Being pregnant comes with a lot of fears:
- Am I getting enough nutrients for the baby?
- Am I taking the right precautions to avoid listeria?
- Did the alcohol I had before I knew I was pregnant affect the baby?
- Am I drinking enough water?
- Have I remembered to take my pre-natal vitamins everyday?
- Is my heart rate below 140bpm when I exercise?
But being pregnant with diabetes, I have so many more concerns:
- Will that high blood sugar affect my baby’s health?
- Was my blood sugar too high for too long?
- How are all these low blood sugars affecting the baby?
- Is my A1C good enough?
- Will my baby be too big or too small?
- Will my baby make it to the full 40 weeks?
- Will I have to have a C-section and if so will I heal properly?
- Will my higher blood sugars before I found out I was pregnant affect my baby?
- Do I have a good medical team to support me and do they communicate well?
- Did I pre-bolus enough?
- Are my insulin to carb ratios, basal rates and correction factors correct?
However, there are two things that scare/worry me the most about being pregnant with Type 1 Diabetes:
1. What will I do when I can no longer use my stomach for my CGM and infusion set? I’ve only ever used my tummy in 17 years with a pump and 2 years with a CGM, I don’t know anything else. I’ve slowly ventured more into the love handle region but I’m not quire there yet. My endo told me I could keep using my belly as long as the skin wasn’t too tight but I’m getting there quickly! I’m absolutely dreading this day :(.
2. Will I be able to keep my insulin pump and CGM on during delivery and who will monitor my blood sugar? I don’t know if I will have a C-section or natural birth but I want to be able to keep my CGM in and pump on during delivery. The thought of having an insulin drip while delivering does not sound good to me. I’ve worked (and will continue to work) to have good basal rates that I want to have confidence going into delivery that my rates are the best possible for me. It’s still too early to have this conversation with my doctors but I hope that I am able to keep them on. I’m also worried about having a doctor (OB) being in control of my diabetes. I’m hoping I’ll be able to but if not, I’m going to have to start training my hubby to take over for me.
I’m sure I have a lot of other fears about this pregnancy, but these are just what’s on my mind today. For now, I just have to keep doing what I’m doing and have faith that everything will work out fine.