I did end up having a c-section, but I was really happy with that outcome, to tell you the truth. I delivered a little early at 37 weeks. It's a bit of a long story, but I'll try to condense it as much as possible: My insulin needs kept going higher and higher and finally, at 36 weeks, they took a massive drop. All of a sudden I was having lows all the time (40's and 50's, even a couple in the 30's). My doc and I kept dropping my insulin, but it kept not being enough, I was still going low. I think we finally stabilized it after some pretty drastic cuts, but my endo was VERY concerned that this is a sign that the placenta can be breaking down prematurely. If the placenta separates unexpectedly, then you may have a still born baby (yeah, this scared the you-know-what outta me). I went into my perinatalogist the next day for an ultrasound but they didn't see any evidence, the placenta looked fine. No one wanted to take any chances, and 37 weeks isn't really all that early (it's considered full term), so we did an amnio to make sure the baby's lungs were fully developed (they were) and scheduled the birth for 2 days later.
My OB gave me the choice of trying an induction or just going straight for the c-section. She told me that I wasn't effaced or dilated at all and so the chances of the induction drugs getting me all the way to a vaginal birth were not very high, still she said she's had some patients try with success. But she warned me that labor pains from pitocin are much, much more intense than natural labor pains. She seemed to think the chances were high that I'd go through the induction and end up with a c-section anyway. My perinatalogist was 100% in favor of a c-section. My baby's stomach was measuring on the large side and he was afraid of the possibility of the baby getting stuck at the stomach. My endocrinologist favored a surgical birth because it's easier to control blood sugars and insulin during surgery. But told me he'd support what ever decision I made. After all that, there was NO WAY I'd do anything but a c-section, but that was just my opinion.
I LOVED my c-section. Again, this is just my opinion and I know it's not for everyone. I had a fantastic anesthesiologist who walked me through the whole procedure before we started so I really felt prepared for what was happening. I got to touch my baby right after she was born and my husband held her against my chest while they cleaned me up. My scar is so low and it never bothers me at all. My recovery was not bad. I was off the hard-core pain meds 4 days after delivery and just alternating tylenol and ib profen for the next couple of weeks. For my next kid, I'll just be scheduling the c-section right from the beginning. I know that not everyone feels that way about surgical births, and I totally respect that. It just ended up being the right choice for me and my baby. I hope you end up with a situation that you feel good about and that goes well for you.
The targets you said were the same for me. 120 an hour post meal. It was TOUGH. I was checking about 10-12 times a day. When I woke up and before bed, sometimes middle of the night, before and after every meal, before and after excercise, sometimes during excercise. I'm definitely getting a CGM for the next pregnancy! :)
Sorry for the novel! I hope it's at least a little helpful. I'm so excited for you! It's true that diabetic mommies have to start doing a lot more work for the baby long before they arrive!