Pregnancy & Motherhood

Pregnancy & Motherhood

A Plan

Pregnancy and Diabetes Blog

September 13, 2010

Things are still sailing along, and I don’t have anything new to report on the pregnancy front.  I am having a Level II ultrasound this week which will provide a more in depth look at the baby’s development including the four chambers of the heart, the kidneys, the brain, the bladder and much more. My OB recommended the Level II ultrasound because of my diabetes so they can make sure everything is on track and to monitor if the baby is getting too big.  We will also be able to find out the gender of the baby.  At this point my husband and I have completely different opinions about whether we should find out the baby’s gender or not.  He wants to wait until the delivery, but I want to know.

By nature I am a planner and therefore I want to know, but he feels like waiting until the delivery will be one of life’s biggest surprises. He is right about the surprise part, but for some reason I really want to know what we are having.  I feel like knowing the gender will help me with the bonding process so I can envision what life will be like with a “little girl” or a “little boy.”  I also feel like there are so many aspects of this pregnancy that are out of my hands that I find some comfort in knowing the gender.  I’m not sure what we finally decide when the time comes on Thurs. but I know it will be the right decision.

I’m not sure how this relates to having diabetes, but sometimes I feel like the unpredictability of living with diabetes causes me to clamp down extra hard on the variables in my life that I can control.  Despite our best efforts sometimes we have unexplained high blood sugars that leave us confused with a headache or low blood sugars that leave us shaking and sweaty.  Sometimes we have no idea how many carbs are in a certain meal so we do our best to guess how much we should bolus in hopes of getting close enough.  We often go through the mental checklist of wondering whether our erratic blood sugars can be attributed to too much stress, not enough sleep, lack of exercise, poor absorption, site selection, infusion issues, tubing issues, over-bolusing, under-bolusing, changing basal rates, too many carbs, not enough carbs, …… and the list goes on.

I know there is no surprise like hearing those famous words moments after delivery of “It’s a Boy” or “It’s a Girl,” but honestly in one way or another it seems like each day is full of surprises for me. I can’t help but feel a sense of peace and reduced stress if I have plan.


How Low Can You Go

Pregnancy and Diabetes Blog

September 6, 2010

This week has been pretty uneventful, and I am officially at the stage of pregnancy where things are kind of sailing along. It seems the nausea has passed, and I haven’t been to the doctor in a few weeks. From time to time I think I may feel the baby move, but I’m not sure if that’s really what I’m feeling or if it’s just my imagination. Hopefully I’m only a few weeks away from feeling some fetal movement which should make things more exciting.  I am slowly making the transition into maternity clothes and while I can still wear some of regular clothes I must admit the maternity clothes are much more comfortable. Sometimes it seems like my belly grows overnight, and something that fit just yesterday is too tight today.

As far as my diabetes goes things are relatively uneventful there too except for the fact that I continue to have frequent lows.  I have talked with other women with diabetes and it seems that they started experiencing higher blood sugars during their second trimester. I asked my doctor when I can expect to see higher numbers that will require me to adjust my basal and/or bolus rates, and he said that it may or may not happen for me.  As it turns out I am still making some insulin on my own so in addition to taking subcutaneous insulin through my pump my pancreas is also making some endogenous insulin.

In a true Type 1 situation there is absolutely no insulin production by the beta cells, but I was diagnosed with LADA in 2005. I knew that my insulin production would start to taper off, but it appears that from time to time my pancreas musters up a little energy and spits out some insulin to help the cause.

The only problem is that unfortunately I don’t know when my pancreas is awake and helping with insulin production and when it is just too tired to help.  The end result is a lot of unexplained low blood sugars throughout the day. I honestly think I have had at least one low blood sugar every day in the last 3 weeks.

For example, yesterday I rang it at 68 which I went ahead and treated with a 15 carb snack. An hour later I was 54 and once again treated with 15 carbs. Then it was time for dinner so I went ahead and ate my normal dinner and tried to guess how much insulin I might need since technically I was starting too low (even though I had already treated it).  And then about 2 hours after dinner I checked my blood sugar and found 42 staring right back at me.  I treated this one with about 30 carbs and then was up to 132 when I went to bed.  Needless to say spending the afternoon and evening treating these lows left me feeling quite exhausted (and full for that matter as I continued to eat and drink to bring my glucose up).

I’m curious to see if I do start experiencing insulin resistance as the pregnancy progresses or if I can expect to combat lows the entire time. Only time will tell.

What if?

Pregnancy and Diabetes Blog

August 30, 2010

Last week was pretty uneventful in regards to diabetes and pregnancy. I think I’ve finally made it through most of the screening tests that had me visiting my OB every two weeks or so and I’ve settled into a regularly scheduled monthly follow up visit for the next few months.  I did have an appointment with my endocrinologist today, and fortunately I received a good report and my A1C is in a good range and all my pump settings seem to be ok for the moment.  Up until this point in the pregnancy I have been experiencing a lot of lows so we talked about what to do if I start to experience insulin resistance and my blood sugars start to go up.  We also talked about my options during labor and delivery, and I learned that I could either choose to wear my pump and monitor my blood sugars myself or I could be hooked up to an insulin drip through my IV.  I didn’t make any decisions today, but it’s good to know that I have options when it comes to managing my insulin needs during the labor and delivery process.

Still after my endo appointment I couldn’t think of anything interesting to blog about today.  Then I started thinking, “how is that I think about something related to diabetes nearly every waking hour and still I can’t think of anything to write?”  Then my thoughts shifted to how diabetes is woven into the fabric of my life that I honestly don’t know how to stop thinking about it, planning for it, managing it, and obsessing over it.  I rarely think about what life would be like without diabetes, but today I allowed myself to dream a little. I wondered what if suddenly I didn’t have to count carbs before taking a bite of something.  How long would it take before that automatic part of my brain stopped eyeballing every serving of food and sizing it up for its carbohydrate content?  What if I could just strap on my tennis shoes and go for a run without going through the chemistry experiment of reducing my basal rate an hour before I leave and then trying  to consume just enough carbs that I don’t get sick but so that I don’t bottom out while I’m on the run?  What if I could just jump in the car and go on a trip without double and triple checking that I have enough supplies to make it through the entire trip?  What if I could get dressed without having to find a strategic place for my pump that doesn’t get in my way while I’m working?  What if I never found a rogue test strip on the floorboard of my car, or in the bottom of my pocketbook or stuck to my shirt?  What if I knew that I would never feel that completely “out of control” low blood sugar feeling again?  What if one day it all suddenly just disappeared?  How would that change me as a person?

I’m sure I could adapt to life without diabetes, but I did stop to ponder how this diagnosis has made me a stronger person.  I have a classic Type A personality and prior to diagnosis I honestly felt like I was pretty much in control of EVERYthing in my life.  I felt like if something wasn’t going my way then I could just try harder and change the outcome.  This diagnosis has taught me that sometimes things are just beyond my control and all I can do is manage the situation the best way I know how. I have learned that we are truly not given more than we can handle.  If you had told me 5 years ago today that I would check my blood sugar 5-7 times a day, give myself a shot or wear an insulin pump I would have never believed it.  I have learned that a positive attitude can have a huge impact on my general well-being.  I have learned that I can still lead a happy and full life, and that diabetes is just a part of my life’s plan. I have learned that diabetes doesn’t define me or say anything about the type of person that I am.  I have learned that we all have something we have to deal with and that managing my diabetes just happens to be what I deal with on a daily basis.  And the list of lessons goes on and on.

What have you learned from being a woman with diabetes?

 

 

Failed Procedure

Pregnancy and Diabetes Blog

August 22, 2010

Since I found out I was pregnant I have been to some type of medical office nearly every week. First I had to go to the OB to confirm that I was pregnant.  I saw my endocrinologist right away only to find out that I probably wouldn’t start to experience many changes in my insulin needs until the second trimester and therefore didn’t need to come in right away.  I’ve had my eyes checked (thankfully the bleeding in my eyes that he noticed last year is gone), and I’ve had my teeth cleaned only to hear the lecture about how gum disease has been linked to low birth weight babies.

In the midst of all that I’ve seen the OB every 3 – 4 weeks, had three ultrasounds and met with the OB nurse who took a detailed family history and outlined all of the available tests that I will need over the next few months.  As soon as I found out I was pregnant I thought my diabetes would be the most alarming issue, but it seems that my practice is focused on my “advanced maternal age.”  Let me back up and say I am currently 34, but I will be 35 when I deliver so I automatically get categorized as “advanced maternal age.”  Apparently age 35 is the magic number when a switch flips in a woman’s body and there is an increased risk of nearly every problem under the sun.  They make it sound like I am Cinderella and the clock is about to strike midnight and the spell is going to be broken.  I’m sure there is some statistical relevance to age 35, but my interpretation is that insurance companies have deemed 35 as the magic number where they pay for various procedures and doctor’s offices are primed and ready to take advantage of the opportunity.  (Sorry for the side note and rant on insurance and doctors).

One test that was recommended to me was the “First Trimester Screening.”  Basically they do an ultrasound to try to get a measurement of the nuchal fold just at the base of the baby’s skull and take a blood sample and place all that information in a formula along with your height, weight and age. From there they can tell you if you have an increased risk of certain chromosomal issues such as Down’s Syndrome, Spina Bifida and other disorders known as Trisomy `13 and 18.  Depending on the results of this test the OB may recommend other tests such as an amniocentesis.

From the beginning my husband I agreed that we would have the First Trimester Screening because it was non-invasive and wait to see if further testing was recommended.  As it turns out the baby was non-compliant both times because he/she needs to be positioned on the back with eyes toward the ceiling p in order for the ultrasound tech to get the correct measurement.  She tried for nearly 45 minutes both times, but she was unable to get the information she needed.  At my second visit she finally just gave up and said I had “failed the procedure” and sent me on my way.  What ensued was a flurry of activity where the doctors and nurses were presenting me with all of my options for further testing.  Basically the whole process was stressing me out so I asked if any of these tests were recommended for any other reason other than my “advanced maternal age.”  The short answer is no, not really.  I asked if having diabetes increased my risk of any of these chromosomal issues and the answer was, “no, not really, but diabetic women do tend to have babies with other problems such as heart defects.”  Let’s just say the conversation was going from bad to worse and nobody was making me feel any better about the wide array of potential problems that could ensue as a result of either being of “advanced age” or because of the “diabetes.”

In the end, I was able to get some clarity and make a sound decision once I got out of the office. If I have learned anything from living with diabetes it is that I don’t have control over everything in my life. Sometimes thing just happen without explanation, and you just have to make the most of whatever cards you are dealt.  Sometimes you do everything right – you get the right amount of sleep/exercise/insulin/stress and your blood sugars still don’t behave.  I decided to take the same approach that I take to managing my diabetes and that is just keep doing the best that you can and try to focus on the big picture.  Had I gotten pregnant just 5 months earlier then I wouldn’t be of “advanced age.” As a result my husband and I decided that we did not want to go forward with any further testing to determine the potential risk of chromosomal issues.

This decision does not mean the testing is over. I am still scheduled for a Level II ultrasound in a few weeks where they take a closer look at the baby to determine if everything is developing properly.  Let’s just hope they don’t open a whole new can of worms if they can’t see everything just perfectly.  Regardless of what they say I am focusing on doing the best that I can and taking care of my health and not worrying about things I cannot control.

 

 

 

Checking Guilt at the Door

Pregnancy and Diabetes Blog

August 15, 2010

I have always been an active person whether I’m going for run, riding my bike, playing sports, lifting weights or just taking my dogs for a walk.   I love how I feel after I’ve gotten some exercise and broken a sweat – my blood sugars seem to be better controlled, I feel strong and healthy,  I sleep better at night and I’m able to control my weight.  On an intellectual level I understand exercising just to be healthy, but deep down I’ve always had an ulterior motive of trying to lose weight and/or decrease body fat.

Once I found out I was pregnant I had a lot of conversations with myself about body image and how gaining weight is necessary to have a healthy baby.  I vowed not to let pregnancy affect my exercise routine and as long as I followed all the rules then maybe just maybe I will only gain the requisite 25 pounds during pregnancy.  And then if I breastfeed and start exercising soon after the baby is born then maybe just maybe I can get back to my pre-pregnancy weight within a few months.

Then one day the switch just flipped in my mind. One of my best friends just had a baby and throughout the last trimester of her pregnancy her baby started measuring behind her gestational age.  For instance if my friend was 34 weeks along then her daughter was measuring at 31 weeks.  While this may not seem concerning at first glance, each week her daughter was not gaining weight and she was measuring small.  My friend was gaining weight on the scale, but her baby was not getting any bigger.  Needless to say this created a lot of worry and guilt as to whether her baby was going to be born healthy and without any developmental delays. Luckily her daughter was born on Aug. 6 and while she was slightly underweight both baby and mom are doing great.  Watching my friend go through this agonizing experience of not knowing if something was wrong with her baby really changed my perspective about weight gain during pregnancy.

Suddenly I started to embrace the physical changes within my body. No longer am I focusing on the number on the scale, and I shifted my focus and intent regarding exercise to just trying to be as healthy as I can.  I decided to check the self-loathing and guilt at the door if I have a less than stellar exercise session, or if I miss a workout, or if I just go for a walk instead of pushing myself to do intervals.  And guess what – I feel extremely healthy and beautiful.

As women with diabetes we often struggle with feelings of guilt. We feel guilty if we don’t eat perfectly, if our meter shows us a high or low blood sugar, if we miss a day of exercise, if we don’t check our blood sugars as we should, if we don’t change our pump site every 72 hours, if we gain a couple of pounds, and the list goes on.

But where does this guilt get us?  Absolutely nowhere! If you make a bad food choice at one meal then make sure you make healthy choices at your next meal. If you didn’t exercise today then make sure you exercise tomorrow. If you have a lot of unexplained high or low blood sugars contact your CDE or endocrinologist to make changes to your treatment plan.  Try to look at the big picture. Think of all the things you are doing “right” and vow to make the best choices for your health.

 

 

The First Trimester

Pregnancy and Diabetes Blog

August 8, 2010

As of Friday I am officially 12 weeks pregnant which means I am nearing the end of the first trimester.  I’ve been reading a lot and trying to educate myself on all things pregnancy related and all things diabetes and pregnancy related.  I wanted to share a couple of my experiences up until this point.

Insulin Sensitivity – I learned this week that a woman with diabetes can actually start to produce some beta cells leading to insulin production during pregnancy. While I’d love it if my beta cells miraculously started working again it actually presents some challenges when you are injecting insulin. My trend has been to go low after breakfast regardless of how small the bolus or how little the basal rate.  I can almost set my watch by having a low blood glucose around 10:30 am.  Let me just state for the record that I check my blood sugar religiously, but I am the World’s worst at taking a rational approach to determining trends and making adjustments to my insulin.  I just have to take my meter history straight to a CDE or a Registered Dietitian for recommendations.  I made a few changes myself, but they ultimately landed me somewhere in the 200s so I just went back to my original settings and consulted a professional.  I think the bottom line is that it’s a bit of a moving target right now (isn’t it always) due to the pregnancy related changes, and I am just going to have to work closely with my CDE.

Food aversions/cravings/nausea – The most unusual “symptom” I’ve had so far is that I feel like my taste buds have completely changed.  Foods that I normally love are repulsive to me and foods that I would never eat in million years have become a staple.  If I have a craving you can rest assured that a) it is high in carbs, b) has little to no nutritional value and c) tastes really good (think French fries).  The only way I’ve made it through these nutritional “bumps in the road” must be due to the increased insulin sensitivity.  I guess I better hit every ethnic restaurant in town before I start going the other way and start becoming more insulin resistant (as is the case with all pregnant women – diabetes or not).  As for the nausea it can best be described as “mild queasiness” that just will not go away.  Some days it lasts all day and other days I feel fine.  However it does seem that the queasiness does coincide with a low blood sugar.  Who knows?

FATIGUE – Ok I had to capitalize that one because I have had some days where words cannot describe how tired I am.  I have taken more naps in the past few weeks than I’ve taken in 5 years.  Yesterday I fell asleep while I was sitting up drinking a cup of half- caffeinated coffee that was meant to wake me up.  I finally just gave into the urge and slept for two hours.  Some days I have tons of energy and feel like my normal self, but other days I feel like the only way to make it through is with a nap.  I have decided to let go of the guilt of wasting that much time and just let my body get the rest it needs.

Doctor’s Appointments - I’ve also had my fair share of doctor’s appointments over the past few weeks.  I’ve decided to let my endocrinologist help me manage my diabetes throughout the pregnancy and let my obstetrician manage the pregnancy.  I realize we are on the same team and want me to have a healthy pregnancy and a healthy baby, but this is just a personal decision I’ve made to prevent me from getting mixed information and to keep me sane.  At my first OB visit, my OB said he wanted my two hour postprandial blood sugars to be less than 120.  I ran that one by my endocrinologist because I was curious how I was going to be less than 120 two hours after eating without being 50 three hours after eating.  Basically I know my body and I know that there is no way I can have that tight of control without having a lot of lows.  My endocrinologist confirmed that we are looking at the big picture and that I do risk going too low if I tried to achieve those types of numbers.

Baby Bump – And finally I’m starting to get a little baby bump.  My clothes still fit, but I have a little belly that I can’t suck in anymore.  At first I was having a hard time with the idea of getting “bigger” but I know it’s necessary and important to have a healthy pregnancy. Now that I’ve started spreading the news it actually makes me a little excited to look down and see a little “bump” and know that there’s a real baby in there.Amazing!

29 and the Mall

Pregnancy and Diabetes Blog

August 1, 2010

I have no idea if there is any scientific evidence to support the fact, but nearly every time I go to the mall I end up with a low blood sugar.  I can go into the mall within my target range, a little high or even way high and somehow by the time I finish I am nearly crawling out of there. One time I even munched on dark chocolate covered toffee (hello a lot of sugar) and I was still low when I left. Needless to say that was a marathon shopping trip, but in any event it just doesn’t make sense.

I tend to have pretty good awareness of when I’m dropping, but this time it hit me out of nowhere. I was trying on clothes and trying to make an executive decision as to whether I should stick with my “true size” or go up one size with the newly discovered pregnancy.  All systems were a go – I felt totally fine, my brain was functioning normally and then all of the sudden I just felt a little off.  I checked my blood sugar and staring back at me was 29.  WHAT?  I couldn’t get a warning at 65?  My only symptom was mild agitation (which can easily be attributed to trying to rearrange my pump to a new place on my body with each new outfit I tried on) and then WHAM 29.

Immediately I broke out into a total body sweat. I mean a soaking wet, I just ran 5 miles in NC humidity in July kind of sweat.  My shirt was soaked, my hair was dripping wet, and sweat was beading up all over my face.  I must have sat there for 10 minutes trying to plan my escape (and eating everything in my purse) all while trying not to sweat all over the new clothes.  Slowly I felt my blood sugar start to come up, and I just decided to walk out of the dressing room confidently.   Nobody seemed to notice, but I couldn’t help but want to shout “It’s called hypoglycemia for the record and it pretty much sucks.”

Now the model diabetic in me says to eat my 15 carbs and then retest in 15 minutes, but I would honestly like to find someone that can ring in at 29 and only eat 15 carbs.  I was on a mission. I ate everything in my purse which include a Kashi bar and a couple of packs of Smarties.  And then I moved on over to Starbucks where I ordered a one of those frozen coffee concoctions.  The rational side of me said, “hey you just had like 60 carbs”, but the glucose depleted other side of my brain said “hey you deserve it – you just had a freaking 29 and you are sweating like a pig in public.”

Needless to say the next time I checked my blood sugar I was 263 which brought a pang of guilt like “what did I just do to my unborn child – going from 29 to 263 can’t be good.” Thankfully I was able to get back into my target range once I got home and ate a healthy dinner.

So I just want to know if anyone else experiences low blood sugars at the mall?  It’s not uncommon for me, but I can’t help but wonder if the hypoglycemia unawareness and the dangerously low of blood sugar of 29 are both related to the new life inside? Or perhaps it’s just my reaction to spending money.

 

Post-Pregnancy/Final Blog

Pregnancy and Diabetes Blog

May 6, 2010

Anna and her two children at the hospital
after giving birth her healthy 8lb. 10oz. baby boy

Hello Everyone!I wanted to update everyone on the status of my new son and me. Everything went well with the C-Section and birth of our new baby. We had a few complications but nothing major. We went to the hospital on April 7 for the scheduled C-section. My sugar levels were great. The baby’s heartbeat sounded great. Everything seemed to be moving along fine until they went to give me an IV. The combination of both diabetes and dehydration from the imposed fasting before surgery caused my veins to not be very cooperative. It took 3 nurses and 2 anesthesiologists and 10 tries later to get an IV. My veins kept blowing out. They said this was a common problem with diabetes. It was a major problem for my Nana also who had diabetes. I finally got an IV in my wrist but it had to be boarded up so that I couldn’t bend my wrist and possibly lose the IV. This process made me very anxious and tired. I was already a little nervous about the surgery because of all the possible complications with me or my baby. This didn’t help. I had to calm down some before the surgery. It took so long to get the IV that everyone was in a mad rush to get me ready for the surgery. I felt as if I was being whisked away in no time.

 

Once in the operating room, it was time for the spinal shot. Of course everyone was a little anxious about this because if how the IV went. I had to be absolutely relaxed for them to do it correctly and this was hard since I was shaking from nervousness. I have to give a big thank you to the anesthesiologist on this one because the spinal shot went perfectly. It was easy. It worked great. I was dead from the waist down in a matter of seconds.

Now it was time for the surgery. Everything went smoothly. We were expecting about a 7-8 pound baby boy based on the last ultrasound which was just 2 days before. Wow were we surprised when out came an 8 pound 10 ounce boy. Logan was perfect though. The rest of the surgery was fine. There were no immediate complications with the surgery, birth or baby. We were so relieved. Things could have gone much worse. We were prepared for a much different outcome. We are thankful that it didn’t come to this. Now, we did have a few complications during the recovery. First, Logan had some blood sugar problems. His sugar levels were too low right after he was born. They had to feed him some formula right away to boost his levels. His sugar went up but not as much as they wanted. They had to give him a little more and then he was where they wanted him to be. It took about 24 hours for his body to regulate the sugar levels on its own but he did stabilize and is doing great now. He has had some problems gaining weight. We seem to be heading in the right direction now but had a tough couple of weeks in the beginning. As far as my recovery, it went reasonably well. I really recovered a lot better than I did with the first pregnancy. I am not sure if it was due to the fact that I knew what to expect or that I was in better shape. I really felt very good in the hospital. About a week after the surgery I developed an infection in my incision. This was entirely due to the diabetes. My doctor said it wasn’t the worst thing that could happen but was to be expected in someone with my health issues. We had to keep the area cleaned out and the infection cleared up in about a week and a half. It wasn’t painful just annoying.

My real complications came in regulating my blood sugar and trying to breastfeed. We tried to go without any medication whatsoever after the surgery. My sugar levels were climbing too high and I had to go on 2 Glyburide pills a day. When I came home, it was reduced to only one pill a day because my sugar levels were dropping too low. Unfortunately, there was another reason behind that. First, know that I am breastfeeding my son. This is a great thing to do, especially since I have diabetes. Breastfeeding provides many benefits to children of diabetic moms. However, this was part of my son’s weight loss problem. I wasn’t eating enough to produce strong enough milk for him. This is why my sugar level was getting so low. I had to increase my calorie intake. Once I did this, I had to increase my medicine too. I am back up to 2 a day with the possibility of 3 in the future. I hope that once I can really start exercising again this can be reduced or eliminated. To sum it all up, I really think that for all possible complications that could have happened I had a very healthy pregnancy. My complications were few and very minor. I have a healthy baby boy and I am healthy. I credit it to staying on top of the disease and taking control instead of letting it take control of me. I have learned a lot about managing my diabetes through this pregnancy. Looking back on the pregnancy, I wouldn’t change a thing. I am a stronger and healthier person today because of it.

 

Tomorrow is the Big Day!

Pregnancy and Diabetes Blog

April 6, 2010

Hello everyone! I am sorry I haven’t written in a couple weeks.  I have had so much going on getting ready for tomorrow.  I thought I would drop one last blog before I go into the hospital tomorrow.  I was actually put on bed rest last week too.

Last Thursday I was put on bed rest because of my blood pressure.  I am border line too high.  If I am laying down, my blood pressure is great.  If I am sitting up or standing, too high.  Therefore, doctor says lay down.  This is very hard for me because I am a very active person and was actually trying to work up until the day before the C-section.  I am coping but do get very frustrated.  All of my visits have been pretty good except for the blood pressure.  The baby is getting A pluses on all my BPP’s.  He is coming in at about 7 ½ pounds now.  We think he will probably weigh between 7 and 8 pounds at birth.  He is still active, more slowly now.  His heart rate and breathing are great every time.  Unfortunately, he is still breech.  His head is right in my ribs and that is so uncomfortable.  I have had to increase my medicine one more time to help control the morning blood sugar numbers.  This seems to work great right now.  As far as how I have been feeling, it has been so so.  I have gotten tired very easily lately.  I have had some abdominal pain as my activity is increased.  We can sum it all up to “I am so ready for this to be over”.  Emotionally, I have been a basket case.   I have so many fears about tomorrow.  I feel that everything will be okay but there are so many uncertainties.  It is things the doctor can’t answer because we just won’t know until they happen.  Some of the uncertainties are: the baby’s health, my health and my recovery.  As far as the baby’s health, we have to worry about his insulin levels at birth.  We also have the fact the he is being taken at 38 weeks so his lungs may not be fully developed yet.  There are also endless possible issues to think about because I am diabetic and taking medicine.  I will admit that of all the treatments Glyburide seems the safest because it is a higher level of control.  I just worry about the unknowns.  My health concerns are of course my blood sugar levels and my blood pressure.  I don’t have preeclampsia but we still have to worry about my blood pressure getting too high.  My last concerns are recovery.  I recovered from the C-section very quickly with my first child.  I am worried that won’t be the case now because of the diabetes.  I could be wrong because my diabetes is so well controlled but I still worry.  I also worry about what type of sugar levels I will have after the birth.  How will my body react to the changing hormones?  Well, tomorrow is a big day and I am both excited and anxious.  At least, I will have some questions answered by this time tomorrow.  I will let everyone know how everything turns out and how both me and my new baby boy are doing after we get home from the hospital.

Two and half weeks

Pregnancy and Diabetes Blog

March 21, 2010

Good Evening

Well, it is another week down.  I have just two and half weeks to go now.  I received another good report from the doctor this week.

I had another BPP and regular visit.  Baby is doing all he is supposed to.  All of my readings were good also.  I had to get the Group B Strep test done this time, which is a normal pregnancy test.  We did check the weight of the baby because he seems to be taking up so much of my abdomen right now.  I promise my whole stomach from right under my ribs to my legs is all baby.  He doesn’t like the fetal position.  He is all stretched out.  His weight came in good.  He had gained half a pound making him 5 pounds 10 ounces.  This is still a great figure.  If this rate of weight gain stays the same he will only be about 7 pounds by the time he is born.  This is an absolutely astounding feat for a mother with diabetes.  He could fool us and pack on some weight right in the end but he still is smaller than my first without the diabetes complications.  I am noticing some odd numbers in my blood sugar lately.  I am getting some real highs for no reason.  The doctor had said that I would probably need to increase my medicine one more time so this could be normal.  I just want to make sure that I am doing my best to keep it in control.  The cravings have become a little strong here towards the end.  Although, I am not quite sure if the cravings are stronger or I am just too tired to fight them at this point.  I am quite tired most of the time now.  I have a lot of stretching pains in my abdomen and it makes it quite hard to just get around or have any energy.  The baby is also still in a breech position with his head tucked into my left ribs.  This makes it quite hard to breathe.  Luckily, I have a very understanding job and family.  I was informed that I wasn’t expected to work full 8 hour days right now until I go on maternity leave.  This helps since I am so tired when I get home lately.  I also have a lot of family members jumping in to help with the kids and chores so that I can get a little rest at home. In comparison to my first pregnancy, I would say this is about the same.  I know that in the last month of my first pregnancy, I wasn’t good for much.  I thought it was the heat since it was late July but now I think it is this phase of pregnancy.  I think I might have a little more energy right now but my muscles do feel quite weak when the baby starts one of his stretching episodes.  My final point for tonight is questions.  All of my questions about labor are surfacing now.  I will be bombarding my doctor on my next visit on Thursday.  I know he does not want me to go into actual labor.  He will not be inducing labor and he is taking the baby by C-section early so that I hopefully won’t go into labor naturally.  Therefore, we are scheduled for a C-section on April 7th.  I know that for surgery you can’t eat for a certain amount of time before the surgery.  I am worried about my blood sugar falling too low and I may need insulin during the surgery.  I will be asking about this prospect on Thursday.  Especially since I am taking the glyburide, this is a possibility.  My other questions pertain to my recovery.  I am curious as to how soon I can start exercising and getting back to my pre-pregnancy diabetic routine.  I know that I won’t have the baby to depend on any more at that point and need to jump start my own control of my diabetes.  The sooner and better I can take control of my diabetes after the pregnancy, the faster I will recover.  This is my major goal for post pregnancy.