Saturday, January 22, 2011

Three Months

Wow, is my little baby boy already three months old? That flew by fast. My little man is cute as a button and I now see how it's possible to be addicted to babies.

I have recently started to turn my attention back to my blood sugars. It's amazing how a little person so small can so totally change your priorities that your own health begins to take a back seat.

It took a couple weeks for my blood sugars to return to pre-pregnancy levels. I recall it was a similar time frame with my first son. I had thought the insulin needs might drop immediately, since that's what my OB warned. But instead I found myself gradually adjusting bolus ratios, basal rates and insulin sensitivities down every 2-4 days. And, instead of leveling off at pre-pregnancy levels after 2 weeks, they continued to drop. For about 6-8 weeks, I was giving quite a bit less insulin than I had pre-pregnancy (30 units instead of 40 units per day). I suppose this may be attributable to breastfeeding, but...

A few weeks ago, right about when my son was 2 1/2 months old, I began to need more insulin again. I am now giving slightly more insulin per day than I did before my second pregnancy (40-50 units). I am still breastfeeding exclusively, so I can't explain the second shift.

Now that things are relatively stable, I am really trying to get a handle on my blood sugars once again. After all, as everyone can probably guess, I would love more children (it actually makes me sad to think that I really should wait a little longer before conceiving). So it's worth getting in the habit now. And if there's anything I've learned over the last three months, it's that you can't do everything, so put the most important things first!

In assessing my problem, I've realize that the biggest thing that keeps me from good blood sugar control is not all the holiday treats (although that can be a problem), and it's not irregular patterns/habits (although that can also be a problem). It's just a failure to check my blood sugar.

How does this happen? It starts with the lows. I start to feel a little wonky, and since I'm running low on time, and the baby is asleep on my chest, my toddler just woke up from his nap...I'll just grab some juice, because I'm pretty sure that's why I don't feel good. Of course I intend to check my blood sugar when I come back upstairs after getting my toddler from his nap, but then he asks for a snack and by the time I'm finished sitting him down to eat it and instructing him on how to keep his milk from spilling everywhere, I've completely forgotten about my blood sugar (because I'm feeling better by then).

Then, after a few days or a week of this bad habit, I notice that I'm having some "unexplained highs." So if I start to feel high, I just give a small bolus, without checking my blood sugar, thinking that I know pretty well what's up. These "unexplained highs" aren't so inexplicable: they're usually because I ate something (or too much) when I perceived my blood sugar to be low, but it wasn't. And then, of course, after these haphazard boluses, I'm either too low or my blood sugar is still high (perhaps slightly lower) an hour or two later.

I like to think that I know my body pretty well, and I'd say I guess correctly about 75% of the time when my blood sugar is out of the range where it's supposed to be. But nobody's perfect, and especially the first three months of my baby's life, I'm likely to feel a level of fatigue and wonkiness that I've never felt before. So, as I told a friend the other day, I'm emerging from "baby fog" and really trying to tighten up my blood sugars, partly for me and partly for my future babies.

Oh, and Jenn, if 7.3 is your worst A1C ever, you should just keep it to yourself. Because the rest of us have you handily beat!

Sunday, January 16, 2011

An Update...

My silly persistence paid off. I decided to go on and inquire further with the local midwives... I sent them an email elaborating on my last two pregnancies and births. They called back the next day and we set up a "meet and greet" consultation.

I'm very happy to get to meet with a midwife and discuss the feasibility of her caring for me during a pregnancy and birth. My understanding of the "medical" needs of a woman with child have so evolved of the last few years and I am eager to now expand that understanding through conversations with a midwife.

As The Hubby and I start to consider having a third baby, we want to make sure all things are in order for my health again. I met with my endo two weeks ago... a bit of a disappointment for me. My A1C had climbed to an all-time high of 7.3. I told him I needed to get things under control because I was considering another babe, and he was so reassuring, telling me we could easily get things in shape, and, even better, that were I to become pregnant, it would be fine, "you know what you need to do, Jenn. " he said :)

I am so thankful for realistic and wise physicians like my endocrinologist here. He, himself, has lived with type one diabetes for over 45 years and is ALWAYS positive and encouraging when it comes to treatment and life with the disease. He offered to continue to manage my diabetes through a pregnancy, it seems that things are arranged differently for managing diabetic pregnant mama's here in the mountains.

So I have a lot to learn and even more work to do on the blood sugars in the coming weeks! I'll be sure to post more regularly since I've never gone about things this way before! ~jenn

Wednesday, January 5, 2011

Why We Need More Midwives Now

Why We Need More Midwives Now

This is an article from this month's issue of Mothering Magazine. It contains nice statistics on birth in the US and around the world. It also gives a nice update on the status of midwifery in the US. Hope you enjoy! jenn.

Tuesday, January 4, 2011

Super Bummed.

So, it's been awhile since I, Jenn ;), have posted. Most of what I've had to talk about it opinion, not experience or fact, and I want to stay away from opinionated posts as much as I can since we are all entitled to our own thoughts.

I do have an experience to share today, however. I just got off of the phone with what I think must be one of the coolest pregnancy care providers around....They are located in Downtown Asheville and fit right in in this area! Although lay midwifery is not recognized in North Carolina, these ladies have chosen to go it BOTH the nurse midwifery AND lay midwifery tracks to allow themselves to practice legally in NC. They do both homebirths and hospital births and have an overseeing OB.

I was very much hoping to have a baby with these ladies at some point in the coming years, however, it seems the diabetes has "ruled me out". Again, SUPER BUMMED. I called to see if I might set up a consult with them just to get to know them and talk about my past two healthy, natural births and see if they might be able to take me on in the future, however, they do not care for high risk pregnancies.

I knew this was probable, but I was hoping that with my birthing history, I would be an exception to the rule. Call me crazy, but I was really thinking I would get to have the next baby at home, a pipe dream of mine. I'm trying to decide now if I let this be it, or if I pursue it some more with this group of midwives? I really, really wanted these ladies to help me have a baby because I LOVE everything about their model of care and understanding of pregnancy and birth. Thoughts, I really don't know what the right thing to do is.

Here's to my holding out hope, Jenn :)