I live in Canada. I had both my babies in the hospital. Stayed for 3 days at most. But unless there is some underlying issue with the baby or other health issue, all diabetics do not need to spend that long in the hospital for a pregnancy. Although, if they are making you meals and doing the laundry, I would consider it a nice vacation (just joking…)
As advice, and this is really not diabetes releated per se, but I used a doula with my second baby. I was on a bunch of IVs, so felt a hospotal delivery was necessary rather then a home delivery. Many people like to have home deliveries and use mid-wives, but I don’t recommend that for people with diabetes. Your insulin level is directly related to the hormones from pregnancy and you can go through quite a quick change once the baby is delivered. Your hormones and insulin requirement take quite a drastic change, so I liked being in a hospital. Also diabetic babies have much higher risk of complications, so the hospital gave me comfort knowing the baby would be well looked after. So I like to be in the hospital for that, which kinda took the mid-wife option away as our hospital does not permit mid-wives. It always your choice, but I liked having a doula who concentrated on helping me in the delivery and the dr’s concentrated on the baby. This was an out of pocket expense, but well worth it for me.
I say go with a doula, but also look at the mid-wide option.
I live in a very rural area. I started talking to my endo, my ob-gyn and family dr as soon as i was pregnant about the fact that I wanted to wear my pump in delivery. This took a lot of convincing and work to do it. I was the first person in that hospital to ever wear the pump in delivery. There was a backup plan using insulin in an IV, which they felt more comfortable with, but I didn’t like. It worked out really well on the pump. And all my drs said it was the best diabetic delivery they went through. I had a great hubby, who was taking my blood sugars every 10 mins and writing them down. I had my CGM on, but it ended up not working too well and I find it isn’t always that accurate anyway. It takes quite a team, so take some time and think about who you want to include on your team: doula, mid-wife, endo, ob-gyn, hubby, etc, etc…
Good luck in your preps. Its a great idea to ask as many questions as you can before you are pregnant. My experience is just one and everyone will have a different experience, so be sure to keep an open mind and know that you can plan, but almost anything can happen and plans have to change.