Pregnancy with type 1; you hear about the big babies, about the extra risks you put yourself and your baby through, the impossible insulin resistance. I wasn’t so prepared for all the hypo’s…

I read in my pregnancy and type 1 diabetes book that some women produce insulin again during early pregnancy. There are women which can go without additional insulin for up to two weeks. Mind boggling and unbelievable. Although I didn’t quite go without any external insulin I was needing a significant amount less. Particularly during the night I was having many hypo’s and they were quite deep (43 mg/dl, 2.5mmol/L). Pregnancy makes you exhausted, steep lows are draining, let alone the combination and then in the middle of the night robbing you of sleep. I was having 2-4 of these lows every night. I feel like I am eating all the time, with at least 25% of food not even getting a bolus and I’m still going low. Cranky doesn’t even begin to describe my mood because I’m exhausted and don’t even dare think about exercising since a 10 minute walk will already plummet my sugars let alone the 1.5 hour work-outs I usually do.

I was a bit hesitant to change my basal rates since my nights were perfect straight lines the week before. Eating a 15 carb snack around 20:00 helped to prevent the first low at 23:30, but I had to wake up every couple of hours to eat something when the next hypo presented itself. This is not as much fun as it sounds…

I went to the pregnancy loop fb and was reminded; during pregnancy you want to adjust every 2-3 days. Thus I lowered my basals. Additionally they suggested a ‘recent-hypo’ override with a slightly higher target value and roughly 80% of insulin rates for a couple of hours. Thankfully this helped and I was back to one hypo a night, or if I was lucky none at all. Better get as much undisturbed sleep as I can get now because it will be over before I know it…