So, after five years of TTC and pretty much on the verge of giving up, the first inkling I get is suddenly, my blood sugars go crazy (high), and virtually overnight, I'm needing twice as much insulin as before.
I'm now officially 8 weeks and a bit along and the only symptom I have is my insane blood sugars. And last period on 8th April when I am normally regular as clockwork. I'm so symptom-less I wouldn't even believe it, if it wasn't for the small matter of three positive pregnancy tests.
At the pre-conception session at my diabetes clinic, I was told to be careful of lows during the first few weeks. But the absolute opposite was true. When my insulin-carb ratio went from 1:5 to 1:2.5, I knew it was time to test, and sure enough, the second blue line appeared.
It's driving me mad. 1:5 was bad enough, at 1:2.5, I feel like I am injecting water, and with my luck, it is just going to get worse. I'm probably going to be needing more units of insulin per unit of carb by the end, as I have read that insulin resistance increases as pregnancy advances. I just did not expect that it would start from day one!
Following on from there, what do people think of low carb during pregnancy? My pre-pregnancy A1C was consistently 5.9, only because I cut out all starchy carb from my diet. The first few weeks when my blood sugar was all over the place (well, high, mostly), I was literally too scared to eat anything. Now that I've adjusted my insulin:carb ratio, I am now terrified by the huge amounts of insulin I need everytime I put anything in my mouth. For example, one wholegrain Ryvita (similar to a Wasa cracker) with houmous on top (about 10g carb together) requires 4 units of insulin. The other day I had a plain croissant and that required 16 units of insulin! I actually sat down and cried and felt like a failure for needing 16 (!!!) units of insulin for something so small. As I am already carrying some excess weight, I'm really worried that these huge amounts of insulin are going to lead to even more weight gain on top of the normal pregnancy weight gain.
I have not discussed diet at the antenatal clinic yet and I'm afraid they are going to give me that awful propaganda about how your brain needs 130g of carb a day to function. I know that's rubbish but that's rubbish for a non-pregnant person. Do I actually need more carbs while pregnant? I would hate to think that the diet that works for blood sugar control would be in any way detrimental to the baby. I am not a militant low-carber but I generally do not eat starchy carbs. I guess I do about 50-70g of carb a day? I did have a blowout the other day and did 100g. I am extremely sensitive to carb and the only way I can hit the post-prandial pregnancy targets is never to eat more than 10g of carb in one sitting.