Always hear stories about insulin resistance during pregnancy. Was curious if anyone was already pumping large doses of insulin before they became pregnant and what you did if "doubling" and "tripling" your carb ratios wasn't technologically possible. What did you do?

My story: I'm TTC. Been working with my endo and CDE to get my sugars under better control so I can get the "green light" to drop off my pills. I'm at a 6.3% A1C, but a lot of those are lows. Over the course of about 2.5 months, I've been basal testing. I've discovered that I can survive on very little insulin. However, when I eat, a 1:4 carb ratio barely covers my breakfast in the morning. I'm a very active individual and relatively petite. I just function differently.

Views: 81

Replies to This Discussion

Even if your insulin needs go up by 4 times, then you would use a 1:1 carb ratio (which I think is possible). Some of us give large boluses by injection during pregnancy as the absorption can be better. So that would be an option too.

I had to eat very low and slow acting carbs for breakfast. I ate two eggs, cheese, veggies, and one slice of toast everyday.

You might run into a problem of an I:C you're not able to enter into your pump (mine, an animas ping, doesn't seem to go larger than 1:2). But it's NOT actually a problem mathematically. You could do the math yourself and then manually enter the amount of insulin you need.

Another possibly is that you may find your cartridge emptying out too fast with the larger boluses! I knew someone who wound up carrying a syringe and vial with her for most of her meal-boluses during pregnancy because she'd otherwise have to refill her pump every day.

I just checked and my Medtronic Veo pump allows 1:1 ratio (also can be increased by 0.1 units -- so 1:1.2, 1:1.3 is possible).

But I did what Lizzi suggested and actually just entered bolus amounts, as I was eating the same number of carbs each meal.

Thanks. I have a Paradigm, so it's older. I want to see, since I'm on a new insurance plan, if they'll let me change to a more updated version. (Because I really should be on a 1:4.5 at lunch...) I know I can just do things manually, but... I was just seeing what others did before I had to resort to that.

I'm so glad to hear about your carb ratios!! I'm in a similar boat and had an across the board 1:5 ratio before my pregnancy. I did have a 1:1 ratio by the third trimester. The biggest thing for me (and I was on a pump) was to start giving myself bolus 20-30 minutes before eating, in order to give my pump enough time to give me all of that insulin! I also switched to shots in the morning and did cut back on the number of carbs I would have at one sitting- I really spread it out. I also gave up chinese food! Oh the sacrifices we have to give to have healthy babies! :)Good luck!

RSS

Advertisement



REsources

From the Diabetes Hands Foundation blog...

Diabetes Among Hispanics: We’re not all the same

US Hispanics are often portrayed in the press as a single, monolithic group. But anyone who has spent any time in San Francisco’s Mission District or the Bronx can tell you, we’re not all the same. Now we’re finding out Read on! →

Diabetes entre los hispanos: no somos todos iguales

Traducido por Mila Ferrer.    A menudo los Hispanos en Estados Unidos son retratados en la prensa como un solo grupo, monolítico. Pero cualquiera que haya pasado algún tiempo en el  Mission District de San Francisco o el Bronx se Read on! →

Diabetes Hands Foundation Team

DHF TEAM

Manny Hernandez
(Co-Founder, Editor, has LADA)

Emily Coles
(Head of Communities, has type 1)

Mila Ferrer
(EsTuDiabetes Community Manager, mother of a child with type 1)

Mike Lawson
(Head of Experience, has type 1)

Corinna Cornejo
(Development Manager, has type 2)

Desiree Johnson  (Administrative and Programs Assistant, has type 1)


DHF VOLUNTEERS


Lead Administrator

Bradford (has type 1)


Administrators

Lorraine (mother of type 1)
Marie B (has type 1)

Brian (bsc) (has type 2)

Gary (has type 2)

David (dns) (type 2)

 

LIKE us on Facebook

Spread the word

Loading…

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.

© 2014   A community of people touched by diabetes, run by the Diabetes Hands Foundation.

Badges  |  Contact Us  |  Terms of Service