Saturday, October 22, 2011

Happy Birthday!

Today, my second son turns one year old! At this time last year, I was undergoing an induction I didn't want , but ultimately had a healthy vaginal birth.

Happy birthday, buddy. Our lives are so much better with you in them!

Saturday, October 8, 2011

Hashimoto's Disease

Well, I had a nice 16 year run with the diabetes without any complications, and as far as I can tell, I guess I'm still "officially" complication free, however, I have developed Hashimoto's Disease.

I went to my new endocrinologist this past week (insurance change and had to change offices to my dismay) with a bit of dismay, I must admit. Choosing to change doctors on your own is one thing, being forced to do it is wholly another. Although, I think I've been blessed and lucked up, my new doctor seems to be very "in the know" about the most recent diabetes research, mostly, I believe because he is conducting some of it!

He checked everything, like they always do when you're a new patient even though I told him I'd JUST had my thyroid checked recently and it was fine, he insisted. Ok, I agreed, what could it hurt. Well, as it turns out, although my TSH was within the normal range, 3.2, he said the newest studies indicated that antibody testing at this level could reveal early stage Hashimoto's Disease and prevent complications of this disease progression with early treatment.

He ran the antibody tests and my levels were OFF THE CHARTS! Humm... I've worked in a hospital and now doctor's office for 6 years, I know how easy it is for a lab to come back off for a multitude of reasons, so before I accepted his diagnosis of Hashimoto's I wanted the labs re-drawn and re-run.

He agreed, not at all understanding my distrust. And to no one's surprise, the re-check of the labs confirmed the original diagnosis. I'm developing Hashimoto's Disease. I was so shocked, honestly shocked, by the diagnosis for the first 24 hours I didn't really know how to process. I've had 16 wonderfully healthy years with this disease. As I was discussing it with my mother, she even said herself, the diabetes "has just never affected you, it's never slowed you down or changed your course, it's like you don't even have it". This is exactly how I've felt, in fact, I have intentionally tried to distance myself from the world of diabetes for the most part because I want to be "normal". I've mentioned that a few times on this forum.

So, because of this choice to distance myself, I wasn't ready for this diagnosis, I had NO idea how common it is. I think my doctor presented it so matter-of-factly on a VOICE MAIL MESSAGE (poor form, doc) because he thought I should be expecting it, this is the norm, not a huge shocker, diabetics have thyroid problems, why do you think we check it all the time, lady? :)

Well, I've started a low dose of synthroid, and can't tell a big difference yet, but taking ANY medication is a serious thing in my mind, that's what this blog is all about. I'm hopeful that things will go smoothly, but always wary of the long term consequences for my body of treating something that isn't even fully manifest yet.

If you have experience with this disease, please share with us, Beth and I have none between the two of us, so we're relying on the internet for what we can gleam. Thanks! Jenn.

Monday, October 3, 2011

Fat Babies

Well, I'm coming up against this idea a lot, and I still don't have any idea what to do about it the next time I have a baby.

The article describes a study indicating that eating sweets in the first trimester = big baby. This is not only a problem for diabetic women, but it may be one thing that makes our babies big. I, for one, get lots of lows during pregnancy. My insulin ratios are so high that I am almost guaranteed to be running a low blood sugar two hours after a meal of any reasonable size (that is, if I want my blood sugars to be on target). I have to do SOMETHING about the lows, and I usually end up with the old diabetic stand-by, juice.

Another problem is that I get high blood sugars if I don't eat enough, so I can't just get into the habit of eating teeny-tiny meals. Random spikes at 3:00 in the afternoon, 3:00 in the morning, dawn phenomenon, or whenever else my body is feeling sorry for itself. When I'm not well-nourished, that baby sucks glycogen out of my liver like its his job. Which I guess it sort of is...

Does anyone have any practical solutions to this problem? I'm tempted to go with the Gatorade solution that I discovered last pregnancy, not the least of which is because Gatorade has less sugar per ounce than most juices. But Gatorade can sometimes come in awkward portions (I mean, who did they make it for, anyway, athletes?), meaning I'll probably just end up consuming the same amount of carbs but with an extra 7.9 ounces of fluid.

Should I try a high-fat diet? A high-fat diet without ice cream sounds like running on a treadmill while watching a Food Network show...about ice cream. And let's be honest, despite what "they" say, unless you consume a meal high in fat AND in carbs (pizza and Chinese food are the two that come to mind, and the two that Minimed always uses to describe its dual- and square-bolus functions), it will NOT keep your blood sugar up for hours at a time.

Well, my babies were both healthy, even if on the large side. But I will keep looking for solutions to this problem. I will also keep trying to resist the temptation to drink milkshakes and those delicious Starbucks drinks that people who drink real coffee sneer at (perhaps the more important of the two).