Diabetes ... Period.
About once a month, there's a certain spike to blood sugar patterns that is both predictable and completely chaotic - welcome to this morning's TMI post about diabetes and the menstrual cycle.
Two months ago, when the gene for the Factor V Leiden mutation was detected in my blood, my endocrinologist and my gynecologist decided to remove me from my birth control pill and switch me to something with less of a clotting risk. Since I decided to go on the pill when I was a freshman in college, I have always been on the standard estrogen/progesterone pill (I was on the ortho-tricyclen, then tri-sprintec, if you want a good ol' dose of TMI). When it came to diabetes and this kind of pill, there was plenty of information out there, so I had a good idea of what to expect.
But this new one? The progesterone only? It's a bit of a wildcard. I'm currently taking the Errin pill (28 days of hormones, no "placebo" pills) and these first two months have been pretty damn tricky. I'm not sure if it's my age, the ticking of my biological clock, or just the changes in my body as I age, but this pill made my emotions run wildly. And the information I've received on this pill has varied. The internet (oh Internet!) informs me that the brand name version of this pill comes with a diabetes-specific warning: "Diabetes patients - Ortho Micronor may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine."
Oh for crying out loud ... another variable?
I was on the old pill for almost ten years, in total, and I was used to the effects it had on my body. I was accustomed to the 28 day cycle, the guaranteed four day period, and the pre-period spikes weren't dramatic. I actually noticed a drop in my insulin needs while I was on the placebo week, and I had a decade to really adjust to the whole process. This new bit, with a whole new hormone regimen, has thrown my body into the spin cycle. I can't anticipate the highs because I'm not sure if/when the actual period is coming. (Part of the trick with progesterone-only pills is that you may not always have a period, which makes my brain melt.)
Aside from these unpredictable start times, this seems to be the first pill that affects my emotional state closer to the end of the 28 day cycle ... for example, I came across this video of a singing little six year old and promptly burst into tears. I had a few days of feeling amped up, over-emotional, and anxious, and these emotions had their own little tea party with my blood sugars.
I want stability. My whole reason for being on birth control at this point is to protect my body from pregnancy, because my A1C is spikey. So I take the pill to protect body-from-baby/baby-from-body, yet the pill itself could be contributing to an elevated A1C. It's frustrating because pill options are limited (thank you, Factor V), pregnancy is not encouraged at this A1C, and I'm a young, newly-wedded woman with a healthy libido. (Kerri! Your mother reads this blog! And so does HIS mother! Ahhhhhh! Go delete that! I'll wait.)
Nope. Can't delete it. This is real life with diabetes, awkward bits and all. Anyone out there on a mini-pill and seeing some numbers (and emotional) fluctuations? I'm trying to learn everything and anything I can, with the end goal being Nice Healthy Baby Range. Talk to me - I need some advice!