slapped on me that are going to follow me after pregnancy that aren’t accurate. My OB never said anything about me being type 2…she said we would simply treat it as prediabetes, and another said gestational diabetes. Yet MFM says type 2 because the OBs did not specify in my history prediabetes or gestational diabetes. I could have sworn I saw it say “gestational diabetes on insulin” as the indication for the referral.
On top of that, MFM also looked at my past history (from 3 years ago) and saw that I had a “substance use disorder” listed, which really just means I used to smoke weed literally years ago and they put that on my medical records, even though I have not tested positive in 3 years…. My screen was also negative at the start of my pregnancy.
So now I’ve been flagged as someone with that problem as part of my indication for seeing MFM when I DONT have that problem. I’m so upset. I feel like nothing is going right in this pregnancy and I don’t want to be pregnant anymore. I already see a psychiatrist for a mood disorder and my meds have already been adjusted once, and there’s not much else they can add or do, so I’m just destined to cry for the rest of my pregnancy I guess 😭

So I have a bit of a unique situation where I was prediabetic prior to pregnancy with an average lab fasting of 113 and an a1c of 5.7. I also have a family history of diabetes. I had asked my OB in the beginning of my pregnancy if my prediabetic status was going to affect my pregnancy. I’m a FTM, so I really had no idea what kind of problems that could cause. She had told me that I would take the glucose tolerance test at 25 weeks and didn’t think I needed it sooner. So I took her word for it and didn’t worry about it until 17 weeks, where I started to get a bad feeling and began checking my sugars on my own for a month straight. During that month I found that my fasting was averaging 106 and I couldn’t tolerate a lot of carbs well, so I overhauled my diet to follow a gestational diabetes diet. I also started walking after dinner every night. After starting all that, I was able to control meal numbers, but fasting remained a problem no matter what I did. (Which I already knew was a stubborn problem driven by hormones). At my next appointment I was able to bring up my concerns and was started on nightly insulin for my fasting. My OB opted to skip the glucose tolerance testing and start treatment right away, because it was obvious there’s a problem, and I already had a ton of data to show for it. A lot of stress was off my back after that, but now I am STILL super worried and paranoid that I am going to have a huge baby because of the fact that my sugar probably was out of wack the whole time since getting pregnant. I am in range 80-90% of the time now, but I fear that the damage is done. At my anatomy scan at 20 weeks it was very obvious that baby’s abdomen was larger than his head. They told me “baby looks good”, but when I read the report I saw that his AC was 62 percentile measuring a week ahead and HC at 44%. Which to me seems significant, but I really don’t know. I have another follow up growth scan next week because I’m on insulin and see MFM every month now for ultrasounds, so I’ll see what that says. Can anybody chime in to tell me how your measurements looked and progressed, and if you were able to help abdominal growth slow after better blood sugar control? I’m about to be 24 weeks, so I know I’m going to hit a greater period of insulin resistance soon-ish, and I am quite concerned about never being able to help the outcome. I am automatically being induced at 39 weeks because of the insulin, but my biggest fear is a c-section and baby having low blood sugar after birth. I seriously don’t like the idea of being cut open and missing a bunch of things like being able to hold baby on my chest immediately after birth and trying to breastfeed. I know if baby’s abdomen continues to be much larger than the head, he’s more at risk for shoulder dystocia, and I don’t want that.