{"id":31971,"date":"2013-02-12T08:29:34","date_gmt":"2013-02-12T13:29:34","guid":{"rendered":"http:\/\/asweetlife.org\/?post_type=feature&#038;p=31971"},"modified":"2016-01-09T03:13:48","modified_gmt":"2016-01-09T08:13:48","slug":"the-third-trimester-diabetes-sciatica-accidents-and-so-on","status":"publish","type":"post","link":"https:\/\/asweetlife.org\/?p=31971","title":{"rendered":"The Third Trimester:  Diabetes, Sciatica, Accidents, and So on"},"content":{"rendered":"<p style=\"text-align: justify;\"><a href=\"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/02\/Pregnancy-and-Diabetes-32-weeks-Jennifer-Jacobs.jpg\" rel=\"mfp\"><img decoding=\"async\" class=\"alignright size-medium wp-image-31972 lazyload\" title=\"Pregnancy and Diabetes - 32 weeks - Jennifer Jacobs\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" data-src=\"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/02\/Pregnancy-and-Diabetes-32-weeks-Jennifer-Jacobs-225x300.jpg\" alt=\"Pregnancy and Diabetes - 32 weeks - Jennifer Jacobs\" width=\"225\" height=\"300\" data-sizes=\"auto\" data-srcset=\"https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/02\/Pregnancy-and-Diabetes-32-weeks-Jennifer-Jacobs-225x300.jpg 225w, https:\/\/asweetlife.org\/wp-content\/uploads\/2013\/02\/Pregnancy-and-Diabetes-32-weeks-Jennifer-Jacobs.jpg 400w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/><\/a>In the movies, the third trimester of pregnancy illustrates perfect baby bumps, charming pickle cravings, and finishing touches on the most adorable nursery you\u2019ve ever seen in your life.<\/p>\n<p style=\"text-align: justify;\">For me, not so much.<\/p>\n<p style=\"text-align: justify;\">My baby bump has grown to the size of a watermelon. It\u2019s difficult to complete even minor tasks like sliding on an UGG boot. I don\u2019t crave pickles, or anything for that matter. And I live in a small NYC apartment; no room for a proper nursery.<\/p>\n<p style=\"text-align: justify;\">I developed pregnancy-related sciatica in my left hip and limped around for a while. Luckily, after three weeks, the pain and my limp \u00a0vanished as mysteriously as it had appeared.\u00a0Now I&#8217;m taking mega-doses of insulin. I expected this because I heard that insulin resistance increases during the last trimester. But I secretly hoped I\u2019d be an anomaly. A sandwich on Arnold Light Whole Wheat bread costs me 8 units of Humalog!<\/p>\n<p style=\"text-align: justify;\">And then\u2026<\/p>\n<p style=\"text-align: justify;\">I was in a car accident.<\/p>\n<p style=\"text-align: justify;\">On a dark snowy evening, a white van delivering chocolate covered fruit crashed into my dad\u2019s car while we were on our way to the supermarket. On the impact of the crash, I felt a surge of water burst out of my body. I looked down and my pants were soaked. Again, I thought of the movies: Did my water break?<strong>\u00a0<\/strong>I began to cry because I was only 30 weeks pregnant.<\/p>\n<p style=\"text-align: justify;\">The roar of fire trucks.<\/p>\n<p style=\"text-align: justify;\">Miraculously, my dad was without a scratch. So the paramedics focused on me.<\/p>\n<p style=\"text-align: justify;\">They asked if I knew what day it was. I did.<\/p>\n<p style=\"text-align: justify;\">They asked if I had any medical conditions. I did.<\/p>\n<p style=\"text-align: justify;\">\u201cType 1 diabetes,\u201d I said.<\/p>\n<p style=\"text-align: justify;\">Through the wind, sirens, and pitter-patter of snow and rain, I could hear, \u201c29 year old female. 30 weeks pregnant. Diabetic.\u201d<\/p>\n<p style=\"text-align: justify;\">I heard my medical label echo again and again. \u201cDiabetic\u2026 Diabetic\u2026 Diabetic.\u201d<\/p>\n<p style=\"text-align: justify;\">I was thinking, <em>Get over it! 30 weeks pregnant, here! Baby on board! Hello!<\/em><\/p>\n<p style=\"text-align: justify;\">They asked me if I test my blood sugar.<\/p>\n<p style=\"text-align: justify;\">Even in my state of shock, I managed to gasp. \u201cOf course,\u201d I said. I tested on the spot. 110. Something was going right.<\/p>\n<p style=\"text-align: justify;\">The ambulance rushed me to the ER. The ER forwarded me to the Labor and Delivery ward.<\/p>\n<p style=\"text-align: justify;\">I thought, <em>Labor and Delivery?! Huh?!<\/em><\/p>\n<p style=\"text-align: justify;\">I watched the nurse hook up my IV. I told her, \u201cJust saline, please. No sugar in the drip.\u201d I repeated it for emphasis.<\/p>\n<p style=\"text-align: justify;\">She said, \u201cOkay.\u201d<\/p>\n<p style=\"text-align: justify;\">I said, \u201cI\u2019m not going into labor, right?\u201d<\/p>\n<p style=\"text-align: justify;\">No reply.<\/p>\n<p style=\"text-align: justify;\">After several tests, the doctor confirmed that my water did <em>not<\/em> break.<\/p>\n<p style=\"text-align: justify;\">So what was that gush of water I had felt after the accident?<\/p>\n<p style=\"text-align: justify;\">Guess what? I had peed my pants. (A different kind of accident.)<\/p>\n<p style=\"text-align: justify;\">Never mind that. All the tests confirmed that I was probably not going into labor. <a href=\"https:\/\/asweetlife.org\/feature\/pregnancy-with-diabetes-where-ca-i-clip-my-pump\/\">The Girl<\/a> was doing just fine. A tough cookie.<\/p>\n<p style=\"text-align: justify;\">I was relieved. I thought maybe I could get the heck out of there and go home.<\/p>\n<p style=\"text-align: justify;\">Except\u2026 I was having some contractions. The doctor hooked me up to a fetal monitor and told me I\u2019d have to stay overnight. \u201cJust in case.\u201d<\/p>\n<p style=\"text-align: justify;\">I was scared. Why was I having contractions? I cried for a long time. My husband Gary, who had rushed to meet me in the hospital, went home to gather my things, mostly diabetes paraphernalia, and a pillow for himself.<\/p>\n<p style=\"text-align: justify;\">I was also hungry. I wasn\u2019t allowed to eat anything in case of my Just In Case Labor. My blood sugar was running low. I had to get the doctor to sign off that I was allowed to administer glucose tablets to myself. This was a struggle.<\/p>\n<p style=\"text-align: justify;\">During one middle-of-the-night test, my blood sugar was 50. I told the nurse I was going to have three glucose tablets. (I was required to report this to her.) She was surprised. She thought I\u2019d only need one. This made me think of the meeting I&#8217;d had with my endocrinologist just a few days earlier. We discussed my birth plan in relation to my diabetes. Did I want to disconnect my insulin pump and have the nurses take over? Or did I want to manage my diabetes myself? The second option, of course, would be more difficult because I might have other things to worry about during labor. However, she said that a lot of patients don\u2019t want to leave their diabetes in another person\u2019s hands. It was up to me. I told her I\u2019d think about it.<\/p>\n<p style=\"text-align: justify;\">This incident in the hospital confirmed that I would indeed be the control freak that I am and manage my own insulin pump. Even during labor.<\/p>\n<p style=\"text-align: justify;\">At 6:00 a.m., the shifts changed and a young nurse I hadn\u2019t met entered my hospital room. She said that my contractions calmed down. The Girl was okay. I could go home.<\/p>\n<p style=\"text-align: justify;\">I was still shaken up. I\u2019m just wired that way. Also, my body was really sore. Especially in my sternum. At the time of the accident, I was wearing pants without pockets. You know what that means? My insulin pump was clipped to my bra. During the impact of the crash, my seatbelt did what it was supposed to do. It tensed up across my chest and held me in place. It also pressed directly against my insulin pump, which dug into my sternum. Really, really hard. I was bleeding and sore for a long time.<\/p>\n<p style=\"text-align: justify;\">It\u2019s been six weeks since the accident. Thankfully, it has been mostly uneventful. I\u2019m just focused on getting my baby here in one piece. At all my OBGYN appointments, my doctor seems impressed that my A1Cs are low, and that my baby is measuring on the small side of average.<\/p>\n<p style=\"text-align: justify;\">Everyone expects me to have a big baby.<\/p>\n<p style=\"text-align: justify;\">Mostly I just smile as if I\u2019m flattered.<\/p>\n<p style=\"text-align: justify;\">I\u2019m so excited for the arrival of my little girl. But I\u2019m anxious, too. A baby is a lot of work. And I feel like I\u2019m already caring for a baby-like entity: diabetes. I worry about how I\u2019ll split my time between my real baby \u2013 the adorable little munchkin who\u2019s about to enter the world and my diabetes. Both require constant care and attention.<\/p>\n<p style=\"text-align: justify;\">Gary and I took a childbirth\/baby care class recently. Gary did especially well putting a stretchy on the doll. It was comforting to see other couples who felt just as unprepared as we do.<\/p>\n<p style=\"text-align: justify;\">In the meantime, I have four weeks to go. I&#8217;ve created three animal paintings for my daughter. I hope she\u2019ll like them. I look at her ultrasound pictures all the time. Especially the 4D ones. They are my rock. Whenever I\u2019m feeling nervous, overwhelmed, or scared, her chubby cheeks remind me of all the wonder that\u2019s coming my way.<\/p>\n<p style=\"text-align: justify;\">To read more about Jen&#8217;s pregnancy click <a href=\"https:\/\/asweetlife.org\/feature\/pregnancy-and-type-1-diabetes-when-can-i-expect-a-pregnancy-glow\/\">here<\/a> and <a href=\"https:\/\/asweetlife.org\/feature\/pregnancy-with-diabetes-where-ca-i-clip-my-pump\/\">here<\/a>.<\/p>\n<p style=\"text-align: justify;\">To read an interview with Jen click <a href=\"https:\/\/asweetlife.org\/feature\/what-diabetes-looks-like-talking-to-artist-jen-jacobs\/\">here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I felt a surge of water burst out of my body. I looked down and my pants were soaked. Again, I thought of the movies: Did my water break? I began to cry because I was only 30 weeks pregnant. The roar of fire trucks. Miraculously, my dad was without a scratch. So the paramedics focused on me.<\/p>\n","protected":false},"author":15,"featured_media":41742,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1461,1566],"tags":[422],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.9 (Yoast SEO v22.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Third Trimester: Diabetes, Sciatica, Accidents, and So on<\/title>\n<meta name=\"description\" content=\"I developed pregnancy-related sciatica in my left hip and limped around for a while. 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