What's the point?

It's a boy! :) After a week chock full o' doctors appointments (endo on Monday, pediatric cardiologist on Wednesday, perinatologist this morning) the baby is looking fine and dandy. We've decided to name him Jason and the nursery is coming together nicely. I'm so excited . . . but at the same time I'm going through a strangely boring period of the pregnancy. I guess I'm not big enough to be super uncomfortable yet.

My blood sugars were less than great last week, but my endo cleared things up for me. I went in with a week's worth of charts and a list of suggested changes, all of which she agreed with - but I let her do the math. Now my I:C ratios have me staring in shock when the bolus wizard calculates a dose, but I was prepared for this by years of community participation at Diabetic Mommy. I'm down to 1:5 at breakfast and 1:7 the rest of the day - holy cow! She said to expect the insulin resistance to ramp up and up from this point on. In the meantime it feels REALLY strange to take 10 units of insulin for breakfast, when I usually take 2 . . . but I can't argue with the numbers this week. They've been awesome. My most recent A1C was 5.4, up from the 4.8 but still great in my opinion.

We had a fetal echo cardiogram performed to check for any defects in Jason's heart. The tech and the cardiologist both asked me why I was there with a quizzical look on their faces - and although my response of "I have Type I diabetes" seemed explanation enough, the doc still seemed a little nonplussed as to what the fuss was about. She said, "His heart looks perfect," and sent me on my way.

Today was a routine check-up at the high risk OB's. I'm going twice a month now (and at 32 weeks will go twice a week, ouch) . . . I had the gall to ask the doc what the purpose of the visit was, and she seemed a little put out and didn't answer me right away. "You are just checking up on things then, I guess?" I offered, and she said yes. Ooooohkay. So I take a two hour chunk out of my day to tell her things I could tell her over the phone in 2 minutes (how are my sugars, what is your A1C) - and she gave the baby only a cursory glance on the ultrasound screen. "Look, there is his heart beating." Yeah lady, I know, I stared at his heart beating for 35 minutes yesterday. I could've told her he was still alive as he was kicking me at that very moment, and she didn't take the time to see if there was anything else to note besides his heart.

So, I'm trying to take away what is important and what isn't from my first experience as a pregnant Type I. I think the AFP and nuchal translucency tests are worthwhile. I think the echo cardiogram was worth it, kinda, although after getting an all clear at my Level II ultrasound it did seem redundant. I'm not sure that I will be running to a high risk practice with my second child, though - I feel like my doctors are honestly bored with me and don't spend very much time with me at all, even though this is my first pregnancy. They look, they see nothing to alarm them, and they shoo me out of the door. Next time I may try to go with a single OB - and let him/her refer me to a peri as needed.

I'm very relieved that thus far my diabetes hasn't had an impact on Jason, but I am a little disenchanted with the high risk fuss. I'm pouring out a lot of money in copays on people that ask me why I'm there (shouldn't they know?), or expect a lot out of me (do this do that wait an hour to be seen by me just to have me ask what's your A1C), but don't give a heck of a lot back (okay well, we're done here, bye).

Stagnant

I feel like my diabetes management is standing still right now. I don't think I'm doing awful, but I'm not expecting much change from the 6.8 A1C I had a couple of months ago. My next appointment is in May. I'm actually more concerned about my cholesterol reading - I suppose I'm just dreading getting into an argument about whether or not I need to be placed on statins.

Nothing really remarkable, but I'll remark anyway. I'm not eating as well as I could be. If I have bad blood sugars they are almost always related to something I'm shoveling in my mouth that I really didn't need to eat. And I bet it's not making my cholesterol go down. Maybe I'm just slightly depressed or out of it these days because I'm unhappy at work. (And since work is most of your life, I guess I'm unhappy most of the time.) Maybe my whole LIFE is just standing still.

Sometimes my fasting is fine. Sometimes it's not. I can't seem to nail down a pattern. Last night I went to bed with a 91, and woke up at 143. Bleh. The other day I went to bed at 198 with a correction bolus, and woke up at 81. So maybe 198 is better to sleep on, ha. Anyway that's not a typical pattern. I feel bored when I think about it, but I'd rather be interested!

Where I'd really like to be diabetes-wise is getting my A1C as close to 6.0 or under. To be exercising regularly, too. I want to prepare to have a child, but I'm having trouble finding the motivation to finish my damn state taxes let alone keep detailed blood sugar records. Doesn't help that I have two states to file taxes for, either. (Thanks again, job.)

I wish I had the guts to do what everyone else says - if you aren't happy, say see ya! Not that easy when there's health insurance, a wedding to pay for, and everything else on the horizon.

Oh, I did confirm that business traveling and blood sugars aren't friends. I've been on the road since March 6 - first in Dallas and then in Indianapolis. Vacation travel is different because I'm up and walking around, being active . . . and feeling really happy, which usually has a positive effect on blood sugars. Business travel I'm exhausted. I sit around in an inadequate office all day. I eat a lunch with clients. I go back to the office and sit around. Stress. I have a big dinner. Per diem, baby! I go back to the hotel and lay around watching Gilmore Girls reruns and trying not to give into cravings to go to the vending machine and get a huge effing Snickers bar. I can't survive on salads all damn week, and even if I did, it's not a guarantee of level blood sugars.

At least I'm home for a couple of weeks now . . . and something to celebrate: I'm getting new glasses tonight! "I can SEE, it's a MIRACLE!" :)