Well, Ava has been doing well on her last few tests...passing with flying colors! I'm still doing 2 non-stress tests & 1 biophysical profile a week. At least I get to see her once a week since the biophysical profile is done via ultrasound! On Monday they gave me a picture of her face and she is squinting her eyes! It is a funny picture...Johnny thinks she has Mom's "tired eyes". That is NOT a compliment, lol!
Today I had my regular OB appointment, and I tried REALLY hard to get an answer on c-section vs. regular delivery and to get a date scheduled...however, I failed miserably on both counts! The doc did explain to me why, and it is basically because my claim would be rejected as "medically necessary" for a c-section if they projected Ava's birth weight from a 31 week ultrasound. So, my next growth ultrasound is on 1/11, which is at 35.5 weeks. They can project from there what her weight would be at 38 & 39 weeks and make the determination. So, on 1/12, at my next OB appointment, I should know HOW and WHEN this little girl is coming out of me! I hope I can make it another two weeks...I am such a planner it is hard not knowing! Then I realize that most women have a 4 week time period (38-42 weeks) when they could give birth and realize that having to wait a couple more weeks to schedule really isn't that bad of a deal! Not to mention it makes me feel that my doctor is really doing what is in my & Ava's best interests, not what is easier for her. Although I am a planner, so not knowing HOW is killing me!!!!!
Either way, the doc said it would not be a bad experience. It may take me longer to heal from a c-section, but they would make sure everything was optimum for healing to help speed it along. If I do go the labor route, she promised me that even though I had not taken a child birth class, the baby would still come out fine and that there were lots of trained people to help me :) I will have 1 nurse with me throughout the birth to help, and the doc has promised me the nurses are VERY good at what they do. And she promised nobody would think less of me for not having taken a class, lol...Doc was actually very impressed with my acceptance of the situation and my willingness to do whatever is necessary for a healthy baby & healthy delivery. She must have missed all my crazy moments when I was freaking out about it! :)
I am hoping and I think believing at this point that the curse of being due on Feb 12 will be broken by me! Seems like everyone else who had that due date has had some pretty huge things thrown their way (multiple girls delivered prematurely, others on bed rest)...I have 5-6 more weeks, and ***knock on wood*** will make it all the way to delivery date without any problems!
Wednesday, December 30, 2009
Monday, December 21, 2009
Ava update & possible TMI...
Well, the Ava update for today may contain information to make everyone entirely uncomfortable. I will try to skirt the issue, but since it may be central to the current concern, I'm not sure how well I'll do.
Today I had a biophysical profile & non-stress test. I found out at the biophysical profile they look for 4 things - 2 large movements (her kicking or whole body moving), 2 small movements (fingers or toes), fluid level (normal for the second test in a row!!!), and breathing for 30 seconds in a 30 minute time period. We got the movements & fluid count in about 5 minutes, and then waited another 25 for the breathing...Ms. Ava just always has to wait till the last minute! But thankfully she passed all of that, so it was on to the non-stress test.
I was watching the machine as the NST went on, and I knew she was going to pass as her heart rate was increasing/decreasing PLENTY...that is what you get when you have an active, happy little baby! However, what I didn't expect was that I wasn't going to pass, because I had 4 contractions during the 20 minute test. I only felt one of them, and even that one I only think I felt because I saw the numbers on the monitor & realized that it wasn't Ava moving but a contraction. A contraction in general isn't a concern, but 4 in a 20 minute time period is concerning. Apparently, if I knew I was having them I should immediately call Labor & Delivery. Except I don't feel them, so I can't call.
So the lady who did the test then had to go show the results to the doctor who was reviewing my NST & biophysical profile. After some questioning about what I felt and if I had felt any cramping, I mentioned that there had been a couple of times in the past I had felt cramping (vs. tightening, and yes, there is a difference!), but I assumed the cramping was my intestines working, since they seldom did these days, and a few hours after the cramping I normally was able to do "the deed". So after much conversation and two doctors offices being consulted, it was decided that even though this has been an ongoing problem for me for the last 26 weeks, they would tell me to take an OTC "aid" and that maybe would help the intestines work and that would cause the contractions to stop.
I can't argue...I mean, if the contractions stop AND I am able to take care of business, I'm going to be a happy girl...I just kind of wonder why after 26 weeks of little to no business, it would suddenly start causing contractions. So, they'll see on Thursday at my next NST how I'm doing, and if there are no contractions that SUPER, and if there are....? I guess we'll see at that point.
Good news is that I am the problem this time, not Ava! :) It is feeling like no matter what I do I can't win though, it always seems to be something. I guess I am being prepared for parenthood!
Today I had a biophysical profile & non-stress test. I found out at the biophysical profile they look for 4 things - 2 large movements (her kicking or whole body moving), 2 small movements (fingers or toes), fluid level (normal for the second test in a row!!!), and breathing for 30 seconds in a 30 minute time period. We got the movements & fluid count in about 5 minutes, and then waited another 25 for the breathing...Ms. Ava just always has to wait till the last minute! But thankfully she passed all of that, so it was on to the non-stress test.
I was watching the machine as the NST went on, and I knew she was going to pass as her heart rate was increasing/decreasing PLENTY...that is what you get when you have an active, happy little baby! However, what I didn't expect was that I wasn't going to pass, because I had 4 contractions during the 20 minute test. I only felt one of them, and even that one I only think I felt because I saw the numbers on the monitor & realized that it wasn't Ava moving but a contraction. A contraction in general isn't a concern, but 4 in a 20 minute time period is concerning. Apparently, if I knew I was having them I should immediately call Labor & Delivery. Except I don't feel them, so I can't call.
So the lady who did the test then had to go show the results to the doctor who was reviewing my NST & biophysical profile. After some questioning about what I felt and if I had felt any cramping, I mentioned that there had been a couple of times in the past I had felt cramping (vs. tightening, and yes, there is a difference!), but I assumed the cramping was my intestines working, since they seldom did these days, and a few hours after the cramping I normally was able to do "the deed". So after much conversation and two doctors offices being consulted, it was decided that even though this has been an ongoing problem for me for the last 26 weeks, they would tell me to take an OTC "aid" and that maybe would help the intestines work and that would cause the contractions to stop.
I can't argue...I mean, if the contractions stop AND I am able to take care of business, I'm going to be a happy girl...I just kind of wonder why after 26 weeks of little to no business, it would suddenly start causing contractions. So, they'll see on Thursday at my next NST how I'm doing, and if there are no contractions that SUPER, and if there are....? I guess we'll see at that point.
Good news is that I am the problem this time, not Ava! :) It is feeling like no matter what I do I can't win though, it always seems to be something. I guess I am being prepared for parenthood!
Tuesday, December 15, 2009
The best of Buddy...2005-2009
I was going through pictures tonight, thinking about my best Buddy...so here is a gallery of the Best of Buddy, 2005-2009!
Better results today...
Ava passed the NST today with flying colors. I think yesterday was a fluke due to my own highly stressed state...she was probably tired from me being up all night. I didn't quite understand the biophysical profile, but she passed that too, which is great :)
The ultrasound was the full ultrasound I originally had scheduled for Thursday. I'm really bummed that Johnny had to miss it, I wish he had been there not only to see for himself, but to be a support for me. Ava was actually very cooperative for once, and they got all the necessary measurements on the first try. I also got some 3D pics of her face which she was not hiding behind her arm & leg this time! She is one pudgy little baby, let me tell you...I'm almost embarrassed about it.
She now weighs 4lbs 10 oz. She should weigh about 3.31 lbs. That is better than she was doing last time, although she is still in the 90th percentile. Her head is now also in the 90th, so they said it appears it may be more genetics than diabetes at this point. Her head is measuring about 33 weeks & her abdomen is measuring 34 weeks (I am 32 weeks on Friday). The doc said because the difference between the two was only 1 week that they could not blame the diabetes, that it appeared that genetically she is a large baby. I'm not sure how much I believe any of the measurements at this point though...the last doctor we saw at the previous two ultrasounds said she was a medium baby. Her head was only in the 63rd percentile last time, and a month later it is in the 90's? They aren't concerned, but I just don't see how it happens!
Apparently my fluid level is down to 18, which is normal. Of course, since these values can change by the hour, I'm not sure how long I'll have a normal level. It has been averaging around 22 so I think I'm more comfortable thinking of my levels as slightly elevated.
So overall, it appears that yesterday was just a big scare, thankfully. I wish that the docs would think about patient stress level when they are making decisions on what needs to be done.
Even though everything is fine, I am now having to do a biophysical profile 1x/week, along with the 2 non-stress tests, the 2x/month diabetes educator visits, the 2x/month OB visits, the 1x/month ultrasound...They really should just set me up a room so I can get comfortable, I think I spend more time at the doc than I do at home these days. I couldn't really get a good answer about why I needed to do the biophysical profiles if Ava is passing all the other tests...just to be careful is basically the answer.
I took Buddy to my parents last night...I can't even express how depressing & devestating it is to give up a family member, especially a family member you chose. I still am having a hard time not crying...I just can't think about going home. It doesn't really feel like home without his smiling face & wagging tail. I'm angry about the whole situation, and very, very sad about it as well. It really is terrible timing, with my birthday and Christmas just around the corner. I think if Johnny ends up working on New Years Eve I will board Stoagie for the night and borrow Buddy to get in some good cuddle time. I miss him so much and it hasn't even been 1 day yet. Sigh. Hopefully this gets easier with time.
The ultrasound was the full ultrasound I originally had scheduled for Thursday. I'm really bummed that Johnny had to miss it, I wish he had been there not only to see for himself, but to be a support for me. Ava was actually very cooperative for once, and they got all the necessary measurements on the first try. I also got some 3D pics of her face which she was not hiding behind her arm & leg this time! She is one pudgy little baby, let me tell you...I'm almost embarrassed about it.
She now weighs 4lbs 10 oz. She should weigh about 3.31 lbs. That is better than she was doing last time, although she is still in the 90th percentile. Her head is now also in the 90th, so they said it appears it may be more genetics than diabetes at this point. Her head is measuring about 33 weeks & her abdomen is measuring 34 weeks (I am 32 weeks on Friday). The doc said because the difference between the two was only 1 week that they could not blame the diabetes, that it appeared that genetically she is a large baby. I'm not sure how much I believe any of the measurements at this point though...the last doctor we saw at the previous two ultrasounds said she was a medium baby. Her head was only in the 63rd percentile last time, and a month later it is in the 90's? They aren't concerned, but I just don't see how it happens!
Apparently my fluid level is down to 18, which is normal. Of course, since these values can change by the hour, I'm not sure how long I'll have a normal level. It has been averaging around 22 so I think I'm more comfortable thinking of my levels as slightly elevated.
So overall, it appears that yesterday was just a big scare, thankfully. I wish that the docs would think about patient stress level when they are making decisions on what needs to be done.
Even though everything is fine, I am now having to do a biophysical profile 1x/week, along with the 2 non-stress tests, the 2x/month diabetes educator visits, the 2x/month OB visits, the 1x/month ultrasound...They really should just set me up a room so I can get comfortable, I think I spend more time at the doc than I do at home these days. I couldn't really get a good answer about why I needed to do the biophysical profiles if Ava is passing all the other tests...just to be careful is basically the answer.
I took Buddy to my parents last night...I can't even express how depressing & devestating it is to give up a family member, especially a family member you chose. I still am having a hard time not crying...I just can't think about going home. It doesn't really feel like home without his smiling face & wagging tail. I'm angry about the whole situation, and very, very sad about it as well. It really is terrible timing, with my birthday and Christmas just around the corner. I think if Johnny ends up working on New Years Eve I will board Stoagie for the night and borrow Buddy to get in some good cuddle time. I miss him so much and it hasn't even been 1 day yet. Sigh. Hopefully this gets easier with time.
Monday, December 14, 2009
Ava & family update 12/14
It's taken me a while to be able to write this today...I'm probably having the worst day of my life today, Johnny even commented to me before he left for work that he's surprised I still have tears to cry...and yet, they keep coming.
I had an NST this morning and the first one Ava did not pass. Her heart rate did not accelerate/decelerate the number of times they wanted. I left for an hour, ate something, and came back...this time she passed, but barely. After that, and only sleeping for 3.5 hours that night, I called into work and came home. I passed out on the couch and slept for a few hours, until I could think straight again.
While I was asleep, Maternal Fetal Medicine called...while Ava "technically" passed the 2nd NST today, the doctor who reviewed the results was not happy with them. They are concerned that she was doing so great last week and then is barely passing this week. Now I am scheduled tomorrow morning for another NST along with a biophysical profile. Biophysical profiles are basically ultrasounds where they watch movement and count the number of breaths that Ava is taking...they want to see 30 breaths in 30 minutes at her age.
I am hoping beyond hope that Ava was just sleeping this morning as I was up until after 2am and woke up at 5:30 when Johnny came to bed. I'm hoping that my being stressed and not sleeping had worn her out...I am hoping and praying that this is all just one heck of a bad day and that tomorrow will be better.
On top of the Ava worry, tonight I am taking Buddy to my parents house. He is going to be moving in with them. Buddy & Stogie got in a fight last night, and while it has been a long time since they fought, each time they do it gets more intense and harder to break up. Last night Johnny had to force his way in between them and physically lay down on Buddy to pin him to the ground, while I yelled, clapped & hit Stogie to get him to leave. Even with Buddy pinned to the ground, Stogie was still growling and trying to get at him. Both of them were bleeding (luckily only in the mouth) by the time it was over. I had been talking with my parents last week about some other problems we were having with Buddy (eating cat poop) and they offered to take him if we decided we could not keep him.
I feel like I am giving up on him. And I don't want to. But I can't help but worry about what will happen if they decide to fight and Johnny is at work. I cannot jump into the middle of a dog fight. I can't pull a 50 or 80 pound dog off another dog anymore (can't lift more than 30 lbs). I can't risk putting myself and Ava into the middle of that. Which means they will fight until...what? Until one is killed? Until they hurt each other bad enough? Right now, if either of them did accidentally bite Johnny or I, it would be uncomfortable for sure. But what about when they start fighting and Ava is in the way? She could very easily be killed by a misplaced bite. And I am not willing to risk myself or my baby in that way. So instead I have to give up my first child, Buddy. I know a lot of people don't see the big deal, it's just a dog...but Buddy has been MY dog for 4 years. He's been with me through a lot of major life changes, he's cuddled with me and loved me when no one else was around. And now to have to give him away? It is the most heart wrenching decision I've ever made and one I wish desperately that I didn't have to make.
And all of this 2 days before my birthday. Pretty much year 29 is off to the worst start of any year I've had.
Hopefully tomorrow will start to turn it all around...Pray for Ava to pass her tests tomorrow!
I had an NST this morning and the first one Ava did not pass. Her heart rate did not accelerate/decelerate the number of times they wanted. I left for an hour, ate something, and came back...this time she passed, but barely. After that, and only sleeping for 3.5 hours that night, I called into work and came home. I passed out on the couch and slept for a few hours, until I could think straight again.
While I was asleep, Maternal Fetal Medicine called...while Ava "technically" passed the 2nd NST today, the doctor who reviewed the results was not happy with them. They are concerned that she was doing so great last week and then is barely passing this week. Now I am scheduled tomorrow morning for another NST along with a biophysical profile. Biophysical profiles are basically ultrasounds where they watch movement and count the number of breaths that Ava is taking...they want to see 30 breaths in 30 minutes at her age.
I am hoping beyond hope that Ava was just sleeping this morning as I was up until after 2am and woke up at 5:30 when Johnny came to bed. I'm hoping that my being stressed and not sleeping had worn her out...I am hoping and praying that this is all just one heck of a bad day and that tomorrow will be better.
On top of the Ava worry, tonight I am taking Buddy to my parents house. He is going to be moving in with them. Buddy & Stogie got in a fight last night, and while it has been a long time since they fought, each time they do it gets more intense and harder to break up. Last night Johnny had to force his way in between them and physically lay down on Buddy to pin him to the ground, while I yelled, clapped & hit Stogie to get him to leave. Even with Buddy pinned to the ground, Stogie was still growling and trying to get at him. Both of them were bleeding (luckily only in the mouth) by the time it was over. I had been talking with my parents last week about some other problems we were having with Buddy (eating cat poop) and they offered to take him if we decided we could not keep him.
I feel like I am giving up on him. And I don't want to. But I can't help but worry about what will happen if they decide to fight and Johnny is at work. I cannot jump into the middle of a dog fight. I can't pull a 50 or 80 pound dog off another dog anymore (can't lift more than 30 lbs). I can't risk putting myself and Ava into the middle of that. Which means they will fight until...what? Until one is killed? Until they hurt each other bad enough? Right now, if either of them did accidentally bite Johnny or I, it would be uncomfortable for sure. But what about when they start fighting and Ava is in the way? She could very easily be killed by a misplaced bite. And I am not willing to risk myself or my baby in that way. So instead I have to give up my first child, Buddy. I know a lot of people don't see the big deal, it's just a dog...but Buddy has been MY dog for 4 years. He's been with me through a lot of major life changes, he's cuddled with me and loved me when no one else was around. And now to have to give him away? It is the most heart wrenching decision I've ever made and one I wish desperately that I didn't have to make.
And all of this 2 days before my birthday. Pretty much year 29 is off to the worst start of any year I've had.
Hopefully tomorrow will start to turn it all around...Pray for Ava to pass her tests tomorrow!
Thursday, December 10, 2009
Ms. Ava update, 12/10
Well, after a slew of appointment this week (3 scheduled, which turned into 4), I have this to say: I am already such an extremely proud parent, and my little one is not even out yet!
Monday's non-stress test went well, I wrote about that a few days ago. Wednesday I saw the regular OB, who measured me and said that I was now measuring 32 weeks. I am only 30.5 weeks, so I'm measuring 1.5 weeks ahead - but I have been measuring 3 weeks ahead, so it appears like Ms. Ava has slowed down on the growing! My A1C also came back at a 5.7, which is basically the same as last time, and is a non-diabetic level...YAY! I mentioned some blood sugar issues I was having, so my OB called the diabetes educator, who had me go to her office (across the street) and she adjusted some of my levels. Both the OB & the educator think that the ultrasound I have scheduled next week will show Ava at a lower size percentile, which would be excellent! It means the extra medication and extra hard work have paid off...so I'm anxiously awaiting the 17th and the next ultrasound.
Also...I've only gained 1 pound in the last 3 weeks...that includes THANKSGIVING (and holiday baking)! So I'm feeling very good about my diet and the docs are very happy with me.
At today's non-stress test, Ms. Ava was moving and wiggling and would not sit still...the doctor told me they didn't expect her to be moving or having her heart rate fluctuate this well until 34 weeks! So I already have a little over achiever on my hands, and I could not be prouder of the fact that she is doing so well and is so happy in there! She is not even 31 weeks yet and is doing as well as a 34 weeker...Cue my first "Proud Mommy" moment :)
Next week's big appointment is on Thursday...I will have a non-stress test, meet with the diabetes educator and have another ultrasound...will update on Ava's growth progress then!
Monday's non-stress test went well, I wrote about that a few days ago. Wednesday I saw the regular OB, who measured me and said that I was now measuring 32 weeks. I am only 30.5 weeks, so I'm measuring 1.5 weeks ahead - but I have been measuring 3 weeks ahead, so it appears like Ms. Ava has slowed down on the growing! My A1C also came back at a 5.7, which is basically the same as last time, and is a non-diabetic level...YAY! I mentioned some blood sugar issues I was having, so my OB called the diabetes educator, who had me go to her office (across the street) and she adjusted some of my levels. Both the OB & the educator think that the ultrasound I have scheduled next week will show Ava at a lower size percentile, which would be excellent! It means the extra medication and extra hard work have paid off...so I'm anxiously awaiting the 17th and the next ultrasound.
Also...I've only gained 1 pound in the last 3 weeks...that includes THANKSGIVING (and holiday baking)! So I'm feeling very good about my diet and the docs are very happy with me.
At today's non-stress test, Ms. Ava was moving and wiggling and would not sit still...the doctor told me they didn't expect her to be moving or having her heart rate fluctuate this well until 34 weeks! So I already have a little over achiever on my hands, and I could not be prouder of the fact that she is doing so well and is so happy in there! She is not even 31 weeks yet and is doing as well as a 34 weeker...Cue my first "Proud Mommy" moment :)
Next week's big appointment is on Thursday...I will have a non-stress test, meet with the diabetes educator and have another ultrasound...will update on Ava's growth progress then!
Tuesday, December 8, 2009
I've met my soul mate...
Ok, well I met my "husband" soul mate 2.5 years ago. And I love him very much and he's the best thing that ever happened to me.
However, I have spent the past 23 years of my life searching for someone I could trust with most inner secrets. Someone who would not judge when I wasn't perfect. Someone that would light up the night, alert me to danger, always be by my side, telling me I was ok (or not ok).
Last week I found him. Don't worry, Johnny knows about him.
I found my blood test meter soul mate.
Don't laugh! Unless you have to poke your finger 15 times a day, from early morning to late night, you would not understand how important it is to have a machine that truly meets all your needs. I thought I had one in my previous meter. It at least had a night light so I could see what I was doing in low-light situations. Then my trusty old meter started giving me incorrect readings. And I had to switch to one that my diabetes educator provided. And I hated it from the moment I started using it.
There are a number of important things for a meter to have (in my humble opinon). First and foremost - it needs to be small. I am not going to cart around a gigantic meter everywhere I go. Second, it HAS to have a backlight or a display that can be read in the dark. I test at least once a night, if not mulitple times. Not to mention in the car, or in a low-light setting like a movie. This is not just a convenience feature - it will make or break a meter for me. And you may be surprised to know that most meters do not have a backlight feature. Apparently it drains the battery too fast. Although my last meter with a light I used for almost 4 years, and I changed the battery twice (this was with regular backlight use). Third, the meter ideally would make it easy to download the data from the machine to my computer. Then I can chart the numbers to see where I need to correct. Most meters make it pretty difficult to download - you have to buy a special cord that is machine specific, download special software that is only half-thought out and difficult to use. It honestly was easier to wait until I went to the doctor every 3 months and see the charts & history there.
So while searching the internet for a data transfer cable for my hated meter, so I could upload my sugars and send them to my diabetes educator, I stumbled across a new (Oct 09 release) meter. Made by the same company that makes the meter I hated (Bayer). Called the Contour USB. And when I started looking at this meter, I knew I had to get it.
This meter is about 3.5 inches long, and less than an inch wide, so it fits my first criteria. It is small. Second, it has a digital color display, so I can see in low light situations! It also has a light that can be turned on to illuminate the hole where you put the blood test strip. Finally...the end of the meter where the Bayer logo is displayed is actually a cap. When you remove the cap - it is a USB device! You actually plug the meter directly into your computer USB port to charge & download data. It also can store data just like a regular USB storage device (multi functional!) And the best part? It uses the same blood test strips I already was using, so no waste, and no new prescription to have to fill.
It holds 2000 test results, averages by pre-meal, post-meal, 14 days, 30 days. It lets you mark scores with notes (that you were feeling sick, or excercised, etc). It is amazing.
I love this meter so much, I actually don't mind waking up in the middle of the night to test :) And I love it so much I searched out and found a super-cute case to hold it & my other testing supplies (thanks diabetesdesigns.com!). I no longer look like I am pulling out a blood test machine, which was not a major concern for me, but still a nice perk. I have a super cute little case, a super functional but cute little meter, and a super happy attitude. I love to just sit here and look at my new meter. Sigh.
However, I have spent the past 23 years of my life searching for someone I could trust with most inner secrets. Someone who would not judge when I wasn't perfect. Someone that would light up the night, alert me to danger, always be by my side, telling me I was ok (or not ok).
Last week I found him. Don't worry, Johnny knows about him.
I found my blood test meter soul mate.
Don't laugh! Unless you have to poke your finger 15 times a day, from early morning to late night, you would not understand how important it is to have a machine that truly meets all your needs. I thought I had one in my previous meter. It at least had a night light so I could see what I was doing in low-light situations. Then my trusty old meter started giving me incorrect readings. And I had to switch to one that my diabetes educator provided. And I hated it from the moment I started using it.
There are a number of important things for a meter to have (in my humble opinon). First and foremost - it needs to be small. I am not going to cart around a gigantic meter everywhere I go. Second, it HAS to have a backlight or a display that can be read in the dark. I test at least once a night, if not mulitple times. Not to mention in the car, or in a low-light setting like a movie. This is not just a convenience feature - it will make or break a meter for me. And you may be surprised to know that most meters do not have a backlight feature. Apparently it drains the battery too fast. Although my last meter with a light I used for almost 4 years, and I changed the battery twice (this was with regular backlight use). Third, the meter ideally would make it easy to download the data from the machine to my computer. Then I can chart the numbers to see where I need to correct. Most meters make it pretty difficult to download - you have to buy a special cord that is machine specific, download special software that is only half-thought out and difficult to use. It honestly was easier to wait until I went to the doctor every 3 months and see the charts & history there.
So while searching the internet for a data transfer cable for my hated meter, so I could upload my sugars and send them to my diabetes educator, I stumbled across a new (Oct 09 release) meter. Made by the same company that makes the meter I hated (Bayer). Called the Contour USB. And when I started looking at this meter, I knew I had to get it.
This meter is about 3.5 inches long, and less than an inch wide, so it fits my first criteria. It is small. Second, it has a digital color display, so I can see in low light situations! It also has a light that can be turned on to illuminate the hole where you put the blood test strip. Finally...the end of the meter where the Bayer logo is displayed is actually a cap. When you remove the cap - it is a USB device! You actually plug the meter directly into your computer USB port to charge & download data. It also can store data just like a regular USB storage device (multi functional!) And the best part? It uses the same blood test strips I already was using, so no waste, and no new prescription to have to fill.
It holds 2000 test results, averages by pre-meal, post-meal, 14 days, 30 days. It lets you mark scores with notes (that you were feeling sick, or excercised, etc). It is amazing.
I love this meter so much, I actually don't mind waking up in the middle of the night to test :) And I love it so much I searched out and found a super-cute case to hold it & my other testing supplies (thanks diabetesdesigns.com!). I no longer look like I am pulling out a blood test machine, which was not a major concern for me, but still a nice perk. I have a super cute little case, a super functional but cute little meter, and a super happy attitude. I love to just sit here and look at my new meter. Sigh.
Ahhh...who knew that anyone could write a long blog solely on a blood test meter. I guess when you find true love, you can't help but scream it from the roof tops! :)
Monday, December 7, 2009
Shouldn't be allowed to use Google during pregnancy...
I was doing some research today to try to figure out why all my docs seem so concerned about my fluid levels being high if up to 25 is considered normal. Well, thanks to Google, I now see that "normal" is actually under 18. At this gestational age, a level of 22 is around the 90th percentile. Holy moly. I won't even go into all the possible complications from this, because it is freaking the heck out of me already and I don't want to think about it anymore!
The level is directly affected by my blood sugar levels (apparently). But how can they be high if my A1C is a non-diabetic level? And what good are these numbers at all if they change so rapidly that I could have a completely different level an hour later?
I am feeling confused by the number of different docs I see. They each have thier own interpretations of all my scores & levels. They each tell me how they feel I'm doing. Some say "great", some say "mediocre", some don't say much of anything. I know I have to be closely monitored because of the diabetes, but is there maybe such a thing as TOO much monitoring? It seems like we don't learn anything new, it just causes more stress for me.
And in the end, isn't is more about how Ava is doing than all the numbers in the world? She is active and happy (all the docs agree on that)! Isn't that a better indicator that numbers that constantly change?
The level is directly affected by my blood sugar levels (apparently). But how can they be high if my A1C is a non-diabetic level? And what good are these numbers at all if they change so rapidly that I could have a completely different level an hour later?
I am feeling confused by the number of different docs I see. They each have thier own interpretations of all my scores & levels. They each tell me how they feel I'm doing. Some say "great", some say "mediocre", some don't say much of anything. I know I have to be closely monitored because of the diabetes, but is there maybe such a thing as TOO much monitoring? It seems like we don't learn anything new, it just causes more stress for me.
And in the end, isn't is more about how Ava is doing than all the numbers in the world? She is active and happy (all the docs agree on that)! Isn't that a better indicator that numbers that constantly change?
Week 30, appointment #1
I was back in this morning for another non-stress test. This is going to get old REAL quick, once a week was ok but going in twice a week is going to be tough!
Ms. Ava is still very happy in there, her heart is working as it should and she is a mover & a shaker! She is exceeding expectations in terms of movement, so that is good - as I was told, an active baby is a healthy baby.
My fluid levels were measuring at 22 again today. The first time it was 22, then 24, then 22, then 15 (?), then back to 22 again. I am convinced the 15 was an incorrect measurement, but nobody will admit that. Nor can they really explain why the significant difference...the lady who performed the test today said it could have been 15 an hour earlier, and was now 22. Well, if that is the case, what in the world is the point of this test? Because I'm high risk, I'm considered to have a high level if it is over 20, although a regular person would be fine up to 25. So really, my levels are normal...and if they can change that rapidly in such a small space of time, what is the point of the measurement at all? I'm still not sure...I plan to ask my regular OB at my Wednesday appointment if I can stay at 1x per week instead of 2x per week, because I just don't see the value in it at this point.
The exciting news from Friday is that my A1C came back at a 5.7! I was previously at a 5.6, so basically unchanged from last time. That is a non-diabetic number! My diabetes educator is extremely happy and told me to keep it up, which I fully plan on doing. I just hope one of these days the rest of my care team can get on board and realize that I actually am doing a really good job, not a "mediocre" job!
Blood pressure was back to "normal" today...which is still a bit on the high side for me, so they will continue to monitor it.
Next appointment is on Wednesday, I am once again hoping that I can get a better idea as to a delivery date! I'm getting anxious! Only 8 or 9 weeks left...Wow. I can't wait to meet our little girl!
Ms. Ava is still very happy in there, her heart is working as it should and she is a mover & a shaker! She is exceeding expectations in terms of movement, so that is good - as I was told, an active baby is a healthy baby.
My fluid levels were measuring at 22 again today. The first time it was 22, then 24, then 22, then 15 (?), then back to 22 again. I am convinced the 15 was an incorrect measurement, but nobody will admit that. Nor can they really explain why the significant difference...the lady who performed the test today said it could have been 15 an hour earlier, and was now 22. Well, if that is the case, what in the world is the point of this test? Because I'm high risk, I'm considered to have a high level if it is over 20, although a regular person would be fine up to 25. So really, my levels are normal...and if they can change that rapidly in such a small space of time, what is the point of the measurement at all? I'm still not sure...I plan to ask my regular OB at my Wednesday appointment if I can stay at 1x per week instead of 2x per week, because I just don't see the value in it at this point.
The exciting news from Friday is that my A1C came back at a 5.7! I was previously at a 5.6, so basically unchanged from last time. That is a non-diabetic number! My diabetes educator is extremely happy and told me to keep it up, which I fully plan on doing. I just hope one of these days the rest of my care team can get on board and realize that I actually am doing a really good job, not a "mediocre" job!
Blood pressure was back to "normal" today...which is still a bit on the high side for me, so they will continue to monitor it.
Next appointment is on Wednesday, I am once again hoping that I can get a better idea as to a delivery date! I'm getting anxious! Only 8 or 9 weeks left...Wow. I can't wait to meet our little girl!
Wednesday, December 2, 2009
Ava update - 12/2/09
As I have moved into the 3rd trimester, pregnancy has definitely gotten more difficult. Not only is it much more uncomfortable as my body is stretched in ways I didn't know were possible, but the diabetes has reared its ugly head. Thanks to all the pregnancy hormones, my numbers have been much more difficult to control, although my diabetes educator says I am still doing great.
At my last OB appointment, the doc saw that my amniotic fluid level was a bit high...actually a "normal" number, but the high end of normal...that, along with the diabetes, puts me at risk for pre-term labor. Also, Ava is a medium sized baby - except for her belly, which is in the 90th percentile! That is due to the diabetes. So, they put me onto a type 2 diabetes oral medication to try to get the numbers down a bit. It does seem to be making a difference, but it also makes my stomach hurt if I take it at the wrong time, so it is a bit of a challenge.
Due to Ava's belly size, the increased fluid level, and the diabetes, I had to start going in for non-stress tests and amniotic fluid level checks once a week. Non-stress tests basically just make sure Ava is doing ok, that her heartrate is increasing/decreasing normally, and also measures contractions. Normally these tests start on high-risk patients at 32 weeks...I started at 28 weeks! The first one was non-eventful and Ava passed with flying colors. My amniotic fluid levels were about the same, so there was no additional reason to be concerned - just continued monitoring and I had to start counting fetal kicks.
Today was my second non-stress test, and Ava again is very, very happy in there! However, this time my fluid level had gone from a 24.2 to 15.4, a significant drop. Basically normal is under 25, but because I am a high risk patient, they want to monitor me more closely if my number is over 20. Nobody could really give me an explanation about why I would have such a significant drop in only a week, especially given that my blood sugars were not as well controlled over the past week due to Thanksgiving, leftovers, and cookie baking :) Higher sugars tends to equal higher fluid levels - diabetics in general are known to have higher fluid levels. However, no one is concerned about the level dropping, and it is now well within the "normal" range, so that is positive!
However, my blood pressure this appointment was borderline high. That might not be so bad except I am normally borderline low! They took my pressure 4 times, and still couldn't get one under 132/84. So now they are watching my blood pressure. Hopefully it was just a one time fluke, but it's a little bit worrying, as high blood pressure is normally the first sign of pre-eclampsia, which would most likely mean bed rest until delivery...YUCK. Good thing Johnny got me a TV for the bedroom for my birthday (early present)...we were thinking I'd need something to entertain me in the event I had a c-section, but I guess it will also come in handy if I am on bedrest! Hopefully this was just a stressful day, and next week will be back to normal.
So, Ms. Ava is doing well, she is VERY active and really likes to kick her Mommy :) They have me doing kick counts, and I need to have 10 in 1 hour. I have 10 in about 7 minutes! More movement = healthy baby is what they keep telling me. As long as she is staying happy in there, I can rest easy knowing that she will be able to stay. I'll be 30 weeks on Friday - only 8 or 9 more to go! Time is flying and at the same time, it seems like February cannot get here fast enough...
At my last OB appointment, the doc saw that my amniotic fluid level was a bit high...actually a "normal" number, but the high end of normal...that, along with the diabetes, puts me at risk for pre-term labor. Also, Ava is a medium sized baby - except for her belly, which is in the 90th percentile! That is due to the diabetes. So, they put me onto a type 2 diabetes oral medication to try to get the numbers down a bit. It does seem to be making a difference, but it also makes my stomach hurt if I take it at the wrong time, so it is a bit of a challenge.
Due to Ava's belly size, the increased fluid level, and the diabetes, I had to start going in for non-stress tests and amniotic fluid level checks once a week. Non-stress tests basically just make sure Ava is doing ok, that her heartrate is increasing/decreasing normally, and also measures contractions. Normally these tests start on high-risk patients at 32 weeks...I started at 28 weeks! The first one was non-eventful and Ava passed with flying colors. My amniotic fluid levels were about the same, so there was no additional reason to be concerned - just continued monitoring and I had to start counting fetal kicks.
Today was my second non-stress test, and Ava again is very, very happy in there! However, this time my fluid level had gone from a 24.2 to 15.4, a significant drop. Basically normal is under 25, but because I am a high risk patient, they want to monitor me more closely if my number is over 20. Nobody could really give me an explanation about why I would have such a significant drop in only a week, especially given that my blood sugars were not as well controlled over the past week due to Thanksgiving, leftovers, and cookie baking :) Higher sugars tends to equal higher fluid levels - diabetics in general are known to have higher fluid levels. However, no one is concerned about the level dropping, and it is now well within the "normal" range, so that is positive!
However, my blood pressure this appointment was borderline high. That might not be so bad except I am normally borderline low! They took my pressure 4 times, and still couldn't get one under 132/84. So now they are watching my blood pressure. Hopefully it was just a one time fluke, but it's a little bit worrying, as high blood pressure is normally the first sign of pre-eclampsia, which would most likely mean bed rest until delivery...YUCK. Good thing Johnny got me a TV for the bedroom for my birthday (early present)...we were thinking I'd need something to entertain me in the event I had a c-section, but I guess it will also come in handy if I am on bedrest! Hopefully this was just a stressful day, and next week will be back to normal.
So, Ms. Ava is doing well, she is VERY active and really likes to kick her Mommy :) They have me doing kick counts, and I need to have 10 in 1 hour. I have 10 in about 7 minutes! More movement = healthy baby is what they keep telling me. As long as she is staying happy in there, I can rest easy knowing that she will be able to stay. I'll be 30 weeks on Friday - only 8 or 9 more to go! Time is flying and at the same time, it seems like February cannot get here fast enough...
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