I'm actually 37 weeks pregnant right now and have struggled with the same concerns. With an A1C of 6.1, you should be fine. You will get some very sporadic bloodsugars that seem impossible to control, but as long as you get them back in the normal range as soon as possible, you shouldn't be harming your little one. I also went on a continuous blood glucose monitor to help me watch blood sugars all day. With 8-10 blood sugars a day, you never really know what it's doing in between those times. Also, you might experience dramatically low sugars at the end of your first trimester. Be careful of those and bring food with you all the time! Good luck.
Congratulations!!!! I hope you are feeling well, and have found an excellent perinatologist to partner with you during your pregnancy! This was KEY for me, and I didn't have one my first pregnancy, but wished I had!! If you don't have one, it seems the Boston area is teeming w great diabetes care....find a recommended one with smarts and a great bedside manner who has a diabetes education team. You'll be needing them lots as your insulin needs continue to change through the pregnancy.
My daughters are now 5.5 and twins almost 4....I'll never forget the terror when I had a BG over 300 one night - the week the neural tube was forming!!! Thankfully, all was fine :) and the constant vigilance paid off with a nearly full term (38 week) pregnancy/delivery - I was able to labor with my insulin pump on, no drugs, lots of Gu during labor to combat the lows... But you are many moons from those issues.
My biggest recommendations would be - Take Care....Check your BG a LOT, eat as healthfully as your appetite will allow, walk daily (yoga, swimming, whatever you like - but th e exercise will help you and the baby enormously!), and surround yourself with Love, Support, Encouragement, and all things that are healthy for you and your growing baby... This is only the beginning ;) but it is crucial (which you know all too well).
Your A1c is AWESOME, and it will only go down!!! Watch out for the LOWS....they sneak up on you, and DM is even more unpredictable when pregnant.
My perinatologist for the twin pregnancy said not to worry about ketones - if I was catching my highs, and lowering them quickly (which I was, and I did), then that (ketone testing) was just one more source of worry. Key w/ highs is like always - get the insulin cranked up, drink lots of water, and watch the stress!!!
Please keep us posted!
Hi Megan, I've had diabetes for 24 years and have two healthy children, 7 and 4. Our first pregnancy was a great surprise. I did not have good control of my BS at the time and when I took my first test at the Dr.'s and it came back possitive my A1C was 13. I had so many highs and lows through out the pregnancy. So I was a mess for a long time wondering if she was going to be ok. She was delivered 2 weeks early by c-section 7lbs 15 oz Big, beautiful and healthy! Our second pregnancy my A1C was 11.5 at our Dr.'s visit and again lots of highs and lows through out, and delivered 2 weeks early by c-section a huge 9lbs 8oz big boy, beautiful and healthy! So congrats,and try not to stress. Every emotion seems to mess with your BS.
Hey Megan, congratulations!!!! That is wonderful news! I'm so excited for you. :)
About the bg spikes, yes, I had one significant one at about 13 weeks. I completely freaked out. My bg actually climbed to over 400! My pump site CAME OUT at work and it was so scary. I got it down as quickly as possible.
As for other spikes, I don't remember getting any numbers over 250. (I had more trouble with lows than with highs.) But I did get up over 200 a few times a week.
Anyway, we can't tell that the big spike or the little ones have affected the baby-- she looks good on the ultrasounds and all the tests have been good. She's in the 39th percentile for size. She'll have a little heart murmur (I wrote about that on my first blog post on my page, in case you want to know more), but that might go away by the time I go for my next fetal echocardiogram, and the pediatric cardiologist said that the murmur had nothing to do with my T1.
So my (unsolicited!) advice would be: be sure to check ketones if you get over 200 or 250, especially if you're that high in the morning... if you have ketones in the morning and you're not high (esp. in the first trimester) then that means you need to eat a bedtime snack; subQ in your stomach if you're trying to get a bad spike down (I noticed that the insulin works more quickly if you inject it in your stomach, instead of using the pump to bolus); and use exercise to get the high's down when you can. Also, you might get some highs because you're having lows and experiencing rebounds. I know I had so many lows in the 1st 20 weeks. If I knew I was going to treat with more than about 20 carbs, I'd bolus a little before I treated. I know that sounds crazy, but it kept me from rebounding and getting on the bg roller coaster.
Sorry for the super long message... I'll add you as a friend so we can send private messages if that would work better for you. I'll send you a note with some good T1 pregnancy resources/websites. Please let me know if you have any other questions!!
Hey Megan, welcome to TuD! I'm glad you found us. :)
I saw that you might be interested in pregnancy and T1. I've had T1 for 23 years now, and am 31 weeks along in my first pregnancy. I have been writing a little bit about it in blog posts on my page. You'll have to check it out when you get the chance!
Let me know if you have any questions. This is my first pregnancy, so I don't know how much help I can provide, but I'd be happy to answer questions based on my experience so far. :)
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