Hello, all! I'm currently 25 weeks pregnant, and my basal rates are up to 1.0u/hr and my bolus ratio is 1:7 (originally 0.8u/hr and 1:12 pre-pregnancy). My A1c as of last week was 5.4%, up from 5.1% at 20 weeks.
My endo told me at the beginning of my pregnancy that my goals are to be <90mg/dL before meals and <120mg/dL two hours after meals. I've been trying my best to adhere to these goals, and of course I'm having a lot of lows because of it. Well, my endo told me last week that he wants to me increase my bolus ratio to 1:9 and extend my IOB time from 4 to 6 hours. He wants me to do this to avoid the number of lows I'm having, which there are a lot.
The thing is, if I switch to his suggestions, then I'm going to see numbers a lot higher than 120 mg/dL after meals. I just don't see how ANYBODY can stick to the 90/120 rule without either a) eating extremely low carb (which I've decided is not healthy for me or baby because I believe in having balanced nutrition) or b) having a low after every meal unless it's packed with a lot of protein and fat (I've yet to find that perfect balance).
I guess I'm feeling a little bit overwhelmed feeling like I need to maintain this tight control without having a ton of lows. I feel like it's impossible. And right now it's more important to me to try to keep lower numbers than to worry about my lows. I can handle lows, I don't want my baby to handle higher numbers.
Anyone else feel this way?