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9 weeks pregnant with erratic blood sugars
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<blockquote data-quote="1Sarah1" data-source="post: 934569" data-attributes="member: 66236"><p>Hi Carole</p><p>Congratulations on your pregnancy.</p><p>I'm t1 on a pump currently second pregnancy (with twins this time).</p><p></p><p>First of all have you tested your basal rates to make sure they are correct. Ie no carbs for a block of time?</p><p></p><p>What are your night sugars like I normally test twice a night but my basal increases significantly from about midnight as I suffer with dawn phenomenon?</p><p></p><p>Your insulin rates do increase in pregnancy so you might need to increase if you notice your sugars increasing.</p><p></p><p>Low blood sugars aren't as damaging for babies as high ones but are not good for mums. What is your hypo awareness like?</p><p></p><p>I test probably every 1-2 hours as its the only way I feel in control but it doesn't stop an odd high or low creeping in.</p><p></p><p>Your hba1c wasn't bad to start with (I had about the same with my dd) but you can work to bring it down- it is possible but takes some work. For this pregnancy I'm averaging between 5.5-6.</p><p></p><p>Try to understand what is causing your highs first. Your bolus to carb ratio will also change. Look at what you are eating. Can you change to a low GI diet to keep sugars smooth?</p><p></p><p>I remember being a nervous wreck my first pregnancy when the sugars were high. Work on getting them down ASAP. Your dose to reduce them will probably need increasing.</p><p></p><p>Also other factors such as work, stress, weather etc - try and understand how they impact on them if you don't know already.</p><p></p><p>Try and put your energy into controlling the sugars rather than scaring yourself silly over googling what can happen. </p><p></p><p>You might need to change the timing of your bolus at meals ie have it 15 mins before. If you don't eat all your carbs for any reason you could try topping up with fruit juice on that occasion so you don't go hypo.</p><p></p><p>Hope some of that helps</p><p>Good luck!</p><p>Sarah</p></blockquote><p></p>
[QUOTE="1Sarah1, post: 934569, member: 66236"] Hi Carole Congratulations on your pregnancy. I'm t1 on a pump currently second pregnancy (with twins this time). First of all have you tested your basal rates to make sure they are correct. Ie no carbs for a block of time? What are your night sugars like I normally test twice a night but my basal increases significantly from about midnight as I suffer with dawn phenomenon? Your insulin rates do increase in pregnancy so you might need to increase if you notice your sugars increasing. Low blood sugars aren't as damaging for babies as high ones but are not good for mums. What is your hypo awareness like? I test probably every 1-2 hours as its the only way I feel in control but it doesn't stop an odd high or low creeping in. Your hba1c wasn't bad to start with (I had about the same with my dd) but you can work to bring it down- it is possible but takes some work. For this pregnancy I'm averaging between 5.5-6. Try to understand what is causing your highs first. Your bolus to carb ratio will also change. Look at what you are eating. Can you change to a low GI diet to keep sugars smooth? I remember being a nervous wreck my first pregnancy when the sugars were high. Work on getting them down ASAP. Your dose to reduce them will probably need increasing. Also other factors such as work, stress, weather etc - try and understand how they impact on them if you don't know already. Try and put your energy into controlling the sugars rather than scaring yourself silly over googling what can happen. You might need to change the timing of your bolus at meals ie have it 15 mins before. If you don't eat all your carbs for any reason you could try topping up with fruit juice on that occasion so you don't go hypo. Hope some of that helps Good luck! Sarah [/QUOTE]
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