Catching Up

Pregnancy and Diabetes Blog

Catching Up

March 26th, 2011

I am now 21 weeks pregnant – just over the half-way mark. It has been a wild ride up until this point, all of which I can’t share every bit of in this post, but I’ll try to give you a little glimpse month by month so far.

 

November: The Beginning

We found out we were pregnant on the 27th – my husband’s birthday. This month marked one year that we had been trying to conceive, and I wanted to try this one last month before giving it a break for a while. We had gone on a late anniversary trip at the beginning of the month, and I had hoped things would go right.

I took one test a week beforehand (my cycle is not a normal 28-day one – it can vary greatly from 21 to 46 days), and it had come out negative. My heart sank. I thought maybe we weren’t going to be pregnant this month and would start to try again after the holidays.

I had gone over to my mother in law’s house on my husband’s birthday while he was outside working to take her a few things. We discussed how tired I had been lately and it wasn’t like me since my blood sugars had been doing so well. She sort of raised an eyebrow, to which I immediately started to say “Nope, we’re not pregnant”, but instead I said “I don’t know – it’s a little early to take a test.” Shortly after, I left.

It started weighing in my mind that she could be right. I stopped by the store on the way home and picked up a test and took it as soon as I got home (in the afternoon at that). Within a minute, it turned positive. I couldn’t believe it. I was pregnant. I ran outside to tell my husband. We hugged, cried, and I looked at him and said “Happy birthday!”.

The next few weeks were those of joy and excitement – for finally becoming pregnant after trying for a year; to worry and fear – that even though my diabetes control was good, that I wouldn’t be able to handle the changes that were to come, bringing me into a world that I was not familiar with.. and it scared the heck out of me.

December: 4 - 9 Weeks

Not much changed physically during December. We went from finding out at 4 weeks in November to being 9 weeks by the end of the month. We had our first ultrasound December 21st and we got to see the little bean’s heart beat. That was the first time it really hit me – I really am going to have a baby. We both had tears of joy. I’ve never been so proud of a picture than the one of that little bean, even thought you couldn’t see much at all.

But as far as diabetes was concerned, I went from an average of 50u per day (total basal and bolus) to about 20. The “morning sickness” that lasted pretty well all day kept me from eating very much, and I quickly relied on things like glucose tabs fresh fruit, peanut butter, juice, and milk in small quantities to try to keep things steady for me.

January: 9-13 Weeks

Though not showing outside, I my stomach was getting firmer this month. It was slowly becoming more than just the positive pregnancy tests and the one ultrasound we had had done back in December to confirm the pregnancy that was confirming to ME that I was indeed pregnant. We did have a bleeding scare at 10, almost 11 weeks, that had us going to the doctor for a checkup and ultrasound to be sure everything was ok, which it was, thankfully!

Diabetes wise, the lows were still persistent. Averaging 18-20u total per day was something I have never seen before, and I was amazed. By this time, instead of gaining weight, I lost about 7 pounds from not being able to eat much. Most of my meals (if you want to call them that) didn’t even require a bolus, which was weird. I felt like I was being an irresponsible diabetic for not blousing, but I didn’t need it. I had a lot of close calls with the lows, many in the 30’s, and a few in the 20’s. One of which had me on my kitchen floor at 2am with my husband pleading for me to drink the juice he poured in a glass and was putting in my hands to drink. That night was the worst, scariest low I had had since I was about 7 years old, but thankfully I was able to recover without using a glucagon kit or going to the ER.

February: 13-17 Weeks

The second trimester is starting this month and my lows throughout the month start to not be quite as bad. I’m starting to dip to the 40’s, but that’s about it. Insulin needs are going up, which is a good thing, because even though I still have “morning sickness”/queasiness, I’m able to eat a little more than before.

This month I now have a growing little pooch sticking out, despite the total loss of 10 pounds. And in the 16th week, I felt the first little flutters of the baby moving around in there. Something that was totally joyful, awesome and tear-jerking all at the same time.

March: 17 weeks until now….

Whew! I told you it was a ride! January being my hardest month so far. And, yes, I know I have more challenges to come, but I believe with all of my heart they are worth it.

Gradually, my insulin needs have increased, especially in the morning hours. It started off with it just being hard to bolus for breakfast and avoid a spike to the 200’s, but now I’m waking up at 4-5am and again at 6-7 to bolus an extra “boost” of about 1u to keep me in an acceptable range until breakfast time. I know I need to change basal rates, but I’m honestly waiting on a pattern, of which right now there isn’t really one. My insulin-to-carb (IC) ratio’s have increased as well from 1:8 in the mornings to a 1.5 (almost twice as much insulin for breakfast! Wowza!) and daytime ratios have gone from 1:10 to 1:8. Prebolusing at the right amount of time and also spreading meals out from the standard 3 big ones and 2 small snacks to 5 small meals has been crucial as well in keeping a somewhat decent number throughout the day with the least amount of spikes.

Up to this point, I have only gained back 3-4 pounds, so if you use my lowest weight as my starting weight, I’m gaining right on track for my second trimester and overall weight-gain limit.

As far as the baby, we found out on the 23rd that we are having  a little boy! My husband and I are very excited, not only because we both wanted a boy, but also because the ultrasound technician told us that he looks great and right on track with his growth. He’s also getting stronger at kicking me, and you can see it from the outside now, which I think is completely amazing and weird all at the same time.

So, now that this eternally long second post has gotten you somewhat caught up to where I am now, I will start to post how things are going week by week. If you want to read more about my pregnancy so far other than what I have posted here, you can go hereand read all of my posts on my personal blog upuntil now.