Conceding that what worked yesterday may not work today recognizes the dynamic nature of blood glucose as well as pregnancy.
Relying on your ability to observe while staying flexible sounds like a good solution!
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Congrats on your little one! It’s great that you found what worked for you the first time. Pregnancy with T1D can definitely feel daunting, so having a plan and a care team you trust can make a huge difference. Wishing you the best if you decide to go for #2!
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16 weeks and doing well! We’re having a baby boy.
Finally getting a grip on my overnight lows. 
It is still so much easier for me to decide what to change when I need more insulin rather than less.
I’ve also started going to therapy. Probably a great idea for anyone entering a transition! My therapist has been amazing. She also has helped me see that I probably need to break up with my endo. 
I have another appointment on Thursday with my current endo. I’ve been writing up “talking points” (when the insomnia hits at 1:30 a.m.) in anticipation to the things she usually brings up. Most of her guidance seems to stem from blind adherence to ADA recommendations for the general diabetic population (not me as an individual), and from just not understanding how Tandem Control IQ actually works. I miss my previous endos who would trust me as an expert too. They would start our appointments with, “What can I help you with today?” Now I just brace for, “Well your basal to bolus ratio should really be 50/50…”
If I’m brave enough to confront her with my speech, maybe things will change (“My diabetes relationship is with my body, my brain, and my pump, not with the ADA. Treat me, don’t just treat a generic diabetic patient.”). And if they don’t change… I guess I gotta go. I don’t want to change in the middle of pregnancy… but I’ve never felt angry and misguided leaving a doctor appointment before now.
Luckily my MFM is still as supportive as ever. My husband loves her too. We’re looking forward to seeing baby in more detail at our next ultrasound.
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Hey, congratulations on your pregnancy and my very best wishes to you.
I didnt get any insulin resistance which is what i was told to expect by every person I saw and every book I read. I am quite insulin sensitive anyway and went even further that way in pregnancy, taking less insulin as time went on. I worried that this was a bad sign, but I had a great pregnancy and have a totally amazing 13 year old now 
All the very best!
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Thanks so much! It’s nice to hear stories like this. 
So far it seems like I’m more sensitive to insulin too, though I hear the third trimester may come at me swinging. 
We will see!
In other news, my endo appointment today went much better. It felt much more collaborative, and we didn’t make any changes that I wasn’t on board for. That’s a win!
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Really great! Feeling like we are not opposing our Endo but having them on our side makes such a difference!
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Glad the appt went well and you’re feeling good about the pregnancy! Hope it stays that way!
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Congratulations! What a wonderful time.
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@RachelMaraii
How exciting! The gender reveal is such a special time. Sounds like your therapist is a really great sounding board with good advice, how wonderful as it sounds like they really suit you. So glad the endo appointment went so well. That is a really big deal for you at this point in your life.
Thanks for the update they always make me smile and bring back special memories.
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@RachelMaraii Congrats, sounds like your diligence is paying off nicely and you are headed for good times. Enjoy the new baby! Many of us seniors look back on our childrens births and baby days as wonderful memories, best wishes for you and yours.
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Baby is developing well! Everything is looking as expected. To take his heart measurements they wanted him to turn over for a better angle, so they had me get up and try to “roll” him. They also offered me apple juice or cookies to get him moving, but my BG was 124 and we didn’t have time for a 20 minute pre-bolus. The tech in training ran (literally) down to their labor and delivery department to get the type 1 diabetic a cheese stick instead. What kind staff!
So far my BG has leveled out. I’m in tight range (65-140) 80-85% of the time. It’s been interesting chatting with the endocrinology nurses every couple weeks, instead of every 3 months. I like the nursing team, but apparently it’s easy for me to take their recommendations as personal (“you’re doing everything wrong”) instead of just as recommendations. Once I had named that tendency in myself, it got a lot easier to reach out to them with less reluctance – and they have had good recommendations. Doing my best to remember we’re all on Team Rachel. I’m a lil nervous for the third trimester insulin resistance, but I’ll just do my best when that time comes!
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Nice.
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