u/renegayd

I am 34 weeks and just having one of those days. I get 3 sensors a month from the pharmacy- the 1st was fine, the 2nd didn't insert the wire so instantly failed (waiting on a replacement) and the 3rd one is wildly inaccurate, but I'm stuck using it because I have no others, and it's better than nothing. It's giving me horrible compression low readings so I have slept badly for 2 nights. I think I need a basal increase but I don't have enough good data to know. I'm having highs that clearly need some sort of settings change. It's so frustrating to do everything I can, and work so hard, and then be thwarted by bad tech. This is in addition to the regular 3rd trimester diabetic woes - tired, achy, haven't been able to eat what I want for months, making constant insulin adjustments, hoping that baby and placenta stay healthy as long as possible. Like I said, just venting. Appreciate any solidarity or encouragement you can offer!

Long story short, my endo says that most of her patients sign AMA paperwork to be able to keep their pumps and manage their own blood sugars and insulin during labor and delivery. She recommended my husband know how to work my pump too (he does, and my mom will also be in the waiting room and can step in if needed.) My OB team seems to think there is no way I can do this. They don't know very much about diabetes and how much work I currently do for management. But I've also never been in labor before. I know from experience that doctors tend to let you run high if they control your insulin in the hospital bc they are scared of lows. But after months of such tight control, I'm gonna feel terrible if they let me run at 200 for days. What would you do?

Hello all! I'm 31w pregnant, type 1 of 26 years. A1c has been 5.6 or under this entire pregnancy (as well as before) and I'm in range about 80%. My team has consistently told me I'll be induced between 37-39w. I've asked what will determine when in that range we induce, and they've said a) how baby is doing on the NSTs and BPPs (makes sense) and b) how my blood sugars are. This week, I've asked how they determine that second factor, because no one ever asks more than "how are your BGs doing" and I say "pretty good!" and tell them my most recent a1c and they move on. (I have an endo I work closely with, and we are obviously much more detailed.) Well, this doctor I spoke to recently was very pessimistic about being able to go past 37 weeks, but couldn't really articulate why, other than a higher risk of stillbirth. I asked her what would make her feel comfortable with going to 39w, and she said if she had blood sugar logs with fasting and post-prandial numbers. (No one has ever asked me for those before). I told her my a1c and TIR, but she didn't seem very interested in those. So, I guess I'm wondering for those of you who have delivered before, assuming your baby looked good on all the tests, how did you and your team decide when to induce, and what role did your BGs play in that?

I'm 31w tomorrow and noticing (once again) highs in the morning/with breakfast. I pre-bolused 45 minutes this morning and had a smoothie, which is a really easy food for me usually, but now I am spiking. How do you tell whether you need a longer pre-bolus (I know you can need up to 1 hour in the 3rd trimester) or whether you need to adjust your carb ratio to be stronger?

I'm 27w 5 days today, and for the past 2 (2 and a half?) days, I've seemed to need less insulin. It actually may have started 4-5 days ago, but I was unusually active over the weekend and attributing the lows to that. I'm noticing that my blood sugar is dropping even with eating, like I see the line go up briefly, and then it swings back down. I'm hanging out between 60-80 with no real effort. Last night I even ate a peach without dosing for it, and while I went up to about 130 for about 2 hours, it came down with a 1u correction (normally would dose about 2.5u for that). I haven't been able to get away with not bolusing even for 5g in months. I haven't changed what I'm eating, and I haven't changed my settings in a week. Is this something to be concerned about? I'm between endos right now because of an insurance issue, so I'm managing my diabetes all on my own. I do have a growth scan and OB visit tomorrow, but I'm not sure if that would catch any potential issues that could be correlated to these blood sugar changes.