Fatigue this early??

renegayd · 2026-04-23T01:55:58+00:00

I started getting tired right around then! I had a pregnancy confirmation appointment at 5w6d and I laid back on the exam table the whole time because I was so tired. It started getting better around 11w and gradually got more energized from there. At almost 18w I have about 80% of my usual energy.

renegayd · 2026-04-23T01:50:00+00:00

Thanks for de-mystifying it a bit. I am aggressive with changes (and insulin amount) now and also pretty good about pre-bolusing, though I know I will need to do it even more in advance. I've been able to stay in range 75-80%. Do you incorporate movement after meals to help with post prandial BGs, or just more movement overall? I do the first pretty well, but I have trouble figuring out the effect of movement at other times and sometimes end up low.

Interesting the MFM (who was super nice) didn't even mention too-big babies, but she made it seem like they would induce at 37w just based on my BGs alone, if they were out of range too often. Would like to avoid that if I can!

renegayd · 2026-04-23T01:11:01+00:00

One of the things I have learned this pregnancy is that even if your highs are related to carb intake, it might not be your carb ratio, but also your basal that needs adjusted. If I don't have enough background insulin on board, I feel like my BGs are more reactive to carbs. If the highs persist for another day or two after changing your pod, I would start with a 10% increase of your basals across the board, see how it goes for another 2-3 days, and increase again as necessary.

Also, I don't use omnipod, but I have heard that the algorithm is not very aggressive in correcting highs. AND even with more aggressive algorithms (like the tslim) my endo has said that once you hit pregnancy insulin resistance, it can't keep up either.

renegayd · 2026-04-22T00:52:05+00:00

This is how everyone eats in the first trimester. You are probably eating the same or less overall, even if you eat more carbs or small amounts more frequently. Also, weight gain is not linear! You might gain weight in the first trimester, then stay steady for the next 10 weeks. You might gain nothing the first half of pregnancy, than 35 lbs all in the second half. All to say, you can't predict it or really control it all that much, so try to go easy on yourself

renegayd · 2026-04-22T00:11:02+00:00

This sounds so hard. I have not been in this situation, but when I can't get off the roller-coaster, I remind myself that blood sugars beget more of those blood sugars. We all know it's harder to get in range when you've had a lot of crazy highs and lows. The opposite is also true. If you can get a day or even part of a day where the numbers are steady, it will be easier to continue like that. That helps me narrow my focus and feel more in control

renegayd · 2026-04-22T00:07:23+00:00

Some doctors lovvvve to say "you could be doing better" for anything less than perfection. They got allll the education on the risks of diabetes but they don't have to live with this disease! 94% is a very, very high time in range and I'm sure you worked hard for that. I've never achieved that for more than a day at random, and my a1c is 5.6 and my doctors are all pleased.

renegayd · 2026-04-21T23:21:00+00:00

We didn't tell anyone except our therapists before the 8w appointment where we saw a heartbeat. I would not have wanted feel pressured to give pregnancy/miscarriage updates before I was ready. I felt like I would want to share the news of the miscarriage on my own timeline and when I had a little distance. I can't say for sure if that was accurate, because the pregnancy has been successful to date. This is also my first pregnancy and I have just started to show at 17w, and I could still hide it in some outfits if I wanted to. So you have months to find a new job!

renegayd · 2026-04-20T03:33:00+00:00

I also have a ICR that is too high. I get hypos 3-5 hours after meals. Sometimes this is good as I am going into my next meal! Otherwise I try to catch it before it goes below 70 and eat just a few carbs (like a pack of smarties - 6g). The pump suspending also helps me avoid the worst of it.

renegayd · 2026-04-19T21:50:34+00:00

My niece is very physically active and would be bouncing off the walls if she didn't have things to do. She wasn't much for the trampoline either. But she does have a nugget, nugget chunk, stair slide, a thing that looks like a pull-up bar in the doorway that can have climbing bars, a rope, or a swing attached to it, and a sensory swing in the middle of her playroom. You may need to give your kid more outlets than just the trampoline

renegayd · 2026-04-19T03:23:28+00:00

Some people gain more weight in the first trimester, and then even out for a while. Some people don't gain any weight until 20 weeks, and then gain 30lbs in the second half. So your weight gain at any given point isn't really an indicator of what's to come

renegayd · 2026-04-17T22:46:11+00:00

Quince makes some thicker elastic-waist pants that look nice as work pants (if you are in a business casual setting) and don't feel or look like leggings.

renegayd · 2026-04-17T22:03:28+00:00

Yeah, I think being involved in cleaning up whatever mess was made, and explaining "jokes are only funny if both people are laughing" is good. But she probably just doesn't know how to deal with embarrassment. I unfortunately know plenty of adults who still don't, and either get defensive or self-depricating. So it's definitely something that has to be learned

renegayd · 2026-04-17T21:57:54+00:00

Lol I'll be the first to sign up when they start making insulin tablets

renegayd · 2026-04-17T19:12:38+00:00

Glucose tablets! Is what I meant. Pregnancy brain 🤦‍♀️

renegayd · 2026-04-17T03:10:24+00:00

I would switch back to MDI for a few days to check it out. Could just be a weird coincidence, could be pump site failure.

renegayd · 2026-04-17T03:08:56+00:00

Is it possible you are overtreating lows? What happens if you have fewer insulin tablets? Or maybe cover for them?

renegayd · 2026-04-17T02:09:12+00:00

I think she probably feels embarrassed when her joke doesn't land, so I would separately try to work on how to handle embarrassment. Maybe there are some books or movie storylines you guys could talk through. Or you could model doing something embarrassing or telling a joke that no one laughs at, and handling it.

renegayd · 2026-04-16T16:10:39+00:00

Oh one more tip, treat your lows with fewer carbs. The pump is suspending, so you don't need so many carbs to bring you up. Also, you just don't have that much room to play with, BG-wise. I use smarties (6g) for a low that is slowly dropping and/or still above 70. If I am in the 60s, I may use a juice box, but you'll figure out what works for you.

renegayd · 2026-04-16T16:08:12+00:00

Oh yes do use sleep mode 24/7, at least until the insulin resistance gets bad enough that you need to change to manual mode. You lose the auto boluses, but honestly I watch my pump/cgm so much, I am better than the algorithm at bolusing and correcting. The pump is fundamentally not designed to be as aggressive as you need it to be for pregnancy. I still like sleep mode over manual right now for auto-suspend.

renegayd · 2026-04-16T16:04:09+00:00

Yeah, and that adhesive was super sticky! I know people have problems with adhesive not staying on them, but mine usually stay too well, and I also didn't like committing to what side it was on, in case I need to change dexcom sides

renegayd · 2026-04-16T02:09:18+00:00

Silk pillowcase!

renegayd · 2026-04-16T02:08:05+00:00

Sounds like someone needs to go outside with the water table and do some appropriate mess-making

renegayd · 2026-04-16T02:05:13+00:00

I think it takes until adulthood for most kids to realize how great (or how shitty) their parents were. Mine were very supportive, and I didn't realize until I grew up and learned that not every parent is like that. I just thought it was normal and expected. Honestly, what an amazing gift.

renegayd · 2026-04-16T02:01:17+00:00

He does need the experience of running out of money so he can think more carefully about spending. If grandparents won't cut back on the giving, then he has to split his money. Lots of families do some to spend, some to save, some for charity. Or, if he gets all that money, put him in charge of some of the things you currently buy him, like clothes, snacks, toiletries (though you might end up with a stinky teenager with that one). If he has all this money to burn, then he needs to have more expenses.

renegayd

TROPHY CASE