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BSparl: 19 Weeks.

Baby Sparling, 19 weeks and counting.
Bsparl, 19 weeks.

We're at the 19 week mark with our baby, and things are starting to change again.  My belly is hard and high, completely obvious now and forcing me to rock NBF's maternity jeans.  (She rocks, because she can provide some very useful hand-me-downs these days.  And NBF is due any day now!!  Ahem - sorry, I'm so excited!)  Pregnancy symptoms, like that heartburn I've read about and my new appreciation for the power of fiber and the need for some new bras, are in full force, and I'm feeling busy in the body these days.  Not to mention the weird leg cramps that crop up without warning.  I'm out of breath going up flights of stairs, thanks to the pressing of my uterus against all my other internal organs.  And my hair, which used to shed at least a few strands after every shower, has stopped shedding entirely.  (The cats in my house cannot make the same claim, however.)  These changes are taking some time to adjust to, but I am so thankful to be experiencing this.

The biggest change I've noticed, aside from the belly, is that now my blood sugars are starting to resist insulin a bit.  I haven't been able to nail down a definitive pattern yet, but my morning basals need some adjusting.  For the last four months or so, I've been waking up at numbers close to or under (sometimes waaaay under) 100 mg/dl.  My Dexcom showed a flatline on the overnights, and I felt pretty confident.  Until the last week or so, when I've started seeing a spike around 5 am.  I'll go to bed at 80 mg/dl, then wake up at 5:30 am or so to use the bathroom, and ring in at 160 mg/dl.  Consulting with the Dexcom shows that around 5 am, things go haywire.  For a few days in a row, I was waking up, correcting the high, and then getting up "for real" at 8 am to see a number back under 100 mg/dl. 

Is this the insulin resistance I've heard so much about?  I'm just over 4 1/2 months pregnant and have gained (honestly) about 12 lbs, and the baby is growing by leaps and bounds, so I'm sure my diabetic body is freaking out from all this change.  Insulin-to-carb ratios are oscillating between 1:12 and 1:9, depending on the week, and my basals apparently need a kick in the morning.  (Of course, this morning I was a steady 70 mg/dl all night long.  Hard to find a pattern when it doesn't remain as one for more than five days!)  I'll be at Joslin next week for a full fetal ultrasound and an eye dilation (fun) and several other prenatal tests, so I'm sure my medical team and I will make some changes, but still - this is seriously like trying to hit a moving target.  Hopefully my A1C is still steady and in the low 6's (for BSparl's sake), and I just want to get to May with all of us in good health. So I can hug her.  :)

I've also been waiting for her to kick, and my doctor told me that I might be able to feel something when I'm lying still and relatively quietly.  So the other night, I was in bed and the house was silent.  I thought it might be a good time to connect with BSparl.  

I placed my hands on my lower abdomen (where I saw her in the ultrasound last week) and pressed my palms firmly against my belly.  Nothing.  I waited a bit - maybe a few little flutters, but it's hard to tell what's her and what's me this early in the game.

It was getting late, and I was starting to fall asleep.  My eyelids were closed and the house was silent and I could smell the Christmas tree from the bedroom. 

"Tomorrow.  I'll try and find you tomorrow, baby love."

She responded with a sharp, definitive kick.

Comments

Wow. The last part got me.

LOL! And it begins.

I remember when jasmine would be laying on the couch I would put the remote on her belly and Georgie would kick it off. AWESOME!

I don't know anything about Type 1 diabetes, but I know about pregnancy. I know that I had to keep food in my nightstand because sometimes I'd wake up STARVING.

Is there something you could keep in your nightstand that would be quick, not messy, and easy to eat in the dark? Bananas? I don't know what they'd do to your blood sugar, but they might also help with the leg cramps (potassium).

I'm sure you'll figure something out. How exciting that you're feeling movement! Isn't that the coolest?

Sounds like you're doin' great...definitely on top of things. Good job!

Aww! Such a sweet post!!!!

Kerri, thanks for the comment on my blog! It has been really fun for me to follow your pregnancy journey, especially since it corresponds so closely to mine... it's reassuring to know that others are in the same boat and it isn't just me ;)

Isn't 2nd trimester so much fun!! Especially finding out what "it" is, feeling those kicks, and just getting closer and closer to that due date!! Oh, and that resistance, too, haha... if you figure out your pattern, let me in on the secret ;)

You are doing a great job and BSparl will just love you so much!

Kerri, that had to be such a special moment, actually feeling her there! Congratulations and I'm sure you'll be getting quite a few more of those little kicks in the coming months.

So happy to hear about the first kick. I love that!
Hey, it's none of my business, so you don't have to answer, but... are you going to nurse her? It's so good for both of you. I was wondering if nursing affects blood sugar?
All the best to you and BSparl.

Nice to hear that she's listening to you already. That first kick is so magic.

Congrats on the first kick! Anyways I know almost nothing about pregnancy but I do know my diabetes. Because of the time of day you are getting that blood sugar spike it sounds a bit like the dawn phenomenon just because of the time of morning it's happening and how quickly your blood sugar is changing. This may be brought on by the pregnancy or heck it could just be good old insulin resistance. Good luck!

Dex is your buddy!

My insulin requirements were 3 times what they used to be in the 3rd trimester!!!
Congratulations on feeling her move by the way!!

Kerri,
Sorry to break the bad news to you, but in general (not just in diabetics) insulin resistance gradually goes up throughout pregnancy. This is why people at risk for Type 2 end up with gestational diabetes -- their already overworked pancreas is in overdrive by the increased insulin resistance. In your case, you can probably expect your insulin requirements to gradually go up the rest of the pregnancy...of course, check with your endo on this.

Congrats!
Dr. K

Oh, the dreaded insulin resistance! You're probably starting to experience it at 4 1/2 months along. I seem to remember that it wasn't like a steady increase (like anything is that reliable in diabetes!) but more like sudden spikes and valleys as the resistance increases through the second and third trimester. Lots of adjusting and readjusting.

Thanks for the shout out in your HealthCentral post (I'll try to comment there, but for some reason my computer loads the comment site at HC really slowly...) It's so amazing to be part of a group of diabetic women having healthy babies and sharing their experiences to give other women hope and confidence.

I'm so excited for you! My sister is having her first baby in July. Babies are such a joy and the time of anticipation for your first is just so fun and exciting!

Take care!

Hello,

I found you blog, and thought that I would comment on your 5am from nothing spike. My bs does this, and after wearing CMG for my endo and checking ridiculously, I found that I had to inc my basal by 30% from 3am until 5am to correct for it! Such a small window, but such a big difference.

I do have to say that I am not prego, but this just started happening to me overnight a couple of months ago out of the blue. I am well controlled, and have had diabetes for a long time. Hormone fluctuations is what they chalked mine up to. I am sure that you are having quite a bit of that. Just thought I would drop you a note! Good luck!

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