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What It’s Like To Be Pregnant And Diabetic: A Day Of Medical Appointments

Last Friday, Chris and I (and BSparl) were at Joslin all day long.  ALL DAY.  But that’s what’s required with type 1 diabetes and pregnancy, so I wanted to recap these appointment for posterity, and for anyone else who is curious about what it takes to manage this whole party.  It’s a long post, but with five different appointments to cover, I want to make sure I don’t miss a beat.

Grab some coffee.  I’ll wait.  🙂

I love this baby.

Eye Dilation: Read more »

*This blog post was originally published at Six Until Me.*

Pregnancy, Pineapples, And Type 1 Diabetes

I could eat this by the POUND. Hi there.  I’m addicted to pineapple.

This week, I’ll be five months pregnant, and it seems like the vitamin C cravings I had early on in my pregnancy are back with a vengeance.  Orange juice (yes, with pulp), kiwi fruit, apples, raisins (even though they’re low in it, I still want them), and pineapple.  To the point where Chris and I bought a pineapple at the grocery store last week and I ate half of it in two days time.  What’s good is that, for whatever reason, my blood sugars aren’t rebelling against this fruit overload.  (Different from cute overload, where hamsters play the trumpet.)  Before the BSparl invasion, I had things like oatmeal timed out with precision, so that I could eat something with 30 grams of carbs in it without a spike, but just one apple could cause my numbers to go berserk.  Now?  Oatmeal is hard to predict, but I can nosh on a whole bowl of fruit salad, estimate the carbs, and coast in the low 100’s for NO REASON.

Pregnancy and type 1 diabetes is a very peculiar combination.  /digression Read more »

*This blog post was originally published at Six Until Me.*

Waterbirth: What’s In The Water?

By Dr. Amy Tuteur

Waterbirth has been touted as an alternative form of pain relief in childbirth. Indeed, it is often recommended as the method of choice for pain relief in “natural” childbirth. It’s hardly natural, though. In fact, it is completely unnatural. No primates give birth in water, because primates initiate breathing almost immediately after birth and the entire notion of waterbirth was made up only 200 years ago. Not surprisingly, waterbirth appears to increase the risk of neonatal death. Read more »

*This blog post was originally published at Science-Based Medicine*

Pregnant, Diabetic, And Gaining Weight

BSparl is getting bigger.  (And so am I.)

The BSparl at 16 weeks, 2 days

I spent a lot of time planning this pregnancy, starting from back in 2003 when I decided to go on an insulin pump.  And even though preparation didn’t begin in earnest until Chris and I were married, having a child has always been something I’ve wanted with my whole heart.  So I read up on what to expect, and what to do to help improve my diabetes control, and what prenatal vitamins to take.

What I didn’t do much research on was the actual pregnancy itself. Read more »

*This blog post was originally published at Six Until Me.*

When Is It Safe For A Patient To Leave The Hospital?

When I initiate  final hospital discharge planning, I am making a clinical judgment that the patient is safe to leave the monitored confines of the hospital system. Hospital discharge planning begins on the day of admission.

Good hospitalists are always thinking in their minds how to get the patient safely discharged in the quickest, safest and most efficient way possible.

Sometimes the patient wishes to leave against the medical advice of the physician.  Sometimes they refuse to leave at the advice of the physician.  And sometimes the physician and patient agree it’s time for the next level of care. Read more »

*This blog post was originally published at The Happy Hospitalist*

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