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.
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.
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.
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.
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:) xo
Thursday, September 6, 2012
Sunday, September 2, 2012
20 Weeks and the Insulin Resistance Continues
After 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.
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!
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!
For now, I'll just keep on truckin' along!
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!
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!
For now, I'll just keep on truckin' along!
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!
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!:)
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!:)
Thursday, July 19, 2012
14 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.
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!
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!
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!
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!
Wednesday, July 11, 2012
13 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.
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.
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.
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!
Next week my 14 week appt before I'm off to Hawaii for a week! :)Til then:)
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.
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.
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!
Next week my 14 week appt before I'm off to Hawaii for a week! :)Til then:)
Thursday, July 5, 2012
12 weeks and Nuchal Translucency Ultra Sound
Today 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.
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.
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)
I had about 3-4 ruptures in a 8 month period. I had to have laser done twice. It is not fun!!
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.
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!
Next step...the eye doctor. I will let you know how that goes in just over a week!
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.
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)
I had about 3-4 ruptures in a 8 month period. I had to have laser done twice. It is not fun!!
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.
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!
Next step...the eye doctor. I will let you know how that goes in just over a week!
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