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Surprise first pregnancy and would love advice!

Hey Ladies! I just found out a week or so ago that I’m pregnant but it was a little bit of a surprise. My husband and I want to have kids, but I was still working toward better BG management. I’m really nervous because my A1c, though it has come down 1.2% in two months, is still well above where I should be for a healthy pregnancy (8.2% about a month ago). I have been doing fairly well at staying within a 70-110 range but have been experiencing some scary lows at night and have had a couple of near 200 numbers. I’ve had T1 for 12 years, eat VERY healthy, exercise regularly, wear a CGM, and am on injections. I would love any advice that you ladies could offer, especially those of you who have successfully brought down your A1c!

  • #122069
  • Congratulations! It is normal to have a lot of lows in the first trimester.

    I love this book: Balancing Pregnancy with Pre-existing Diabetes: Healthy Mom, Healthy Baby by Cheryl Alkon.

    Have you thought about a pump? You can be so precise, and make such small changes. My pump goes down to increments of .025. It really helps with fine tuning.

    Have some grace with yourself. Be really honest about counting carbs and giving yourself insulin a few minutes before you eat. Canned pineapple is impossible to count for and give an accurate dose; don’t even try!

    I worked with a high-risk OB clinic, because I was also pregnant with twins (they were a surprise!). The diabetes nurse specialist at that clinic was the best practitioner I have ever worked with. If your insurance allows it, try to work with a diabetes nurse who specializes in pregnancy.

    Keep us posted on how you are doing!

  • #122092
  • @emmcgrath Thank you so much for the book suggestion! My endocrinologist has already spoken to me about referring me to a high risk OB and we are going to talk about me going back on a pump at my next appointment. I think the biggest thing I’ll be looking forward to about being on a pump again is having an adjustable basal rate. My endo had asked me to go on a low carb diet to help get my A1c down, but now I’m a little scared that if I continue that I won’t be getting all the nutrients I need for the baby, so I’ve been trying to limit my carbs to whole foods like raw fruit, sweet potatoes, milk, and brown grains.

  • #122093
  • I haven’t experienced pregnancy yet (currently trying to conceive), but one of the best things that has helped my BG is being on a pump! I was pretty steady around an A1C of 7.0-7.8 for a few years but have dropped to below 6.0 with a pump. The lowest I have been is 5.3, I’m currently at 5.8, and I’ve been below 6.0 for about a year. I’ve had my pump for about a year and a half, so I definitely think it’s helped a lot! I think Metformin (for my PCOS) has helped as well, but adjustable basal rates with a pump are a godsend. Good luck with your pregnancy! Hopefully you’ll get a pump soon 🙂

  • #122095
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