Friday, March 21, 2008

Officially harder.

Yep, okay, now diabetes is starting to suck. Or rather, my body's reaction to insulin is starting to suck. I may have to start making some diet changes (don't wanna) or figuring out trickier ways of dosing to get the post-prandials that my doctors -- and I -- want to see (more likely).

I'm in the third trimester. (FREAK OUT, no wait, WOOHOO, no wait, FREAK OUT, no wait, I'm tired.) Here's how things are going for me on a typical day:

Fasting blood sugar: Today, it was 72. FINALLY. That's after a week of steadily raising my basal rate overnight. The rest of the week? It was anywhere from 170 (ouch) to 85.

Breakfast: Yogurt and a piece of fruit, usually about 40g carbs. My I:C ratio is 1:5 right now. That works great for post-prandials, but sends me low by 11:00am. Good thing 11:00 = lunchtime. I still have to have a small snack, though, or I'll be feeling jittery.

Lunch: Usually about 75g carbs. 1:7 for my insulin, but ditto the lows by late afternoon. I don't mind eating all day to fight off the lows, but I wish I didn't feel like I have to. Messing with my basal doesn't seem to help, and messing with the I:C ratio means I'll be high at 1.5 or 2 hours post.

Dinner: Trying to cut back on carbs here, because although my 1 or 2 hour numbers look great...those 3, 4, and 5 hours? Those suck. I'll be 85 at 2 hours and 160 at 3. Or 100 at 1 hour and 200 at 4. Or 47 at 1 hour and 60 at 2 hours and then 150 at 2 am. What the. Doesn't seem to matter if I eat low fat or high fat, so I'm guessing it's a basal issue (and of course overbolusing into a low never helps when it comes to rebound highs). I'm steadily raising the evening basal here, but I may need to start doing a temp basal of 120% or so after I eat to nip the highs hours later in the bud.

Overnight: Yeah, see dinner. I've gotten up at 1, 2, and 4 am on different days of the week to see what's going on...I'm around 100-140 overnight, which isn't acceptable.

My basal needs changed FAST, guys. And I feel like I'll have just gotten it figured out for a week and it'll change again, no doubt. Argh!

Wednesday, March 12, 2008

You know you are pregnant when . . .

this news story makes you want to cry at work. :D

In diabetic news, my A1C drawn yesterday was a 5.6. This makes me feel a little better in light of the gruff tone my perinatologist took with me when I told him my fasting blood sugars have been running 90 - 110 recently. (I'm working on it.) "They should be 70 to 85!" Sigh. Darn those 10 - 30 points!

I think one of the hardest things so far in my pregnancy has been balancing my natural, pregnant-lady urge to eat, eat, eat constantly with the requirements of my disease. A neverending, niggling hunger is settled into the pit of my stomach. I haven't gained much weight at all so far, but I can't satisfy my desire for food without suffering some blood sugar consequences. Last night I had a 194 at 2 am, which was probably a rebound high caused by a 47 at 11 pm. The 47 was because I had a half cup of ice cream around 10 pm and overbolused big time. If I indulge my cravings I have to be super zealous about making sure everything comes out all right in the end . . . but it just can't be perfect all of the time. I understand that, but it doesn't stop the flood of MOMMY GUILT. I keep thinking...just 90 more days. This pregnancy isn't 100% about me, it's also about my baby, and I have to do right by him. Maybe I should just lock myself in a closet filled with celery and call it good until June.