I am excited but scared. I just found out I am pregnant with my 2nd child. I have been on the pump for several years now. I was wearing the pump with my first child and everything went perfectly during that pregnancy. I am about 5.5 weeks pregnant but I can't seem to keep my BG within an acceptable range. I'll have a normal BG, but then a couple of hours later and its running high after I have eaten and taken the bolus wizard suggested dose.(which has always been right on in the past). Not sure how I should adjust my pump. Maybe adjust the basal? Please help.

thanks

No advice, but Congratulations! I'm sure you'll get everything in order soon!

Congratulations! I went on the pump while I was pregnant with my 2nd. The pump settings were adjusted weekly practically, with a mix of basal changes, and bolus changes. You'll likely have to work with both simultaneously to make your numbers work.

Good luck!

Oh how exciting!! I have no advise as I was on MDIs during my pregnancy but should I have any eggs left in my 39 year old body and get pregnant again I will be in the same boat as you! I think your hormones are just going to mess with you for the next 9 months and the best thing about being on the pump is that you can fix things pretty quickly. Good luck!!

This seems more like a bolus problem than basal. When you make adjustments I'd recommend to go slow because soon you'll get into the time that your body will need lower dosages (1st trimester). It's individual for each woman when that starts exactly but I think in general it's about week 8 so expect to see lows within a couple of weeks. Just adjust as needed and test as many times as necessary. Don't forget to take your prenatal vitamin. Folic acid is important in this period.

Mariya

I have never been pregnant, but I have read that most women need a LOT more insulin when they are pregnant. I also am not medically trained, so this is not medical advice. It is based on what I have read:
In the other thread about pregnancy, Sophie said that Pumping Insulin recommends eating small meals with only 10g carb at a time. That would probably eliminate the post meal spike.

If you continue to eat the way you have been, here's a quick way to know what to adjust:
If you are back to your target BG before the next meal, then your overall amount of insulin is correct. One way to prevent the post meal spike is to take what is called a 'super bolus' at mealtime. This involves taking your bolus AND your basal for the next two hours all at once, and then cutting your basal back to almost zero (because you took it with your bolus). It's all explained in the pumping insulin book - if you don't have it you should get it.

Something else that might work is to just take your bolus 15 minutes before you start eating.

If your BG is high at the next meal, then you need to increase your basal.



Linda B.