Update (and an endocrinology visit)

So, judging from some of the emails I’ve gotten, my last post freaked some of you out.  Let me say again…I’m fine.

I have stopped bleeding altogether, which is a good thing (and what we want to see).  I haven’t needed a pain killer since Sunday (so a little over 48 hours).  The only thing that doesn’t seem completely back to normal is that I have noticed that I still tire a bit more easily than what I consider normal, but it seemed like that lasted about a week last time too.

I wanted to share about a doctor’s visit I had today, as it was easily the most positive experience I’ve had, medically speaking, in Singapore as a whole (including both my and Elanor’s appointments).  I met with an endocrinologist, fully expecting to have yet another fight over metformin and why I refuse to take it throughout a pregnancy (easy answer-Joslin and my team in Boston recommend against it and do not feel that it has been adequately tested for use during pregnancy…it is known that it crosses the blood/placenta barrier).  I came prepared with my letter from my Boston OB, the printed guidelines about treatment of diabetes during pregnancy by the Joslin Clinic, my test results, and while I was sitting in the waiting room I was lucky enough to get another email from my Boston OB giving her opinion about the bloodwork I’d had recently and metformin as a whole in my case.  The endo looked through all of it, asked some questions and said “I don’t think we should use metformin in your case.  You have a regimen that works, and I don’t see a reason to change it.”

I felt a huge release of pressure with those words.  She has every intention of putting me on the insulin regimen that I used successfully to control my condition during E’s pregnancy.  I feel comfortable, confident, and happy with this approach.  I know that Elanor’s pregnancy was successful because I was able to use this approach correctly to blood sugar/insulin level management.

Like I said, we are on a forced downtime of a minimum of two months before attempting conception is even on the table.  This will give me time to develop a relationship with this practitioner (I see her again in a few weeks) and to hopefully begin to build trust.  I think, given that my biggest fears and panic attacks have surrounded changes in the game plan regarding diabetic care, that if we can build trust, a birth in Singapore (while still less than ideal…see my fat-unfriendly comments in yesterday’s post)  may just be manageable.

The difference will be that I will need to partition the pregnancy.  The OB’s job will be to give me the regular ultrasounds (and they don’t care how many you have, especially as you just pay for everything out of pocket, so it’s no skin off their nose if you want to see the little bean every so often), and the additional ante-natal testing starting at 28 weeks (the non-stress tests and growth estimates), and that’s it.  The endocrinologist will take care of my diabetes.  If I can find an OB who is content to just get updates about my diabetic regimen, this just might work.

It’s very different from my care in Boston, where everyone was part of one fluid team and everyone was very knowledgeable about the other side.  But to keep my sanity throughout a pregnancy, this just might be the way to go.

As of today I’m back on the diabetic diet (which isn’t a lot of fun, but at least I never liked pasta or rice or those high carbohydrate foods to begin with).  I’ll likely start insulin prior to pregnancy to have a healthier number when (and let’s for the moment optimistically say when) I conceive…which will lower my risk of a second miscarriage (Hope was my first pregnancy and we lost him/her at 10 weeks in September 2007).

I also got some great news professionally, which I’ll share soon.

Ravi’s work has moved to a new building, and he seems to have the kinks out of the commute (ie he takes a cab most mornings) and is liking his numerous computer screens at GNB (he has 4…).  I got to see it the week we came back and it has gorgeous views from his high floor.  He, predictably hadn’t noticed.  (“The giant pile of diet coke cans probably obstructs his view”–anonymous co-worker).

Elanor is happy back to be where she can shed her socks and shoes.  She has recently asked about her “nastics” class (it’s on break for a few weeks for the holidays) and I’m sure she’ll be happy to start back up in January.  She also has continued to love “yummy toast” (Elanor  speak for pizza), and that’s gone into her rotation of food.  She has also learned a new song “Jingle Bells, Jingle Bells, Jingle Bells, Jingle Bells..” this goes on for a while “Jingle all the way!” –according to her, this is the full extent of the song.

Tomorrow I’ll have a (semi) wordless wednesday up with the Holiday lights from Orchard Road.

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5 Responses to Update (and an endocrinology visit)

  1. Pingback: Shyness | Taking a chance on baby…

  2. I’m SO relieved you’re feeling better! And I’m glad your endocrinologist is on board with your treatment plan. I’m keeping my fingers crossed for you that you get pregnant if and when you want and that everything goes smoothly.

  3. Zach Woods says:

    Great to hear things are going better all around!

    Zane sings “O Christmas Tree” very similarly to Elanor’s “Jingle Bells”!

  4. Dawn says:

    Speedy recovery, Crystal!

    Birth control…mutter mutter…found some condoms the other day, and they’d expired…that’s how long it’s been since we’ve needed it. And no, I’m NOT pregnant…and in fact, it was suggested to me the other day that F could be our only, and I went ballistic. Turned out it was the O time of my cycle, which has been rough ever since it came back – rough as in the hormones make me terrifically ill several times of month. I really hope you don’t have to go through that – ever!

    As for the diabetes, I forget, were you diabetic during your first pregnancy? Is there any reason to believe you might not develop diabetes with the next one? If you don’t have diabetes, that would simplify things a lot.

    Also, you might consider traveling back to the U.S. during the last month or so of your pregnancy just so you can give birth here. After all, you want your child to grow up to be president, right?

    • Crystal says:

      Hi Dawn–I am pre-diabetic when not pregnant, but was insulin dependent at 5 weeks pregnant at night and 12 weeks with meals. Will likely be on insulin within the next month to lower my numbers pre-conception.

      LOL @ the president comment.

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