Description

This is a can't-miss episode! Dr. Diana Isaacs, Co-Director of Endocrine Disorders in Pregnancy at the Cleveland Clinic, comes on the show to discuss the various nuances of using automated insulin pumps in pregnancy. She highlights the challenges of using closed loop insulin pumps in pregnancy, as they were designed for use outside of pregnancy and have higher targets. We discuss the CAM APS system, which has a lower target and more customization, but is not available in the US. We also cover the use of sleep mode on the Tandem pump and the unique algorithm that allows for tighter control, Omnipod 5 and the challenges of customization, and research on Medtronic 780G system and its lower target. We also talk about the growing use of metformin in pregnancy and the controversy surrounding it. And we can't forget GLP-1 agonists! Learn what they might mean for aiding fertility. Finally, Diana shares her expertise on how to handle the ever-changing needs of pregnancy and how to approach high blood sugars.

Takeaways

• Closed loop insulin pumps are not designed for use in pregnancy and have higher targets than recommended for pregnancy.
• The CAM APS system has a lower target and more customization, but is not available in the US.
• Sleep mode on the Tandem pump allows for tighter control during the night.
• Omnipod 5 has challenges with customization, but can still be used with adjustments to carb ratios and correction factors.
• The Medtronic 780G system has a lower target and can be effective in pregnancy.
• Metformin is commonly used in pregnancy, but there is controversy surrounding its use.
• GLP-1 agonists are not recommended in pregnancy, but can be used before and after pregnancy with caution.
• It is important to not stress over numbers and focus on the things that are in one's control during pregnancy.

Mentioned:

Diabetes Dialogues (Diana's Podcast)

Diana on Instagram: @dianamisaacs

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Need more support preparing for pregnancy or managing diabetes during pregnancy than your HCPs can give? Virtual diabetes pregnancy coaching is available with Allison, a Certified Diabetes Care & Education Specialist and T1D mom of 2: Apply for 1-on-1 coaching here!