### Birth Control Options for Women with Type 1 Diabetes When choosing birth control, women with type 1 diabetes (T1D) need to consider how different methods might affect their blood sugar levels. Here are some options and considerations: #### 1. Vaginal Rings - **Description**: Flexible device inserted into the vagina for 3 weeks, removed for 5 days during menstruation. - **Impact on Blood Sugar**: Minimal impact as hormones are absorbed directly into the vagina. - **Cost**: $0 to $200 for NuvaRing; $0 to $2,200 for Annovera. - **Note**: Not recommended for those with diabetes-related kidney, eye, nerve, or blood vessel damage. #### 2. The Pill - **Description**: Daily oral contraceptive; available in combined estrogen-progesterone or progesterone-only forms. - **Impact on Blood Sugar**: May increase insulin resistance, especially with estrogen-containing pills. - **Cost**: $0 to $50 per month, often free with insurance. - **Note**: Monitor blood sugar closely; lower-dose pills may have less impact. #### 3. Intrauterine Devices (IUDs) - **Description**: T-shaped device inserted into the uterus; available in copper or hormonal forms. - **Impact on Blood Sugar**: Rarely affects blood sugar levels. - **Cost**: $0 to $1,300, often covered by insurance. - **Note**: Suitable for those with diabetes complications affecting eyes or kidneys. #### 4. Nexplanon Implant - **Description**: Small rod inserted under the skin of the upper arm, releasing hormones for up to 5 years. - **Impact on Blood Sugar**: Generally safe, but effects can vary. - **Cost**: Up to $13,000 for insertion, $300 for removal, often covered by insurance. - **Note**: Monitor blood sugar after implantation. #### 5. Depo-Provera Shot - **Description**: Hormone injection every 3 months. - **Impact on Blood Sugar**: May increase insulin resistance and blood sugar levels initially. - **Cost**: Up to $150 per shot, often covered by insurance. - **Note**: Monitor blood sugar closely, especially after the first shot. #### 6. Morning-After Pill - **Description**: Emergency contraceptive taken within 3-5 days after unprotected sex. - **Impact on Blood Sugar**: Can cause significant blood sugar swings. - **Cost**: $20 to $50, ella requires a prescription. - **Note**: Use other birth control methods to avoid frequent use. #### 7. Condoms - **Description**: Barrier method worn around the penis during sex. - **Impact on Blood Sugar**: No effect on blood sugar levels. - **Cost**: Around $2, no prescription needed. - **Note**: Safe and effective for those with diabetes. Always consult with your healthcare team to choose the best birth control method for your lifestyle and diabetes management.