Monday, April 15, 2013

Starting the pregnancy train again…

For most people without diabetes, getting pregnant, going through the next 9 months and having a baby is relatively easy. Not true for us. There’s a lot of planning involved. My husband and I are thinking of trying again near to December this year. Even though it’s only April, I need to get myself in proper shape as soon as possible to make sure that I have as healthy a pregnancy as possible. This means losing weight, getting my eating under control, and getting my next two A1C’s to as close to 6 as possible. The good thing is that they first two items should lead to the last one.


I had a visit with my endocrinologist two week ago to set my baseline. As prep for that I usually have a whole routine of blood and urine tests done so that we can discuss them. These are mainly to check my A1C, cholesterol and kidney function. I was expecting for my A1C to be absolutely horrible as after I had Connor, I went into extreme diabetes burnout. But it actually wasn’t that bad at a 7.5. This is down from a mid 8 last summer. My endo made some small changes to my basal rates but other than that was pleased. He said that if things continue, we should be on track from trying around Christmas.

I’m still not happy with that though so I’ve made the decision to try to limit my carbs. I’ve been reading a lot of diabetic blogs lately and quite a few of them don’t seem to eat as many carbs as I do. Since the birth of my son, I’ve been working on losing all of the baby weight and I’ve finally done it. The problem is I’m not losing any of my other weight. A few months ago, I went to my dietician to have her help me set up a good meal plan. The plan that my dietician and I worked out was 60-60-60 for carbs at each meal. Unfortunately she has since retired and I’m not a big fan of the other dieticians at my Diabetes Clinic so I’m going to try and do it myself.

Normally for breakfast I have two pieces of multigrain toast with peanut butter, yogurt, and a piece of fruit. I’m thinking of cutting it down to 1 piece of bread, the yogurt and fruit. This should reduce my carbs to 40g. I’m also going to start having a robust salad instead of the usual sandwich. I found an amazing homemade salad dressing recipe that I’m going to put on a salad of mixed greens, apple chunks, almonds, celery, cucumber, and feta. I’ll also have a small homemade bun on the side. This should reduce my lunch carbs to 25g. I think dinner is going to be the hardest part to reduce.

I admit it, I’m lazy. When I get home from work the last thing I want to do is make an elaborate meal. It’s so much easier shoving a pre-made lasagna into the oven. I think I’m going to keep that one at 60g for now and then once I’m used to breakfast and lunch, cut it back.

Now that spring is almost here I’m hoping to be able to get out and exercise a lot more often. I’d like to lose at least 40 ibs before I start trying to get pregnant. As mentioned previously, I think I’ll have way better control when I’m at a lower weight. Since I’m working, I spend all of my time out of work with my son and unfortunately that meant that I had to cut out exercise. As I live in Edmonton, it’s way too cold in winter to bring my son outside. Now that it’s spring, we’ll be able to exercise as a family.

I have 8 months to make it all work.

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