I wanted to do a little update on here about how my pregnancy and blood sugar is going. I know before getting pregnant I had posted several threads and read a ton because I was so nervous about going through pregnancy with t1d. This might be long winded but I don’t want to forget any details. Just for reference, I am on MDI (Tresiba and Novolog pens) and use a glucose meter.
So far, things have been pretty much normal! Baby had a strong heartbeat at my 8 week ultrasound! So very thankful and relieved for that appointment and ready to go back again! I haven’t had any issues with blood sugar control, aside from needing a bit more insulin. I’ve been very lucky in only battling mild to moderate nausea but haven’t actually gotten sick. Food aversions and nausea were most prevalent weeks 6-8 but now it has eased up. I haven’t had many lows at all; I’m really not sure what weeks most t1d’s experience lows, I’ve read different things. For me though, things have been pretty steady and normal.
I want to also throw out there for anyone thinking about getting pregnant but don’t have a GCM or pump; it is possible to have good, tight control without them. I know I’m not in the later months of pregnancy yet, but I check my sugar (I always have) 8-10 times a day, if not more if I’m more active. I correct if I need to, but I’ve been able to be under 85 fasting, and under 140 two hours after meals (my OB guidelines), and my A1C is 5.3. I was most nervous going into this because so many people told me I can’t do it without those tools, but it is possible. It hasn’t been hard on me, because I’m so used to testing often and correcting anyway; I really think a lot of it has to do with how you know your body and knowing how to control to begin with. I don’t have the option to get those tools because of insurance reasons, so if anyone is in the same boat I want you to know you can do it too!
I go for another ultrasound and bloodwork in two weeks and then we’ll be announcing to everyone! I’m so excited and since we’re getting genetic testing done as well, I was given the option to know the gender early also, which we’re excited about. Genetic testing was for sure happening anyway, so why not know early if I can! I can’t wait. As far as specialists or endos; my OB’s office is fine with me just seeing my primary doc who writes my insulin scripts and such. I actually don’t have a doctor who “monitors” for me. I don’t feel comfortable with anyone telling me what to do with my diabetes, but she is one who I feel comfortable with if I do need help. I make all adjustments myself and she is confident in my self care which is what I needed through this. I know some need more assistance or guidance which is totally fine, but with not having many options near me, I am very thankful that the office is letting me see her instead of their team of endos. I saw an endo in their group prior to becoming pregnant and it was an awful experience (see my endo venting thread). So having my team set up and knowing that I can breeze through this pregnancy without having tons of different docs critiqing my BG managment, really eases my stress. The more I stress about my numbers the more awful they are, but when I can relax and correct as needed, etc. I do just fine.
I was so worried about sever morning sickness, bad lows and just having an awful time. The main thing I’ve battled is fatigue so I’ve been sleeping a ton. I’m so beyond grateful for not having morning sickness like a lot of women do, because I was very scared about extreme BG lows. I’m still keeping an eye out though because one thing I’ve noticed since becoming pregnant is my low symptoms changing. Instead of getting the shakes and things, I’ll just get super nauseous if I drop. That was hard to decifer when I was in my most nauseous weeks, but it seems like my body is leveling out and my low symptoms are starting to get back to normal.
That’s all I have for now and I hope that gives some encouragement to anyone TTC or wanting to, and who are scared. I never, ever thought I would have a baby. For me, so much research and planning about T1D went into this before trying because of my fears but I want you to know that reading and researching is your friend, reaching out via this forum is a great thing to do, and having faith in yourself to have good control is what you need! We’re a lot stronger than we give ourselves cerdit, so don’t focus on the fear too much and know that you can do this too!