Blog Takeover: Samantha Bunsa talks pregnancy & T1D

When I was diagnosed, at a relatively older age of 26, I had been newly married for just about 4 months. I had always wanted kids and hoped the ability to start a family was in the cards for me and my husband. However, a diagnosis of type 1 diabetes does not have the best track record when it comes to pregnancy especially for women with naturally occurring varying hormone levels throughout the month or during pregnancy. I couldnā€™t help but ask my doctors about the reality of type 1 diabetes and a healthy pregnancy. I was told that while not impossible, it is a lot of work and required even closer monitoring of my blood sugars. Through my research and speaking with my doctors, I came to the understanding that a range of complications with a type 1 pregnancy are real and common, and near perfect blood sugars are imperative right before conceiving and throughout the entire pregnancy.

Fast forward to March 2017, and I find out Iā€™m pregnant! An immediate sense of excitement was shortly followed by a sense of fear. Fear that I would not be able to do what is necessary to keep my blood sugars in the appropriate ranges for my babyā€™s health and development. In the first and second trimester, there was an overwhelming sense of guilt whenever my blood glucose would be over 120 mg/dl. After hearing other stories, this seems to be a common thing among pregnant type 1 mothers. On top of all the other natural worries that come with being pregnant, type 1 diabetes adds many other anxieties and factors the mother needs to control.

With a short time to go before we meet our baby, Iā€™ve learned that although pregnancy with type 1 diabetes is filled with lots of doctorsā€™ appointments, checking your blood sugar and thinking about blood sugar a lot more than usual, I couldnā€™t have done it without the support of my husband and the help of my endocrinologist, high-risk obstetrician and continuous glucose monitor (CGM). I am so grateful for the ability to know my blood sugars at all times and where they are trending to be able to treat appropriately before they got out of control. I believe the CGM is what made it possible to keep my A1C at 5.3 for the past 10 months and to have a pregnancy without complications. Like this CONCEPTT study concludes, I highly recommend any woman with type 1 diabetes who is planning on having children to consider a CGM!

I hope that after reading this, any young woman who might have thought pregnancy with type 1 is impossible or too hard to handle, would learn from my experience that it is very possible to have a normal pregnancy and healthy baby. If I only knew nine months ago that non-prolonged high blood sugars have little to no effect on the baby or that having frequent doctorā€™s appointments means having the best care and monitoring for your baby (with the added bonus of seeing your baby in more frequent ultrasounds), I would not have been so anxious at the start.


For more information on the recent findings from JDRF’s study on CGM use during pregnancy, click here. To request a JDRF pregnancy toolkit, a great guide for parents-to-be, click here.