Decreased Insulin Needs at the end of pregnancy?

Hi there. Just wondering if anyone has experienced a decrease in their insulin needs at the end of their pregnancy? I'm 36 weeks, and still feeling my baby move around just fine, so I'm not worried about her being in distress, but all of the sudden I feel like I'm getting way too much insulin (having lots more lows). I was under the impression that my insulin needs would just keep increasing until I go into labor. Anyone have any idea about this? Thanks!

That is classic, don't worry! Check out this graph:

http://static.diabetesselfmanagement.com/pdfs/pdf_1597.pdf

It definitely happened with me with my first pregnancy, and even though I was expecting it, it was a little worrisome, so I understand your concern.

That makes me feel so better! I feel like I've read all the diabetes & pregnancy books & blogs, how did I miss this?! Thank you so much, I feel much less worried now! :)

Totally normal! My insulin needs decreased from week 33 on, but much more in the last weeks. Sometimes doctors think that this is a sign of placenta failure, but our experiences suggest otherwise. If anyone scares you will placenta problems, they can check it with an ultrasound.

You are SOOO close!!!

No prob! Good luck!!!

Absolutely. With my first, I think it was at about 36 weeks. With my second, probably 38. It’s normal, but are you doing non-stress tests? That’s the best way to know the lows aren’t a sign of distress.

Yes, I'm doing non-stress tests twice a week, which we started at 32 weeks. So far everything has been OK. Glad to hear that this is normal! Thanks!

Yes, totally normal! I had this issue and ended up being scared into possible placenta problems... I had a very aggressive perinatologist who essentially tied my hands into induction at 37 weeks, 1 day. Looking back, I realize how aggressive she was and now realize that rushing to induction is NOT the norm. I'm going to see someone else in the practice this go-around...

Hi Erin,

I had the lows at the end with both pregnancies. No big deal with #1. But #2 was a different story. I went in for my 35 week scan on 9/13/13 and his heart rate was significantly low (never above 115). Additionally, my amniotic fluid was high (24.something? I think?) and my insulin needs were dropping like a rock. My perinatologist immediately called his peer, my endo, and my OB and they all confirmed that it was likely the beginning of placental failure and I was admitted to the hospital for observation until he could be born. Thankfully, the amino showed adequate lung development and Zane Daniel was born the same day.

If you have ANY concerns - please call your doctor. It is likely normal and nothing, but the possible adverse options are devastating and completely avoidable for you at this point. Good luck in the last few weeks!