Hi All,
My partner and I are about to do our first embryo transfer. My HBA1c was 7.1 in November + in the last 21 days my carelink data is showing im sitting around the 6.5%.
I was wondering if anyone has any advice going into IVF or pregnancy for best control?
Thanks 
Hello @shaehandley hi and welcome to Breakthrough T1D. I have nothing for ivf or pregnancy but I know a thing or 2 about blood sugar. A couple questions: Are you using your Medtronic CGM and if so, what is the time period for 6.5%. If not, a CGM is an important tool for control feedback.
Hi @shaehandley Shae. Those carelink reports are a great way to go back and see where you are rising above the pregnancy BG goals then consider what can change. Blousing sooner? Activity so you body can use the insulin? Many smaller meals if activity isn’t an option, etc.
Here are the ADA standards of care for pregnant T1D’s.
15. Management of Diabetes in Pregnancy: Standards of Care in Diabetes—2025 in case your endo appointments are like mine and are too quick to think of good questions and your doc doesn’t have time to give good answers.
Fingers and toes crossed that everything goes great for you!
Hi @shaehandley and congratulations in advance.
Hopefully you will get some responses from Forum members who were pregnant with diabetes - I am not one. But what sticks in my mind from experiences I have read about here and elsewhere, is that moms mentoned issues with more severe lows and ones which they were not able to manage at home or without assistance - which was unusual. So while we know the complications and dangers to baby that can result in high numbers, try not to be too aggressive when treating those. @joe asked if you were using a CGM. If you’re new to one it can be very tempting to make a correction as soon as you see the numbers rising (or falling), when in fact the insulin hasn’t had a chance to work yet, and then you end up with too much insulin on board. Work closely with your medical team to learn how to minimize those 
with a baby on board so you find the right balance.
I may be preaching to the choir but I don’t know if you’re new or if you’ve had diabetes for a while. If the latter, I apologize. All the best - lots of women with Type1 have had healthy pregnancies and so can you. Looking forward to seeing an announcement from you down the road.
I hope it is going well for you! I am about to do the same in April. I walk everyday, do isometric exercises 3 times a week (planks, wall sit, static lunge, bridge), eat mostly healthy with 30g of carbohydrates or less per meal or pre-bolus my meal by 20-40 minutes if I am eating more carbohydrates than that or my glucose is above 90mg/dL so my post prandial spike is much lower an hour or two later and doesn’t exceed the recommended 130mg/dL maximum after eating in pregnancy. In preparation I have been shooting for the pregnancy target ranges for pre and post meal for a couple months now. I have been quite successful doing this so my CGM says I’m at 5.8% HbA1c now, but what works for me may not for you. My last HbA1c in November was 6.3% but prior to my starting this protocol so it wasn’t too bad to begin with. T1D 26years, tandem pump, dexcom G7, no complications (yet). I am obese (I have an ice cream problem), have hypothyroidism that is under control, and super old for pregnancy at 42. I am not perfect in any sense except perhaps my HbA1c numbers - I do have lows but usually not below 50mg/dL before I treat myself to some juice or glucose gel. My goal range is 60-130mg/dL since it is lower in pregnancy. My goal is to try to avoid spikes and large swings in blood glucose both high and low, watch my CGM trends, and make adjustments often (but not too often to avoid lows). Hopefully this goes well and I am not about to hurt myself or my future baby as everyone seems to keep warning me about. I know I am super high risk, but I have normal cholesterol, blood pressure, diabetes well under control, thyroid levels normal with the levoxyl. I am just sad they seem to be trying to scare me out of trying, when I know myself and what I can accomplish when I have a goal in mind.