Pregnancy, Preeclapmsia, Diabetes, and Bed Rest

Kerri Sparling Health Guide
  • Last time I posted here, I was edging towards a little bit of preeclampsia (if such a term as "little bit" applies to a pregnancy complication) and feeling not-so-comfortable as the months went by, but I did feel confident that I'd be okay for the duration and I'd see my baby born at the end of April.  Easy-peasy, right?

    Whoops.  Someone should have told my body to behave.  Baby is on April 15th, instead of her scheduled date of April 29 (and well before her actual due date of May 6th), thanks to the pregnancy complication known as preeclampsia. 

    So I'm currently writing this post from the hospital room, where I've been hanging out for the last three weeks.  (Let me tell you, "bed rest" is anything but.  I'm constantly woken up in the middle of the night by doctors and nurses who need vital signs, blood pressure results, etc, and then that whole "Oh, bladder!" moment when the baby is sitting on my bladder and wakes me up.) 

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    And baby girl is coming first thing tomorrow morning.

    I can't believe this journey is almost over, and I am shocked at how much the handling of my diabetes has changed over the course of the last eight months.  Just my insulin intake alone has tripled, and that's without making note of the lowered insulin-to-carb ratios and bizarre caloric intake.  (See also:  I am eating seafood because I want to.  For the first time in my life.  Used to think it was horribly disgusting.  What the heck is pregnancy doing to me?) 

    Today, on the eve of my daughter's birthday (yay!), I met with the Joslin team here in the labor and delivery wing of the hospital, and we reviewed my post-pregnancy insulin pump settings.  Prior to conceiving, I was on 13u total for basal.  Currently, I'm up to 22u per day just for basal.   And post-baby?  I'll be at 7.2u for basal.  It absolutely blows my mind, the effects that a pregnancy has on every little bit of me.  (And on the not-so-little bits, like my incredibly swollen hands and feet, courtesy of fluid retention and preeclampsia.)

    It's strange though, to see how diabetes has played a minor role in comparison to the preeclampsia. My blood sugars are more maintenance at this point, instead of the laser-focus I had on them during the last seven and a half months.  Right now, the concern is centered around blood pressure and kidney function instead of A1C results and fasting blood sugars.  (Thankfully, my A1C was 6.3% last week and my fastings are excellent, so thank you, diabetes, for staying out of the limelight for once.) 

    And tomorrow, once the baby is out, all bets are off.  I'll be attempting to realign my body and blood sugars to "normal life" instead of working around that pesky placenta, and hopefully within the next few months, I'll be able to drop the weight that has piled on during the course of this baby building exercise. 

    In the meantime, my husband and I will enjoy our new baby girl.  And I'll update you guys as soon as I can! 

Published On: April 15, 2010