Monday, October 26, 2015

T1D Preggo at 23 Weeks

Hello little pregnant belly of mine! Baby girl is nearing 23 weeks of life inside my tummy and she has been reminding me of her presence constantly. I feel so many little kicks now and have even seen movement on the outside. It's a constant reminder that all this hard work to maintain tight Diabetes control is worth it.

Type 1 Diabetes is tough enough for one, but when you are a Type 1 Diabetic growing a whole other person it is particularly challenging. Luckily I have hit a rhythm, and with an A1c reading of 5.7 I would say its working out pretty well. As a side note, that is my lowest A1c ever, since being diagnosed with Type 1 Diabetes 17 years ago (which is a good thing!).

Celebrating a 5.7 A1c with a decaf coffee and pumpkin cream cheese muffin with my stud muffin!
Chris and I met with a Maternal Fetal Medicine doctor who specializes in patients with insulin pumps. I had been emailing him downloads of my Continuous Glucose Monitor for a few weeks before the appointment and when we got to the appointment he was so full of energy! In his thick Italian accent he looked down at the downloads and exclaimed, "I think you have the best blood sugars in Texas!!" Well, I doubt that's correct, but man it made me feel awesome. After feeling pretty alone in this whole Type 1 pregnancy journey, he validated my efforts. Unfortunately, my endocrinologist situation is not ideal and I have made all of my pump setting adjustments myself. Chris and I download my CGM data every week and he helps me weed through it while I figure out if any adjustments are necessary. So to hear someone say we are doing this right was very encouraging!

After discussing my current control, we chatted about the logistics of Type 1 Diabetes combined with labor and delivery. He recommended leaving my pump and CGM on and basically taking care of the disease myself. Chris and I have some further discussing about how to best make this happen as a team, but I do think this is the best plan overall. As my new favorite Italian doctor said, I know my body best and I will be able to hone in on the right levels faster than a baby-savvy nursing staff. He wants me to continue sending the CGM downloads, which I am more than happy to do. It's always nice to have an "outsider's" opinion, especially when I have a less-than-helpful endo.

Beyond the Diabetes aspect, Chris and I have all of the monthly growth ultrasounds scheduled until her arrival and the OB appointments will start picking up in frequency shortly. We are also signing up for some birth/baby/parenting classes soon since we really have no idea what we are doing! I think we are both hoping and praying the "instincts" kick in, because neither of us has much experience with newborns or babies in general.

As far as life in general, I am working Thanksgiving in mission control, and by Christmas we'll be into the 30+ week range, so it will be different experiencing the holidays with just the two of us. Anyone have any Thanksgiving recipes for 2? Maybe we'll just have to share a turkey breast and some frozen rolls, haha.