Life with Diabetes and Pregnancy
Managing type 1 diabetes during pregnancy is a lot of work, but it’s very doable. You’ll have frequent check-ups with a dedicated healthcare team, including an endocrinologist, diabetes nurse, and dietitian, who will provide continuous support. Having a strong support network of family, friends, and online groups can also make a big difference.
After the baby is born, breastfeeding is encouraged but can increase the risk of low blood sugar (hypoglycemia) for the mother. Your insulin doses will be significantly reduced right after delivery to account for this, and snacking will be encouraged.
Tools and Support
There are many tools to help manage blood sugar during pregnancy. Continuous glucose monitors (CGMs) like Libre or Dexcom sensors are very helpful because they constantly track your blood sugar without constant finger pokes, giving you and your doctor a lot of information to adjust insulin doses.
Insulin is safe for the baby and is key to managing diabetes in pregnancy. Whether you use multiple daily injections or an insulin pump, both methods can work well. If you’re already using an automated insulin delivery (AID) system, your care team can make adjustments to help you meet your pregnancy targets. Many commonly used insulins are considered safe during pregnancy.
Beyond insulin, doctors will also recommend a prenatal vitamin with folic acid and sometimes low-dose baby aspirin starting around 12-16 weeks of pregnancy. The aspirin helps reduce the risk of preeclampsia.
Bottom Line
Most women with type 1 diabetes have very positive outcomes, with healthy pregnancies, deliveries, and babies. If you have type 1 diabetes and are thinking about pregnancy, or find yourself unexpectedly pregnant, talk to your healthcare team right away. They can help you get the right management started to ensure a safe and healthy journey.
About the author
Medina Mohamed
Medina Mohamed is a practicing endocrinologist based in Hamilton, Ontario, affiliated with the Boris Clinic at McMaster University.
