Case Report: Managing Pregnancy With Type 1 Diabetes Using a Do-It-Yourself Artificial Pancreas System

The stakes are high when pregnancies are complicated by type 1 diabetes. In addition to the maternal risks, there are numerous fetal complications that can result from diabetes, including spontaneous abortion, fetal anomalies, neonatal birth trauma, macrosomia, neonatal hypoglycemia, hyperbilirubinemia, and fetal demise. Consequently, the American Diabetes Association recommends stringent glycemic targets in pregnant women with type 1 diabetes to prevent adverse maternal and fetal outcomes. Recommendations include self-monitoring of both fasting and postprandial blood glucose and a target A1C of