So, I'm 30 weeks pregnant. All of a sudden I'm getting unexpected lows mid-late morning.
My fasting numbers have gone up and I've needed to increase my nighttime basal (am now up to 20 units, but with no apparent lows (better test a few times during the night to be sure with the current goings on), but cut my daytime basal already from 26 to 20 units in the last few days.....
Went to bed last night at 97 (with a little unbolused food on board, so I could have gone higher overnight).
Fasting today 8 am: 91 (ok, though a little higher than I'd like)
Breakfast: bolus with humalog 8 units - 2 1/2 hours later at 10:30 = 92. Ok! Great! Should be perfect! In the past when I take humalog where-ever I am 2 hours after a meal I tend to still be there a few hours later.
1 1/2 hours later I start shaking and suspect a low and I'm 56!
Maybe baby is taking much more energy than before? Leaving less for me??
I haven't really increased what I eat and am trying not to eat too much, as my obe told me I'm only allowed to gain 5 lbs for the rest of the pregnancy (15 lbs is my total 'allowance' as I started off close to obese and I'm diabetic), which = only about 1/2 lb a week, which I am going to find really hard to stick with. :( She is very concerned that the baby stays within the normal growth curve (at last visit baby was 70ile and I was cautioned to be even more careful). But baby should be gaining about 1/2 lb a week by this stage of pregnancy - which mean all the weight has to go to her, not me.
Guess I'm going to have to either cut the daytime basal further, start having a small snack about 2 hours after eating / suck a piece of candy mid-morning.
I am so looking forward to getting my body back in another 2 months!
Just two more months. How exciting! 91 fasting is a bit too high? You're doing beautifully. Dialing basal back a tad is worth a try since weight gain is a concern. More fun to have a snack.
Thanks Gerri! :)
Yes, only about 2 months - 8 - 9 weeks at most! Exciting!
Target fasting is 70 - 85 for me (though officially < 95). If I go over 90 consistently for a few days I already increase the basal.
Am really trying very hard to have super tight control these days.... want this little girl in my tummy to have the best possible start in life...
Guess I am still early enough in my diabetes journey and lucky enoug that my body is probably still producing just a little of it's own insulin.... Will have to do some more testing after baby comes to see what my C-peptide is. Before pregnancy it was below range... but not zero... so I guess there's still some activity...
So today I woke up at 89 (after taking 19 units of Humalin-N last night).
So I only took 15 units of Humalin-N this morning instead of the usual 20 (already down from 26 a week ago) and ate the same breakfast as yesterday and bolused with the same 8 units of humalog as yesterday.
2 hours after eating I'm at 78. So I suck a piece of candy and slowly sip a cup of plain cocoa with a teaspoon of sugar in it to get me through to lunch. Didn't test before lunch, but wasn't feeling shakey. Probably was in the 70-80 range based on how I felt. Ate lunch - 1 small bread roll, butter, a piece of steak and some veges (cauliflower, broccoli, and some green zucchini-like vege) without bolusing. 2 hours later I'm 87.
Is my diabetes reversing? Doubt it. Still need the night-time basal. IS this the sweet spot in late pregnancy some people hit?
Hope it doesn't mean there's a problem with the baby.... or the placenta.
Sounds like the sweet spot. Oh honey, don't even think that there's something wrong with your baby or the placenta. Understand your concern. You're in a lot better control than many diabetic moms.
Realize it's completely different being pregnant, but I go through odd, unexplained phases of increased insulin sensitivity. Same food, same timing, same bolus will result in a stubborn low. Not unusual. Just when I lower basal/bolus a bit, BG goes up. But of course:)
Hhehehe.... it's called Murphy's law... and nothing is predictable about this condition except that it is unpredictable.
Thanks for the reassurance - it's so easy to get paranoid about these things particularly when we've had to work so very hard to get this far (both getting and staying pregnant and being as healthy about this as I know how). Baby girl is wriggling all around, so I guess she's probably fine. They will do a doppler u/s next month (at about 33 1/2 weeks) to check the placenta and her blood flow...
All I can say is Thank God for Bernstein (and what I've learned from him), and I'm in no way being blasphemous. I really owe him a lot for where I am today and how I manage my diabetes.
Murphy's Law indeed. I'm convinced there are diabetes gremlins afoot as well. Their sole purpose is to muck things up when we think we've got it somewhat figured out. Haven't found a way to keep them at bay. Garlic doesn't work, nor does salt. Perhaps time to try eye of newt.
I feel the same about Dr. B. He's my hero.
You've worked very hard. You're healthy & so is your little one. Rub that tummy & baby from me. Be positive. Nothing negative allowed near your girl.
I think you've done a tremendous job and you're close to having that beautiful baby in your arms! You're getting close now so just hang in there! Could be just those pregnancy hormones tripping you up. It's been a long time since I had my baby girl and I'm now experiencing the joy of female hormones trying to transition to menopause. What you've described with the lows and having to cut way back on insulin is exactly what I've been going through as a Type 1 on the other end of the life spectrum.
And like Gerri said, there's always those darn gremlins!
I'm really excited for you!
Thanks everyone for your encouragement. I am up to 22 units of basal to cover nighttime, but down to 15 units daytime. Is that wierd, or what?
Fasting was 65 this morning - but that could be because I woke up really early before the dawn phenomenon kicked in / or maybe because I didn't eat much dinner last night. Anyway, am not worried about a 65, as I know from Dr. B that it is normal to be low in pregnancy (if one doesn't have D).
Lows again today. After basal dose this morning I did not bolus for (low carb - zucchini and onion sauteed in some coconut oil, with a slice of cheese and coffee (of course)) breakfast. 70 @ 3 hours after eating - and so I just indulged in an apple to get me through to a planned late lunch in a couple of hours.
Could almost beleive I don't have D, except for that 165 after lunch yesterday when I didn't bolus enough to cover a not very well planned meal ..... proving that if I eat or dose wrong I'm going to go sky-high...
31 weeks and counting! Somewhere between 7 and 9 weeks to go before I meet this little girl!