Hello! I got the okay from my doctor to start trying to get pregnant! My last A1c was 6.4 (I had started my pump only a couple months prior so I'm hoping it is lower at my next appt). I would SO APPRECIATE any/all advice from other diabetic moms!
I know my doc said 6.4 is safe to conceive but did your docs recommend lower?
How strict is strict enough?? Did you cut out all foods that may spike your BG?
Did you stick to a specific diet/meal plan?
How hard is it...seriously I need the non-sugar coated version...is this the hardest thing you have done? Was it easier than you had expected? Were you terrified you would screw something up?
I am seriously up for any advice you ladies have!! I have researched online, looked in books, etc but it just seems more comforting to hear from real people who have been there and who understand.
Thank you all!!
I see the endocrinologist every 2-3 weeks, the OB once per month, and high-risk once per month. Now, I'm starting to see the OB every other week and it will bump to every week from 32 weeks until the end. The high-risk doctor also wants me to come in once per week from 32 weeks on. There are some weeks I've had 2-3 appointments, and then some weeks I'm "off." :)
I have an 11 month old son. When I think back to the pregnancy, I remember that it was intense and all-absorbing (I was so focused on my blood sugars and the pregnancy and wanted to prioritize those things over say "work"), but actually it was not as "bad" as I had feared. I was genuinely afraid of pregnancy, but I found that being pregnant, I had a level of motivation and determination to take care of myself and my blood sugars that I had not experienced before (or since!!). So, I am NOT saying it is easy -- it was tough, especially the guilt and worry that I felt with every high blood sugar! -- but it was manageable and TOTALLY worth it!
I followed a strict diet and schedule that my endo has all her type 1 diabetic pregnant women follow. It really worked for me and I will definitely do it again in the next pregnancy. More details are here.
THANK YOU! So helpful to see that mapped out! And thank you for your honest, yet encouraging opinion on pregnancy!
I was on MDI so no issue to adjust.
I also foudn out that whereever I was 2 hours after eating I would stay that way for hours (humalog seems to have most of it's action for me in 2 hours).
So if I was above 120 at 2 hours I would correct. At the beginning it was 1 unit of insulin to drop me about 20 points, by the end of the pregnancy it was 1 unit to drop me 5 points.
My endo's target for me was < 95 fasting and before meals and < 120 at 1 1/2 - 2 hours after eating.
Controlling carbs was also critical. Very few grains, got my carbs mainly from veges, nuts and dairy.
My baby was born at 7 lbs 6 oz at 39 weeks by emergency CS which had nothing to do do with me being diabetic, (due to labor not progressing after 3 days dilated at 6 cm - I had wanted a natural delivery) and had not problems. Although my blood sugar was crazy during the CS (highs and low becuase they put me on IV insulin and then had to give me glucose to counter it) her blood sugars were finee.
My HBA1C was in the low to mid 5s the whole pregnancy. Started out at 4.9 and ended up at 5.5.
I have had 2 healthy, full-term, normal weight babies. My A1C was never above 5.8 and got as low as 5.1. I found that the first trimester was the very hardest to control BG's. I had swings from 40 to 200. As I'm sure you've read, you want to minimize the highs and the first trimester is the most important time for BG control, as that is when the organs are developing. Sometime in the second trimester(it was a little different for each pregnancy) I had to double both my basal and bolus insulin. But, my BG's were AMAZING. It has never been so easy for me to keep great BG levels. I have tried to figure out why and I asked my OB about it, but I have not come up with any official answers. I, personally, think it's because my blood volume doubled and so the insulin was more dilute in my blood. One unit didn't affect me as much, so I could make a 1 unit error without as large of an effect. But that's just my theory.
And- I do very low carb, Berstein style. But towards the end of my first pregnancy, I realized I could cheat and eat a cookie (with bolus, of course) and by BG would only go to 110. So I ate cookies!
In summary, yes, it is stressful but totally doable. Be sure you have very good control when you start, because the first trimester will be hard. But beyond that, it was smooth sailing for me.