Dear Baby,
This past Wednesday I had a very early ultrasound to see if we could find you and your little heartbeat, even though it was pretty early and chances were you were still too small. We were 5 weeks and 4 days, I couldn’t believe how far along we were! They did an abdominal ultrasound and found your little home but we couldn’t see the small details, so they conducted a transvaginal ultrasound to get a better look. Your home measured perfectly and so did your little yolk sac, or food source for the next couple of weeks until the placenta takes over. Just as both the ultrasound operator and I thought, you were still too little to see quite yet. (but no worries, I go back there in 2 weeks to try and spy on you again)
From there I got to speak with the high risk doctor about what to expect when it comes to growing you and managing my other child, Diabetes. I got some blood sugar goals to aim for, 60-90 when I’m sleeping, under 120 2 hours after meals, and 130-140 as the meal peak. He strictly emphasized no high blood sugars, nothing over 200 because you simply couldn’t handle it. Totally doable, I love you so much already I’d do anything to make sure that you arrive in our arms safely.
But Baby… I’m so so sorry.
I’ve been watching my blood sugars so closely that they have been hovering in the 70s, low 80s tops. I think that’s where the trouble started last night. My blood sugar was an even 100 when I went to bed. A few hours later I woke up and checked my blood sugar again because the dexcom was wailing on the nightstand that I was “low” with a decreasing arrow. My blood sugar was 56 according to the meter. As soon as I put the meter back in my pink bag I started seeing stars and little floaty flashers. 30 minutes later I wake up and I’m covered in sweat. I’m so sweaty it looks like I’ve ran a marathon because when I ran a 10k I never sweated this much. I must have passed out, good thing I was still in bed, but holy shit was I scared. My very wobbly legs slowly maneuvered me to the kitchen where I supported my weight on the counters as I drank juice box after juice box and peanut butter and honey sandwiches and granola bars. My reaction was to eat anything in hopes I didn’t pass out again. Chewing the sandwiches and granola bars were awkward, I couldn’t get my mouth to work right. I shivered from being cold in my soaked clothes but I knew that I could change later. Once I devoured everything I tried to test my blood sugar again… 73…236…135… What the fuck. The results might have been skewed since I had honey and juice all over my hands. Physically and mentally exhausted, I foggily try to think of how much I consumed, although it seemed like a big blur, bolus for any extra carbs, and go to bed not even changing my wet clothes.
3am rolls by and I can’t find my dexcom. I know I fell asleep with it in my hand but it’s not in the bed. After a few minutes of searching I find it. It looks like the low that triggered me passing out the first time left the dexcom confused… It had 3 question marks, as if saying to me “did I do that?” (in a “Steve Urkle” voice of course!). The one time that I really truly needed to be alerted of my blood sugar going nutso and technology had failed me. I tested my blood sugar, 394. Holy shit batman! I rage bloused like crazy and started searching the forums on Diabeticmommy.com and the “OH!Baby!!” group on Tudiabetes.org for stories where other diabetic mommies had blood sugars this high this early in pregnancy and still go on to have a very healthy baby. There were a couple, but not many reported blood sugars hitting the 300, almost 400 mark. I gave up and decided that I should go back to sleep because staying up late and worrying isn’t going to fix things.
8am rolls by… Awake again, blood sugar 264. Still high, but a tiny bit less scary. Rage bolus some more, hop in the shower, change site, test again… 224. Okay, going down. I can still taste the peanut butter and honey in my mouth, so I brush my teeth, scrubbing away the nightmare of last night. It’s now 9am and my blood sugar is at 217, but I have 7units of insulin on board, so I’m keeping the glucose tablets handy. I’m also getting ready to change out the dexcom site.
Baby, if you are still safely swimming in there…. I’m so sorry. I don’t want to hurt you. It was never my intentions. Diabetes is awful. Your daddy and I love you so so so much already and all we want is for you to be safe inside me and for you to be healthy so we can hold you in our hands and kiss and love every tiny inch of you. Please forgive me and keep holding on… And I’ll try to dry my tears.