INS and Hyperglycemia: Expert guidance, published last year, offers a framework for off-label use of AID during pregnancy.25 The guidance provides several recommendations, including using the lowest target glucose available for the system in use, correcting for hypoglycaemia often but carefully to avoid overcorrection and thus rebound hyperglycaemia, administering extra insulin boluses when needed and adjusting carbohydrate-to-insulin ratios regularly throughout the pregnancy to meet changing insulin needs.