Pregnancy and type 1 diabetes

Hello so I’m new here but I’ve had type diabetes for 13 years. This is very personal and touchy subject but I was wondering if there are any diabetic moms or diabetic soon to be mom’s out there that could help with my question. I want to know how safe it is to have a baby and all the precautions and or steps needed to achieve a healthy baby and myself. See I had a miscarriage two years ago on mother’s day so I blame myself and not being “healthy” enough. But no one knows how it happened. Things happen for a reason whether it be good or bad we know it or not, is what I believe. I just want to talk with someone on this subject so they can help me or give me advice someone who is going through it or has gone through it. Thank yiu for reading and hope to hear from someone soon. :slight_smile:

I am obviously not a mom, but I believe you will find some great support and information at our group "oh Baby" located at:

http://www.tudiabetes.org/group/ohbaby?commentId=583967%3AComment%3A2901249

As a child of an eventual type 1 who struggled with this decision in the 50's I am a great admirer of women who struggle with this decision. All I can say is yes a positive pregnancy possible so long as you keep very tight control. and with that i will go back to the sidelines, admiring women who struggle with this conundrum and their eventual decision one way or the other. I wish you the very best of good fortune.

rick

i've had T1 since i was not yet 3years old.
i had 3 children who are well & healthy.
go ahead have a baby as long as you take care of yourself & have the right
good endo, etc...
GOOD LUCK.
WELCOME TO TUDIABETES.
HUGS.

I have had D since 1975. In 1988 I had a miscarriage and I too blamed myself for it. But I don't think it had anything to do with D and I subsequently had a successful pregnancy in 1990. My son is now 23 years old and is healthy and happy. While my control at the beginning of my pregnancy was less than ideal, my A1C immediately following his birth was 5.4. I'm pretty sure the super tight control during the pregnancy contributed to the good outcome. So yes, it is possible. Shoshana and I were pregnant well before CGM's were available. I think if I were to do it all again, I would definitely make sure I had a Dexcom from the start.

Wow clare that is so inspiring! :slight_smile: that makes me feel so much better that the baby can be healthy and happy as long as I remain under control and tight A1Cs. Did you have any type of complications at all? Or was it like a normal pregnancy?

It was a totally normal pregnancy, no complications at all. They did an amniocentesis to assess lung development at 37 weeks which was a bit scary but I think that is what triggered labor because I was supposed to be induced on Tuesday but my water broke during Monday night football. It was also a completely natural delivery with no drugs at all. I'm not sure I would recommend that :)

That’s very wonderful. :slight_smile: I’m going to do the no drugs I don’t believe in it and plus I have my own views on it also that damn needle is way too big going into the back. I have another question were you on any type of pump or shots. I’m currently on shots but hopefully in the near future going to a pump.

I was strictly on shots I didn't get a pump until last year, but I think it would have certainly helped with control if I had one back when I was pregnant. But the biggest thing I would get even before a pump is a Dexcom.

What is a dexcom?

www.dexcom.com
it is a CGM (Continuous Glucose Monitor) basically it is a sensor that is inserted into a fat part of your body. It has a wire that is embedded in your skin and a transmitter that sends a signal to a receiver which you carry. It tests your blood sugar 288 times a day - or every 5 minutes. It is great for being able to see trends and patterns of your blood sugar throughout the day and night. For me it is especially good because I no longer feel it when I become hypoglycemic. I don't have any of the classic symptoms - shaky, sweaty, etc so I rely on the Dexcom to wake me up in the middle of the night if I am going low and during the day to stay on track.

Oh my gawsh that is way cool. Sorry I haven’t heard of it so I’m pretty excited about that. So if it tests your blood do you still have to test it? I will be definitely talking to my endo about this :slight_smile:

Technically it doesn't actually test your blood. It is placed in your "interstitial fluid" which is the liquid between your cells. So you do have to still test your blood sugar, but only a couple times a day and then calibrate the Dexcom with the value. It is super cool and has made my life so much easier and safer. My Dexcom is covered 100% by my insurance company I have no copay required at all. But I have really excellent health insurance many people have to pay for it out of pocket. During pregnancy though I don't think there is anything that would be more helpful.

Oh ok well that’s still pretty neat. I will mention it next time I go in and see what she says. Thank you sooo very much!!

You're very welcome. This is what tuD is all about. I have learned so much here and now I can share what I have learned. I'm thrilled to help in whatever way I can. Just know you are not alone, and there is absolutely nothing you can't ask. There are a combined well over 100,000 years of experience with D here at this site, consider it a resource for better management.

I will. I appreciate it so much.

I Do HIGHLY recommend a CGM during pregnancy (and before so you can get used to it before pregnancy) I too use the dex g4 and love it - it was life changing. There is lots of info on pregnancy and diabetes your dr can give you. I will say I had 1 miscarriage while diabetic and 1 daughter. My daughter was born premie with a heart defect but is currently a healthy teenager who gives me much joy and attitude and there is no evidence that my being diabetic caused any of her problems. I know plenty of disabled children born to "healthy" non diabetic parents and healthy parents who had miscarriages. There is much in life you can't control. The key is to find the best medical care you can and take the best care of yourself that you can.

That is very true thank you so much for the help.

I have had T1 since 14, now 25. I have a 3 year old. I did have on major complication, I am on an insulin pump and the cannula kinked when putting a new one in one night. Rushed for c-section the next morning.

So if you are one insulin pump, watch closely for rises and try to correct fast. Other than that my A1C stayed between 6-7 the 7 months, I added vitamins into my daily routine. Saw my high risk ob every six weeks, even being premature she was fully developed (lungs and all at 31 weeks) only this she needed was sugar iv supplements because my BG was high for 12 hours.

Best of luck during your pregnancy.

That’s very helpful thank you! :slight_smile: