r/BumpersWhoBolus

How are we supposed to trust our CGMs with such narrow targets when CGMs can be inaccurate by 10-20 outside of pregnancy?

I want to become pregnant at somepoint in the next two years but the thought of low blood sugars terrifies me. What's worse is, I have to work (!!!) while having a BG of... 70 to 100? Horrifying already. My HbA1c is 8 and this kind of stuff keeps me up at night. I don't know how you ladies do it.

One thing that really really really bothers me, to the point I get nauseous when thinking of it, is that I don't know about others' CGMs, but mine might be off by 10-30 at any given time. I never thought this was something truly to be concerned about, but it seems like every day now I'm visualising myself driving to work, 1st trimester, CGM says I'm at 80, in reality I'm at 40, and I end up dying. I don't mean to sound extreme or like I'm exaggerating, I am genuinely terrified of this and sometimes when I talk about pregnancy with my partner and remember this specific thing I get teary eyed from fear.

How do diabetic mamas handle this? can you calm my fears down a bit? is there a secret? how are all of you not just passing out while pregnant and also working?

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u/CuriousButNotJewish — 13 hours ago

Anxious after MFM appointment

Left my first MFM appointment a few days ago and honestly I’ve been spiraling since. I’m around 6 weeks, this my first pregnancy, and I’ve had t1d for 24 years. I thought I was doing okay but after that appointment I feel terrified all the time now.
My A1C before pregnancy was 5.4 and last week it was 6.0 so I thought that was decent, but now every high or low makes me panic. MFM started talking about so many complications all at once like heart issues, stillbirth, shoulder dystocia, bigger babies even with “well controlled” diabetes, nerve damage, and so much other stuff and my brain genuinely has not stopped spiraling since.
She also mentioned my last EKG in the hospital didn’t fully look normal and was talking about how because I had for so long diabetes even if it was well controlled can affect the heart too, and she worried because pregnancy demands a lot especially because blood volume will increase she want to make sure my heart is strong enough to handle that and that scared me
The last night I went low, rebounded overnight to like 300, and I forgot to take my prenatal too and ever since then I’ve been sitting here feeling like wow I’m already failing as a mother somehow. I know I’m still really early and anything can happen, but now every time my sugar moves I get anxious and scared I’m harming the baby somehow. I’ve honestly just been wanting to cry since that appointment.

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u/Silver_Calendar1719 — 17 hours ago
▲ 3 r/BumpersWhoBolus+1 crossposts

help me!?

First thing, I’ve been diabetic for 17 years now. I did really well in the beginning of my diagnosis like every other does lol A few years into it, I hated diabetes and basically let my A1C go above 12% for some time. Found out I was pregnant in 2024 and got my levels down. I’m still currently doing well. Somewhere under 8%. I’m currently pregnant. I know levels should be much lower and whatnot. Honestly, I’m trying my hardest to do so. I need help remembering to bolus before meals/snacks/ any carb intake!! I don’t know why I just forget. I’m forgetful as is and it doesn’t hit me until afterwards and I’m like CRAP! I currently wear the medtronic 780 system and guardian 4. I let the pump do the work but as I’m pregnant, I wanna do better. My endo says if I would just correct my levels would be even better. How/what can I do to remember to bolus???

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u/s8nsloser — 17 hours ago

blood sugar parameters during pregnancy

Hi ladies! I’m early (9 weeks) and this whole type 1 / LADA thing is very new for me. My Endo wants fasting < 90 which I’m attaining right now and 1 hr post meal <130. Im usually <145 after my largest/not always the MOST healthy meal which is dinner. I’m trying so hard to pair food wisely and eat the best I can but eating right now is really hard for me and of course I only want the things I can’t have so I’m trying to find a middle ground for dinner because breakfast and lunch are always extra healthy. However I’m just feeling worried about not always being <130 1-2 hours after dinner. It feels like such a strict parameter and wondering if this is anyone else’s goal by their endo? I was kind of expecting <150???

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u/b_b2 — 10 hours ago

When were you induced?

I’m 34 weeks 3 days and I am curious to know when other T1ds were induced/went into labor and why if it was around the 36/37 week range. This is my first pregnancy and I also have hypertension.

My A1C is 5.6, and I’m remaining 80% in range, but even with increased insulin my fasting numbers are remaining between 120-140. Based on my fundal height, I’m measuring 3 weeks ahead and my OB thinks I might need to be induced by 36 weeks, but definitely by 37 weeks. My MFM, however, wants me to wait until 39 weeks and a few days, which makes me incredibly nervous.

My blood pressure has been creeping up slowly as the pregnancy continues and I am so nervous about something happening if I wait too long.

Thoughts, opinions, experiences are all welcome and appreciated!

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u/Rough_Stomach_5078 — 2 days ago

Well controlled and still a 99th percentile baby- what do I do?

I’m 32 weeks pregnant with my first baby. I’m 31 have been type 1 for 29 years, my control has always been good. I entered pregnancy with a hba1c of 6.0, it is now down to 5.6, with a consistent 75% time in range.

At 20 weeks my baby was in the 50th percentile, at 32 weeks she is now 99th percentile and the obstetrician wants to discuss the need for a c-section delivery. This all came as a huge shock as my Endo team have been singing my praises, I thought I was doing well and with a 5.6 hba1c I really wasn’t expecting a big baby. I am very small so far! So how has this happened!!

I honestly don’t know what I did wrong, or what else I could have done and am now worried about delivery. I guess I’m looking for any similar experiences and positive birth stories.

I’m not against a C-section at all, but I know I need to make a delivery choice fairly soon and feel so uncertain after this news and don’t know what to do for the best.

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u/Ambitious_Dinner_804 — 5 hours ago

Cgm inaccuracy

Feeling so beyond frustrated with Dexcom G7. I have had SO MANY issues with them since becoming pregnant.

I always have to insert my sensor at least 24 hours early to get accurate readings, otherwise I have 24 hours of absolute anxiety over my blood sugar and 30+ finger pricks a day because Dexcom has me second guessing myself.

I just want to go to bed and I have a Dexcom that is saying I am 158 trending up, and my blood sugar has been 120 for the last half hour. I do not want to deal with the alarms all night, nor do I want to deal with the anxiety/uncertainty that I am high and harming my baby all night long. Pre pregnancy I could just silence alarms and live with being 150 all night, now I am unable to sleep because I am riddled with guilt and anxiety.

Does anyone else have this issue? Genuinely considering a complete overhaul and getting an eversense CGM and swapping to TWIIST.

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u/bushy_brow__ — 1 day ago

I cannot get the timing of my carb boluses down.

5w0d. I feel like the clock is ticking til the dreaded insulin resistance kicks in and I really need to figure this out before then.

My A1C before conception was 6.5 so I thought I was doing great. But these new pregnancy targets feel impossible. I’ve tried bolusing 15 min before eating, 30 min before eating, 15 min after eating, etc. and I keep spiking. I’m aiming for <120 two hours post prandial and I’m like 160 AT BEST (often times more like 180-200).

Any strategies you can share? Also I never got much education on how protein and other macros affect insulin absorption, so any resources on navigating that would be amazing. I’m feeling so overwhelmed.

Editing to add: I use Lyumjev and Omnipod. I’m trying to look into Tandem Mobi because I heard their auto is much better, but no one has called me back yet.

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u/Key_Beach_3846 — 3 days ago

C peptide complication

I’m 28 weeks pregnant and I have been t1 since I was a late teen. So almost 15 years.

Every once in a while my doctors get a bug up their ass and assume I’m type 2. I have two antibodies and I usually have a 0 peptide.

I have gained an astronomical amount of weight since my thyroid diagnosis (hashimotos) and it’s BAD. This is my 4th t1d pregnancy. And my obgyn decided to test my c peptide without my knowledge and now is changing my diagnosis and saying I’m type 2, and pushing metformin. I am insulin dependent.

I’m irritated. I had edka last pregnancy and they said oh it can’t be dka because your BG isn’t high enough. It was 170, and all my labs came back positive for dka.

I had placental failure, low birth weight, and it was a wild ride.

This high risk clinic isn’t believing me that usually for me when I start getting a high c peptide it means my placenta is failing. I have developed high BP as well this pregnancy which is new. I’m not using as much insulin for heavy carb meals, and I’m trying to tell them I need to have this taken care of, and idk how, and they aren’t concerned!?!?!

Am I the only one who struggles?????

Also I’ve only gained 4 lbs this pregnancy and they are celebrating because I’m overweight and it’s better for baby…..who measures in the 20%

I’m worried I will have a still birth this time because of their lack of alarms

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u/Past_Look3932 — 3 days ago

Stressing about the amount of appointments

I’m currently 17 weeks. I have OB visits monthly, and I just started to go to MFM and also see Endo monthly . The MFM also wants me to do a fetal echocardiogram at my 20 week appointment which I will do on the same day as my anatomy scan. MFM said they want to see me monthly and then weekly as I get closer to the due date.
I know this is all to make sure baby is ok but on top of working full time and having to use my very little accrued PTO, I am just feeling so overwhelmed about how to handle all this.
Are others seeing the MFM/Endo this frequently?

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u/chompinggrass62 — 4 days ago

32F, FTM, type 1 diabetic since age 9…12 weeks pregnant!

Ok, I’m feeling a bit discouraged by this process and dealing with mixed signals from doctors. My OB is telling me the following: she wants me to wake up with a fasting BG of 90 or below, be 140 or below 1 hour post meal, and 120 or below 2 hours post meal. I told her I wake up in the morning around 110-120. At my appt a couple days ago, she literally said “there’s no way you’re going to have a vaginal birth if you stick with those fasting blood sugars, OR your baby will have to spend time in the NICU.” Her perspective, from what she has shared, is that if I can keep my blood sugar completely low and controlled, then my baby won’t be at risk of any more complications than someone without diabetes would be. Well guess what, I AM diabetic and I can’t trick my body into believing it’s not. I know she just wants me to have the healthiest pregnancy possible, but it’s really stressing me out and I’m going to be starting with MFM in the next week or so as well.

Meanwhile, my endocrinologist has been super supportive and says I’m doing the best I can. We meet every 2 weeks and make adjustments to my ratios. My last a1c was 6.5, which is the lowest it’s ever been in my life. I started the pregnancy around 7 a1c and have been trending downwards with the healthy changes I am making and tighter control. The biggest thing that’s causing my craziness is that my endo says all of the guidelines and data that OB’s and MFM’s base their blood sugar recommendations off of are based on studies done in like the 70’s before we had CGMs and pumps…aka just had data from random finger pricking and couldn’t see the whole picture of time in range, etc. Has anyone else been told this? She said there is no data to support different outcomes for a baby with mom waking up at 110 vs. 90. She also mentioned that since I’m on Omnipod 5, the algorithm is going to keep me as close to 110 as possible and you can’t really “trick” it into keeping you lower without risking doing a bunch of extra stuff that would ultimately lead to many hypos (which also isn’t good for baby or mom).

I just feel stuck between two doctors and two different philosophies….getting anxiety from my OB and hoping my endo is right. Please weigh in with your experiences and thoughts because this is my first rodeo!!

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u/beefcanoe — 10 days ago

Pump settings @ 24 weeks - what to do?

Hi all,

I'm 24 weeks pregnant and have navigated insulin resistance pretty much since 5-6 weeks. I was diagnosed w/ LADA a year ago so my basal needs are quite low. I'm using the tandem mobi pump. I've attached some screenshots of recent trends within the past 24 hrs - the rises after meals seem to be lingering and have a hard time coming down now vs. before they would rise for a small amount of time and come right down.

I always walk when I can after a meal which sometimes works; other times it'll start going back up after I stop walking. My meals are very balanced and I always pre-bolus appropriately.

Any feedback or tips?

I have an upcoming phone call with the CDCES this week but so far my endocrinologist team seems very relaxed/doesn't seem very aggressive with pump settings. That leaves me feeling frustrated and stressed.

Big baby advice

Hi just wanted stories of people with big babies and births maybe and or if there is anything I can do now to slow it down or if I should even worry?

I'm currently 32 and had a growth scan and baby is measuring 5lbs 7oz, I know scans aren't super accurate. But my first was 5lbs 2os at 35 weeks and I can't help but freak out. Since 28 weeks my sugars haven't been awesome, but we are still hitting the 75% in range every week, but my fasting numbers are 120-140 instead of the sub 95, we are slowing working on pushing my long lasting but I switched over to lantus from trisebea so Endo was being cautious of numbers for a week.

Well mfm said I'm doing what I can and sometimes diabetic babies just get big no matter how hard you try and so that put me at ease. They think I can still make it to 37 weeks if my gestational hyper tension doesn't turn into pre e. (never had hypertension outside of pregnancy so they said we can't treat it besides baby aspirin) Regular ob, says we really want to focus on making it to 34 weeks at least and that maybe 35 is more realistic. I trust my med team and will what's best but that's how the different docs stand.

I guess those who have had babies did anyone have anything like this, I'm just shocked how much baby has grown since last scan and how they will definitely be bigger than my first. I'm watching my carbs still and recently tried to really dial in so I'm just shocked mostly.

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u/Important_Editor5022 — 3 days ago

2 week baby not gaining weight fast enough - anyone else experienced this?

Looking for similar experiences - trying to work out if my baby's weight loss & failure to regain weight could be linked to being T1D or not!

Baby was born weighing 7'11 at 37w1, via emergency C section. She was measuring over 92nd percentile for her gestation prior to birth, with a large abdominal circumference, over 95th percentile. Sugar levels at birth were fine & she didn't need NICU. But now I'm exclusively breastfeeding & she's not gaining weight - at 2 weeks she's measured 7'2, within 48 hours. Her latch isn't always the best but we've been working at it, but she just seems really lazy and doesn't want to work for her milk & gives up after 5-10 mins! I'm trying to supplement with expressed breast milk in a cup, but she doesn't seem interested. Also, all other indicators (soiled nappies, skin tone) are absolutely fine - apart from the weight.

So I was wondering if it could be linked to her being such a chubby baby before she was born? It's like she's lost the excess weight gain she was carrying due to my T1D, and is taking her time to start putting on weight. But maybe I'm clutching at straws. I'd like to avoid formula supplementation, and I'd like to avoid bottle feeding for now - her latch isn't always the best, and she's very lazy, so I reckon if I offered her an "easier" bottle, she might start refusing breast altogether, other than for comfort...

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u/Frequent-Science3688 — 5 days ago

bad day of blood sugar control - im fucking losing it

typing this in tears

i’ve had a full day of back to back tech failures on my medtronic pump and sensor, which has genuinely never happened to me before.

i’m absolutely terrible at managing my blood sugar without the pump’s smartguard option, which usually does microcorrections and adjusts things automatically. i specifically went onto this system to help lower my HbA1c before and during pregnancy, and i finally got it down to 6.2.

i had a terrible first trimester and today i finally felt like i had enough energy to go to the beach. well. apparently any remote form of joy gets punished immediately.

my pump site fell off.
i replaced it.
then my sensor failed.
i replaced that too and it was pairing.
then the sensor failed again.
then i put a new one on and started bleeding like crazy, blood literally squirting everywhere, which has also never happened to me before.
then the new one wouldn’t pair because the transmitter stopped blinking completely and is essentially dead.

i was on the helpline for an hour and they finally told me the transmitter failed. they’ll replace it but the offices are closed so i have to wait until tomorrow morning.

so i’ve had to manually manage my blood sugar the past 12 hours within a really strict pregnancy range and i’ve been struggling badly. my sugars haven’t been insanely high but i went to take a long nap and woke up sitting around 190 to 200 and i feel so unbelievably guilty and terrified that i’m hurting my baby.

i’m correcting slowly now and picking up the replacement transmitter tomorrow morning but i genuinely hate this so much. i really hope my baby is okay. i’m freaking out. i really wish i had a normal pregnancy. i just wanted to go to the beach.

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u/LandscapeOwn8096 — 3 days ago

9 weeks t1d first pregnancy
i got a scan at 4 weeks to confirm pregnancy was in utero
and then again at 7 weeks to confirm heart beat.
all was well, my dr said next scan is at 12 weeks. is that common for high risk pregnancies? should i book a private scan earlier?
how many scans did u get overall?

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u/LandscapeOwn8096 — 8 days ago

Pregnancy and Type 1

It’s such a crazy thing to think that while our pancreas doesn’t work whatsoever and died on us we can literally grow a whole working pancreas in our little ones. I’m now growing my second. For context my First born is a little girl and now I’m growing a little boy and I was telling my man how weird it is to be growing a dinky inside of me and he hit me with the isn’t it crazy you’re growing a working pancreas while yours is dead? ……. Why yes sir it is thank you for reminding me. 😂😭

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u/Aggravating-Mud6047 — 7 days ago