Slowly but surely, we’re getting there. Today starts week 31, and I am really starting to get tired of this whole pregnancy thing. I’m pretty sure that anyone who says she loved being pregnant is either sick in the head or lying through her teeth.
On the medical front, my high risk OB is on vacation this week, so I am spared one of my regular appointments. As a result I am only subjected to two non-stress tests and two physical therapy appointments. It feels like a vacation for me, too. Next week it is right back into the thick of it with the two obligatory non-stress tests, two physical therapy appointments, a fetal echocardiogram, an appointment with the High Risk OB, an ultrasound, and an appointment with the Endo.
Speaking of physical therapy, those appointments are really starting to pay off. The pain in the front has subsided considerably. The therapist showed me a great exercise that pops the front of the hip bone back into its rightful place, which alleviates almost all of the inflammation. I can finally sleep on my side again. The massage is also helping to loosen the muscles in my back and hips. I’m not ready to run a marathon or anything, but I can move again, and that’s a pretty big accomplishment.
On the diabetes front, things have fallen into a sort of pattern. That is, a pattern of constant flux. My BGs, while not overly high or overly low, tend to fluctuate a lot. There is very little in the way of a trend. One day I will wake up at 90, and then be at 150 an hour later, even without breakfast. The next day I will wake up at 90 and be at 65 an hour later. The good news is that my overnight numbers have been relatively stable (I know this because I typically have to pee two to three times per night, so I test at the same time.)
As a result of the constant state of flux, I am relying heavily on regular BG tests, corrections, and juice boxes. The only trend I can discern is a tendency for my BG to plummet around dinner time, but I can’t be sure whether this is due to bolus stacking over the course of the day, or just too much basal insulin. Hopefully the Endo can help me sort that one out next week.
My pump tells me that I am averaging 14 BG checks a day and that my average BG is 106. I am averaging 70 units of insulin per day, up from about 35 units pre-pregnancy. I’m surprised that my insulin needs have not gone up more dramatically. I expected to be pushing three times my normal dosage by now. If you’ve already been through this, what was your experience? Can I expect to use a lot more insulin in the next seven to ten weeks?
My belly is growing exponentially. Everything feels tight and stretched to the limit. My insides feel squashed, especially my lungs. The walk up the stairs to the nursery leaves me breathless. The ligaments around my belly are all pulled to capacity and they are really giving me grief. I sure hope my body can hang on for another couple of months. Other, less annoying, physical symptoms include heartburn, leg cramps, and swelling.
Emotionally, I am a basket case. I’m tired, cranky, and tearful. I can go from hysterical laughter to a teary mess in the blink of an eye. At work, it is hard to keep my eyes open in meetings. At home, I my head starts to bob when my husband is telling me about his day at work.
On my way into work this morning, I was thinking about how hard this journey has been. If I had it all to do over again, I might try to arrange things so that I could work part-time during pregnancy. I have said it before and I’ll say it again: A diabetic pregnancy is a full-time job.
I hope this post does not scare anyone away from this experience. I am still excited about the upcoming arrival of Baby NoName, but I don’t want to sugar-coat it. This journey, though well worth the trouble, is hard work!