Bringing a healthy baby into the world is an incredible journey, and for individuals with diabetes, it requires extra dedication and attention to managing blood sugar levels. During pregnancy, maintaining optimal blood sugar control becomes even more crucial. In this article, we will explore the recommended blood sugar goals for pregnant individuals with diabetes and provide valuable insights to help you navigate this unique stage of your life.
Setting the Goals:
When I first read these targets from my doctor I felt super overwhelmed! So, before we dive in, take a deep breath and know that you’ve 100% got what it takes even if tight targets make you feel nervous.
To ensure a healthy pregnancy, it is important to establish blood sugar goals. Here are the key targets to aim for:
- A1C Level: Your A1C should be less than 6.0%, with no blood sugars exceeding 140mg/DL (7.8 mmol/L)
- Fasting Blood Sugar: Your fasting target should range between 65 and 95 mg/dl (3.5-5.2 mmol/L) This refers to your blood sugar level upon waking up in the morning, before consuming any food or beverages.
- Post-Meal Blood Sugar: Aim to keep your blood sugar levels in check one hour after a meal, maintaining them below 140 mg/dl (7.8 mmol/L). Similarly, two hours after a meal, strive to have your blood sugar levels below 120 mg/dl (6.7 mmol/L).
Navigating with Tandem Txslim Pump:
If you use the Tandem Txslim pump, it is worth noting that the Control IQ feature may not be ideal during pregnancy. While Control IQ automates some aspects of blood sugar management, it may allow your sugars to rise too high. As a result, it is recommended to switch to manual mode and take charge of self-adjusting your insulin levels during pregnancy. By actively managing your pump settings, you can tailor your insulin delivery to meet the tighter blood sugar targets required during this time.
The Journey Towards a Healthy Baby:
While the journey to maintaining optimal blood sugar levels during pregnancy may require additional effort, the rewards are immeasurable. By diligently adhering to your blood sugar goals and closely monitoring your levels, you are actively working towards the well-being of both yourself and your baby. Consult with your healthcare team regularly, as they will provide personalized guidance to support you throughout this process. Generally, you’ll consult with your team once per week or bi-weekly, and perhaps more frequently as you progress into the third trimester.
Pregnancy is a remarkable chapter in life, and individuals with diabetes can successfully navigate it by prioritizing their blood sugar goals. By striving for an A1C below 6.0%, fasting blood sugar between 65 and 95 mg/dl, and post-meal blood sugar levels below 140 mg/dl (1 hour) and 120 mg/dl (2 hours), you can help ensure a healthier pregnancy and a brighter future for your child. Remember, the journey may be challenging at times, but the ultimate reward of a healthy baby is worth every effort you invest. Stay committed, stay informed, and enjoy this incredible experience. I KNOW you can do it!
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