ASM: One mother's high-risk pregnancy journey

PIERRE, S.D. (KSFY) - Approximately, 10% of pregnant women have pregestational diabetes. With diabetes the risk for complications increases.

One mother in Pierre overcame the odds and delivered health, beautiful twins.

"This was the toughest thing I think I've ever gone through, it was scary I heard so many different things and people say that you can't get attached to these babies," Kristi Cuppy, mother, said. "But, with my diabetes hooked on to that it was hard to get excited, it was scary, lots of crying.”

Kristi has Type 1 diabetes, and that was just one part of her high-risk pregnancy.

“They were Mono Mono twins, which is a very high-risk pregnancy," she said.

Monoamniotic-Monochorionic twins share the same placenta. In addition to that complication, Kristi needed to watch her sugar levels, as well.

“We still would manage it the same as we would as if there was just one baby there," Dr. Dawn Boender, an Avera St. Mary's OB/GYN, said. "The key really is to get that glucose at the level that we want it to be. In her case, she had additional things that we had to watch for with the twin pregnancy, as well."

Dr. Boender says it is critical to have a team approach when a patient has a lot of high-risk factors together.

Moms with pregestational diabetes are at risk for blood pressure issues, and the likelihood of stillbirths or fetal loss is also increased.

“A lot of moms that have pregestational diabetes want to know that when they hear that list, it sounds really scary, what can I do to help decrease that?" Dr. Boender said. "And the answer really is to get that sugar controlled before the pregnancy starts if you're able to.”

Which is what Kristi did, she made sure to come in every two weeks to get an ultrasound and check to make sure no other complications arose.

Now that Hudson and Rowe are eight months old, Kristi is nothing but thankful for the Avera St. Mary's team.

"I love Dr. Boender she was such an amazing support system," she said. "She would call me after I had the babies, she'd call me just to check up on me and the babies, and it's just, I can't thank Dawn enough for what she did for us and just how she put me at ease and helped me with my pregnancy."

But even with the complications, each smile and coo makes it the perfect ending to this story.

"It's very different from a normal pregnancy but as long as you stay on top of it and meet with your doctor and call and ask questions all the time," Cuppy said. "It's definitely a lot easier to go through if you have a great support system and a team of doctors to be there for you."

"But it's just so worth it."

If you or someone you know has either Type 1 or Type 2 diabetes and wants to get pregnant, Avera doctors say coming in before makes things easier when managing their glucose levels.

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