tag:blogger.com,1999:blog-76561965225340289272024-03-08T06:40:36.839-08:00Fertility, IVF and Type 1 Diabetes "Oh My!"t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.comBlogger45125tag:blogger.com,1999:blog-7656196522534028927.post-7417048835189258712013-01-11T15:33:00.000-08:002013-01-11T15:34:20.618-08:00And This Journey has a Happy Ending :) L&D and Breast FeedingAfter failed IUI's with clomid, failed IVF and then a successful IUI with fertility medication, we happily welcomed baby Keira into our lives on December 31, 2012! She was born at 37 weeks and 5 days after an induction. The version worked and she stayed head down and we had a successful natural delivery!<br />
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We went into the hospital for an induction on December 30th. Since they were bring her into this world early, they did an amnio to make sure her lungs were mature. They were so they induced me beginning at 3:30pm on the 30th. It started with 2 rounds of oral cervix softener. Each one took 4 hours so it was 8 hours total before starting Pitocin. They monitored my sugars consitently throughout this whole time, but I got to stay on my pump until I had my epidural. At 11:30am on the 31st I was 4cm dialated. They tried to break my water to move things along, but it was so uncomfortable that they had to give me the epidural at that time to do it. It took them 3, YES 3 times to get the epidural right!!! And the medicine made me so sick after each big bolus, that it caused vomiting throughout the rest of the delivery:(<br />
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After the epidural was placed the nurses put me on an insulin drip. Since the hospital uses the same algorithm for EVERY Type 1...and I was not happy how my sugars were controlled in the last delivery, I met with the Labor and Delivery Nurse and my Doctor before I went into the hospital and we reviewed my current basals and boluses and created a Special algorithm for me. This meant I got the nurses to give me insulin based on my current rates that were in my pump before taking it off, instead of some standard plan that they just give everyone. My sugars were so much better controlled this time....it was great! What I didn't like was when I was about to go on the Drip and the nurse looked at me and said "We're going to place another IV now just for the insulin drip"....I looked at her and said "No you aren't" She told me it was "Protocol" and I told her they didn't do it last time so I wasn't going to let them stick me unnecessarily again! She said she had to check with the doctor. I told her to do so and if the doctor had a problem with it to please have them come talk to me....and guess what??? I didn't have to get a Second IV! Thank goodness!!!<br />
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The contractions got stronger and stronger. Come 6:20pm I was ready to push....20 minutes later baby Keira was born! The advantage to a second child...they usually come out much faster! I had contractions in my upper back though too and those were quite uncomfortable.<br />
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2-3 hours after delivery I was allowed to go back on my insulin pump. I made the mistake of putting the inset in a part of my stomach that was stretched before and unfortunately it didn't work and resulted in my highest blood sugar in 10 months! I was 285 at first...took a big bolus and went to 290 an hour later. I was honest with the nurses and doctors about this and told them it was a faulty inset. I changed it and was down immediately. But because of this high to low sugar, the doctors wanted to check me EVERY HOUR ALL NIGHT LONG!! I kept fighting this...it was just a faulty inset!! I didn't do anything wrong! It's not my body! I just had a baby and need to sleep!! They eventually let me have a 2 hour stretch, but I didn't get any rest because every other doctor was coming in. We were exhausted! It's amazing how once the placenta was delivered how quickly my blood sugars went back to normal. Within hours!<br />
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Though tired and over the moon, I did want to do something fun to celebrate New Year's Eve:) I just had the best NYE with the birth of my daughter, but my husband and I also brought NYE hats, noise makers and little bottles of Champagne to pass out to the nurses to celebrate! We went to a room on the top floor with the nurses, brought the baby and rang in the New Year with a view of beautiful fireworks out the window! It was amazing! The nurses couldn't believe I was up and about just after giving birth! Me either, but it was all worth it! <br />
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Now I am at home and breast feeding. Wow does that burn some calories! I was back on my pre pregnancy basals and now I have reduced those about 30% to try and prevent myself from getting low!<br />
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1 week after we got home we all got the stomach flu:( Minus the baby, thankfully. I couldn't keep anything down one night and had the hardest time getting my sugars out of the 50's. It was horrible. My body didn't want to digest anything! Thankfully now I am getting over that.<br />
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Well, what can I say, it's been a challenging, but an amazing adventure. Last New Years I was in tears because once again I got my period, this year, I gave birth to a beautiful baby girl. Being pregnant is not only a challenge in itself, but being diabetic on top of it is a full time job! I'm happy to have started a group this past year for Type 1 Moms who are expecting or have young children. It's so nice to find people that you can relate with! Hopefully I can grow this group for Type 1 moms around the world to be able to connect:) www.facebook.com/type1diabeticsugarmommas<br />
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Dealing with infertility or subfertility is never an easy thing. Being a diabetic on top of that can at times make it more challenging, but not impossible. I realize that I am fortunate to have had such a positive outcome, and that it's not the same for everybody....I wish you all a successful outcome in your journey....I will always be available to chat and or just listen. bapple08@yahoo.com<br />
Thank you for following my journey! And maybe, just maybe, there will be another one in the future!!<br />
xoxoxo<br />
<br />
Brooke <br />
<br />t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com1tag:blogger.com,1999:blog-7656196522534028927.post-16410291556507544852012-12-28T18:52:00.002-08:002012-12-28T18:52:46.967-08:0037 Weeks..ECV and Hospital Prep for InductionRight after 36 weeks we went for our last growth ultra sound.....baby measuring 6 lbs 10oz! Not too bad! 60th percentile. I was fearful because of the diabetes that she might be really big, and already being breech, they would just schedule a C-Section.<br />
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Last Christmas Eve was a big day for us! We went to the hospital for the External Cephalic Version (ECV) and it was successful!!! Amazing! The baby had been breech for so long. We had anti-natal testing yesterday and thus far she is still head down! Fingers crossed that she stays that way! The ECV was a lot of pressure.....but I have good amniotic fluid levels, so I know that helped her to turn. I had my husband video it too. It's really cool to see! You can see her flip from the outside! A lot of people told me how horribly uncomfortable it was so I was scared, but in the end, child birth is much worse, so I could handle it.<br />
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I see my insulin requirements dropping once again. I don't know if this is because the placenta is not having to work as hard?<br />
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I had a sit down with the diabetes nurse in labor and delivery a couple of weeks ago to go over what my insulin requirements will be if and when I go on an insulin drip in the delivery room. After my first delivery I was not happy with the generic form they used to decide how much insulin I would get every hour and for corrections of my blood sugar. Every Type 1 is at different levels by the end of their pregnancy and I want to make sure those insulin levels will work for me so I'm not running high like I was last time. This time I am choosing to be in more control of my sugars than last time. It was better that the nurses, doctors and I agreed on this ahead of time instead of trying to fight them in the hospital. I wanted to make sure I was very clear how things will be handled with me and my diabetes. I feel more comfortable going into the induction now. <br />
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This Sunday is the BIG Day! We are going in for an amnio to see if the babies lungs are mature. If they are they will induce labor that day! If not, they will give me a shot of steroids to mature the lungs and then induce labor 2 days later. I'm hoping for a "natural" delivery as opposed to a c-section, but you never know what might happen!<br />
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Here's to a great end of the year, a near end of our fertility journey and to an amazing 2013!!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-80160924917620283562012-12-17T10:06:00.001-08:002012-12-17T10:06:24.711-08:0035 weeks- Placenta has kicked back in and ECVAfter thinking my placenta was plateauing, it sure has kicked back in! I am definitely at a 1:2 carb ratio for breakfast now (before pregnancy I was at 1:10) and lunch and dinner I am 1:4 and 1:5 +2. It's crazy how quickly it happened too!<br />
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I have realized that I have to be very careful with what I eat. I ate white pasta one evening this week and another night a regular crust pizza (2 small pieces) and my blood sugars were elevated for so many hours after!! It took 6+ hours these nights for sugars to come down....so once again I will not be eating these items during pregnancy. I hadn't had them at all and thought I'd give them a try. BAD idea. I have had whole wheat pasta and thin crust pizza a couple of times and those didn't affect me nearly as bad. So I can refrain for another couple of weeks.:)<br />
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My Exterbak Cephalic Version (ECV) is scheduled for next Monday the 24th of Dec. I regretfully "Dr. Googled" the procedure and now I am more fearful to go into it. I have a growth U/S on Thurs and an appointment with my doctor so I will ask them about the risks. It sounds so uncomfortable too!!! I'm just hoping she will flip on her own first. Say a prayer for me!! (thanks!) I am wondering if I will have to take out my insulin pump too? I hate that I am having to change my inset every day now. It is so hard and sometimes so painful to find a good spot that works. Maybe due to the increased blood in my body, my insets are making me bleed much more often and I am bruising more on my stomach. It gets frustrating. Sometimes I have to use 4 insets just to get one that feels right and good nowadays. Ouch!<br />
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Looking forward to Thursday to see how big this little one might be!!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-84697322857659915962012-12-07T19:46:00.000-08:002012-12-07T19:46:06.647-08:0034 Weeks- Insulin Plateauing and Breech Baby34 weeks along! I can't believe it. My insulin needs have been plateauing over the past week, which is something that I do not remember from my first pregnancy. My doctors say that my placenta is realizing that it's job is almost done, so it's not requiring as many hormones, therefore as much insulin. I've actually had to back off a bit on my basal rates. I don't know if it will continue or not??<br />
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I got my last A1C back....4.8%! I was pleasantly surprised!! I have had some lows, but not a lot. The doctors see my numbers every week and have been very happy with them! I have had few high numbers and if it is elevated, I get it down very quickly. I will change my inset if I don't see a change within an hour usually...or if my sugar rises. But overall I'm happy with that result! I guess the testing 20 times a day (ouch! lol) is paying off:)<br />
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And now the little one is Breech....;/ she has 2 weeks to turn before they do an external version. This is where they will try to turn the baby from the outside of my stomach. If it doesn't work, they will schedule a c-section. On the day of the c-section they will give me a spinal tap and then try to turn her one more time. If it works, they will induce natural labor (vaginal delivery) and if not, they will proceed with the c-section. I'm praying that she turns on her own! Until then, I'm visiting the chiropractor and acupuncturist to help. Fingers crossed! t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-35053126924843424552012-11-23T11:20:00.002-08:002012-11-23T11:20:48.445-08:0032 weeks and Anti Natal Testing beginsThe insulin resistance continues! At the end of my last pregnancy I was at a 1:3 carb ratio and now it's slowly creeping upwards and I'm only 32 weeks! I'm at about a 1:3 +1 carb ratio in the am now. The rest of the day isn't as bad, about a 1:6-1:8. But my fasting sugars have been a really big issue. I keep waking up between 140-170. The doctors and I have upped my basals, which will do me great for 1 or 2 mornings, then I'm up again. My sugars are decent the rest of the day. The doctors don't ever seem freaked out (though I do a bit)....they think I'm doing a great job. I guess they see more diabetics in pregnancy than I have experience with, so all I can do to relax about it is trust them. I used to be at a .950 in the morning about 5am for my basal rate. I am currently at 1.7!! It's crazy how insulin resistant pregnancy can make you! My correction has doubled in the am too!<br />
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So we had our 32 week growth Ultra Sound on Wednesday...so far so good, but a Big baby!! She's averaging in the 77th percentile! Already 5.3 lbs! Her head and abdomen are in the 95th percentile!!! The doctors don't look at those numbers, but the overall average they told me. She's also currently Breech so let's hope that she turns within the next 4 weeks! Turn baby Turn!:) I don't know how I feel right now about a C-Section......<br />
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When I left the doctors office I was more nervous and freaked out rather than excited. That seems like a BIG baby to me! My Endo office called later and they said it was totally fine after the numbers I told them. They baby's size is not diabetes related. So during Thanksgiving yesterday I asked my family how big all the babies were....my family makes BIG babies!! LOL. We range from 8 lbs to 10 lbs 5 oz!! So she's right on track!<br />
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My Anti-Natal testing starts next week and I will go twice a week until I deliver. This really makes me feel like I'm getting into the home stretch! I know I won't be completely comfortable and relaxed though until she's here in my arms. The anti natal testing will monitor and track the heart rate, contractions and movements of the baby.<br />
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Not too much longer...soon my fingers will get a break from the 15-20x+ a day of testing!! But it will have all been worth it!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-48009367493946580212012-11-09T07:21:00.000-08:002012-11-09T07:21:25.319-08:0030 Weeks...High fastings & Induction Date SetI can't believe I'm already at 30 weeks! It's been slow, yet fast at the same time. I have a little kick boxer in training moving around in there! I'm slowly starting to get more and more excited! The baby is definitely sitting low and causing me more discomfort this time. Sleep is getting harder too...which is to be expected! Still having to take my Zofran Every day.....<br />
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The doctors think I've been doing really well with my sugars, sometimes even being too hard on myself. I've only had a few numbers in the 200's. I've definitely had high 100's, but they don't seem as concerned about them as I do. They tell me they get more concerned with people whose sugars are in teh 200's-300's and they don't correct right away. I think the most difficult time of day for me is the AM. I've been waking with a high fasting for the past week or two. I usually catch it and correct right away, but I get super frustrated. More probably because I can't find the right pattern in my sugars to correct it overnight. I usually test around 2am and 5am and then when I wake between 7-9am. I've been low and higher at different times throughout the night so without being able to find a pattern, all I can do is the consistent testing to stay on top of it. Frustrating!!<br />
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My pump was having problems over the weekend so I had to get a replacement sent to me overnight on Monday. I would change the battery and the screen wouldn't come back on! I checked the batteries and they were all good. Thankfully it came back on again and I didn't have to switch to my Lantus backup. I've Never done Lanus so I had to call my doctors and figure out what my emergency plan would be just in case. Thankfully I didn't take that route! <br />
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An induction date has been set! It's funny, it's almost like calling up to order a pizza delivery. LOL "Yes, this date, this time please"...woo hoo! So my 37 weeks when they would like to induce me is the day after Christmas.....so we pushed it out a few days to Dec 30th! I will go in and they will do an amnio to see if the lungs are developed...if not, I get a shot of steroids and stay in the hospital and have them induce me 2 days later. If the lungs are ready they will induce me that day!<br />
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Sugar Mommas!! The Type 1 moms group that I started will meet again this weekend. Very exciting! You can find us on Facebook if you're local and would ever like to join!<br />
www.facebook.com/type1diabeticsugarmommas<br />
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My Anti-Natal testing starts soon! 2 more weeks and a growth ultra sound right before Thanksgiving!!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-23419955091110334682012-10-25T23:40:00.000-07:002012-10-25T23:40:51.518-07:0028 Weeks: Growth Ultra Sound, Rhogam and More ResistanceHad our 28 week Ultra Sound today and she's growing well! With Type 1's they are concerned the baby will get to be too big if sugars are not controlled, but my doctor told me that a lot of Type 1's end up having smaller babies. Well as of today we're measuring in the 73%. I asked my doctor if I should be concerned and she said no, it's actually great where we are at since most Type 1's tend to have smaller babies as mentioned. So that made me feel better. I've been doing my best to keep good control with my sugars and if the baby was larger because of my diabetes, I don't feel that I could make my sugars any better at this time to change that.<br />
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Insulin resistance is just getting more and more every couple of days. I was told to expect this until about 34 weeks and then it should level out a bit. We'll see what happens! Right now I'm on anywhere from 15-25 more units Per Day than normal and having to change my inset 1-2 times a day! Sometimes they just don't seem to work so I change it.<br />
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My blood type is O Negative so I have to have a shot of Rhogam today. I didn't see any affects on my blood sugars from the Rhogam.<br />
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I'm still battling morning sickness and think it will stick with me throughout the pregnancy! I take my Zofran every day, which doesn't affect my sugars, but makes me feel much better! :)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-44742987108261938042012-10-11T21:55:00.000-07:002012-10-11T21:55:26.778-07:0026 Weeks: Failing Insets, Travel & Eye Problems26 weeks brings the need for more and more insulin and having to change my inset almost EVERY day! One of the reasons I got on the pump was so that I didn't have to poke myself with a needle every day, but this is what this stage of pregnancy brings. With my first pregnancy I had to do it starting at about 17 weeks, and this one it's just starting now. I did realize that sometimes I wasn't be patient enough and giving the insulin time to work, which is probably why I changed it more often before....but now at 26 weeks it's becoming necessary for me.<br />
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We just got back from a babymoon to Mexico! It was awesome! Not too hard to control my sugars abroad. But it was very hot and humid, therefore I experienced some painful water retention. I didn't realize what it was until I got back. My calves were HUGE and I felt like I pulled a lot of muscles in them. My face was also slightly swollen as well. I've been drinking a bunch of water which has helped with the water retention as well.<br />
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My back has been starting to really hurt. Traveling on an airplane and with airport delays it was no fun. I'm going to a Chiropractor and Physical Therapist too. I am going to do some acupuncture as well. I had issues during my last delivery with my back and want to prevent them as much as possible if I can. <br />
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Eyes- since last week I have noticed some blurriness in my left eye. As I drove today and it covered briefly my eye I freaked out and went to the eye doctor. I was worried because I'm type 1 and pregnant. My doctor told me my eyes could get worse in pregnancy. He told me today though what he see's is the residual blood left over from when my eyes bled before when I was doing fertility treatments. It was such a great relief to know that it wasn't anything new! After all the back issues I've been dealing with , I didn't want to have to deal with that too. They said it can take anywhere from 2 months to a REALLY long time for it to go away....let's just hope it goes away on it's own!<br />
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Next growth scan is in 2 weeks!! I'm looking forward to that....and then maybe after that I'll start ordering some baby furniture! :)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com3tag:blogger.com,1999:blog-7656196522534028927.post-35064301402031553552012-10-01T17:34:00.003-07:002012-10-01T17:34:29.693-07:0024 Weeks....HBA1C and Growth ScanAhh, as I threw up today in Bed Bath and Beyond, I was once again reminded that I need to continue to take my Zofran. Morning sickness has not left me yet....urgh. I guess it just is what it is. It's just hard when it hits at all the inopportune moments! LOL<br />
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24 weeks and one day last week we had a growth ultra sound. It went well! She is measuring in the 61%. I'm not worried that she is over 50% because my first daughter was around the same range. She came out at 7lbs 3oz.<br />
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I got my A1C done last week too.....4.9%!!! I said to the doc, "You're Shitting Me?!?!" wow!! (lol, I didn't mean for that to come out!) I was expecting a 6.0-6.5%, but I guess I've been doing better than I thought. Insulin resistance is kicking in even more though. I'm having to change my inset once every two days at minimum now and sometimes once a day. There are more and more consistent changes with my basals happening now too.<br />
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Babymoon! Off for a surprise destination babymoon this week! My husband keeps telling me to pack my Parka....off to the South Pole! haha. I have a feeling it's really somewhere warm though so I think I'll risk it and pack a swim suit! :)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com1tag:blogger.com,1999:blog-7656196522534028927.post-70847891112588673522012-09-22T08:51:00.000-07:002012-09-22T08:51:25.252-07:0023 Weeks along! Volunteering with the JDRF for T1 Mom's and Mom's to Be!As each week goes on the aches and pains get a little worse in my back and I see slightly more and more insulin resistance. I have been wearing my Dexcom Continuous Glucose Monitor (CGM) and have been having nothing but problems with it....what kind you ask....for example on sensor reading on the CGM said I was 274 and going straight up!! OH CRAP!!! So I immediately tested my blood and had a reading of 186. That was less than an hour after eating...So almost 100 points off for the CGM!! How am I supposed to rely on this machine if I am having such crazy readings? That was the worst of them, but others will say: CGM: 140 Actual: 85 CGM: 199 Actual: 130....a LOT of readings are more than their 20% variable. If this is what the artificial pancreas technology is supposed to be based off of, don't sign me up yet!! I have called Dexcom too, done the calibration changes they have suggested....and it's just not working! It gets SO Frustrating!<br />
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On a happier note, I'm feeling the baby move a ton more which is awesome! Everyone keeps asking us if we have a name...nothing yet, but if you have any cool girl name suggestions, send them our way please! :)<br />
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I'm having to change my inset site every 2 days or so now. It just stops working after a while.<br />
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I've been trying to work out at least one day a week still, it does help my sugars and my back. I've been having to go to physical therapy for my back.<br />
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Also in staying busy I am volunteering with the JDRF and starting a Type 1 Mom's Group Meetup called Sugar Momma's! It will be for Type 1 Expecting Moms and Moms of Infants, Toddlers and Pre-Schoolers. Our first meeting will be Oct 13th in the San Francisco Bay Area! Very exciting! Message me if you know anyone in the area who might be interested in joining!<br />
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Well, next week we'll have a 24 week Growth Ultra Sound! Will let you know how it goes! t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-7871542411742837092012-09-06T21:48:00.000-07:002012-09-22T08:52:01.377-07:0021 Weeks....No More Cereal!?! (Lost Emails too...)And the insulin resistance continues! I must have talked to my doctor 3 times over the past week alone! It is crazy and amazing how one little placenta can cause so much ruckus! My carb ratios have gone down from 1:10 in the morning starting in pregnancy, to now 1:6! And I was instructed very clearly by my doctors today, "No More Cereal" for breakfast! Are you kidding me?!?!?! I've been having a cup to cup and a half a day in the morning and LOVE my plain cereal! LOL. I told them I did a cup of Cherrios a day in my last pregnancy and they told me that if they knew that they would have told me to stop it then too. I had no idea! So now, I must have more protein in the morning *sigh*. If I weren't such a picky eater, this wouldn't be an issue at all...and I don't mind the scrambled egg here and there, but I can't do that every day either....BORING. My good friend is going through Gestational Diabetes in her pregnancy right now, so she's just controlling it with diet. She is telling me how bored she is getting with certain foods too, so I think I'm about to find out what she's talking about! haha.<br />
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Overall the doctors said my sugars are looking great though. I may have 3-4 hours where my sugars won't come down, but I'm continually on top of it and working to get it down as quickly as possible. Sometimes my hormones just won't allow it to be as quick as I would like. I'm sure they'll check my A1C again soon, but they feel that it will be great since I'm on top of all of my high sugars. <br />
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I'm still having to take Zofran every day. The doctors insist though that it will have no effect on my baby...so what can I say, I'm not a doctor, I'll just trust them.<br />
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The baby is on the move! This little one seems to be doing flips in there! Which is awesome! I feel her move a lot more than my first pregnancy. <br />
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EMAILS!! So thinking that most people would leave comments here instead of emailing, I have Not been good at reading emails sent to my account listed here on the site. I do apologize to the sweet people who reached out to me with such kind words. I do PROMISE to be more consistent about reading and responding!! If anyone wants to talk about anything I've discussed in my blog posts or just share their story or ask questions, please feel free to reach out to me! I look forward to hearing from you:) xot1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-45117410680848777322012-09-02T18:33:00.001-07:002012-09-22T08:52:18.115-07:0020 Weeks and the Insulin Resistance ContinuesAfter hitting the 20 week mark I am doing nothing but seeing more insulin resistance. Especially in the morning. A week ago I was at a basal rate of 0.975 in the morning from 5am-9am....and now I am 1.175 units per hour! It seems like such a drastic increase in such a short period of time. I feel like it is a lot more than my first pregnancy too. I have also had to increase my night time basals because it would take me 3-4 hours for my sugars to come down. I have run everything by my doctor and we're on the same page.<br />
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The insulin resistance can be frustrating at times, but I'm just staying
on top of it as much as I can. I had my first 300 sugar and was like
AHHHH!!! I got it down quickly and it happened to be right before I
worked out for the first time in a couple months, so that helped too. I
finally had energy for the gym and it was awesome! My doctor mentioned that during a second pregnancy you can have MORE insulin resistance....(not sure if I mentioned that already).....but I sure seem to be on that path!<br />
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On a good note, I'm feeling the little one kick quite often! I'm also noticing a small reduction in my nausea...so let's just hope that continues!<br />
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For now, I'll just keep on truckin' along! t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-53637499343608301672012-08-24T10:37:00.002-07:002012-09-22T08:52:42.672-07:0018 & 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. <br />
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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! t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com1tag:blogger.com,1999:blog-7656196522534028927.post-10910924088364126092012-08-12T11:59:00.001-07:002012-09-22T08:53:28.874-07:0017 Weeks and No 2nd Trimester Relief17 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.<br />
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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.<br />
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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.<br />
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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:(<br />
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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!<br />
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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!:)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com2tag:blogger.com,1999:blog-7656196522534028927.post-23385289736289887682012-07-19T21:54:00.000-07:002012-09-22T08:54:31.036-07:0014 Weeks- Second Trimester!!!!! Back up plan for your pump!I have finally hit the second trimester!! YAY!! The nausea is still in full force though, not letting up as of yet! I met with my diabetes doctors today and they think that everything is going really well. They are happy with my sugars. I am still having to fuss with some basals, but overall I've been in really good control. I think I am getting close to the point though where I will start wanting to wear my CGM (Continuous Glucose Monitor). I know insulin resistance will be happening soon.<br />
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We saw the heartbeat again today, but the baby was facing away so we couldn't hear it, hopefully we'll be able to do that within a couple of weeks! For now, it's still staying on top of my sugars and a vacation! Can't wait! <br />
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I realized this week the importance of having a back up plan for my insulin pump. When I go on vacation Animas is great in giving me a vacation loaner. One time on vacation my pump didn't make it through a mild depth of water and I didn't have a back up plan in place. I spent the last 2 days of my vacation on fast acting insulin and having to wake up to test every 2-3 hours! This week my pump blanked out on me for no reason what so ever! I had just changed the battery the day before, so maybe it was a bad battery? As a result of this it reminded me to talk to my doctor. They called me in a prescription of Novolog so in case of an emergency, I'll be prepared! At least for now I have my back up pump, so now I just have to write my basals down somewhere for a back up record!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-3193904204594161062012-07-11T10:17:00.001-07:002012-09-22T08:54:55.174-07:0013 weeks! The dreaded "C" Word!!I am 13 weeks today! I am starting to wonder if my nausea is starting to subside, or if it's just in my head. Sometimes you wonder....am I throwing up just because I'm thinking about it, hence making myself, or is it really my body? I would never intentionally make myself...but you can't help but have these feelings sometimes.<br />
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I have been dealing (sorry if TMI for some, but that is what this blog is about, right?)....the "C" word....Constipation!! It's been so bad that I've talked to my doctor and they have me taking Colace 100mg 2x a day and 1 Miralax a day. I hate having to take something, but being so uncomfortable is so much worse. The stool has just be so hard that I'm needing something to soften everything. I think it's a result of 1) Pregnancy...digestion is much slower and 2) the Zofran I'm having to take for nausea.<br />
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When my symptoms start to go away I have to say I freak out a bit though! I'm like is everything still Ok??? I can't help this feeling since last time we lost the pregnancy at 9 weeks. I'm doing my best to stay positive though and to not read into every little thing....though it's kinda hard sometimes.<br />
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My blood sugars are still seeing some lows so I've reduced my basals slightly more, but as a result i'm seeing numbers a little higher than I'd like...like waking up at 138 this morning, so I've readjusted. Before I was waking up in the 60's or 70's so now I need to find a happy medium! I am finding that if I eat more starchy or fatty foods at night that my sugars are a little higher (138) and if not I'm a little lower. It's such a balancing act sometimes and it can be frustrating!<br />
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Next week my 14 week appt before I'm off to Hawaii for a week! :)Til then:)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com2tag:blogger.com,1999:blog-7656196522534028927.post-34052671024998558452012-07-05T22:01:00.000-07:002012-09-22T08:57:32.327-07:0012 weeks and Nuchal Translucency Ultra SoundToday I am 12 weeks 1 day and we had our Nuchal Translucency Ultra Sound! Everything looks good so far!!:) Our at risk numbers for Downs Syndrome was 1 in 19,000 and for Trisomy 18 (the more severe form of Downs Syndrome was 1 in 100,000. This doesn't mean it couldn't happen, but as of right now the risk is very low.<br />
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At 11 weeks I finally stopped my Endometrin. I was only taking it once a day at that point, but the doctors said they were confident that the placenta was producing enough hormones so that I no longer needed to supplement the progesterone. I was hoping that when I stopped that some of my nasuea would ease up, but that hasn't been the case. I am still sick to my stomach every day. The days I haven't thrown up it it is because I was able to take my Zofran in time to help with the symptoms. Everyone says that hopefully this will feel better in a couple weeks. I don't think the Zofran has had any affect on my blood sugars which is good. <br />
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My sugars have been excellent though my insulin requirements have still dropped more. I had to reduce my basals .5 all round for a 24 hour period. I was having too many lows so I called my doctor and we made adjustments. Overall though, everything is going really well with my diabetes. I have an eye appt next week to see how they are doing since I had some bleeding in my viterous (the gel in the eye) This bleeding started I noticed when I was taking hormone supplements....so I'm hoping that pregnancy will not make it worse. (I don't know for sure if the hormone supplements caused it...my doctor said no, but it was always around the time I was taking them)<br />
I had about 3-4 ruptures in a 8 month period. I had to have laser done twice. It is not fun!!<br />
The only thing they said I can do to control them is to control my sugars so that I what I am trying to do. Pregnancy is hard on the eyes so I will just have to keep in close contact with my doctor so hopefully I won't have to have more laser done in my eye during pregnancy. <br />
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I can already feel the baby move! I swear that since 11 weeks I have felt the baby moving already! This is probably because it is my 2nd pregnancy. When we saw the baby in the Ultra Sound day it was super active so I'm not surprised if I'm feeling a little something!<br />
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Next step...the eye doctor. I will let you know how that goes in just over a week!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-25648804280211463882012-06-22T10:21:00.000-07:002012-09-22T08:58:04.229-07:0010 Weeks 1 Day ScanI went for my 10 week 1 day scan yesterday. It went well! The baby measured at 10 weeks 4 days. Last week it measured 9 weeks at the 9 week 1 day scan, so maybe it had a little growth spurt! :) Our next Ultra Sound will be the Nuchal Translucency Ultra Sound in 2 weeks.<br />
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I've still had a lot of morning sickness and the doctors have given me medicine for this, but it's still not helping 100%. They still have me taking Endometrin 100mg until 11 weeks, but only once a day now and not twice. Because of the random morning sickness throughout the day I am experiencing lows sometimes afterwards. I always make sure to have my sugar pills handy! I like the Dex 4. They taste the best. <br />
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My blood sugars are still having some mild ups and downs. We have to more reduce my insulin though because I am having more lows. We did up my lunch carb ratio though from 1:11 to 1:10. Other than that we have reduced some basals. The doctor told me to expect peaks and valley's in my numbers during the first trimester. (some high some low).<br />
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Now the 2 week wait until the big scan!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-17001367273430280342012-06-15T22:27:00.001-07:002012-09-22T08:58:34.549-07:009 weeks 1 day scanAs you can see I am not updating every day, but after each appointment or any major changes. I went for my 9 week 1 day scan yesterday and so far so good! I was thinking or more hoping that the throwing up all week in the morning was a good sign. :) It's been pretty bad though the past week. At least 3 times before lunch, so I had to ask the doctor for some medicine. I took a pill today and felt so much better!<br />
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My A1C was 5.1 which was great! Now I'm at the point where I am starting to see my sugars go a little lower so I'm starting to have to reduce some of my basal levels. I go over these numbers with the doctors every week. We usually make adjustments together, but sometimes I will make some on my own. Like this week I kept getting low after breakfast so I changed my carb ratio from 1:9 back to 1:10 where it was before.<br />
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I'm still exhausted! So that's hopefully another good sign! I will go back next week for another appointment and to have my blood drawn for my nuchal transluency blood work. As long all goes well I will have that appt on July 5th!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com1tag:blogger.com,1999:blog-7656196522534028927.post-73951328786404630082012-06-06T10:08:00.001-07:002012-06-06T22:20:21.228-07:00Now 8 weeks, 7 week 1 day scan and A1CSo the nausea started at about 6 1/2 weeks and it's steadily gotten worse. But...I'll take it! I figure it's a good sign. Last Thursday I had another 7 week 1 day scan and we are right on track! I'm still not out of the woods though, so it's still scary. I had to take a trip to Vegas over the weekend and I was nervous flying being so early on, but the doctors told me it was ok. I'm still feeling sick so I'm hoping that everything is going well. I had to go because I planned an event there, but let me tell you, Vegas sober....not recommended! lol.<br />
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I am 8 weeks today. I have had to increase my morning carb ratio from 1:10-1:9 and change my lunch carb ratio from 1:12 to 1:11. But my blood sugars have been really good and not too many lows! My morning sickness is more like any time of day sickness. Mostly it's between breakfast and lunch, but I've thrown up at all times. Or sometimes I just gag. I am still super tired and have mild breast tenderness, but mostly I'm having to pee all of the time! <br />
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I just got my A1C back.....5.1!!!!! I am so excited!! I've worked really hard to get it and keep it there. I am testing about 15 times a day now. I know it will just get harder with the changing hormones and fluctuation in sugars, but I will continue to do what I can. I test before meals and 1-1 1/2 hrs after and any time I just feel weird.<br />
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I don't have my next appt until Next Thurs at 9 weeks 1 day. That is exactly the time that I miscarried before, so it's a big deal to me. My husband said that he's definitely coming with me to this appt. I will keep you posted on how it goes! For now I'm just trying to keep myself busy and stay relaxed. Because no matter what the outcome, the reality is that I have no control over it. I'm just staying positive!! :)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com2tag:blogger.com,1999:blog-7656196522534028927.post-71718212588312542102012-05-25T22:49:00.001-07:002012-05-25T22:51:31.077-07:006 Weeks 2 Day ScanToday I had my 6 week 2 day ultra sound and we saw a little flicker for a heartbeat for the first time! It was so exciting! The doctor said our chances of miscarriage now reduce by 90%! Woo hoo! But, I do have to remember that we were in this same situation last time and we saw a heartbeat, but miscarried at 9 weeks 1 day. So now, it's just the waiting game. And also doing my best to stay positive!<br />
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My blood sugars have been under good control. I am still on a lot more than normal insulin though. My basals are up about 15-20% compared to normal. I am working with my doctor to make the necessary adjustments.<br />
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As for symptoms. I'm extremely exhausted! And when I get really tired I'm getting really cranky! lol. My poor husband! Yesterday I had my first real bit of nausea and the day before that my breasts were sore all day. The only consistent symptom is the tiredness.<br />
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We'll go back next week for another ultra sound so I hope I continue to stay feeling decent for now! :)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com1tag:blogger.com,1999:blog-7656196522534028927.post-25074423708577986592012-05-18T09:22:00.002-07:002012-05-18T09:46:02.736-07:005 week 1 day scanSo yesterday went about as well as could be expected. I met with all my diabetes doctors who were super stoked to have me back. This included the head of the Diabetes/OB clinic and the Endocrinologist and nutritionist. They said I'm on the right track right now...so I'll keep it going!<br />
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As for the ultra sound. We hit 2 milestones out of 3. We saw a gestational sac which measured 5 weeks 1 day and it was in the right spot in the uterus!:) We could not see a heartbeat yet so we will have another scan in one week. Until then all I can do is control my sugars and try to relax!<br />
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My sugars are pretty stable. Over the past couple of days I have been high after breakfast though so I changed my morning carb ratio from 1:10 to 1:9. Hopefully that will make a difference. By 'high' I mean I am not under 140 1 hour to 1 1/2 hours after breakfast. I have been anywhere from 160-215 so I'm trying to fix that!<br />
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Am I telling people yet you may be asking? Only a couple of people know. Considering what happened last time and how long it took us to get pregnant, until I see a heartbeat and maybe even until I'm out of the 1st trimester, I think I will just keep it to the small group who knows....Right now it's just one day at a time!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com4tag:blogger.com,1999:blog-7656196522534028927.post-13059193198547459502012-05-16T09:46:00.001-07:002012-05-16T09:46:04.732-07:00Viablility Scan @ 5 weeks 1 daySo tomorrow I have my first viability scan. Here's the thing...I did my IUI at one doctors office, but I'll be going for my high risk care at another. Where I did my IUI (Hospital A), they don't want me to do my first Viability scan until 6 weeks 2 days. Where I will get my high risk care (Hospital B) is where I delivered my first daughter and where I miscarried. As soon as I called them and told them I was pregnant, they wanted to see me ASAP. They were so excited when I called!! That made me feel really good because I was debating on whether or not to go to another place closer to my home, but Hospital B said they are so excited I am coming back! :) But, my only concern is that Hospital B is having me to an Ultra Sound (the Viability scan) at 5 weeks 1 day. Usually this early I am told that you most likely won't see anything...so I just am trying to prepare myself for that and tell myself that it doesn't mean anything if we don't see a heartbeat yet. I'm assuming they just want to see a gestational sack and make sure that it's in the right place (not in my tubes)...so I will keep you posted on how it goes and I am trying not to be nervous about it! But it's definitely a consistent thought. <br />
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Overall I have been feeling good thus far. From just before the 4 week mark until now, my insulin requirements have gone up dramatically. The first few days my blood sugars seemed wacko! But I have increased my levels across the board. All of my basals have increased throughout the day. Finally I am seeing some normalcy to my numbers. I faxed them to the doctor on Monday and got a call back that there are no changes needed for now. We'll see how it goes tomorrow. Today I am off to the gym for some light exercise. Have to keep my heart rate under 140bpm. But I need to move! Been doing walks this week otherwise.<br />
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The only symptoms I'm experiencing as of now is some very mild breast tenderness...which seems to come and go and fatigue. Wow have I been tired! But I feel like I have been sleeping better than I have in a long time. I have been having vivid dreams too. Crazy!!<br />
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Keep you posted on how things go!t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com0tag:blogger.com,1999:blog-7656196522534028927.post-33679998048117020692012-05-10T22:18:00.001-07:002012-09-06T21:48:44.129-07:00The Results Are In.......And we're Pregnant!!!!!!! It's official!!! 4 weeks and 1 day! Yay!!! WOO HOO!!! This IUI worked! After 20 months of trying, and one miscarriage, failed IVF and IUI's we are expecting a baby! :)<br />
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So I went to the doctor 2 days ago to have my HCG and progesterone checked and my HCG was 74 and progesterone was >40. I waited to say anything because I wanted to go back for the 48 hour blood test today and the HCG came back at 209! It more than doubled so the doctor says that is really great! Now the next step is to go in for an Ultra Sound in a couple of weeks where we will hopefully see a heartbeat!<br />
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It's hard to get too excited after everything we have been through. I'm just taking one day at a time. The journey is not over yet, we just got over one of the biggest hurdles...but there are so many more to come.<br />
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As for my diabetes I am already experiencing a lot of insulin resistance. It started at about 3 1/2 weeks, before I knew I was pregnant. I woke up 3 mornings in the mid 200's. I freaked out and swore that my period was coming....and I kept feeling the cramping like it was. It was so uncomfortable at one point I called the doctors office. I think maybe the vaginal suppositories are not helping with the discomfort. When I was pregnant before I didn't have this uncomfortable feeling.<br />
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Overall I have raised my daily basals from 19.5-22.5, just trying to control my sugars! I'm getting into my doctors office right away next week for this. I am thinking the hormone surges in the beginning are really throwing my blood sugars off. I'm doing the best I can to keep them under good control.<br />
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Well...that's where we are now! If anyone ever has questions or just wants to chat and talk about their journey, I'd be happy to do so! Also, if anyone I know personally reads this blog to find out I'm pregnant....it's ok to tell me you know! <br />
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Can't wait to go through the next chapter with you all! :)t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com11tag:blogger.com,1999:blog-7656196522534028927.post-12635511424005073212012-05-04T10:07:00.000-07:002012-05-04T10:07:09.694-07:00Oh the Waiting...and Low Blood Sugars?"Just relax", "Don't worry about it", "Don't stress"...yes these are things that everyone tells you and that you tell yourself, but let's face it....it sucks having to wait 2 weeks to find out if you're pregnant or not! Total anxiety at times. The IUI went smoothly and I've been on Endometrin Vaginal suppositories since 2 days after the IUI. The endometrin is ok, just really annoying because you have to wear a panty liner every day. The medicine comes out throughout the day. It's kinda annoying because you'd just like to have to wear liners during your period only, not ALL Month (at least it feels that long) Sorry if it's TMI, but like I said, I'm putting it all out there in this journey!<br />
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To top it off I've been so sick with a cold this week, so I've been sitting home with nothing to do but question if I am pregnant or not. You can't help it when you don't have energy to do much else!<br />
My daughter has her 2nd birthday party this weekend too, so I'm just trying to focus on that.<br />
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I go for a blood test next week, but I honestly already have the feeling that I'm Not pregnant. Then I have to keep reminding myself that it's only been just over a week since the IUI, so I need to chill! It's just that we've had so many 'negatives' that I think that is what I assume. I also feel like my period is coming, but I read online that that is a side effect of Endometrin. The last two times I did get pregnant, I just knew....but maybe I'm not at that stage yet.<br />
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As for my sugars, because I was sick I had a couple of high numbers this week, but only a couple. Surprisingly, I have been low in the middle of the night and in the am for the past 4 days. I don't know why this would be because I'm on my lowest dose of medicine currently, and I haven't exercised it a week! Is it the Endometrin? I don't know....but overall at least I'm staying in good control:)<br />
Here's to more waiting and trying to stay positive......t1dsugarmommahttp://www.blogger.com/profile/11878158614012920016noreply@blogger.com2