32 Weeks Prego!
Remember when I complained about the insulin resistance I was experiencing around week 17? That was a joke. I didn’t know I was joking at the time, but now I look back and laugh at my naivety. This time, no false alarm. True insulin resistance has arrived. I upped my Lantus (basal rate) by a unit every night for three nights in a row and I am still waking up higher than expected. THIS IS BANANAS.
The extreme spike in insulin rates got me thinking… what causes this? Does it happen to everyone? WHY ME?
Because I don’t understand why these thing happen to my body , I decided to write a brief review of what I’ve learned. There has to be someone else out there who is wondering why this is happening and also wants to
According to my reading, the placenta is the culprit. Basically. The placenta is “an organ attached to the lining of your womb during pregnancy. It keeps your unborn baby’s blood supply separate from your own blood supply, as well as providing a link between the two. The link allows the placenta to carry out functions that your unborn baby can’t perform for itself. The placenta is connected to your baby by the umbilical cord. Your baby is inside a bag of fluid called the amniotic sac, which is made of membranes.” SOURCE
Seems like an innocent little friend, right? NO. Well, yes… because a healthy baby is good but NO because it pumps hormones into your bloodstream to help baby grow. Those hormones, like estrogen, cortisol, and human placental lactogen, can essentially “block” insulin. It makes insulin less effective.
Hopefully, the influx of hormones means our baby is going to be like the hulk and go to Harvard because he has SO MANY HORMONES.
I giggled when I saw the list of hormones that cause insulin resistance because SHOCKER, they are the same hormones that cause the dawn phenomenon. Inexplicable high blood sugars seem to be closely linked to these hormones. They have the same effect on everyone. Hence, the high rates of gestational diabetes. As you can see from the graph, it doesn’t look like it is going to be tapering down any time soon.
Unfortunately, what has made this more difficult is that the hormones are not predictable. Some mornings, I am still experiencing the morning spikes. Some mornings, nothing. Sometimes after dinner and a walk, my blood sugar inexplicably rides higher. It’s enough to make you nuts. Thank the lawd for continuous glucose monitors and test strips and insulin and patient husbands.
I have been walking my tushy off and trying to eat extra low carb to lessen the effects but I’m hoping the rapid increase in insulin slows down a bit. And, for the first time this entire pregnancy, I am excited to start non-stress testing this week to make sure this nugget is doing ok.