Newbie

[mrsnnm]

My pregnancy HbA1Cs were all lower than that. I don’t remember every single one, but 33 was common. I was told it was fine as long as I wasn’t having too many hypos. If you reduce the hypos, you could still have a good HbA1C 🙂

I’ve probably said this already, but set your Libre alarm in the 5s so you get warning of drops. Pregnancy can bring some really fierce and sudden hypos. They can also happen at unexpected times.

Levemir is a better option than Lantus anyway, and I think they prefer pregnant women to avoid Lantus, or at least they did some years ago. If you have Think Like A Pancreas, there’s a really helpful pregnancy/insulin needs graph in there. Just small but really shows the changes and at what stage they usually happen. They are massive changes. Don’t worry about them. Focus on keeping your blood sugar in range and taking the insulin you need. Also, carry lots of hypo treatments and snacks with you (I used to take cake bars and flapjacks). At one stage, my lunchtime ratio changed so drastically that I was taking minimal insulin for a whole lot of carbs and top-up carbs! At another stage, my breakfast dose went up to 20 units whereas pre-pregnancy it had been 5 units. It’s quite mind-blowing to experience (but not in a bad way).

Ahhhh really?? That is reassuring to hear about your pregnancy hba1c numbers, thankyou 🙂
I do not have Libre, I have Dexcom one but they've ordered me the Dexcom 6 or 7? They changed my blood level boundaries today on dexcom clarity (online platform where I upload my Dexcom results)
Ahhh yeah they mentioned that Levemir is a better option than Lantus, is Think Like A Pancreas an app or a website? I would like to check it out. I usually take jelly babies and biscuits around with me for hypos, and omg no way?! Thankyou for sharing your experiences with me 🙂 I didn't realise that dosages can increase and decrease so much throughout pregnancy

 

[Inka]

Think Like A Pancreas is a book. It’s an American author but it’s one of two books frequently recommended here for Type 1s. Yes, take glucose and jelly babies, but also take top-up carbs, and maybe a GlucoJuice shot (works very quickly for fierce hypos) - and lots of them!

I’ve got the Dexcom G7 - it’s brilliant 🙂

Oh, and my basal had quadrupled by the last stage of pregnancy! It really is a time of change. If you know this is going to happen and are mentally prepared, it helps. It’s all those pregnancy hormones doing their thing 🙂

 

[everydayupsanddowns]

Yeah it is definitely more than 4% lol, it's funny as i thought the lower your hba1c is the better, but they said it is lower where they would want it

What does your Libre or other CGM show your time below range as? If it is more than 4% below 3.9 then yes you are having too many hypos.

I was told it was fine as long as I wasn’t having too many hypos.

Blood glucose management can be so tricky during pregnancy, and there can be a tendency to try to aim for as low as possible, but as your clinic/hospital (and members here) are saying it is possible to go too low, and that can be just as unhealthy and risky for you as things straying higher.

This graph from the international consensus on Time in Range shows recommended levels and proportions of time during pregnancy



You can see that the recommendation is less than 4% below 3.5 (not 3.9 or 4.0) and importantly less than 1% below 3.0.

You can read more about the consensus here

Time In Range - useful for Libre / CGM wearers

I've been meaning to post this for ages, but kept forgetting! At the ADA this year the international consensus paper on TIR (time in range) was published by a panel of experts with a huge amount of knowledge and expertise in supporting people to use continuous data to help manage their...

forum.diabetes.org.uk

And it’s important to notice that you can still have an on-target HbA1c that offers good protection to you and baby even if you have 25% of readings above 7.8

Obviously the pregnancy targets are really tight and demanding, but unfortunately there is pressure at both ends

 

[mrsnnm]

Think Like A Pancreas is a book. It’s an American author but it’s one of two books frequently recommended here for Type 1s. Yes, take glucose and jelly babies, but also take top-up carbs, and maybe a GlucoJuice shot (works very quickly for fierce hypos) - and lots of them!

I’ve got the Dexcom G7 - it’s brilliant 🙂

Oh, and my basal had quadrupled by the last stage of pregnancy! It really is a time of change. If you know this is going to happen and are mentally prepared, it helps. It’s all those pregnancy hormones doing their thing 🙂

I've just looked up that book on Amazon (3rd edition) and it has alot of great reviews, thankyou for your recommendation 🙂
Ohhh wonderful! I'm so glad that the Dexcom G7 works for you 🙂
I was prepared for the highs as I was told at the beginning to not let my bloods go high, i just didn't realise the increase in lows but it is a learning process and yes it definitely seems like it the pregnancy hormones lol

 

[mrsnnm]

Blood glucose management can be so tricky during pregnancy, and there can be a tendency to try to aim for as low as possible, but as your clinic/hospital (and members here) are saying it is possible to go too low, and that can be just as unhealthy and risky for you as things straying higher.

This graph from the international consensus on Time in Range shows recommended levels and proportions of time during pregnancy

View attachment 27622

You can see that the recommendation is less than 4% below 3.5 (not 3.9 or 4.0) and importantly less than 1% below 3.0.

You can read more about the consensus here

Time In Range - useful for Libre / CGM wearers

I've been meaning to post this for ages, but kept forgetting! At the ADA this year the international consensus paper on TIR (time in range) was published by a panel of experts with a huge amount of knowledge and expertise in supporting people to use continuous data to help manage their...

forum.diabetes.org.uk

And it’s important to notice that you can still have an on-target HbA1c that offers good protection to you and baby even if you have 25% of readings above 7.8

Obviously the pregnancy targets are really tight and demanding, but unfortunately there is pressure at both ends

I appreciate the information given, thankyou.