Pregnant with high fasting/breakfast numbers

[Chris Graham]

Hello!
I am 31 weeks pregnant and expect for the few odd highs, had been doing really well with both my diabetes and the pregnancy. In the past few weeks, my fasting and breakfast numbers have been a lot higher than they should be. (fasting 110's and PP 150-160)

I know this is pretty common at this point in pregnancy. I'm on MDI...novolog and lantus.

For the past few nights I have tried to eat lower carb/fat meals and that seems to be working better. I have been really active this week and that could be a factor too.

Does anyone have advice on other strategies to try?

Thanks!

[RLK]

Have you tried taking your bolus ~15 minutes before eating? I can't speak to the pregnancy thing, but pre-bolusing really helps me when I'm struggling with post-prandial numbers.
Hope this helps, and good luck with everything! I can't even imagine trying to stay on top of my D while being pregnant- it sounds like you're doing great!

[panda1076]

I'm on MDI...novolog and lantus.

I thought you couldn't be on Lantus if you are pregnant... I thought it was not approved by the FDA for pregnancies because it binds to hormones or something? Do you know?

[Kate H]

I thought you couldn't be on Lantus if you are pregnant... I thought it was not approved by the FDA for pregnancies because it binds to hormones or something? Do you know?

Lantus has been approved for pregnancy

recent MedScap or MedLine article that i read

[Kate H]

Chris, insulin use/needs goes UP drastically at the end of the pregnancy term

remember when you go into labour to NOT take your lantus that day ! ! ! (i was on NPH and no one told me..... so i had to go onto a glucose drip to feed the NPH, right away)
oh, don't take your Novolog and don't eat either...... sigh...... i hate it when i'm not allowed to eat :-(

[panda1076]

interesting. thanks for the information.

[Keezheekoni]

Take your lantus as usual, take your novolog at half the ratio. Hospitals in the US now encourage laboring women to eat. It helps you to have enough energy to get through labor, you know?

Be forewarned that you will probably throw up everything you ate during transition, so keep hydrated well... if you don't have an IV, drink lots of water. :) Ice chips are your friend...

Having food in your system when you deliver will also help you baby have a higher bg when he/she is born so that the nurses won't immediately whisk him/her away to give him/her glucose water bottles.

[Chris Graham]

Thanks everyone!