Today marks my official 35th week of pregnancy! My induction is officially scheduled for November 11th! I’m hoping my little man comes a little earlier on his own though so we don’t have to worry about inducing him. The doctor also said that depending on his size, we might induce him earlier. I haven’t gotten a new growth scan since the last post at week 31 when I was told he was in the 95% and almost 6 pounds. We will get another growth scan next Friday so I’m anxious to find out where he is. When I went to the regular OB this past Wednesday, the doctor did the tape measure test where she measures the fundal height which is the height from my pubic bone to the top of my uterus or fundus. This test is supposed to tell you how far along you are. When I went for my appointment on Wednesday, I was technically 34 weeks and 4 days but I measured in at 37 weeks, so ahead of schedule.
I started the biophysical test two weeks ago. It is interesting how it works. So at the high risk OB, baby gets graded on a 10-point scale. There are 5 tests they run and baby can get a score of 0, 1 or 2. Four of the five tests are done through ultrasound and the fifth test is a non-stress test where they see how the baby’s heart rate does for 20 minutes. This test makes sure the baby’s heartbeat doesn’t dip below 120 for too long, that there are peaks and valleys throughout and that the baby’s heart rate goes 15 bpm above the baseline for at least 15 seconds then comes down. One of the ultrasound tests is to see how active his limbs are moving on the ultrasound screen. I’m not sure of the specifics of the other three tests but I believe they have to do with the blood flow to and from the heart and the placenta and the amniotic fluid measurement. If baby were to get below a 6, it would mean that he is stressed and we would go ahead and deliver him right then and there. So far, I have had three biophysical tests done and my little guy has gotten a perfect 10 out of 10 each time.
Two Friday nights ago, my neighbors threw my husband and I a co-ed baby shower. It was a really fun time and baby boy got a lot of good stuff. The majority of the people at the shower were my book club ladies so baby boy got a lot of baby books which I was so excited about since he hadn’t really gotten many.
The day after the baby shower, my hubby and I went out and bought some remaining items we will need once baby gets here. The following Wednesday, our glider arrived so last weekend we finished setting up the nursery. It was an exhausting weekend and my blood sugars stayed pretty low the whole weekend as a result of all the physical activity but the nursery is officially complete!
Last week, I also went and got my free breast pump thanks to the Affordable Care Act. On Thursday, we went and interviewed a pediatrician and we really liked him so I think I can check that off of my to-do list. We have also picked a newborn photographer so I am excited to get some cute photos once baby is born. I still need to pack my hospital bag-I’m so bad at procrastinating on this! I was told that a c-section might be a possibility for me now considering how big my baby is so we also took a c-section class this past week. I’m hoping that I don’t have to have one but I’m trying to keep an open mind so I don’t get too upset if my birth plan doesn’t go my way (healthy baby is priority #1).
Overall, my symptoms still haven’t been too bad. I’ve been having horrible back pain but I got a prenatal massage this week (it was supposed to be last week but when I got there and told her I was high risk, she was scared to work on me unless I got a doctor’s approval) and it helped some. I am now debating if I should go every week for a prenatal massage until baby gets here. I’m also incredibly exhausted and I take at least a 2-hour nap per day. I think the exhaustion is mainly because I toss and turn all night long so I don’t sleep well overnight. My blood pressure has still been amazing; I haven’t had much swelling. I thought I was starting to deal with a little constipation but that’s gotten better. Overall, I think things are going pretty smoothly minus the horrible back pain and exhaustion. One symptom I started having about two days ago was a bad headache and I don’t normally get headaches so I’m going to keep my eye on things and see if it gets any better. Headaches can be a symptom that something is wrong so I’m definitely going to keep on top of this.
This week baby has been kicking A TON! He has really been digging into my ribs which is not so fun. It’s funny because last week he wasn’t kicking much and I made a comment to my OB and she did a non-stress test on him, which came back fine. I think since I was worried last week, he is trying to let me know that all is OK this week.
In terms of diabetes, I went to the endocrinologist last Wednesday and my A1C came back at 5.5 again!! That’s two times in a row :). I couldn’t wait to tell my high risk OB when I saw him last week because he made a comment that my baby being in the 95% was a result of my diabetes control. My regular OB told me it was more likely to be because my husband and I were both big babies.
Up until last week, my blood sugars had been doing pretty well overall. I saw a little insulin resistance creeping up again but I was aggressive in making changes and I think the changes helped. It is crazy because I was getting around 30 units of insulin per day and I think I’m getting up to around 50 units per day. I didn’t really think I had been too resistant but I think that’s because I was making daily and weekly changes so they were small and not too noticeable until you take a look at the grand totals. However, this week I have noticed the complete opposite. I’ve seen a LOT of lows this week. I see lows after breakfast; I see a TON of lows overnight. I actually treated a low three times last night, totaling 60 carbs and I woke up at 101mg/dl. I started to get worried that I could have placenta failure, of which low blood sugars is a symptom, but I talked to my OB and she told me that unless my insulin needs were dramatically lowered, that probably wasn’t the case. I guess I’m just getting to the point in the pregnancy where things even out a little bit.
I’ve talked to both my CDE and my endo about what I should do with my basal and bolus rates after delivery and I think we have a good game plan. I’m going to leave my overnight basal as it is but I’m going to reduce my daytime basal by 40-50%. I’m going to change my insulin to carb ratios back to what they were before pregnancy and I’m going to change my correction factor back from 1:40 to 1:50. Hopefully these will be good starting points to work with after delivery. My current plan is to keep my insulin pump and CGM on during delivery.
Exactly 1 month to go or 31 days!