D has never accepted her diabetes and gradually reduced the
amount of contact that she had with her paediatric diabetologist.
From the age of 18 she refused all specialised care. She does
not follow any prescribed diet, and seldom monitors her blood
glucose at home. D visits her family doctor on average 2-3 times
per year.
D first visited the diabetologist at Week 8 of gestation.
She had a strong desire to continue the pregnancy, but she
was worried about the potential damage to the foetus caused
by her uncontrolled diabetes, and she was concerned about
her ability to adapt her behaviour. As she was living some
distance from the diabetes centre in a rural area, she was
admitted to hospital for 3 days in order to evaluate her metabolic
control and the current status of diabetes complications.
With her current insulin regimen, she has a tendency for
diurnal hyperglycaemia and nocturnal hypoglycaemia, even under
the controlled hospital environment.
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--Interactive
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