Friday, August 24, 2012

18 & 19 weeks Pregnant, Insulin Resistance and...IT's A .........!!!

GIRL!!! We are so excited to welcome another little girl into our family! At the 18 week Scan we did a fetal echo cardiogram and that turned out great as well as the scan of all the organs. I don't have to go back for 6 weeks for another ultra sound.

And now we're at 19 weeks and starting to see some insulin resistance! I finally got a chance to talk to the doctor today and she said that it is totally normal to see more insulin resistance in your Second pregnancy. I didn't know that. She said it can come on as early at 20-22 weeks. I'm 19 and 2 days right now, so I'm close enough to fall into that timeline. I remember being on a 1:3 carb ratio at the end of my first pregnancy...if it's going to be worse this time, I can't even imagine how much insulin I will be on in the near future! I started out at a 1:10 carb ratio in the am and I am now at a 1:7 and I have had to raise my basals starting at 2am until 12pm. I've only had a few sugars in the 200's, but when I saw my highest today at 260 after breakfast I did freak out a bit. I know there is nothing I can do but give myself a shot and adjust my insulin levels. I am not making this adjustment after seeing ONE high sugar, but have noticed a steady increase over a period of a week. I never make adjustments with my insulin unless I have seen a pattern for 3 days or more. I have also see some higher sugars in the evening time and only made a mild adjustment. We will see what the weeks to come have for me!

Sunday, August 12, 2012

17 Weeks and No 2nd Trimester Relief

17 weeks! It's definitely exciting to be this far:) But there has been no Second Trimester relief for me. I am still throwing up EVERY day! It's usually in the morning and if I don't take my Zofran, at lunch too. I still keep trying every day to not take it, but then it catches up to me and I must.

My diabetes has been in really tight control. I think at times the doctors think too tight. I've had quite a few lows (nothing major), but I feel like I am starting to see some insulin resistance in the AM....especially after breakfast. I have now reduced my carb ratio from 1:9 to 1:8. And today after breakfast I had my highest sugar so far of 233.

It's been a crazy few weeks of travel, stress and illness. We went to another state and different time zone for a wedding. Adjusting for the 3 hour time difference, in regards to my blood sugars, was mostly difficult on the days of travel, but as soon as I got on the plane I adjusted my pump to the time zone that we were flying to.

Next there was the stress of a death in the family. My beautiful Grandma passed. She lived an amazing 93 years though! But dealing with that a week ago and then the funeral this weekend has been hard. You always wonder how much stress and emotions affect your blood sugars. AND to top all of that off I have been horribly sick the past 4 days. I have been having to use an inhaler and use prescription cough medicine that has Codeine  in it. I have been coughing so much every day it's been awful! Even to the point of coughing so hard it's making me throw up:(

All this with trying to make sure the baby and myself are ok. It's been stressful the past couple weeks, but I know I'll get through it! I'm still sending my sugars to the doctor every Thursday. They have only made slight adjustments to my basals and sometimes nothing at all. I'm sure it will get more difficult soon and I'll see more resistance!

I'm ready for a vacation! Maybe there will be a babymoon in our future, but we'll see! Next appt is a big one. We will have a Fetal Echo Cardiogram this week and also an ultra sound to see if the baby is growing correctly and get the results of our second trimester blood draw. They do a fetal cardiogram because diabetic babies can have more problems with heart development. We had this done with our first pregnancy. We are hopeful that will all turn out well and that we'll get to find out the sex of the baby!:)