Well, here we are: 32 weeks along and 8 to go (give or take).
While I have been very lucky with pregnancy symptoms overall (no serious pains, heartburn, nausea, exhaustion, swelling, etc. *In fact sometimes I forget I am pregnant until kicked), I have to say that the third trimester hormones have been messing with my emotions (sorry B).
Also, sorry Dr. H. What can I say – I have recently turned into a bit of a control freak. The 40-minute discussion about whether all those twice a week appointments are really necessary for me (although I was relieved to hear that they are recommended after 34 weeks and not 32) did not amuse him. Nor did my obsessively strong desire to manage my own insulin during labor and delivery (apparently that is against hospital policy). I must say the latest “discussion” was not so much heated but just kind of antagonistic and repetitive (on both of our parts). We came to some agreements without much discussion at all: no early induction unless actual complications present (including going past due date, within reasonable limits), scheduled C-section only if baby remains breech (actually he said they do have limits on estimated fetal weight when it comes to vaginal delivery in diabetic patients but he seems to think that is a moot point considering my level of control and that the baby has been tracking in the 30-comething percentile). Looking back, I think maybe I am just over-reacting about giving up my own blood glucose management in the hospital. I am sure they can do a good job, and he said I can move around for most of the delivery (until the end when they do the Dex10/insulin drip to “clamp” my BG in the normoglycemic range for delivery OR if I have pain management, whatever happens first.) I guess that’s OK. I hope they listen to me when I tell them what I have been doing to stay in the normoglycemic range (92% of the time, according to the latest Dexcom download, translating to a 5.2% A1C). I know I am over-reacting, but something about not having a say in my own management protocol (which has been working so well) makes me a crazy pregnant bitch (maybe it’s just that I expected this would be a non-issue, since I have heard of other women being allowed to do so in labor, but where I am it’s a “non-starter according to hospital policy”). And I understand that it is policy and this doctor is not just trying to piss me off for no reason. I really do. But it just wasn’t what I expected. I was also hoping she wouldn’t still be breech (but she was). They will offer an external cephalic version at 37ish weeks to try to turn her if she doesn’t comply on her own. If she stays breech, it will be a C-section. Some things are just out of my control – might as well get used to it, I hear parenthood is full of that shit (and worry).
The good news is her first biophysical profile (BPP) took all of two minutes. She was doing all the things she was supposed to, and the fluid level looked great. My at-home blood pressure readings remain excellent, and Dr. H is not concerned about the spikes at the office (I guess when your pulse is 120, one can deduce a systolic high reading is an artifact of anxiety J
So, where am I/ What’s the point of this post? Oh yeah, I have to give up some control (a good lesson for impatient control-freak me). Also, after talking to B (who is very laid back and the perfect balance to all my crazy), I have decided there is absolutely no reason to not just go to the routine monitoring appointments. I am stubborn but not that stubborn? (read: I would never forgive myself if I went all apeshit AMA and something bad happened).
Until next time.