I’m still alive! I went one whole week without my CGM (continuous glucose monitor) and I’m still alive! I can’t remember the last time I went that long without wearing it. I didn’t go without it on purpose. It was merely a result of being too busy taking care of my infant and trying to do actual work.
It’s been a pretty rough road for my diabetes care these last 13 weeks since I had my son. The first week I hadn’t updated my rates from my pregnancy levels so I dealt with a ton of lows. Then I made changes and they were too dramatic in the opposite direction so I dealt with a lot of highs. I finally made some more adjustments after talking with my CDE and my levels got better.
Back when I was pregnant, I came to know what to expect. Every week or two, I would need to increase the amount of insulin I needed and I would make the adjustments and my blood sugars looked fantastic. Then around week 34 or so, my insulin needs started to decrease so I made more changes and, again, my blood sugars looked amazing. I got used to waking up at 70mg/dl and I rarely saw a number over 150. It was fantastic. My A1Cs were 5.5 the majority of my pregnancy as a result.
However, once I popped my baby out, my hormones have been all over the place! I have also been scared to go too low because my sleep is so important to me that I didn’t want a low blood sugar interrupting my sleep (it happened a few times and I cursed myself).
Even with my “good” rates, things haven’t gone so well. This was mainly a result of not wearing my CGM. I’ve gone many days of the last 13 weeks without my CGM. The main reason is that I just haven’t gotten around to it because my son is taking up a lot of my time (and lately work). The first few days I went without my CGM, I freaked out and tested way too often. Then I started to get used to not having my CGM and I reverted back to my old bad habits. I started to test less frequently, which resulted in a lot more highs.
However, even when I would test more frequently, I would still see high blood sugars. Often, they were unexplained. I wouldn’t forget to bolus. I still ate the same things most days so I know the carb counts. Besides having an air bubble in my reservoir, the only thing I can think of to explain my high blood sugars is that my hormones are playing tricks on me.
I will admit I also haven’t been changing my infusion set as often and I didn’t use to think that made much difference but now if I go to day 4, I will without a doubt see highs. I also haven’t been uploading my data so I haven’t been making any changes, nor investigating the unexplained highs.
One trend I have noticed is that I go high overnight a lot. I finally went to the endocrinologist last week and she only made slight changes. She thinks my highs overnight are due to the dawn phenomenon hitting sooner because I am waking up in the middle of the night to feed my son. She didn’t want to make a change because she wants my son to start sleeping through the night and if he does that then I won’t need to worry about the dawn phenomenon hitting too early (easier said than done!).
If I look at my two-week average from the two weeks post partum, my average blood sugars were 106 mg/dl. Now, my latest two-week average is 154, yikes! Now, 154 isn’t too bad, but when I was so good for so long, it’s sad to see it creeping up. I never thought that being pregnant would be easier to manage my blood sugars than being a new mom, but that’s what I’ve experienced. I’m frustrated and upset at the highs but I just don’t have the energy to do much about it right now. I’m hoping things will start to get easier but right now I think having diabetes and being a new mom is tough! Hopefully, I can start wearing my CGM more because when I do, I have nice numbers like below: