When did your insulin needs start to change?

I don't remember exactly but it was around 18 or so weeks. The hypos eased off. Then in the early 20s of weeks, I saw noticeable increases in my insulin needs which became really apparent around 25 weeks.

Hey Catherine, I was diagnosed with type 1 five years ago when about 6 months pregnant so although not quite the same circumstances it's quite similar as dealing with pregnancy and being newly diagnosed at the same time. I have since had a second child.
Insulin requirements can be quite unpredictable particularly when pregnant. For me my insulin requirements reduced in early pregnancy then gradually increased from around 20 weeks. Everyone is different so it best to test lots and be prepared to adjust your insulin but do it gradually and get help from your diabetes team. If you are needing to eat to prevent hypos you may benefit from reducing your insulin slightly. Are you getting help with carb counting?
I found it best to stick to foods that I knew the effect on my blood sugars. It is hard getting it right when he to diabetes and pregnant so just do the best you can and don't beat yourself up about highs/lows. I think because I was diagnosed when pregnant it has helped to give me good control now as I started off by being so strict with myself.
I had sudden hypos at around 37 weeks on my first pregnancy and my induction was brought forward slightly. Then had to work it all out again once the babies were born! Just make sure you have hypo treatments to hand and keep in contact with your diabetes team.
Congratulations and good luck!

I have been type one for 16 years and had two pregnancys in this time both times my doses havnt been raised they've been dropped dramatically due to awful hypos resulting in ambulances so you are not alone , usually it's around 20-25 weeks though xxx

Hey Catherine,

I hope you have continues BG monitoring with a system that lets your and your consultant see the BG graphs, if not I think your consultant could make a strong case for the NHS to provide you with such a system at lease while pregnant. Maybe your regular lows would justify a pump as well.

ringi said:

Hey Catherine,

I hope you have continues BG monitoring with a system that lets your and your consultant see the BG graphs, if not I think your consultant could make a strong case for the NHS to provide you with such a system at lease while pregnant. Maybe your regular lows would justify a pump as well.

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Every pregnant woman has hypos. Some get CGM, most don't.

It's perfectly possible to have a good pregnancy without a pump and/or CGM as most pregnant women test frequently anyway.

I'm sure the OP is aware of the options. Please stay on topic.

It more:
Therefore I would expect there to be benefit from remove as much guessing as possible.

ringi said:

It more:

My consultants have not treat someone in the same situation as me before (or so they say) so they say it's a bit of a guessing game
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Therefore I would expect there to be benefit from remove as much guessing as possible.

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You misunderstand the "guessing". They're referring to pregnancy in someone recently diagnosed, and the possible honeymoon period. A pump wouldn't help with that. Moreover, other members have confirmed they've been in a simialr situation and have given their experience above, including being diagnosed during pregnancy.

The pattern of placental IR should be similar, but even in ladies who've had Type 1 a long time, pregnancy can cause unusual results as Tilly has explained above.

In addition, I believe the OP is using flash GM already.

I'm Type 1 for over 20 years and 24 weeks pregnant. I've had to increase my insulin since my first appointment when pregnant at 5 weeks and insulin has increased every week since. Guess i must have very strong insulin resistance. Had a small amount of hypos at 20 weeks other than maintained a 6.3 HA1C. By the replies on this topic and the other ladies i chat to at my clinic is sounds everyones requirements increase/decrease at different stages....
Wishing you good luck on your pregnancy journey