One of my favorite types of blog posts to read is how women with diabetes manage their diabetes on a wedding day. How does it fit in with the dress, the menu, the event flow? I’ve come to realize the reason a wedding stands out from other couple-of-hour events, like prom or a birthday party, is because so much planning goes into it, and it is a day that puts you in the spotlight. In my case, I spent one year focusing on all of the details.
On March 8, I married the love of my life, Niko Ruperto, at an intimate destination wedding. To say it was the best day (and week) of my life is an understatement. Since it was a destination wedding, Niko and I had both the wedding and honeymoon in the same location during a week-long vacation. We chose Jamaica, and 50 of our closest loved ones were able to celebrate the big day with us! There was unlimited food and drinks at our resort, and a lot of variability that had the potential to impact my blood sugar, so I had to be cautious while still finding ways to relax. I was able to find this balance and was so glad I did because I was able to truly enjoy the day of the wedding.
The Dress and Insulin Pump (Most Important Detail, Of Course)
I selected my dress a year prior. I did a lot of research ahead of time on the types of dress I liked and went in to my appointment with a few arranged on a Pinterest board. I mentioned my insulin pump to the person helping me select dresses, but let her know I didn’t want to plan the dress around the pump. I knew that if I found the right dress, there would be enough options to figure out how to include my diabetes device. I fell in love with a blush colored (!) multi-layered dress. It didn’t have pockets and wasn’t a good silhouette to have pockets tailored. I considered wearing my pump in a thigh pouch, but wanted it to be more accessible.
I decided the best place to wear it was clipping it on the front inside of my bra. There was enough material to cover it so you couldn’t even tell. The great thing about the placement was I could get to it when I needed it and allowed me to clip the pump on the outside of my dress for some pictures. It also worked out that my pump matched my dress, and since it’s a big part of who I am, it was important to capture it in some shots. I also found the PERFECT pump skin that captured the texture of my dress. This was a small detail, but something that was very special to me. 
The reception décor had a nod to my diabetes: the color blue. To most, it seemed to be a typical white-and-blue nautical theme, but the color blue was important to me for more reasons than that. A few of the toasts made by loved ones referenced my diabetes and how it has shaped me, a very special reminder for me.
We had a lower carb dinner with Mahi Mahi as the main dish, so I was able to enjoy a piece of cake and our specialty drink. The resort we got married at didn’t have carbohydrate counts available, so I had to guesstimate when I bolused, but it turned out just fine.
The Blood Sugar
It’s really important to prepare ahead of time for what you think your blood sugar might do. How do you usually react during high stress or emotional moments? I typically run really high and then drop back to normal, but sometimes keep dropping until I go low. The morning of the wedding, with all of the hustle and bustle, I ran in the 300s. But once the rest of the activities went underway, my blood sugar started coming back down to normal because of all the adrenaline (and champagne). By the end of the night, I dropped back to 81 and was able to enjoy the rest of the dancing with the people closest to me.
The Biggest Take Away
Here’s what surprised me most the day of the wedding. As much as diabetes is engrained in who I am, diabetes was not at all on my mind. There was too much going on: people, music, the big dress, the scenery, the décor… and the roller coaster of emotions!
My biggest tip would be to designate at least one person who can help to think about your diabetes on your behalf. In my case, it was my amazing Matron of Honor, my sister. Think of someone who:
1) Already knows your diabetes basics
2) Will be around you for most of the day
3) Is responsible enough to make sure to prioritize your health over all of the wedding day tasks.
My sister carried my glucometer and fast-acting sugar with her, and had me check my blood sugar before the wedding, during the post-wedding photos, and a few times during the reception before the night was over. This was absolutely invaluable and helped me to stay on track with someone watching over me so that I didn’t have to worry about it.
So what about you? Do you have any wedding stories to share?
Naomi Kingery Ruperto