Sunday, August 14, 2016

Week 24: Vacation

We were on vacation last week in the north woods of Wisconsin, which is why I did not post anything. But, since pregnancy has been happily boring lately, there wasn't a lot to say.

During the first few days of the trip I did have another few days of really high highs, similar to the problem I had when my husband and I went away for our anniversary at the end of June. I remembered the lessons of the last episode and increased basal rates rather than bolus ratios. This worked beautifully, though I tweaked the bolus ratios a tiny bit, too, and had to work out a few kinks for a few days in the basal rates.  In fact, I've been adjusting basal rates pretty much since then. I should probably admit that I'm adjusting my basal rates slightly all the time, really. But some adjustments are more dramatic, and that's what happened a couple of weeks ago.

My current basal rate regimen has a moderate rate (0.75 per hour) for the early morning hours, beginning at the early time of 3:00a. This basal rate remains until dinner time, at which point it increases to 1.10 per hour. It drops to 0.45 in the late evening, about bed time, and stays there for the earliest part of the night, until the regular day time rate begins in what seems the middle of the night (3:00a).

I went to visit my doctors this week, too. My OB is - somewhat surprisingly - a little concerned about my weight gain. I gained 6 pounds this month, bringing me to 21 pounds of weight gain and exceeding the normal pace of weight gain throughout pregnancy. I blamed it on vacation. Since the recommended level of weight gain is 25-35 pounds, she's worried I'll exceed 35 in the next 15 weeks of pregnancy. I get it. I've written about weight gain before, especially the benefits of not gaining too much, and I can certainly imagine that excess weight gain for mom could lead to an LGA baby. I've written about this before. But I honestly don't know what more I can do. I'm eating as little as it feels is humanly possible during pregnancy, and will continue to do so, but I've also got blood sugars to maintain.

So she wants to make sure I am walking every day. I, um, kind of am, but I don't actually leave the house very often. So I was trying to explain to her how infrequently I actually sit down during the day, what with taking care of four boys and all, making sure that the crayons are staying on the paper rather than the wall and hanging diapers and helping a pre-schooler figure out which bin is the right one for the Matchbox cars and turning on videos and turning on videos and turning off videos and coming downstairs to see if anyone is bleeding and so forth. I'm not sure she entirely understood, and she just repeated her question about walking for at least 30 minutes every day. I'm also not sure she entirely understood that leaving the house when your blood sugar is hanging out between 70 and 80, with three children who don't understand traffic signs, to go out on a walk in 90 degree heat, is actually probably not very healthy. She did tell me that I was the first person she'd ever known with more than three male children, so perhaps that accounts for the lack of comprehension about my daily life. I'm just going to keep answering in the affirmative, because I am certain that I spend at least 30 minutes walking around my house during the day, and probably more like 2 hours. I might be fudging it a little, but I think it's close enough to the truth to say it honestly!

I also visited the maternal-fetal specialist this week, and he said he was perfectly happy with baby's growth. Baby is right in the 50th percentile, moving like a champ, no problems to speak of. And the placenta previa is gone. Didn't I always say that was probably a problem no one ever needed to know about? Knowledge is not always power. Just ask Eve.

3 comments:

  1. Glad to hear the previa resolved!! Totally get what you are saying about walking around the house etc being exercise - I hardly ever sit still! I just moved and having my first new doctor's appointment today - hopefully we will get along and if not I have about 20 to choose from at their giant MFM practice...

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    1. Do the MFMs at your practice actually deliver? I've always focused on getting my OB on board with my management decisions, since if the MFM and I disagree, I can always just remind him (or her) that he (or she) will not be the one dealing with the complications if we fail to follow his (or her) recommendations. :)

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