So, about that First Trimester.

That was the worst hangover of my life.

Literally, the first trimester was like a hangover that wouldn’t end.  Without the funny stories or pictures from the night before.  What a buzzkill.  I, unfortunately, suffered from morning sickness something fierce.  I naively expected it to be along the lines of feeling sick, puking, and feeling better.  Not so much.  I’d feel sick, puke, and continue to feel sick.  Luckily, I was able to get a prescription for zofran, which helped, but didn’t eliminate, the symptoms.  At one point, I blew a blood vessel in my eye and my eyeball filled up with blood.  Stayed like that for 2 weeks.  I looked preeeeeetttttttttty.  (Pictures available upon request).

My blood sugars did well during the first trimester.  I didn’t really experience the constant lows that some pregnant Ds talk about.  I did experience MORE lows, but I would treat and most of the time they would play nicely and come up.  I’d have a random stubborn low, but that’s par for the course with diabetes, right?  My A1c hung out between 5.7 (!!!) and 6.3.  My endo wants me below 6.5, so she’s happy with that!

One thing that did kick in for me – hypo unawareness.  Many times my CGM would bark at me and I’d be like, “LIAR!  I don’t feel low!” only to test and yeah, be in the 50s.  Thank goodness for that little gadget.  It woke me up quite a few times overnight with it’s beeping so I could treat a low.

On the topic of morning sickness and lows…probably the most frustrating for me with this whole pregnancy thing (thus far) is feeling nauseated AFTER bolusing for meals.  To combat this, I’d try to eat as much as I could and either rock a temp basal of 0 for quite some time or, if my tummy allowed, down a glass of milk.

In the grand scheme of things, the first trimester went pretty smoothly.  Along with the common pregnancy symptoms (I could’ve napped every.single.day!), diabetes definitely had a role, but I followed the mantra of “Correct and overcome.”  I’m not shy about tweaking pump settings or trying new things.  Being pregnant with diabetes is definitely not a walk in the park but with a good attitude, careful monitoring, and persistence, it’s definitely manageable.

I’m 22 weeks now.  I’ll update on the second trimester happenings soon!

Friday Fives – Five possible reasons why A1-conceive has been MIA?

Was she…

On vacation?

Stuck in the black hole of youtube?

Abducted by aliens?

In jail?

Busy conceiving?

 

Wellll….if you chose “Busy Conceiving”, you are correct!  I am happy to announce that Baby G will be making his or her debut on November 11.  It’s been a fun ride for the past 17 weeks and I’ll tell you more about that later.  But for now…

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I am excited to be back and active in the DOC and am looking forward to catching up!

Hello, yeah it’s been a while. Not much, how ’bout you?

Hello, DOC!  I’ve missed you!  I know it’s been a while since you’ve heard from me.  My excuses/reasons for not blogging are kind of lame – busy at work, need a break from focusing on the D, busy getting busy, holidays, etc., etc.  I miss blogging, I just haven’t had the motivation to make it a priority right now.  But, I have some down time at work and thought I’d post an update on life.

Update #1.  Not pregnant.  Still trying to get a baby up in there, but no luck so far.  Not sweating it, yet, but I gotta say, it can be frustrating to do everything “right” and not get the results you want.  Kind of like how our blood sugars can behave one way one day and another way the next, despite doing the same thing.  I keep reminding myself that even with “perfectly timed” sex a healthy couple has a 20% chance of conceiving any given month.  Hopefully it’ll happen soon!

Update #2.  Holidays were not as hard with new robot parts.  Last Christmas I was still on MDIs, CGM-less, and felt like crap.  Between traveling 7+ hours to get to our hometown, eating dinner around 10pm on Christmas eve, and not having handy gadgets, I was nauseous most of the holiday last year.  This year was much better with my CGM and pump.  It was easier to make adjustments and I’m happy to say that I felt good and enjoyed myself!

Update #3.  Endo-conundrum.  I received a letter a few months ago that my beloved endo is reducing her hours and therefore will only be in the clinic on Thursdays.  Commence Panic.  How is this going to work?  Especially when I’m pregnant and have many more appointments?  After chatting with a few other patients of her’s I decided to see how it goes at my next appointment with the nurse practitioner before deciding if I wanted to change practices or stick with my current doc, despite her limited availability.  I had heard that the NP isn’t the greatest and rubs many people the wrong way, but I liked her.  So, for now, I’ve decided to stay with my current practice.  Hopefully when I do get pregnant, I will still receive excellent care.  If not, I’ll cross that bridge when I come to it.

Update #4.  A1c!!! My A1c has dropped from 6.8 to 6.7.  Woohoo!  I’m happy I stayed under 7.0.  My next goal is 6.5!

Update #5.  I have an annoying as eff coworker.  My cubicle neighbor has serious issues with his bodily functions.  He’s constantly snorting, snarfling, neighing like a horse, talking to himself, etc.  He drives me slightly insane.  There is going to be a day when I have the perfect storm of low blood sugar, PMS, and am having a shitty day where I go apeshit on him.  Thank goodness for headphones, but damn, he bugs.  Other than him, I love my job (Except for the whole keeping me away from the DOC thing).

Have a great week, everyone!

You can watch TV if you get bored.

So.  I guess I can go ahead and say that the husband and I are officially “trying” for a baby.  Being that I’m neurotic and can’t just see what happens, I’ve jumped into the deep end of the pool in this whole “making a baby” thing.  Dr. Google is my new best friend.

Stuff I’ve learned:

  • A “healthy” couple under the age of 35 usually gets pregnant within 5 months, but it can take up to a year.  So after a year, one should have a chit-chat with her doctor.  Am I considered healthy with this D thing?  When do I go crying to my lady doctor?
  • On any given cycle, there is a 20% chance of getting pregnant.  I graduated with my M.A. summa cum laude.  I can’t deal with this 20% success rate.  Overachiever.
  • Apparently having sex a lot ups your chances.  Duh.  But some women on a baby board that I may or may not post on are getting it on like 2 or 3 times/day.  Ummmm, I’m walking funny just thinking about it.
  • I get to track even more numbers!  I’ve started taking my basal temperature every morning so I can see some patterns with my cycle, figure out when I ovulate, all that fun stuff.  More stuff to keep track of.  Thank goodness for iPhone apps.
  • I can’t find any scientific information on the interwebs about blood sugars and ovulation, implantation, etc.  This annoys me to no end.
  • When you start trying, pregnant women are like squirrels.  They are everywhere.

The husband is a good sport with my neurotic self.  He’s learned some stuff too about the female body – interesting stuff and some gross stuff too.  But he’s super excited and I know he’ll be a great dad.

And luckily, we haven’t gotten to this point…yet…

High Risk OB Consultation

Doctors, doctors, and more doctors.  Sounds like I’m going to have to get used to this!

The hubs and I went to see my newest medical BFF, the high risk OB who will be holding my hand throughout future pregnancy.  On the urging of my endo, the husband accompanied me and I am glad he did.  He had an opportunity to get his questions answered and learned some medical stuff about Type 1s and baby building.

I had built up the appointment a lot in my head.  I expected a lecture about my weight (she said I’m “Only mildly overweight”, love her!), about my BG swings (“You swing, yes, but you stay in a good range, I’m pleased”), and I kind of thought there would be a physical.  (Luckily there wasn’t, yay!).

She answered all of our questions and gave us a bit of a “What to expect when I’m finally expecting” rundown.  A lot of info about why my insulin needs will increase and decrease, the risks of birth defects and miscarriage and one statistic that she provided that surprised me.  She said that our future child has a 1/10 chance of becoming Type 1.  However, everything I’ve read is that our child has a 1/100 chance due to me having him/her way after the age of 25.  I told her that is what I had seen on the interwebs and in some books so either she’s wrong or I need to learn how to use the google better.

Either way, it doesn’t change anything.  Yes, my pregnancy will be more risky.  Yes, our kid may have a higher risk of XYZ, but I am fully confident that with some discipline on my part, support from our friends and family, and careful guidance by an awesome medical team, we will have a healthy baby.

She also said that from 30-32 weeks on, I will be visiting her office twice per week(!!!) to measure the baby’s growth and progress and make sure everything is good.  Yikes.  Luckily I started a new job where I have a lot more flexibility (including Fridays off!) but this still was like “WHOA!”.  I wonder if they offer housing for their patients, seeing as I’m going to be living there?

That’s about it.  It was a good appointment and I’m glad we had it, however she didn’t really tell me anything I didn’t already know.  I would definitely recommend a consultation for those thinking about a pregnancy, if anything just to get you established as a patient of the practice so you aren’t scrambling to find a good OB once you get the positive pee stick.

So, now comes the fun part, right?

Wordy Wednesday

I’ll get back to Wordless Wednesday next week.

Today I had my much-anticipated endocrinologist appointment.  This was the first appointment in which I’d get my a1c since going back on the pump and starting with my Dexcom CGM.

I was called back by the nurse and she took my vitals.  I told her that I was super excited about getting my a1c and was hoping it’d be around 7.0.  After doing her thing, my a1c still wasn’t ready so she sent me back to the waiting room and told me she’d come out and let me know what it was.  A few minutes later she came out with a huge smile on her face and whispered in my ear….

….

what do you think?

Did I do it?

……

Did I hit 7.0?

Well, I didn’t hit 7.0.  I knocked it out of the freaking park!  6.8!!!!!  Sixpointfreakingeight!  I haven’t had an a1c that low since…never.  I honestly can’t remember having an a1c in the sixes throughout my 14 1/2 years with diabetes.  I may have when I was first diagnosed, but not in the last 8-10 years, I know that much.

I almost started crying.

I am so happy that my a1c has shown all of my efforts.  And, I was texting with my friend and made the realization.  It has been tough, sure, but it’s not like I’ve stopped living my life in order to reach this goal.  I’ve made small adjustments and just made my diabetes management a priority.  The Dexcom has helped tremendously.  I no longer fear going low as I have faith that it will alert me if I need to take action.  And when it tells me I’m higher than I’d like to be, I adjust.  The constant contact with my CDE and her feedback have also been an enormous help.

So, back to the appointment.  My endo walked in and also had a big smile on her face.  She asked me if I wanted to hear the good news.  I said, “6.8!!!”  She was bummed that the nurse told me, haha.  She said that she is so proud of me.  When I first started with her last June, I was 8.9.  My last a1c in April, I was 7.9.  I’ve made diabetes my bitch.

I had a long list of questions for her regarding a (hopeful) upcoming pregnancy.  Here’s a rundown:

  • Given my current numbers/a1c, when can I start TTC?

    • NOW!

  • What are my pre/post meal BG goals during pregnancy?

    • Pre – 60-90

    • 1 hour post – below 140

    • 2 hours post – 100-120

  • When should I start taking pre-natal vitamins?

    • Now.  (I already did.  I win)

  • Vytorin – when should I stop taking it?

    • NOW!  She was adamant about this.  Guess I gotta lay off the steak and other cholesterol-y foods from now on.

  • What about synthroid?

    • Keep taking and call her AS SOON AS I have a positive pregnancy test.  (She said, “don’t even tell your husband, CALL ME!”)  Haha.  I guess as soon as I find out I’m pregnant, I need to take extra synthroid that week and adjust my dosage.

  • How long before we start trying should I stop taking pills?

    • She said that although “they” say it takes about 3 months, it can happen the first month so she suggested a month or two before, but “Be ready” for a positive result!

  • Caffeine/artificial sweetener intake during pregnancy?  What is safe?  When should I give it up/start limiting it?

    • She is OK with small amounts of caffeine – in her words a cup of coffee with stevia and half and half is OK.  She said one additional drink with artificial sweetener is OK.  I think I’ll switch to half caf and possibly go to decaf.

  • How often will I have to go to the DR?

    • Endo appointments – monthly.  Email BGs weekly.

    • OBGyn – probably about twice/month, more towards the end (obviously)

    • CDE – communicate via email, appointments as needed.

  • If BG is high/low, what is the best way to correct?  does the 15-15-15 rule still apply?  Bolus or increased temp basal?

    • 15-15-15 rule still applies.

    • She said most women bolus but if they remain high, then they will do a temp basal.

  • What is my carb intake goal at meals?

    • She was telling me something about the rule of nines – 2/9 of my carbs will be at each meal (so 6/9 total) and 1/9 at 3 snacks.  Although she didn’t give me my daily carb intake.  But did say that I will be meeting with a nutritionist.

  • Daily calorie range?  How much weight gain is expected/realistic?

    • 300 additional calories per day.  25-35 pounds is normal, but since I’m fat already (my words), I’ll have to be careful and shouldn’t gain as much.

  • Any foods I should stay away from other than the usual for pregnant ladies?

    • She didn’t say anything specific.

She wants me to make an eye doctor appointment within the next few months.  We also made some adjustments to my I:C ratios – lunch went from 1:9 to 1:8 and dinner went from 1:8 to 1:6 to prevent some of those mid afternoon and post-dinner spikes.

Soooo, there you have it.  As soon as the hubs and I are ready, we can get down to business.  Eeeeeeek!  I’m so excited/nervous/scared/happy/about to poop my pants!

Here’s your picture for WW – my “Oh shit!” face!

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Friday Fives: August 9, 2013

Five things that (irrationally?) worry me about a future pregnancy with Type 1

1.  What the heck am I going to drink?  This makes me sound like a lush, ha.  Seriously, though.  My CDE said I can have 2 artificial sweeteners per day.  I use Stevia, which, according to my reliable resources on the interwebs, is safe during pregnancy.  Awesome.  I can have brewed Iced Tea sweetened with Stevia (right?).  Of course I don’t want my future baby born with 3 eyes or anything, so I will do my very best to eliminate/strictly limit all artificial sweeteners and caffeine.  *gasp*.  Bye bye coffee.  Hello….water?  Milk?  What else is there?  Should I ween myself now?  I have no problems with giving up wine and beer (although, nachos just don’t taste the same with water!), but I fear that giving up coffee will make me a nightmare to live with.  It’s going to be a long 40 weeks!  Sorry in advance for the crankiness, husband.  ♥ you.

2.  Is my job going to hate me with the 900 million doctors appointments I will have?  My Endo’s and future OBgyn’s offices are a good 30-40 minutes away and as far as I know, do not offer evening appointments.  However, I’m not willing to change because I love my endocrinologist and her team and I especially love my CDE.  Luckily my CDE is very responsive via email so I am hoping that maybe, possibly, she will continue to help me adjust my rates and answer my questions via email when I am pregnant.  Taking a lot of time from work to go to the doctor is something I already feel self-conscious of.  I really am nervous that my coworkers will be frustrated when the time comes and I have so many more doctor’s appointments.  However, I think that my direct supervisors will be more than understanding, as one of them recently herself had a high risk pregnancy.  But still, I don’t want people to think I’m a slacker.

3.  Working, period.  Diabetes is a full-time job.  My job is a full-time job.  Being pregnant will be a full-time job.  I’m tired.

4.  Keeping the secret.  The hubs and I have agreed that we don’t want to tell anyone until I’m 12-16 weeks along, however this may prove difficult.  I imagine I will tell my sister sooner since she lives close by and I see her frequently.  And I was the first to know (after her husband, of course!) with all of her pregnancies.  (Neener, neener Mom! Haha!)  But there are going to be challenges, depending on when we conceive.  It could be a non-issue, in that we wouldn’t see our parents for the first 12 to 16 weeks due to schedules, when holidays fall, etc.  Or there could be lots of time spent with parents in which I’ll have to lie my tender boobies off.  It is pretty important to me that we don’t tell anyone until after the first trimester so we will just have to do our best.  I’m looking forward to having a little secret with the husband.  ♥

5.  Guilt.  I’ve read about this on so many different blogs of D-mommies/mommies-to-be.  The guilt they feel when their BGs aren’t in range.  I really want to enjoy my future pregnancy and be as laid back as a pregnant PWD can be, but knowing myself and how much I already love our future baby, I just have a feeling I will be super hard on myself if I am out of range.  I hope I can find a good balance.

6. Judgement from others.  (OK, it’s friday fives plus a bonus!).  I’ve never been pregnant.  I am scared, nervous, excited for that day when I see two lines on the pee stick.  I have no idea what it will be like, how it will feel to hear my baby’s heartbeat for the first time, to feel the flutter of movement, etc.  I am researching pregnancy with type 1 as much as I possibly can in an effort to educate myself so I can kind of know what to expect.  I know that it’s going to be hard.  I know I’ll have to make sacrifices (see #1).  I know that there’s a decent chance I’ll have to have a Cesarean section.  I just worry that people will judge me based on their experiences and what they think is right.  I know my husband will have my back and I will just remind the judgey McJudgersons that although they may have been pregnant, they’ve never been pregnant with type 1 and I’m doing the best that I can for my unborn child.  And if all else fails, I’ll break out some kickboxing moves and show them who’s boss.

I am thinking about this stuff more and more lately as the day when we start “trying” doesn’t seem as far off as it did a few months ago.  I am so inspired by the type 1 women who have had successful pregnancies and know that my pre-worrying is a bit on the cuckoo side.  But I also know it’s normal as we PWD can’t just throw caution to the wind and have to actually really plan and work hard for our pregnancies.  In the end when I hold that little life, it’ll all be worth it.