I am looking for some advice/info about insulin treatment during labor. I am ~35 weeks pregnant, and have had type1 for ~25 years. I don’t use a pump - I take lantus (for long acting) and apidra (for quick acting insulin), and my A1C has been good (5.5 - 5.7 throughout my pregnancy so far).
In all the years of having diabetes, I have never had to rely on someone else to control my blood sugar and determine how much insulin I should take, so I’m worried about it during labor! - I was wondering what others of you, particularly that take multiple injections, have planned for you insulin treatment during labor - ie, will you be hooked up to an IV for glucose and your short term insulin, and continue to take your long-term insulin yourself?
While my endo will write out, for the labor nurses, how many units I take for a certain amount of carbs, and for corrections, etc, they will only monitor my blood sugar with finger sticks occasionally so they won’t know if my blood sugar is increasing or decreasing, if a previous correction has actually kicked in yet since correcting last, etc. I am most worried that the nurse will just inject me with insulin without talking to me first (and making me go low), or insisting on an insulin injection if I am a little high but dropping (and not listening to my suggestion or not communicating with me). I am mostly scared because when I (politely) asked my doctor about this, he said the nurse will have the final say and if I don’t like it I should go to a different hospital. (I wish I could, but being I’m already 35 weeks, I don’t think another hospital would accept a new ‘high-risk’ patient this late!).
I plan to wear my CGM throughout labor.
Would you please share your ‘blood sugar control’ experiences during labor or suggestions with me - thanks!