Twins on the Way, Scared

Hello - I found out that I’m having twins and am a little afraid about the delivery/birth and its affect on me. I’m pretty sure it’s trauma from watching Steel Magnolias as a child lol. I have always been a good diabetic and have become even better in my care as a result of my pregnancy, I’m just being silly and letting my mind wander, I’m definitely not letting these horrible thoughts consume me, but I’m just hoping to be able to get some reassurance from other TID’s who’ve been through pregnancy to ease my mind - and if anyone has had multiples, that would be great too!

Hi there! First of all Congrats! How exciting! I too am a Type 1 and gave birth to my son naturally 10 months ago. In regards to delivering, it might be a little different with twins. do you wear a CGM or pump? I highly suggest wearing a CGM throughout your pregnancy and definitely after your pregnancy. As you are probably aware you insulin doses will change constantly during pregnancy and especially in the 3rd trimester. The biggest shock to me was that after I had my son, I became way more insulin sensitive for several months after. Also, be prepared to have a mind boggling number of finger pricks while you are in the hospital. They tested my sugar every hour on the hour. :frowning: Also, prepare yourself for your twins to be taken right away after birth to ensure they are not hypoglycemic. As you know, diabetes is a challenge and so is having a child. I can’t stress enough about wearing your CGM. It will be your best friend especially with pregnancy.

I wish you all the best with a happy and healthy pregnancy and delivery! Pregnancy can be stressful but I hope sharing my experience may give you some glint of relief.

I found out I was unexpectedly pregnant at 8 weeks with an A1C of 8.5 at the time. I panicked and turned to the internet for statistics, where I thoroughly freaked myself out about what I had possibly done to this poor child. I didn’t have a CGM or even an insulin pump, I was using insulin pens and finger sticks throughout the entire pregnancy, which led to several catastrophic lows daily. The lows were so bad overnight that my husband had no other option but to use Glucagen kits on multiple occasions and even had to call the ambulance once because we didn’t have the kit at the house. By the end of the pregnancy I had managed to lower my A1C to 5.5 but struggled every step of the way.

My son was breach and so I had a c-section a couple days prior to my due date. My son was a healthy 7 lbs 11 oz with no complications except for a slightly low blood sugar when he first came out, which was easily corrected with a combination of colostrum and formula.

I’m pregnant with my second and my son is now 4 years old. My first pregnancy was filled with stress and tears so I got on a pump/CGM system for this pregnancy (plus it helps that this one was planned!). It’s hard not to feel guilty with each low or high I experience but I’ve learned my lesson about researching too many statistics and I’m more confident about women’s bodies being able to handle pregnancies.

Since I was hooked up to an IV for the c-section I totally relinquished control to the doctors and they monitored my bloodsugar beautifully during and after the surgery. Afterwards my insulin needs went down dramatically and breastfeeding would instantly shoot my sugars down every time I fed my son.

Hope this helps! Sorry it’s so long, I just know that when I was asking for help calming my stress I didn’t get a lot of responses from people in situations with higher risks (ie unplanned pregnancies, high A1Cs, multiples, etc).

All the best!! Don’t spend too much time on the internet!

I can completely relate to your fears. 5 years ago I was in your shoes. I found out I was pregnant with twins and was scared of everything from the delivery to everything I was doing and eating. I had very good control of my diabetes because I was so scared that not keeping good numbers could hurt my babies. I was using a insulin pump and it was a huge lifesaver. I delivered by c-section at 34 weeks which is early but they did great. They did have to stay in the nicu for 2 weeks but they are healthy beautiful twin boys.

After the delivery everyone’s body acts differently and every pregnancy is different. After giving birth to the twins my body went on this weird diabetes honeymoon that nobody could explain. I barely had to use any insulin for 2 months. I was breastfeeding and the doctors said that had a lot to do with my sugar. Then 2 years ago gave birth to another beautiful healthy little boy and my body did the exact opposite and I needed 3 times the amount of insulin. If you are on a insulin pump and or cgm you will find they are lifesavers and help keep your numbers where they need to be.

As for having twins at home…Everyone says it must be so scary having twins but really at times I thought it was easier cause they always have each other to entertain each other. Best thing to do is get them on a tight schedule and everything really just falls into place. I really hope this helps with some of your fear.

Thank you to all three of you for your reassurance!!! I wrote this and haven’t had a chance to check back until today but reading what each of you had to say did put me at ease!! I am on a CGM, I’ve had it for about a year and it has made a huge difference on my control so I’m glad that you all asked :slight_smile: I’m very glad that you and your babies all made it through pregnancy and birth - all of you really did give me such useful information, I can’t thank you enough for taking the time to respond!!!