Monday, December 20, 2010

3rd Trimester!

Now that I’m officially in my third trimester, I beginning to really look and feel pregnant. I’m walking around like the stereotypical pregnant woman with her back arched and stomach sticking out, rolling out of bed in the morning instead of sitting up first, and rubbing my belly all the time. I’ve also taken to talking to/singing to Baby B. all the time, and I love feeling the baby move more and more all the time. I sometimes have to pray that the baby won’t kick when I’m on a crowded subway car for fear of the person I’m pushed up against thinking it’s me doing the kicking/pushing.

While it’s all very fun and exciting, I am beginning to feel a bit uncomfortable as my bump gets bigger. I’ve started to feel really uncomfortable for a couple of days, and then I guess when my belly has stretched a bit, I go back to being comfortable. Speaking of stretching, I don’t yet have any real pronounced stretch marks, but I fear their arrival every day. I just don’t see how all this stretching won’t result in marks, but so far, I haven’t put on too much weight too quickly, so I think that is helping. I’m going to try to be really careful about my eating over the holidays, which will be hard, but I think ultimately will be worth it (both for weight gain and for blood sugar control).

My blood sugars are doing OK, not great. I’ve still been running higher than I like sometimes, and then I go overboard with the bolusing and end up low. I’m trying to find the happy medium, and again, better eating will help with this. I’m going through insulin much more quickly now that I’m taking more both for my basal rates and my insulin to carb ratio. I can only imagine how much I’ll be taking by the end of the pregnancy.

We have our next ultra scan scheduled for January 3rd and I really can’t wait for that. They’ll measure the baby’s growth, so I’m a little nervous to see how that goes, but I’m excited to see Baby B. again because it feels like it’s been forever since our last scan in October. The ultrasounds are by far my favorite pregnancy experience. I’m hoping that my higher numbers, even though my A1C is still fairly low, won’t result in the baby being bigger than it should be at this point.

We’re off to California later this week to visit with my in-laws and will be there for a week. I'm worried about the eating situation since we'll be bouncing around to and from various family members' holiday celebrations, but I'll just have to do the best I can.

Tuesday, December 14, 2010

Preoccupied with Preeclampsia

I went to the OB last week and while everything seems to be progressing OK with Baby B, they did find small amounts of protein in my urine after my 24 urine test (even though when I called the office right after the test the woman on the phone had said everything was fine - arg). My blood pressure was also a little bit higher than it normally is for me and although it’s still in a healthy range because I’ve always had low blood pressure, I was alarmed to see it go up. I’ve heard about Preeclampsia from Kerri, and am concerned what these clues might mean further down the road in the pregnancy. Things have been going SO well, and I’m feeling great, so I’m hoping to keep going like this until as close to the end as possible.

I think more than anything else, this news just reminded me that complications are possible and may even be likely because of the diabetes. This pregnancy has been so uneventful for the past few months, that I think I’ve been lulled into forgetting how complicated things can get. Luckily, as I near my third trimester this coming weekend, we don’t have much longer to go. This weekend we go to Florida for a wedding and then the next week we head to California for a week to see my in-laws. Then, my shower will be in early January and then we really hit the home stretch. I am praying everyday that Baby B is safe in there, and that we’ll both get through the next few months with relative ease.

I’m still battling my blood sugars everyday, which continue to creep up little by little, but with the help of my CDE, we’ve been able to keep them in check pretty well. It seems so crazy that in three short months, this whole pregnancy experience will be a thing of the past!

Wednesday, December 1, 2010

On an A1C high (not a high A1C)!

I can’t believe it’s been so long since my last post. Things have been busy and only seem to get busier with work, the holidays, and other things that keep popping up! Life has been fun with all of the baby excitement, and I’ve been feeling great.

I went to the endo today and was THRILLED that my A1C is 5.7. Since my numbers have been slowly creeping up, I was worried that my A1C might be above 6, so I was really excited to still be in the 5’s. I was particularly happy about this because I haven’t had a lot of lows, so this means I have a much steadier 5.7 now than I did several months ago. I still put a lot of emphasis on this one little number, and I wish I didn’t, but it makes me so happy to know that Baby B isn’t going to be affected too much by my diabetes.

My endo also said something interesting—that after I give birth, he will want my A1C to be in the 7-7.5 range for the first three months after giving birth. This struck me as odd and I think my mouth almost hit the ground when he said it. He explained that because I plan to breast feed, that can cause a lot of lows, and since I’ll be caring for an infant, he’d rather I be a little higher for a few months than risk another scary low like I had before. I’m not sure how I feel about this, but we’ll see when the time comes.

The last interesting thing that my endo told me about was a study that my very own Naomi Berrie Diabetes Center is participating in called Type 1 Diabetes TrialNet, which is an international network of researchers who are exploring ways to prevent, delay and reverse the progression of type 1 diabetes. Once Baby B turns 1, they’ll check the baby for some kind of antibody to calculate the baby’s risk for developing Type 1. Depending on the risk level, they may have the baby take part in certain preventative treatments. It’s very cool and makes me feel good to know that my child will be able to help scientists learn more about this disease.

In other news, I did my 24 hour urine test, and while it has hugely annoying, wasn’t too big of a deal. Everything seemed fine based on that. Next up is an appointment with my OB, and hopefully another ultrasound soon, it seems like it’s been a while since the last one, and I love those so much!