May 17, 2011
The homestretch… the last leg… the season finale… okay, well, maybe not the season finale, but it’s here either way you say it. The third and final trimester. And while it’s nice to think that my little boy will be here, in my arms, in about 10-11 more short weeks, it’s also the scariest.
I know things have to be dealt with one day at a time. If there’s anything this pregnancy has taught me so far is that fact alone. But I am so much of a future planner. Thinking in June and July how I’m going to budget for Christmas. How to plan the summers to fix up our house to bring it more and more up to date, while fixing things that have broken over the year. About the only thing I don’t plan is meals for the week… which is my next project. The point being is that I like to have a plan. One that can be stuck to without much change. I like to know what’s coming and have a plan as to how exactly to carry it out and make things work perfect, as I know I am not a person that does well with sudden change. And that has been my hardest thing to let go of to gain more of a “go with the flow” attitude.
I knew with the third trimester would come some major insulin resistance. My endocrinologist already warned me that I could double, if not triple, my insulin intake during that time. Well, let me tell you, at 28 weeks now, I am now at the double mark and coming up to that triple mark… at least for bolusing. A simple breakfast this morning of 1 ½ cups of cheerios, 1 cup of milk, and two strawberries topped me out at 17.2 units of insulin… Something that at the beginning of my pregnancy may not have been but maybe 5 or 6 units. I think what shocked me even more is the fact that I had to give it in two separate boluses because my pump tops a limit to boluses at 15 units… which I’m seeing now I may have to raise to a 20u limit.
Cartridges that, when filled, could last 4-5 days, now last 2 – 2 ½ . But what do you expect when each meal ranges between 8-12 units (with breakfast being between 10-15ish) and daily basals now being 32u. That’s not including snacks or corrections.
Basal rates never stay the same more than 3 days for me now, increasing at slight amounts of 0.05-0.1u per hour, and at different times of the day. If you were to look at a chart of the peaks and valleys of my basal rate before pregnancy, it looks nothing like what I have now. Trouble times are different, save the morning “wake up” phenomenon.
And sites? This is something that is puzzling me, yet not really. Every site I have used the past 3 weeks has left me with a bleeder or bruise. Now, granted, I know blood volume increases a lot during pregnancy, but wow! It’s like playing a game of Minesweeper… you never know when you’re going to place one and it be a bomb of a bleeder. A bruise I had from three weeks ago is still there, but is fading a little bit every day.
One day, one hour, one minute at a time. It’s what I have to keep telling myself. Otherwise, I’d lose my mind. It’s easier to look at my diabetes management during pregnancy that way than looking at the big picture. Because the big picture is overwhelming and seems impossible. The only big picture I need to be focusing on is the one of my little boy… being safe and healthy.