Hi, I'm Dbi mum of twins (12 months last week) and have type 1 diabetes! Mine lasted inside till 32 weeks and spent 6 weeks in neaonatal! I'm also a single mother who had no intention of children till found she was having two (8 weeks gone!)
Anyway if you haven't already go the answers to your questions heres my opinion;
- Get an insulin pump if you haven't alrteady got one - it brought my diabetes into control HBAC1 to 6.5 (never had that before) made looking after myself alot easier. This can be done for gestational diabetes too (for the harrygracejessica) and is worth looking into!
2.how to survive the joys of hospitals who tell you you're having csecs and won't be able to breast feed (my polite response was I'm open to all options but I don't see why not since I did it with ds), I expressed for the 6 weeks whilst they were in hospital but also weaned them onto bottles a were too little to breast feed, you can do it though and expressing helps when you cannot be there all the time - you will need rest too! I am shocked they have already said you cannot when your not even that close to hving them yet! I had pre-eclampsia which was controlled and they had to come out due crashing hypos (sign the placenta may be failing) and managed to express at 32 weeks a whole 1ml an hour after the op - if the hospital isn't happy or supportive - is there another one near??
I had problems with the midwives as was admitted couple of times before they decided to take my two out - the midwives are terrible at understanding diabees and I took care of myself alot (thatsa ok I'm a nurse) but felt that I was ignored alot on the ward. Once had them I was constantly in the neonatal and not on the ward so they gave me paracetamol when asked - one thing after csection was I needed to gt downstairs to see the twins so the following day dressed myself (with difficulties) and by day three walking normallly with no painkillers (drove by fortnight) speedy recovery as needed to be by the twins side, differs when one baby full term probably can taske it slower.
3.when is a good time to tell work (I don't want to reveal all if I'm going to miscarry again)
I didn't tell work until 20 weeks following anatomy scan, this gave me plenty of time to ensure all was well wth them first and over the (perceived) danger point for miscarriages. I know a shared placenta is more risky (had one of each myself) so my advice is losts of rest - do not do what I did and work till 30 weeks before weas made to go off sick!! It's gong to be tiring and a worrying time once born too (although not as bad if alls well) feeling stressed ver work will not help all three of you - think advice is 27 weeks, and I would go with that, they may well have stayed longer had I rested more! The are perfect though so no issues!
- how quickly you show if it's a 2nd and you've had a csec (I'm 9 weeks and not really showing yet)
They were my first and although clothes were alot tighter way before, I only popped out once told everyone, then became huge very quickly!!
any other general advice.
Its gonna behard juggling twins nd diabetes, once they are here (nevermind the fact you have one already too) for the first month or two my consultant left me with 10's in BMS and didn't want me going lower, then slowly we started addressing the poor control again. I found it hard until recently to do more than one BM a day - so tired, twins and single meant no spare time for me! But getting there, HBAC1 still high but fingers crossed for review this month its lower and will continue to improve. Top tips which you probably already know, get lots of those feed sorters (bottlefeeding) and measure out bottles all in one go, have flask with loads of fresh boiled water handy and don't bother getting dressed if you can help it - just enjoy the two (when they arrive) they are special in many ways (Diabetes, Premmature and twins) and return all the worry and love in the funny amazing things they do once they notice each other, don't miss out watching them! I haven't and love every minute although still tired!!
Good luck with the pregnancy, will make sure prays sent for you to have beautifully healthy twins!!