I’ve been type 1 for the past 7 years. I had my daughter almost a year ago now (can’t believe it’s been that long!) and I always meant to post here about how the birth went–with my goals to have a “natural” birth and being in control of my own BG the entire time with no IV, etc.
In short, all that worked!
Ultimately I liked my perinatalogist, but I had to argue a lot with her about not being induced (I went supposedly to 41 weeks) and procedures during delivery. Since I had my A1C around 5.0 the entire pregnancy (and for years prior) I argued that other than additional diagnostic tests I should basically be treated like a low-risk pregnancy. She argued that there was risk associated with merely being diabetic (rather than having high blood sugar) but could not produce the references for any articles to this effect. In my experience doctors don’t like it when you ask them to produce the data they’re basing their recommendations off of, LOL.
I managed my own BG, (with an insulin pump, though I normally prefer MDI due to no mechanical malfunctions) and delivered with nothing but a hep-lock (the IV cannula ready to go in case of emergency), which was my only concession to them. I did spike briefly up to 170 shortly after my daughter was born for some (hormonal?) reason, but otherwise stayed in the range of 90 - 115.
They wanted to test my daughter’s BG every few hours, but I made them stop after the first two normal results. She was born at the exact 50th percentile of weight.
I had no pain medication and didn’t feel like I needed any. I’m sure I was super lucky in terms of her position–she’s cooperative even now! I stayed home until I was 8 cm dilated and credit staying away from the hospital with how smoothly everything went.
Just wanted to offer some encouragement to any here who are looking to have a birth with as few interventions as possible and wondering if it is possible with type 1. It totally is!