21w3d Midwife appointment and HbA1c

This HbA1c result really blew me away!

Two lots of good news: my HbA1c is the lowest it has ever been. In fact, it's so low that I don't believe it, but when I think of all the hard work I have done working with my Diabetes Nurse Educator and learning about using the advanced pump features, I realise that it is justified. I am so very happy with this number because, unlike the last HbA1c test I had, this one is not caused by masses of low blood sugars. Rather this 5.4% has been achieved by massively reducing the range and fluctuations of my blood glucose results. When I used to get high-symptoms at around 15 - 20 mmol, I now get those symptoms at around 9 - 11 mmol. I have acclimatised to this nice, luscious lower blood glucose range and it genuinely makes me feel better (healthier, clear-headed) when I am sitting in the 5 - 7 mmol range. So that is awesome. I never expected I would be able to achieve this. Trimester two must have something to do with it as well I think, plus I have recently taken up swimming. And of course eating a really healthy diet for the Tiny Fish.

And speaking of Tiny Fish, my midwife visited this morning and in her words I'm "doing awesome." It can't get much better than that. My blood pressure is a lovely 100/60, and Tiny Fish's BPM is around the high 140s still. I am getting a load of movement (read: kicks and thumps. None of this "feels like butterflies" stuff haha) and when I told the midwife that I've woken up a couple of times with a rock-hard belly she said those were classic braxton hicks contractions. Already. With the movement starting at 16w she thinks it might be an indicator for an early arrival.... we shall see. I still haven't gotten the info I want about insulin pump protocols during labour for my hospital, but she promised to follow that up for me.

Other medical things on the to-do list in the near future include:

• another midwife appointment
• a second OB appointment
• am waiting on a retinopathy screening appointment (retina photos)
• I will get monthly scans from 28w onwards or so... Should get to see Tiny Fish a lot!

Oh gosh, I haven't done any belly pics for a while (scrabbles about and takes a quick snap of the ever-expanding belly-o-saurus) and..... here you go :)

A bright teal 21w3d Tiny Fish house.

20w1d Anatomy Scan

Friday lunchtime we went to our anatomy scan which I had been looking forward to greatly the entire week.

Tiny Fish is measuring pretty close to perfect size and the sonographer didn't find any problems: spine is fine, heart, brain, no obvious cleft lip, kidneys, fingers, arms and legs, stomach, abdomen. All good.

It was done at a different clinic this time and although the screen was lots better we were not allowed to video it which was disappointing.

We got a couple of stills, here are some of my favs:




Above: profile of the face



Above: soles of the feet.

He/she was active the whole time squirming around but got shy towards the end so decided to hide down low and make the scan a bit harder.

Tiny Fish is about 300gms and 15cm long head to bum.

We didn't ask for the gender and I'm happy with this decision.

Today my sister took me shopping for maternity jeans and we almost didn't get any cos in one shop it was so hot that I nearly fainted. What should you not grab onto when you feel faint and nauseous? That's right: a store ladder on wheels! :-/

I had to go outside and sit down. What I desperately wanted to do was lie down with my feet up, but there was nowhere and I was wearing a short summer dress in a crowded mall. I practiced some yoga breathing to focus on something other than the horrid hot cold sweats and sickly feelings. Then my sister took me outside to try and cool down more. She wanted to get me done water but didn't want to leave me alone. I checked my blood glucose and it was falling ever so gently at about 8-9mmol so I figured a small juice wouldn't hurt and the liquid might do be good. The best thing though was when she took me to my car and put the air con on full blast then drove me home. What a sweetie.

I think it was a combination of forgetting my prenatal vitamins for two nights, being tired from the week of work, being hot and maybe slightly dehydrated. I'm better now just a bit washed out.

Sorry no bump pic today cos I'm writing this from bed before sleep!

Thank you to everyone who sent in helpful and supportive advice re my little cousin.

19w3d Swimming and sore thigh

Tiny Fish is somersaulting and kicking as I type this :)

I've been swimming twice with the insulin pump infusion site and Dexcom transmitter in. At first, on the weekend, I was worried about going untethered from the pump (would I go too high without insulin? Or too low with all the exercise. Answer = too low) and what the pool water might do to the adhesives or reliability of the Dexcom.

Turns out it was fine. My Dexcom has a whopping great piece of opsite Flexifix taped over it (with a little window so the transmitter can poke through) so the adhesive was really no issue. The infusion site (inset30) was at the end of its 3 days so was already a little worse for wear.

All in all it felt marvelous to be in the water and we went again tonight after work. Even with a banana beforehand I still drop between 4 - 6mmol in 40 mins untethered. But then I do climb to about 11mmol a couple of hours later. This rise is due to the lack of basal plus the emergency juice after the swim. Must try basal reduction prior to the swim itself.

In other news: OWWWWW!!!

My right thigh is hu-uu-rting! It gets tingly then goes numb on the main muscle down the front/outside of the thigh. Then it gets achy. Then the ache gets a bit stabby. Then my hip gets achy and stabby cos it feels all left out. Long story short: standing and walking hurt. Standing to take a shower hurts. Sitting or lying down makes it better. Even though I have a job that has many hours in front of a computer, I still do a lot of traipsing around campus and it's surprising how many people think it's cool to have long-winded chats in the hallway, standing up, with no chairs ready to rescue me!

I asked my OB about this when I met him the other week and he wasn't too concerned, just said to watch if it got worse. Well, it's definitely worse.

So I gave in and texted my midwife asking her advice. She thinks it might either be a pinched nerve or maybe a torn ligament in my hip. I am going to call a physiotherapist (I can do self referral which is quicker, but it would be pay out of pocket either way) tomorrow morning hopefully.

Oh and I had a quick unexpected catchup with my pump reps T and K today up at the hospital. On Saturday night I was having a headache, exhaustion, and lows. The Dexcom and the vibe (both of which had new sites inserted that evening after the first swim) took it upon themselves to wake me up no less than 20 times with various low alarms, false low alarms, error code 0, error code 1, calibration warnings, and reminders that the calibrations were failing. Bah! By 3am I gave up and turned the CGM functionality off both devices just so I could get some sleep.

An email to my rep in the morning and she offered to meet up and bring me a replacement sensor, and explain the error codes. Since they are normally in another city it was an unexpected pleasure to get to see both of them face to face. :)

And now for some devastating news. You might want to click away now if you're not in a particularly happy spot right now as this next bit is just utterly heartbreaking :(

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My little second cousin, a 10 year old boy, has just been diagnosed with a very rare form of cancer with a simply awful prognosis. He's already about to have his second surgery in a month, the first removed a strange lump and now that pathology has finally identified it he's been rushed to the children's hospital. He is not expected to out live his parents. Apart from some radical drugs in clinical trials, surgeries are the only option. Chemo and radiation don't really work well for this type. Our whole family is pretty much in shock and I would love advice from anyone about how I can best support my cousins at this time.

So, that's it for now. I don't expect to be posting many updates about my cousin as that's not really my story to tell. I'll just see how it goes and do what I can for them.

18w4d - When space starts to become sparse

The bump has most definitely gone "pop" in the last 10 days. When I wear a dress to work everyone comments on how big it is.

Tiny Fish is kicking with regularity when I wake up and when I go to bed. TF also quite likes the sound of Hubby's voice and often starts kicking up a storm when he/she hears Daddy.

Over the weekend I experienced TF's first really big growth spurt: my belly got really tight and the skin at the sides became itchy.

I got pretty tired out on Friday night and that tired-headache came on and I couldn't shake it for the whole weekend. Boo. Even with panadol each night. I was sleeping huge amounts and barely doing anything, but scared it would turn back into a migraine with more vomiting. Thankfully, it didn't, but those growth spurt hormones really treat me badly.

My blood sugars went quite high and I was using multiple temp basal increases each day to try and keep it down. I actually thought that I might finally be getting to the second trimester insulin resistance. But no, on Monday it was back to almost "normal" including the lows.

We met the obstetrician last week. He seems nice and my aunt and cousin who have connections to healthcare both say he is very nice and very good. I've got to do a PCR urine test for protein. I asked him about this numbness and pain I'm having in my leg (like a pinched nerve when I stand too long) but he didn't seem too concerned. I'll keep an eye on it and talk to my midwife about it when I see her next.

Back to work this week and things are going well. I am managing a reasonably busy day but I have to be in bed quite early or else that headache comes back.

Had a wonderful evening tonight celebrating my Dad's birthday. I ate too much and I'm paying for it now with high blood sugars and the most incredible uncomfortableness in my tum :(

Oh, and I appear to have become lactose intolerant. All that extra yogurt and milk I was advised to eat for calcium was turning from uncomfortable guts to painful.

Belly button is starting to change shape getting wider and shallower, with a knobby bump at the top. I have also noticed some tiny veins appearing on the skin at the base of ribs on both sides. No stretch marks yet but I'm using some nice smelling body butter to prevent them (not holding my breath) but it does help with the itchy skin a bit.

Here is a belly pic for you:




That's the Dexcom sensor, and I am really reacting to the adhesive now that all the skin is stretching. Also, no, those pants are not done up. Not even close lol

17w2d First Kicks

Our little Tiny Fish has made his/her presence felt. About 16w4d I felt what I thought might be a kick. It was not some subdued flutter or bubbles. It felt like a tapping finger, but inside. The most similar feeling I could describe would be if you tap the inside of your cheek with your finger.

A couple of days after that I was quite sure of what I was feeling and Hubby could feel it too!

Two nights ago I was doing a site change and I suddenly sneezed. I got a right strong internal thumping, and due to my excited yelping Hubby got a nice strong kick on the hand too :)

I'm now getting either kicks or rolling movements every 2+ hours or so. It gets easier to feel when I'm sitting up in bed, or in the recliner with my feet up, or wearing my pants done up (rare, now lol).

It's Sunday night and we've just had a lovely summer BBQ with my parents and the step kids. The two youngest go back to high school tomorrow, with it being the first day of secondary school for the youngest. Eldest step son has finished school and goes to college in April.

My first day of work is tomorrow and although Thursday is a holiday (Waitangi Day) I'm still not sure how I'll handle getting back into the whole work routine - I quite like being able to nap from 2 - 6pm if necessary.

Get to meet the OB on Wednesday, and Tuesday is a training day so it should be a bit of a wasted week.

I did my first ever basal test this morning. My diabetes nurse advised me just to have a carb-free breakfast I think cos she knew a complete fast would be a bit impossible for me - hungry pregnant lady raaaarrr!!! I had 2x boiled eggs, a spoon of peanut butter and a cup of tea. Looking back the peanut butter probably wasn't a good choice cos I went from 5.8mmol to sit around 10 for the entire morning. It was great to see how flat it was on the Dexcom, but I was frustrated not being able to do a correction. I think I should probably repeat this morning segment of the test just to check that the basal is fine and the pb didn't screw up the test too much. Oh well. It wasn't too much of a drama and I'm not worried to repeat it, it just too four mornings to start as I kept going low!!

In other good news, my good friend who has been trying for a baby for ages has just discovered she's pregnant. Very exciting to have someone close to me on this journey too!

I'm just so pleased that Tiny Fish is kicking away in there - it makes me feel so reassured and it just feels so, right. Before, all the weird machinations in my abdomen felt rather alien and strange. Now it finally physically feels like it has purpose.

Here is a belly shot for you. I'm tall, so I'm not sticking out much yet.

16w Lows and Wardrobe Freakouts

Let's start with the more frivolous of today's two topics?

My pants don't fit. I have mostly skinny jeans and tight/tailored black work pants. And they all pretty much fail to do up satisfactorily now that I have the tiniest bump in the world. Lol

It is way too soon to start the great maternity-clothes hunt, but I have been getting more and more concerned about my upcoming work week (yes, I'm still on Christmas hols for another week yet! Who'd be a teacher?) especially since I have been living in about two t-shirts and tights for the past fortnight.

That just won't cut it as work attire. So I announced to my Hubby this morning that I was going to purchase a belly band. Off to the shops. I didn't get one, but instead got a couple of long tank shaped dresses that will work with a belt and cardi, and a long singlet to hide the great unbuttonedness.

There are relatively few options in my city for purchasing maternity wear and most of the good stuff I see online just doesn't make it this far. So I tried a shop that looks local and asked them for a belly band.

This was a mother and daughter run operation, and they were really wonderful to deal with. All their clothing is locally produced and it turned out that one of their seamstresses is a student of mine! So we got chatting and they took my measurements and promised to make a custom belly band and txt me when it was ready, all for half the price of what they were going for online. I felt like they really looked after me. Such a rare occurrence in any sort of shopping these days.

Second topic: lows. I'm in the second trimester already why won't these low blood sugars leave me alone? I have heard the alarms ring on the Dexcom so.many.times today :( And juice doesn't seem to make any difference. If I don't get the low up quick enough I will feel faint and nauseous so badly I can't stand up. And then the headache will start.

I've been fighting this low since before lunch and it's now after 8pm. I get up to maybe 5 or 6mmol only to have it crash down again within the hour. I've had over a lute of juice today. And that's the other thing: I can't physically eat too much or I get horrible gut cramps, and too much juice is bad for the day after if you know what I mean. But for me going low kicks my digestive system into immediate overdrive so I'm liable to end up with gut cramps either was.

It hurts to breathe deeply at the moment. I can only imagine what it will be like once the Tiny Fish is a little larger!

I have a checkup with my midwife on Monday so I'll ask her about it.

I made it through yesterday awake, but perhaps I did too much going out on a bush walk / photoshoot? Sigh. I have just taken a couple of paracetamol and now I'm off for a nap.

15w4d Exhaustion

The second trimester is supposed to herald in a renewed sense of energy and feel-good-ness. Instead, I seem to be getting sheer exhaustion. It has become rare for me to manage to stay awake the entire day.

Today I woke at 9am, had breakfast in bed, got up and showered at 10am, went for a 30min walk around the local park and the block, had lunch of fried noodles with tomatoes and spring onions, then promptly tried to fall asleep in said bowl of noodles. The dull headache warned me that I needed to get my head down soon or suffer the consequences of a restless night with no sleep and a bad head.

So I slept from 2pm to 4pm. This all sounds lovely and relaxing, but it is very frustrating and feels like I am wasting my days. In the morning I am mostly too groggy and foggy to get anything done, and I always feel like I have to spend my energy wisely. One outing a day is about my maximum. If I do too much one day I might feel ok, but will then crash out the next day.

I am not worried at the moment, everyone keeps telling me that I will perk up soon enough and that it's just the baby sapping my energy. However I start work teaching again the week after next and I am not sure how that is going to work. I have already got a note from my GP so I can request a disability carpark right up close to my building at work, as I know the walk (5min) up the steep hill at work will leave me knackered - plus the round ligament pain can hurt after too much walking!

My next midwife appointment is next Monday (6 days time) so I will ask her about it. I am taking my pre-natal vitamins but it could be anemia maybe? Hope not as the pre-natal vitamins are upsetting my digestive system somewhat. With the in mind I have decided one thing I can do is ensure I am eating enough. It occurred to me that I now need to eat like I am growing, like I did when I was a growing teenager! So I am working out healthy foods and snacks to eat at regular intervals throughout the day. If I don't, for instance, eat a yoghurt for morning tea then I will feel faint and go low just before lunchtime. I always need to eat before exercise. More fruits are on the menu and we are getting a reasonable harvest of fresh veges and herbs from the garden. Plus eggs from the chooks!

At the moment my one real mild concern is when/how we will get the Tiny Fish's nursery started. I am itching to get in there are start planning the room. It has no storage so I will have to find some second-had pieces and repaint them.