I am hesitating to post this but hoping for some advice. I really want kids and have my whole life. Yet, I read today and have many times about the blood sugar control required for a healthy baby. I recently asked my doctor about this and he basically said fasting numbers between 70-90 and no spikes over 120. I spike to 200 with every meal if it has more then 15 carbs or so. He said you need an A1C as close to 6 as you can get. I can't get my A1C below 7. It is usually in the 7.5-8 range. I usually test 10+ times a day often 15-20. I wear a CGM and a pump. I constantly use temp basals and I test at 3 AM most nights. Every endo/nurse has said there is really nothing more I can do that I am not doing. I am just super sensitive to insulin and it varies greatly depending on factors I can't figure out. I can be 200 and correct with 1.6 units and one day it takes be down to 100 perfectly and the next day it brings me down to 40 and the next I go up to 300. I wake up some mornings in the 400s for literally no reason even with a CGM. The only reason I don't have an A1C in the double digits is because I also have crazy sustained lows in the 40-50 range or lower.