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First pregnancy and always high

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Fatima98

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Hi I’m new here, and I’m always worried and searching about T1D and pregnancy.
I am 9 weeks pregnant and my diabetes is always spiking after breakfast, these days it’s been controlled which never goes more than 200, I know it’s still high but it’s very hard to control it, I’ve never went higher but this night I woke up and it’s 300 I’m very worried about my baby and I’m scared if it will affect his organs, I’m stressed all the time I need help or at least someone that could say we are almost the same or you’ve been through this all.
 
Welcome @Fatima98 🙂 Congratulations on your pregnancy. How long after breakfast are you testing? This is a U.K. site so we use mmol for glucose. Your numbers are around 11 and 16. The pregnancy targets in the U.K. are basically to stay between 3.5 and 7.8 mmol as much as possible:

The recommended target range for your glucose is 3.5 – 7.8mmols. Spending 70% or more of the day in this range improves the chance of having a healthy pregnancy.

Are you on injections or a pump? If you’re high overnight, your basal might need adjusting. If you’re too high after breakfast, try bolusing earlier. That should help. Move your bolus 5 mins earlier, assess for 3 days, then move again if it’s not working.

Brief excursions above target are ok. I have 3 children and during my pregnancies I sometimes briefly went up to 11-13mmol.

Pregnancy is a time of changes to insulin doses. It’s also a time of more corrections. If you’re not confident adjusting your own insulin, speak to your team. Try not to worry x
 
Fatima98 said:
Hi I’m new here, and I’m always worried and searching about T1D and pregnancy.
I am 9 weeks pregnant and my diabetes is always spiking after breakfast, these days it’s been controlled which never goes more than 200, I know it’s still high but it’s very hard to control it, I’ve never went higher but this night I woke up and it’s 300 I’m very worried about my baby and I’m scared if it will affect his organs, I’m stressed all the time I need help or at least someone that could say we are almost the same or you’ve been through this all.
Click to expand...
Hi Fatima,

It sounds as if you may need to adjust your insulin:carb ratio perhaps.
I am also 9 weeks pregnant and to start with my blood glucose was a little high after meals, but changing the ratio has really helped and now it's pretty much spot-on most of the time. It might be worth contacting your diabetes team for support. Have you been able to see them regularly so far?
Try not to worry too much if you can.
 
Inka said:
Welcome @Fatima98 🙂 Congratulations on your pregnancy. How long after breakfast are you testing? This is a U.K. site so we use mmol for glucose. Your numbers are around 11 and 16. The pregnancy targets in the U.K. are basically to stay between 3.5 and 7.8 mmol as much as possible:

The recommended target range for your glucose is 3.5 – 7.8mmols. Spending 70% or more of the day in this range improves the chance of having a healthy pregnancy.

Are you on injections or a pump? If you’re high overnight, your basal might need adjusting. If you’re too high after breakfast, try bolusing earlier. That should help. Move your bolus 5 mins earlier, assess for 3 days, then move again if it’s not working.

Brief excursions above target are ok. I have 3 children and during my pregnancies I sometimes briefly went up to 11-13mmol.

Pregnancy is a time of changes to insulin doses. It’s also a time of more corrections. If you’re not confident adjusting your own insulin, speak to your team. Try not to worry x
Click to expand...
Thank you for the reply
I’m really trying my best not to stress but I get so worried about my baby.
After 1 hour it gets higher and higher until I inject a correction. I started injecting earlier like 30 minutes before eating and it kinda helped.
Last 2 weeks I got it controlled well like 90% on dexcom it’s in range but it’s very hard to keep it that way for long.
I’m super worried about having so much insulin is it bad will it affect my baby
 
Lauren said:
Hi Fatima,

It sounds as if you may need to adjust your insulin:carb ratio perhaps.
I am also 9 weeks pregnant and to start with my blood glucose was a little high after meals, but changing the ratio has really helped and now it's pretty much spot-on most of the time. It might be worth contacting your diabetes team for support. Have you been able to see them regularly so far?
Try not to worry too much if you can.
Click to expand...
Thank you for your reply and congratulations for your pregnancy too I hope we both go through a healthy pregnancy and a healthy baby.
I’m having high reading after breakfast
So those highs are getting me very stressed cause it’s my first time
 
Fatima98 said:
Thank you for your reply and congratulations for your pregnancy too I hope we both go through a healthy pregnancy and a healthy baby.
I’m having high reading after breakfast
So those highs are getting me very stressed cause it’s my first time
Click to expand...
Definitely get in touch with your diabetes team and see how they can help. Hopefully an easy adjustment and your levels will be lower.
 
Fatima98 said:
Thank you for the reply
I’m really trying my best not to stress but I get so worried about my baby.
After 1 hour it gets higher and higher until I inject a correction. I started injecting earlier like 30 minutes before eating and it kinda helped.
Last 2 weeks I got it controlled well like 90% on dexcom it’s in range but it’s very hard to keep it that way for long.
I’m super worried about having so much insulin is it bad will it affect my baby
Click to expand...

I found breakfast most difficult. This is normal because most people are at their most insulin resistant at breakfast time. I gradually had to inject earlier and I also needed to change my meal ratio and inject more insulin. If you’re regularly having to give correction doses after breakfast, then it might well be you need more insulin for breakfast.

There could also be an element of what’s called Foot on the Floor - that is, blood sugar increasing when you get out of bed. That increase can affect your results too.
 
Fatima98 said:
Thank you for the reply
I’m really trying my best not to stress but I get so worried about my baby.
After 1 hour it gets higher and higher until I inject a correction. I started injecting earlier like 30 minutes before eating and it kinda helped.
Last 2 weeks I got it controlled well like 90% on dexcom it’s in range but it’s very hard to keep it that way for long.
I’m super worried about having so much insulin is it bad will it affect my baby
Click to expand...
Insulin will not harm the baby. High blood sugars aren't ideal, however it is about time in range and 90% is very good.
Stress also impacts levels so try not to worry.
Your carb ratio might have changed, is it worth adjusting this?
 
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