r/BumpersWhoBolus

I just found out I’m pregnant (two weeks post conception) and I’m extremely worried about the health of my baby. I did not expect to get pregnant this quickly and have not been taking folic acid. While my last A1C was 6.0, I have been starting on the Ypsomed pump. In the last two weeks I had two DKA incidents due to faulty connections. The first was trace amounts and I was able to fix it fairly quickly. In the second incident I had a moderate amount of ketones when I tested and it took longer to come down from. Since those two incidents I have been under control. However, since I found out I’m pregnant, I’m so scared about my baby and the development of their neural tube. I’m so worried that those DKA incidents plus the lack of folic acid could have impacted them. Since just finding out I’m pregnant I have now gotten folic acid supplement and I took 5 mg. However, I’m scared and angry at myself. Wondering if anyone has any insight into this subject? I just found out today but I’m contacting my health team tomorrow to discuss, but wondering if anyone could offer some advice?

Hey, all! Hopefully this is OK since it’s about postpartum. My doctor recommended trying to cut out dairy for my breast-feeding baby and I am overwhelmed about how to do that and incorporate that restriction with my other restriction of trying to do lower carb with T1. Has anyone had to cut out dairy for breast-feeding and if so, do you have any suggestions for meals and/or low blood sugar snacks?

Hi all! I’m a FTM with T1D navigating my first trimester (7 weeks) and have established care with an OB, MFM, and Endocrinologist. My last A1C was 7.2 and I’ve had a few pregnancy scares but all seems to be going well so far. I am on both a CGM and insulin pump (tandem mobi) and thought either my endo or MFM would have strict control on getting my A1C under 6.5 since being pregnant but both have seem very relaxed during this pregnancy. Is this normal? I’ve read others have had either their MFM or endo put them on a strict routine where they’re changing pump settings weekly. Both my MFM and endo are not and have asked me to follow up either monthly (endo) or 6 weeks (MFM). Should I consider changing my care team? I just want to make sure I’m doing everything right but I think I might be overreacting since both my MFM and endo seem to not be too concerned with my A1C currently. Any thoughts and advice/experience would be greatly appreciated!

What is everyone eating while trying to maintain good BS control? I have my breakfast and lunches figured out and don’t mind eating the same things for those meals, but feeling in a rut when it comes to dinners. I have about 4 weeks left until delivery and trying to really lock in, but I’m getting bored with what we’ve been cooking lately. Any good meal ideas/recipes out there?

I'm really scared right now. We had two back to back chemical pregnancies this and last month. It broke my heart. My OB ordered blood test and I just found out my A1C is 9.2%. I had gestational diabetes four years ago when I was pregnancy with my first. Diet controlled only and everything went well. Admittedly, with all the stress of raising a kid without no support, I haven't been keeping up with my GD diet. I've been very actively and working out 4-5 times a day. But I also have awful eating habits....

Now I'm really panicking. My OB hasn't gotten back to me yet in terms of next steps. I assume I should get my glucose in control before TTC again. But overall I just feel lost and scared and depressed, especially because I'm still bleeding from the second chemical pregnancy. I guess I just wanna ask what's gonna happen from now on.....

I’m posting this hoping for some positive stories. My last labor and delivery were.. difficult and I’m so excited to have another baby, but I am having such a challenging time looking forward to their birth.

For context, I was grossly overlooked and neglected during my first pregnancy. I was not type 1 before pregnancy, and developed it unknowingly. My doctor postponed my glucose challenge for some reason, so I didn’t take it until 28 weeks. I took my test and my blood sugar was 365mg/dL. I didn’t know that at the time, and was just told at my next appointment two weeks later that I would have to do the 3 hour test. Obviously it went horribly, and my fasting blood sugar was above 200, and over the 3 hours a steady 450. I looked up my results this time and was horrified with what I saw. I also was looking at my blood pressure and started asking more questions at appointments, and it was consistently high, and I should have been diagnosed with hypertension or pre eclampsia. So the end of my pregnancy was a nightmare.

I went into spontaneous labor at 36.5 weeks. It was a very fast, very intense birth. From when my water broke to when my son was born, it took just under 6 hours. My son had lower blood sugar at birth, but didn’t have to be taken away yet. The hospital made me fast after birth to see what my blood sugar was in the morning (gave birth at 9pm). I finally begged a nurse at 4am for food, and so she tested my blood sugar. It was 48mg/dL. She got me some juice, peanut butter, and crackers. A few hours later I was eating breakfast and they came in to check my son’s blood sugar again. He was low, so they took him to NICU. I was pressured to give him formula over and over again. It was horrible. I was walking 10,000+ steps per day starting 12 hours after giving birth so I could breastfeed my son every 3 hours. One thing led to another, and my son was kept in NICU for 11 days and wouldn’t let him leave because he would cry hysterically during the car seat challenge and kept failing. So all I could do was helplessly watch my newborn cry and scream in his car seat and not even touch him.

I am so, so terrified of a similar experience this time. My diabetes is well controlled and I am in a much better place with it. But I truly cannot get myself to prepare for labor because of all of the anxiety I have around it. I don’t even know how I will take care of a NICU baby with a 3 year old at home. I am doing everything I can to prevent NICU time, but I know it’s not always avoidable. I live in a different state now and healthcare is so much better, but I still feel so unsettled.

Any positive stories or experiences would mean the world to me.

i just found out i’m pregnant with my 2nd! 🎉🎉 my a1c has consistently been 6.3-6.5 for the past half year but my dexcom GMI is reading a bit higher around 7.5? so i’ve been curious if anyone else has the same problem. i started noticing my dex g7 will be a little falsely high 50-75ml/dL higher but im like gosh would that make that big of an impact?

If you have another child, did you go into financial ruin trying to have your 2nd because I wasn't ready fir thus many appt till 28weeks. I just spent $80 on a sitter for 3hour visit that should of been 30minutes but they slapped on an ultrasound. Copay was $40 plus however mich the ultrasound cost....I think we need a loan to cover once a week appointments. Holy shit. Even drop in daycare are hefty in price. Plus cold and flu season will be coming inevitably and I cant be sick wifh coviid multiple times before I give birth. This is not ideal

Currently in the suppression phase before my first ER, and I have so many thoughts going on in my head. We are starting stims in August after 5 losses in a 9 year spanm I am 32, diagnosed with PMOS, and my first loss was at 23 years old - 17 weeks along, placental abruption. I had an ectopic with no damage to my reproductive system at 27, and 3 MMC before making it to first ultrasound. Husband is 45, has low motility and count, and has been given a Sudafed protocol to help with retrograde ejaculation. We had 2 unsuccessful IUIs. AMH 3.53, AFC 32

I specifically have questions that I'm looking for anecdotal responses vs going down the Google rabbithole , but something I have not come across much- any Type 1 diabetics willing to share their real and raw experiences? I'm about to hit my 30 year anniversary, and with that comes a huge stressor about long term chronic illness, my teenage years of burnout and revolting against my disease will be a big factor in egg quality.

-assisted hatching: we are not PGT testing due to many reasons, but my understanding is that due to ICSI, this is basically considered the same thing? My clinic does assisted hatching on every embryo, but I'm wondering what this actually means in terms of how many times the egg/embryo is punctured

Hello lovely people! On Saturday morning, I took a pregnancy test, and got a positive result. My husband and I were not trying for a baby, but I’m happy about it and want to try and have a healthy pregnancy if I can.

I’m 33F and have been T1D for 29 years. I am currently on MDI (waiting on approved PA for the Twiist) and my last A1c was 7.4.

I called my endo and left a message in a panic basically asking for support since I have no idea what I’m doing. Any advice and reassurance would be so appreciated, because I’m overwhelmed.

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Hi all! Currently 13.5 weeks with my first. Saw a MFM on Friday where I had the nuchal and met with the doctor. They have me scheduled for an early anatomy scan at 16 weeks. Is this common? / if you had It what was the outcome? I can’t seem to find anything about It on this thread but they said it’s standard for diabetics during pregnancy.

I’m 28 weeks pregnant (t1d) and have so far had good blood pressure readings at all of my appointments, but have just recently noticed some swelling in my feet, specifically my ankles. They are gone they are now cankles😞 lol when I google it, it says foot swelling is normal and to watch out for face/hand swelling and other symptoms for pre-e. Should I not be worried?

I've been researching T1D and pregnancy pretty deeply and figured I'd share a clear breakdown, since a lot of the info out there is scattered or overly clinical.

First trimester: Insulin sensitivity often increases for a lot of people — meaning the same dose that worked before pregnancy can suddenly run you lower than expected. This is part of why early pregnancy is a higher-risk window for unexpected lows, on top of morning sickness messing with normal bolus timing. It's not universal though — some people see the opposite (more resistance, higher numbers), especially if stress hormones are elevated.

Second trimester: This is usually when the shift flips — placental hormones (human placental lactogen especially) start driving up insulin resistance, often steadily increasing through the rest of pregnancy. Basal and bolus needs commonly climb noticeably from here on.

Third trimester: Insulin resistance typically peaks, sometimes requiring 2-3x pre-pregnancy doses by the end. Then right after delivery, insulin needs can drop fast — sometimes back toward pre-pregnancy levels within days, since the placenta (the source of a lot of that resistance) is gone.

The overall pattern is basically a U-shape for sensitivity — more sensitive early, progressively more resistant through the second and third trimester — but with real individual variation, especially in the first trimester.

Curious if this matches what people here have actually experienced, or if your pattern looked different.

Just wondering if anyone else feels like managing their diabetes in pregnancy has contributed to their phone addiction? I have become obsessed with opening my CGM app/pump app. I have my high alarm set to 140 mg/dL so I could just wait to check when it alarms, but I don't have the self-control to do that! Instead, I'm constantly checking throughout the day and night.

I have become so habituated to looking at my phone, opening the app and messing around with settings/making small corrections, and then . . . of course I end up doing other things on the phone as well.

I might have to use something like Brick to prevent me from using other apps while I'm checking my CGM. I "only" have twelve weeks left (though these twelve weeks are in many ways the most challenging and require the most hands-on management), but I'm worried I'll carry forward these bad habits.

My country gives mothers 2 months before birth - did you need more time? Is it a good idea to take more time off? Medically speaking I don't know how I could handle work and diabetic pregnancy simultaneously...

Hi all!

I’m currently 9w6d pregnant, and have been on a Ypsomed pump for two ish weeks. I’m currently got it connected to my lower stomach. Can it stay on there during ultrasounds or do I need to think about a new location? Thanks in advance! X

Long time lurker- first time poster. Thank you all for your stories and lessons along the way 💜 T1D for 27 years, Age 38, 1st pregnancy, current A1c 6.2, using an InPen for MDI. I am experiencing stubborn blood sugars in the 190s-230s that take 3-4 hours to come down. I have been slowly increasing my long acting and tinkering with insulin to carb ratios. The slowed digestion is throwing me off, particularly for dinner/overnight. I see so many posts about low sugars in the first, anyone else in my boat? I thought the stubborn sugars weren’t supposed to hit until the 3rd. Would love some reassurance that I’m not totally fucking this up OR if I am, and I need to advocate to get into MFM sooner? Thanks and love to you all.