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!

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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…

Arm Site Review

I’ve been wanting to try using the backs of my arms for a CGM site for quite some time now.  My High Risk OB told me that once I get pregnant (I’m not yet!) I shouldn’t wear my sensor on my thighs for some reason or other.  I forget what the reason was as it was an information-overload type of appointment, but anyway, I remembered she said that!  So when I got a mild rash from my last site, I decided it’d be time to give my thighs a break and try the back of my arms.  Sadly, I don’t have Cameron Diaz guns, so there is a lot of fleshy area to choose from.

I wanted to have my husband insert it (hehe, see what I did there?) but he seemed a little apprehensive, so I took matters into my own hands.  (You could go so dirty with that last sentence, but I’m going to assume that the kind readers of my blog will be keeping their minds out of the gutter.)  So, using a mirror, I put a sensor in the back of my left arm.  It wasn’t easy, but it was do-able.  I’ve been wearing this sensor for almost 2 weeks and had my husband reinforce it with some OpSite FlexiFix for me a few days in.  So far, it’s been sticking like a champ.  Probably better than it sticks to my thighs.

A few things I don’t like about the arm site – I seem to meet so many more door frames.  I swear, I’m constantly bumping it. Visibly, it is definitely more noticeable than thigh sites.  Also, I’ve noticed that overnight it doesn’t seem as accurate.  Maybe because I am a side sleeper and my sensor doesn’t have clear access to my receiver?  Regardless, I’ve woken up a few times with it pretty far off.  This morning I tested at 168 and my Dexcom said 102.  On Thanksgiving morning, it said I was 144 and I was 222.  I haven’t yanked it due to this inaccuracy just yet, as it only seems to happen over night.

Also, it’s really nice to not have to remember to be careful of my sensor every time I go to the bathroom.  I think the arm is definitely the way to go as far as out-of-way-ness, (as long as I miss those door frames!), but accuracy-wise, my thighs seem to work a little bit better.  But, it is great to know that my arms may be a good Dexcom spot for a future pregnancy!

 

15 years.

Today marks 15 years since I was diagnosed with diabetes.  During those 15 years I’ve gone from MDI to a pump back to MDI back to a pump.  Here are a few interesting stats I’ve come up with…(yay, math!):

  • Today is my 5480th day with diabetes.
  • For the 26 total months I used MDI, that means I’ve given myself at least 3200 injections.  Don’t you dare complain to me about your yearly flu shot! 🙂
  • Assuming I check my blood sugar an average of 8 times a day, that is 43,840 finger sticks.  (Who wants to treat me to a manicure?)
  • I’ve gotten blood drawn for A1c Tests, thyroid monitoring, etc. about 60 times.  And it hasn’t gotten easier.
  • I’ve changed my pump site approximately 1550 times.  I still suck at doing it left-handed.
  • Zero.  That’s the number of times I’ve clobbered someone after they have made an uneducated, rude, ignorant comment about diabetes.  Do I get a prize for this?

Fifteen years.  That’s a long time.  That’s longer than most Hollywood marriages.  It’s been a hell of a ride with this whole diabetes thing.  It’s made me a stronger woman, more compassionate towards others, more patient, some days a little angry and blue, but mostly, I’ve just been me.  I don’t know any different and I think if you told me that there was a cure and I’d be able to live life free of a pump, finger sticks, and worrying about how that food/exercise/adult beverage/sleeping in will affect my blood sugar, it’d be an interesting adjustment period.  One that I would welcome, of course, but it’s hard to grasp the concept of a life without diabetes!  Could you imagine?  It has been such a big part of who I am, but not all that I am.  I am also a friend, a sister, wife, daughter, kickboxer when I’m not lazy, wine lover, cartographer, blogger, Phillies fan, pasta eater, aunt, volunteer, beer drinker, (Volunteer beer drinker? Sign me up!), Homeland watcher, employee, baker…I am not just a diabetic.  I am Laura.  There’s so much more to me than diabetes.

Blue and organization!

Slacking on my Diabetes Month Photo-a-Day posts!

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I may not always wear blue on Fridays (I really try though!) but I always make sure I sport my “Cure Type 1 Diabetes” bracelet! Thanks JDRF!

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My pump supplies cubbie. Don’t worry, I just placed an order today!

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My test strips/extra Rxs/Random D stuff drawer. Anyone want to have a BG testing party?

Sadly, I don’t have a fun spot for my Dexcom supplies.  They just stay in their box in the bottom of my closet.  I feel I need a cute (blue) basket for them!

Proud.

Day 4 of Diabetes Month Photo-a-Day is “Proud”.  I think that people who live with diabetes (and our awesome Type 3-ers) have a lot to be proud of every day.  This isn’t an easy disease to manage.  We constantly have to juggle, do math, chase highs and lows, etc.  It can be exhausting and every day is a victory!

But for the purpose of this Photo-a-Day entry, I want to share a picture of me after one of my training runs.  I have completed two half marathons – The Virginia Beach Rock N Roll in September 2010 and the Flying Pirate (Outer Banks) in April 2011.  Granted my times were pretty pathetic (Running is so not my thing) but I did it, managed my blood sugars along the way, and got the medals to prove it.  I think this goes to show that even people who aren’t the best athletes can set a physical goal and achieve it.  Thumbs up to you!

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After one of my training runs for the Flying Pirate Half – notice I’m wearing my Rock N Roll half shirt? (Also, can I move back to the Outer Banks? Oh how I miss living on the water…)