Managing Diabetes after Pregnancy

Kerri Sparling Health Guide April 29, 2010
  • Right now, I'm trying to track my blood sugars on this handy, dandy spreadsheet that I use, aiming to isolate some trends so I can figure out my new, post-pregnancy basal rates and insulin-to-carb ratios.  (The key word there is "trying.")  And I'm also trying to find snacks that help sustain my blood sugars throughout the course of a breastfeeding session.  In addition, I'm trying to remember to take the extra-strength ibuprofen pill for the pain from my c-section, the anti-coagulant injection to help avoid blood clots, and the blood pressure medication that was upped during the course of my experience with preeclampsia.


    Oh yeah.  And I'm also trying to figure out how to be a mom. Laughing

    Because two weeks ago, my daughter joined the Sparling family!  She came into the world (and out of me) via scheduled c-section on April 15th, proving her lungs were strong and capable with her loud cries.  After eight months of a high-risk pregnancy, culminating in three and a half weeks of hospitalization, I now have a healthy, happy baby girl to love. 

    And now I feel like I'm starting from scratch, diabetes-wise.  With the baby out and my hormones pinging all over the place, I feel like I'm back to the proverbial square one with all things diabetes.  My basal rates, which were cranked up beyond recognition during pregnancy, all need to be retested and realigned to my new, post-pregnancy body.  Same with insulin-to-carb ratios, which were once set at a steady 1:10, then as low as 1:5 during the third trimester, but now haven't settled enough to glean even a smudge of a pattern. 

    There's a lot to juggle on this postpartum front, and the sleep deprivation isn't helping my math skills.  Since my baby was born two weeks ago, I haven't had more than 20 minutes to myself to attempt to map my blood sugars.  And breastfeeding is making it difficult to conduct a proper basal test, since one breastfeeding session can lower my blood sugar as much as 75 points in less than thirty minutes. 

    (I'm not even going to bother talking about the whole baby clothes debacle, where my husband and I realized - too late - that our baby wasn't the standard "diabetes baby" size and instead needed the newborn-sized clothes.  We only had three newborn oneses.  Needless to say, we hit up Babies R Us as soon as we got home from the hospital and stocked Baby Sparling up with clothes that would actually FIT her teeny self.  And then there was the whole "How do we get her wiggly little arms into these sleeves?"  Poor kid.  Her parents are clueless!!)

    I have a follow-up appointment schedule in four weeks with my endocrinologist, during which I hope to show her that I've figured out at least a little bit of this new diabetes regimen.  If I haven't made many strides by that point, I'm hoping she can help me figure out what the heck I'm doing. 

    Until then, there are a lot of balls in the air.  And I'm juggling as best I can!