Pregnant type 1 diabetics, step over here...

[RueDeWakening]

I seem to have filled up the old thread and thought I better start a new one! Still got ages to go, don't leave me now...

Am currently sat waiting for my 16 week antenatal appt, been here an hour so far and just had BP done and that's it.

Hi there! Sounds like good advise! Yes I do carb count, & on a pump... Been wondering what little things I could pick at other than cheese, which will make me fat as a house if that's all I eat that's carb free... Lovely to hear its amazing at the other end, just got to be patient and hope everything stays as on track as possible! Was thinking about when best to tell work? My job is pretty stressful (event manager), and I'm worried about losing hypo awareness, don't want to keel over in front of an audience!

puds glad ur scan went well and ur feeling better today im having night issues a bit again tho it may be due to late dinners, i went to bed at 5.3 having dropped from 6 an hour before then when i tested at 3am it was 5.4 then when i got up at 8 it was 7.2 was not chuffed lol are you getting growth scans every 2 weeks??

bona u r not alone in er missing readings out or changing them a tad lol ive changed a few 3.2-3.5 to 4s in my book dont want told off again tho have the opposite problem now im sure ur appointment will go well.

Glad to hear all the babies r well i will be needing advice re breastfeeding when this lo arrives no doubt as couldnt get it established with ds.

Welcome dilly and anna

dilly are your levels high at next mealtime?? And are they like that after every meal? Do corrections work well for u?

anna u must be so excited, yes a challenge it is lol but well worth it im on baby no2 and so are others on the thread. Wow 30 years how old were u when u were diagnosed?

Yay, anna another pumper! :o what have you got? I just swapped my old paradigm for a veo :) and am getting used to the new whizzy things it does (have just turned on my BG reminder for 2 hours after every bolus, those of you reading last week, it's helping and I'm doing a few more tests...).

It's my 29th D-Day anniversary at the weekend, I remembered it earlier today. Lucky me

Hoping those readings overnight sound pretty damn good tbh. Keep plugging away, you'll get there.

Thanks rue im just used to being a bit lower and im a bit of a control freak lol

Hoping I'd be fine with a 7.2 on a morning considering the dawn phenomenon weirdness

Well done Rue. I'm now aiming for two hours after as 90 mins is too ambitious for me now and if I hit it with anything decent I'm looking at a hypo, over treating and all that carry in. How have you been doing?

Anna I'd tell them now - and lay out now how tricky things can get with a T1 pregnancy. Lots more appointments than a normal pregnancy. Also do you have to travel a lot? They might need to look at that as it's a right carry on (not to mention stressful) if you hypo, need to pull over etc etc whilst rushing to get to a meeting.

Ooh also Rue - what you doing to celebrate?!

puds i guess i should be just not my usual and i hate being high but i know i need to stop being so over controlling so i dont cause hypos

Hey - thanks for the welcome ladies! So hoping in answer to your question i was 5, so this is quite late for first baby at 35... Was worried I'd spend so long doing all the pre-conception stuff I'd be too ancient to actually get pregnant!

Rue I've got the Paradigm, only had it 6 months and am pretty happy with it (loads better than all those injections) - but your new whizzy veo sounds cool! Every extra bit of help we can get is great..I'm quite interested in getting a CGM if I can but not really sure whether they're that hot in giving them out!

And puds thank you - yes you're probably right, was thinking the same - might get these two appointments done and then let my boss know, she's pretty supportive generally so I'm hoping it'll go ok! And I'll be off to stock up on carrot sticks etc tomorrow!!

X

Anna I use a self funded CGM. It's great (but expensive). Did try getting one from PCT but was turned down.

The veo integrates with cgms, sadly I know there's virtually none funded on the nhs. I'd love to self fund but can't afford it.

The veo is the newer version of the paradigm I think, I had those for about 8 years before getting this one all of 2 weeks ago first one I had didn't even have a bolus wizard

Hey anna congrats again i wasnt diagnosed till i was 17 so about 12ish years you will know lots more than me i told only my team leader at work till i was 12 weeks as had multiple appts and was very sick in 1st trimester this time round.

My 1st ds was a suprise i was 2 years into nurse training and on pill he is the best thing that ever happened to me tho obv.
Did everyone go through pre-conception?? Id never even known it was available till i came on here i knew i had to have tight control of course but didnt see anyone just for conception purposes am i a complete idiot??

I didn't hoping. Dd was conceived after one time not using anything and I had a coil in when I conceived ds!

Spotty, sorry I wasn't on-thread yesterday, but I express for night feeds/when Violet won't latch correctly and I find that the more I do it, the more I can produce.
At the beginning I was only getting 40mls, then it went up to 60ml and now I can get 100mls (both boobs added together).

Welcome Anna and congratulations.

No, my pre-conception advice stuff was limited to my telling the dr at my normal T1 clinic appt. that we were ready to start trying for a baby and her telling me to be very careful with my sugars and make sure my HbA1c was good.

Oh well, 8 weeks later I found out I was 4 weeks pregnant!

When do you find the time to do it diec?! Ds feeds every two hours

V feeds every 3 hrs during daylight, every 4 during darkness, so l express during the day at the hour-and-a-half point.
lt only takes me 10 mins to get 60mls with a manual pump. ls that good or bad?

That's really good. You're so lucky with the feeding times I'm so knackered I'm about to give up on life completely!

How do you organise the night spotty?
I go to bed at 22:30, DP feeds V expressed milk at 00:00 then they both come to bed. If she wakes during the night, I feed her expressed milk.
I then get up at 05:30 to breastfeed her and may have a nap later in the day if someone is around to watch the baby.
Obviously, I know it'll be different once the offers of help from DP/mum/sister dry up and I'm on my own each day, but I can't think beyond the next feed at the moment!

Ok dont feel so bad about not being seen prior to getting pregnant.

Well breastfeeding sounds exhausting ladies, i will still give it a go but no idea how il manage once dp is back at work doing shifts where he isnt in till late.

Hi Anna and welcome. And of course congratulations on your pregnancy! For pre-conception I had one appointment with the DSN at which she basically 'signed off' that I could go ahead and start trying when I was ready - it was based on my HbA1c (which was about 6.2 at the time I think). I also spoke to a dietician. That was it, and the fun only really started when I got the BFP. Seen them every two weeks since I was 5 weeks (now 30 weeks). (and Diec - I was the same: had an appt a few weeks before I got married, they then set another follow up 'pre-conception' appt for me the month following, but I had to cancel as already up-duffed

Diec - your routine sounds as if it is working well for you. Do you think now she is feeding directly you would reduce the expressing? On one hand I guess it is dead handy to have others able to feed for you, on the other hand it means you're having to feed AND express and sterilise bottles etc!

Had 30 week growth scan today. All still looking good. Head circumference still big (!) but that's pretty much unrelated to diabetes. Stomach has crept up a little bit but still in the 70th percentile or so, so not too big yet. They did tell me that the fluid measurement was on the high side (just about in normal range, but pushing it). From looking at the graph, they measure the deepest point of your amniotic fluid. They did say the baby was right over to one side, so potentially that unevenly distributed the fluid, but am wondering whether to be concerned.

Any experience of this anyone?

Diec we have nothing organised for night time. Dp puts dd to bed and I'm usually downstairs feeding ds. Once dp comes back down if I'm lucky ds will sleep long enough for me to have a bath but he's often fussy in the evening. After his next feed, whenever that might be, Ill get into bed and try to sleep but after a 20/30 minute feed and the time it takes me to get to sleep I can usually only get an hour at a time. Then dd is up for the day at six and doesn't sleep either.

We've had at least two drs/hospital appointments between us each week all month this month. Took us three hours to get to one in Southampton yesterday. Nearly an hour to get to local hospital today due to snow and back again Thursday. I've got a headache too because I forgot my injection at lunch time so was late doing it.

Sorry for the moan sleep deprivation is a bitch. And ds was wide awake from 1:30-2:30 this morning

Ouch, spotty, sounds painful and utterly exhausting! The hospital appts are just adding insult to injury!

bona glad your scan went well sorry all thats ever been said to me is that volume is normal.

Do u guys ask about stomach measurements and percentiles? Its never mentioned to me? Also what if baby is getting too big? What happens?

Hoping- The sonographer has told me about the stomach, head and femur length measurements each time. But they also print all the data off and put it in your notes with a little graph showing where your baby is plotted.

If the baby is getting very big, that might affect the time at which you would go in for induction. They don't want them to get too big as it can make for a very difficult birth, so it might mean that they have to crack on earlier or even go for a c-section....

Thanks bona the sonographer has written it down we have a yellow scan report card in our notes which has 2 graphs one estimated fetal weight and one that is head/abdomen ratio however nothing is plotted on the head/abdo and the cross on weight chart is just above the line that says 50 im guessing then that weight is just above 50th percentile??

If the actual measurements mean anything to anyone HC is 252, AC is 229, and FL is 50 i presume this is mm.