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The Diabetes Struggle

The Diabetes Struggle
By: lilbabyrose


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 Blog Entries
Quick Ultrasound Update - Apr 24
We had the second one today and we were able to pick up the heart beat...133 beats per minute.  Baby measured 6w4d today.  They said the heart rate and growth looked ...
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Diabetes and Morning Sickness - Apr 21
I'm finding out quickly that the hardest thing about being diabetic and pregnant (for me, at least) isn't the testing, adjusting, bolusing or carb counting.  It's not ...
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Opposite of Diabetes - Apr 19
I'm back sooner than I thought I'd be.  I was watching yet another episode of House and they referenced an enzyme deficiency that is treated with a high carb/high sugar ...
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Ultrasounds and BG Ranges - Apr 19
Sorry it took so long to update.  It seems the new baby is sucking all my energy and I've been doing almost nothing but lying on the couch watching episodes of House ...
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Happy Easter - Apr 12
This morning I'm writing to you from the comfort of my couch with the two Easter baskets that the Bunny left for my son staring at me from the coffee table.  Easter ...
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Quick Ultrasound Update
Posted: Apr 24, 2009 21:27:57 2 Comments.
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  • We had the second one today and we were able to pick up the heart beat...133 beats per minute.  Baby measured 6w4d today.  They said the heart rate and growth looked good so I may not have another ultrasound until the routine one about halfway through.

    My sugar seems to be doing better the last couple of days.  I was still running in the mid-100s pretty often and today especially it's been no higher than 130-something with most below that 120 mark.

    Now I'm sleepy so I'm going to stretch out on the couch and relax a bit before bed.  It's been a kind of long day.

    Diabetes and Morning Sickness
    Posted: Apr 21, 2009 9:42:44 1 Comment.
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  • I'm finding out quickly that the hardest thing about being diabetic and pregnant (for me, at least) isn't the testing, adjusting, bolusing or carb counting.  It's not being so easily able to snack to stave off "morning" sickness.  Morning?  HA!  If only.

    Being that I wasn't diagnosed until my third trimester with my son ("gestational" at the time) I was free the first trimester to basically live off of Saltines to keep me from feeling SO horrible.  Now I have to think about every little thing that goes into my mouth.  I can't feel sick and just dig into the package of crackers and munch a few until I feel better.  I've gotta count them out, check the label (if it's a kind I'm not familiar with), test my sugar, figure out insulin/punch the carbs into my meter and then test two hours later.  If I eat say three of five and feel better but feel like I can't eat anymore...I have to force them down or risk going low later.  And I have to do this about every half hour because any longer and I start feeling nauseous again.

    I just got a call back from my OB's office and they recommended a couple of things that could help.  One of them is taking a B6 vitamin twice a day with half a Unisom in the morning and at night.  I'm not sure about this sleeping pill in the morning thing.  I'm tired enough as it is!

    Opposite of Diabetes
    Posted: Apr 19, 2009 18:47:19 1 Comment.
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  • I'm back sooner than I thought I'd be.  I was watching yet another episode of House and they referenced an enzyme deficiency that is treated with a high carb/high sugar diet.  The best thing for this deficiency is lots of cakes and candies.

    I have no idea if this is a real thing but if it is...dang.  Why couldn't I have ended up with that instead of diabetes?  I'd be able to manage that brilliantly!  lol

    Ultrasounds and BG Ranges
    Posted: Apr 19, 2009 18:16:02 0 Comments.
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  • Sorry it took so long to update.  It seems the new baby is sucking all my energy and I've been doing almost nothing but lying on the couch watching episodes of House (which, by the way, often squeeze the tear ducts of this pregnant lady) wishing I were napping.

    So I had an ultrasound on Thursday and things look good.  We didn't think we were going to see the fetus because it was still very early in the pregnancy.  The gestational and yolk sacs were immediately apparent.  In the last pregnancy I don't think there was ever even a yolk sac.  And they did end up finding the fetus.  In one shot I could make it out, in the others it just kind of blended in with the yolk sac.

    A heartbeat couldn't be detected yet but that's not abnormal.  The baby measured 5w4d (5 weeks and 4 days from the first day of the last menstrual period or LMP) when my LMP put me at 5w5d.  All those measurements and dates assume a 28 day cycle with a 14 day luteal phase (time from ovulation to period).  I'm almost positive I run a 13 day luteal phase so that actually would account for the one day off and mean the baby is measuring perfectly.

    I'm scheduled for another ultrasound this Friday and at that time there's a very strong chance that we'll be able to detect the heartbeat and if we don't there's a good chance it's because there's something wrong/the heart's not beating.  But I'm optimistic.  My fear was that there wouldn't be a fetus again.  We know there is one now.

    I still need to get my BGs down some.  My OB wants my fastings below 90 and PPs below 120.  I've had more than my fair share of lows in the past so I get nervous even when I'm in the 90s, much less below.  I'm fine below 120 for my PPs, I've just gotta get there.  My numbers haven't been terrible although I've had a handful in the 200s.  I'm just going to have to tweak my rates and ratios more.

    Today, though I did my PP and got a result of 296.  This was higher than I've ever run on the pump so I did three more tests using different fingers/hands and two control tests.  The controls were in range (2 points difference between them) but my other BGs were 181, 252 and 204.  I can't understand why I'm getting such a large range.  I'm nervous that my sugar could be at nearly 300 but I'm afraid of treating for that number and dropping too low.  I treated for the 181 and am waiting to test again.  *sigh*  Hopefully in a bit I'll be down more and have more consistent readings.

    Well, I guess that's about all for now.  I'm sure I'll be posting about the ultrasound on Friday.  Wish me luck!

    Happy Easter
    Posted: Apr 12, 2009 10:16:27 1 Comment.
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  • This morning I'm writing to you from the comfort of my couch with the two Easter baskets that the Bunny left for my son staring at me from the coffee table.  Easter might be my toughest time of year.  It's all I can do to not dig into the Cadbury Creme Eggs in one of the baskets (despite having one stashed away for myself anyway).

    My son's three and a half.  His Easters are NOT like mine were growing up.  I wasn't diabetic as a kid and when I woke up Easter Sunday my mom would tell me the Easter Bunny had come and left x baskets (I think I often had five or six of them).  But the bunny that came to my house liked to play games.  He'd hide the baskets and I had to go find them.  I think next year I'll start that tradition with Noah.

    Unlike his, my baskets ...oops, he's awake.  I'll be back after the little Easter Morning ritual...

    Okay.  As I was saying, unlike his, my baskets were overflowing with all kinds of candy.  Once I discovered the nirvana that are the aformentioned Cadbury Creme Eggs and the Mini Eggs my baskets consisted almost entirely of them.  My moth...I mean, the Easter Bunny probably kept the Cadbury corporation in business with my treats alone.

    Things may have followed suit with my son if I hadn't become diabetic.  While I don't think eating a lot of sugar will turn you diabetic (like the old wives' tale) I do know how much I struggle with sweets now after not being taught self control with them as a child.  I figure that if I can keep him from developing too much of a sweet tooth now that if, God forbid, he does become diabetic then he won't struggle so badly and it might be easier for him than it is for me.  And so when we meet with the Easter Bunny every year I relay these thoughts to him and he obliges by being fairly conservative on the candy in the baskets.  And I limit the amount he's allowed to have at a time.  My mother used to basically let me have a five course candy breakfast Easter morning.  There's none of that here.

    Enough talk of candy.  I'm getting drool in my keyboard.

    Moving on...  If you've gone back and read the earlier posts at this blog's original location then you've seen me mention some news I have.  My husband and I initially weren't going to tell anybody right away but remember what I mentioned about having no self control?  He has the same problem.  So, since nearly everybody else knows anyway...I am five weeks pregnant.

    Again, if you've read the older posts you know I had a miscarriage last year.  I was not in anything resembling control at the time I got pregnant but from the very beginning my BGs were amazing for me at the time...nearly always below 200.  But there was worry about the viability from the first doctor's appointment and within two or three weeks we knew for sure that it wasn't a viable pregnancy and I was going to miscarry.  It still took around six weeks for it to happen putting me at about 12 weeks (though because of the problems we weren't sure how far along I actually was).

    My OB at the time told me that when they see a "blighted ovum" in diabetics it's usually due to uncontrolled sugar.  I kind of took issue with this.  He said it in a way that made me feel at fault.  Plus, I've done my own research and blighted ovums are the most common cause of miscarriage and they really don't know what causes them.  The best theory is that it's just a bad egg from the start.  I don't doubt that my sugar COULD'VE played a role in it...certainly didn't help matters.  But I find it hard to believe there was enough evidence to say my uncontrolled diabetes caused it.

    I also was on a low dose ACE inhibitor to protect my kidneys at the time.  I was warned that if we wanted to try to get pregnant to go off of that medication because it's known to cause birth defects and other pregnancy complications.  The pregnancy was an accident and so I wasn't able to stop the med before conceiving.  This seems like a more likely culprit...if there even is a reason.

    Okay, back to the present.  I just found out on April 4th about this pregnancy.  I was 3w6d and only tested because I had dreampt during the night that I took a pregnancy test and the "pregnant" line was darker and wider than the "control" line and it extended PAST the edges of the test.  lol  I knew there was a strong possibility so I headed off to pee and find out.  I watched it for a few seconds and it definitely didn't look like anything was going to show up so I left it on the bathroom counter while I went to do something and got side tracked for a bit.  When I went back to gather it up and throw it away there was a faint line looking up at me.

    I've contacted my high-risk OB and have had some tests run.  My hcg and progesterone levels seemed to be right smack dab in the middle of normal range for how far along I was at the time of the tests.  Last time we thought I might not be as far along as my last period put me because my hcg level was a little lower...but it did double every 48 hours so it gave us a false sense of security.

    I haven't had another level run but my OB estimated that by Thursday things should have progressed enough to see on ultrasound so I will have my first appointment then and he will do an ultrasound.  I'm praying for a strong heartbeat.  That's when I'll be able to breathe easier as there never was a heartbeat last time.

    Thankfully this time I've been much better controlled going into this pregnancy.  I'm on a pump now and have gotten my A1c down from 12.6 pre-pump to 7.2  (less than two months of that was actually on the pump).  My OB ran it again about 6 weeks after the last one and it's at 6.6 now.  (And it can't hurt that I haven't taken the ACE inhibitor since the last pregnancy.)

    I have noticed my sugar's been running a little higher now, though.  I increased my basals slightly but I'm not seeing much of a difference.  I'm sure I'll be tweaking rates all throughout the pregnancy, though.

    So, for the time being this blog is probably going to transform into something like The Diabetes Struggle:  Pregnancy Edition.  Of course I'm never sure of what the next entry's going to be about so you'll just have to come along for the ride and see.

    Hola.
    Posted: Apr 10, 2009 22:08:03 1 Comment.
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  • Just a quick little introduction here...

    My name's Trisha and I'm a diabetic.  My vices are chocolate, cake and cookies.  Oh...this isn't a Diabetics Anonymous meeting?  *ahem*

    I'm new to Diabetes1 and new-ish to the world of diabetes...probably newer than many of you, anyway.  I've been blogging for a few months now on a different site but this is a more suited place for The Diabetes Struggle so I'm moving here.

    If anybody would like to know more about me and/or get caught up on the first few months of The Diabetes Struggle you can find it at its former location.  There's a lengthy first post about me and the rest mostly chronicles my search for and aquisition of an insulin pump and my early results and experiences with it.

    So, if you think you'll be interested go get caught up at The Diabetes Struggle and I'll see you back here with my first true post at Diabetes1.  Wink

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