All Health Experts in Reproductive Endocrinology...................?

Question

Will a doctor perform invitro-fertilization to a patient that is a type 1 diabetic with some kidney insufficiency if she really wanted a baby and would be willing to take the risks?

Dave M, Just to let you know, there are all types of people "mulling around" yahoo answers and I have come across nurses, doctors, and other professionals in the medical field on here before. I also should have mentioned that I already have two healthy children from a previous marriage and now since I remarried we will like to have a child together. I am 34 and I've had diabetes since I was 6 yrs old. I had my other two children without any complications. The problem I'm having now is that I haven't been able to get pregnant after two years of trying so I was just wondering if anyone in this field have ever heard of a doctor NOT performing invitro-fertilization on a patient because she was a diabetic.

Answer 1

There are more issues than just renal insufficency and other questions that will play a direct role in pregnancy and pre-existing diabetes

How much is "some kidney insufficiency"? How is your creatinine clearance? How is your blood glucose control? What is your A1C (minimum it should be less than 7.0, ideally less than 6.0? Hor are your retinas? Any cardiovascular disease? Are you ready for the meticulous glycemic control that needs to be maintained during the course of your pregnancy?

Early nephropathy can usually be dealt with (there are extra tests throughout pregnancy that need to be done at minimum each trimester but it isn't alone enough to contraindicate pregnancy.
Hwever, microalbuminuria and overt nephropathy are highly associated with both maternal and fetal complications. In these cases it is imperative that blood glucose be normalized for the pregnancy and blood pressure be meticulously monitored.

Basically, my recommendation is to speak with your diabetes specialist or have him/her refer you to someone who is familiar with both pregnancy and diabetes. Talk it over with them to find out just what your condition requires for a good chance at a healthy outcome for you and your future child.

Then make the decision to seek out someone willing to assist you with reproduction. As you can see with the questions I asked above, there are more issues than just kidneys when you are talking about diabetes and pre-existing pregnancy.

I wish you luck.
Take care

Answer 2

First of all, I don't think any Health Experts of Reproductive Endocrinology would be mulling around Yahoo Answers to help you out.

Second, probably not - a doctor wouldn't risk killing you just because you want a baby.

Answer 3

If you look far enough, you will find someone who will do it if the price is right. Doctors are overcautious. My diabetic sister was advised not to have kids and she had 3 healthy kids and 2 healthy grand kids so far.