Pregnancy Questions

[SccrGrl257]

Hi,
I am new register to this website and was searching for some information and advice on getting pregnant since I am diagnosed with Type 1 diabetes. I am worried about several things since I have diabetes. First, I am 33 years old and have had diabetes since the age of 19. I am using an insulin pump and am very diligent about checking my blood sugar (up to 10 times a day). I am also very active and my weight is under control. I play soccer 4 days of the week. This has helped with keeping my blood sugars in good control and my weight down. I'm wondering if anyone can give me advice on their first pregnancy and how things went? I know I will need to have a strong medical team in place but I am worried about everything. If anyone used an insulin pump during their pregnancy, any info would help. I plan to remain active as long as possible, while pregnant, and check my blood sugars consistently but I would love to get feedback from other's experiences. Thanks for any help!

[Meghann0409]

T1 also, I am 30w on Saturday.

First off, do not consider getting pg until your sugars are under control - like 3 A1C's in range - before TTC. The month I got my + I went high at ovulation and stayed there, continued to increase insulin but got down to 5.4% from 6.5% - second tri stabilized, and now 3rd is REDONK. I am on 1:1 grams to units!! By all means I am glad to have a pump...

Testing 7-10x daily. Fasting, pre-meal, 1h post prandial. Tighter ranges: fasting under 90, pre-meal under 105 and post under 120. You wind up upping your bolus and decreasing your basal after meals a tad to avoid going low.

I see Endo every 2 weeks. OB til 28w was every 4 weeks. My 20w ultrasound was a Level II to easier identify problems if there were any. Now at 28w I do a NST (non-stress test to measure contractions, baby HR, and movement,) BPP (bio-physical profile, ultrasound measuring respirations, movement, fluid levels and muscle tone. 2pts each, perfect is 8pts.,) and OB weekly.

I am measuring ahead and may be induced for babys size (can you imagine if my sugars were out of control? Yeesh!) and for sure will deliver by 39w. The diabetic placenta ages faster - 38w diabetic placenta is the equivalent of a 40w non-diabetic placenta.

Hmm, what else do you want to know? You CAN do this!! It is a lot of work with your sugars, I won't lie (and I am not done yet, lol) but I know it'll be worth it...

[Katrina Stovold]

Yep! Id be worried too if I was you! I am 10 weeks preg with baby one, but I worry too much but who wouldnt if they have a baby growing in them and had to keep perfect sugars, dont worry, my hba1c was 7.5% when I conceived . never too late to get them ideal, but I try friggin hard every day and still have unexplained lows and highs, my fingers are about to drop off from all the testing, yes, its friggin hard and frustrating but it is possible, or so I believe from the other type 1 diabetics on here that had normal pregnancies. Im from Australia, not sure where you are from...but here the majority of type 1 mums have normal bubs thanks to our strict docs! You can only do your best and Im pretty sure you will be fine! x

[notti426]

I have a pump as well and I am on my first pregnancy at 15+5 weeks. It has been very hard so far! I luckily didn't have many problems with the morning sickness, WOOHOO! The first trimester and half of the second are going to be the hardest because of lows all the time! I go for a short walk and find that it drops to below 30! It is very frustrating! My basal rates have been changed many times so far by my endo. I see my OB every 2 weeks and so far have had 2 ultrasounds with many more to go. I do not have any complications from the diabetes as far as my own medical history and so far the pregnancy is progressing normally. My level 2 ultrasound is scheduled for 11/2, so that will be more in depth to make sure that everything looks normal, and then between 22-24 weeks I'll need to have a fetal echo done (that looks at the function of the heart because babies of diabetic moms have more heart problems). Basically, it comes down to having very tight control on your sugars and taking proper vitamins (such as folic acid to prevent spina bifida). You may want to look into continuous glucose sensors so that you don't have to prick your fingers as often. Good luck!

[belyro]

Hey there! I'm T1 (pumping) and just had my first baby in May. If you're interested in my experience, you can check out my blog. I posted the link to it here: http://www.diabetesforums.com/forum/type-1-diabetes-pregnancy/44747-my-blog-type-1-a.html

Good luck!