Insulin Resistant

I am 21 weeks pregnant and becoming more and more insulin resistant. I was told that this would happen, but thought maybe it wouldn't be that bad...well it is.

For those of you who don't know what insulin resistance is here is a little physiology from the Joslin Diabetes Center to help you. Insulin is produced by our pancreas to help unlock our cells so that they can accept the sugar (glucose) from the food we eat for energy. Insulin resistance is just as it sounds, the cells become "too cool" for the insulin our pancreas produces and refuse to do what they are supposed to do causing you to have high blood sugars.

I officially am insulin resistant. My normal carb to insulin ration is 1 unit of insulin to 15 grams of carbs. Recently, Dr. Awesome had me switch my carb ratios to 1 unit of insulin to 10 grams of carbs because my numbers have been harder to keep in a good range. I can usually go about 5-7 days before needing to switch out my insulin pump and now I go through the insulin in my pump in about 3 days. On days that I want to give in to a pregnancy craving, I have to give myself an injection to on top of the insulin to help my numbers come down. Dr. Awesome said it's just going to get worse as I enter my third trimester.

As frustrating as this stage has been, there is a light at the end of the tunnel. I am finally starting to get the hang of it and am getting my numbers back in the range they should be in. Thankfully I see Dr. Awesome often and she is great about not making me feel guilty about this transition period. I also am using my CGM on a regular basis to help me be proactive when a high number is beginning to happen. I know I can do this and stay healthy and have a healthy baby I just need to keep reminding myself of that when I have a bad day.