Infertility with Type 1 Diabetes
You may have seen some older posts about what your a1c should be while trying to conceive, diabetes & pregnancy, and others about the chances of my children actually developing t1d too. Well, those were posted around the time that my husband and I started trying for a baby… and then it never happened.
I never thought it would take so long for us to see positive test result. How come it always seems so easy for everyone who isn’t trying?
My OB/GYN suggested I see a fertility endocrinologist when we weren’t pregnant after 6 months of trying to conceive (TTC) naturally. It’s typically one year for those under the age of 35, but being that we are already high risk, it’s one benefit we can reap of being diabetic!
In November, my fertility endocrinologist discovered I had a septate uterus, where the shape of the uterus looks more like a heart, rather than the normal triangular shape. Luckily, a septate uterus can be treated with a minor procedure called a hysteroscopy. The top piece of the heart needed to be removed during a hysteroscopy so my monthly cycles would regulate, I would ovulate, we could conceive easier, and the chances of miscarriage would be minimized. I’ve always been on birth control so that my cycles would be normal, and I didn’t realize there was anything wrong with my body. “[The hysteroscopy surgery] involves inserting surgical instruments through the cervix and removing the septum without having to make an abdominal incision,” says Beth W. Rackow, M.D., an assistant professor of OB-GYN at Yale University School of Medicine in New Haven, Conn.
After the surgery, I was prescribed with many different hormones to regulate my cycles and help me heal faster. Those prescriptions, such as progesterone, have not only messed with my hormones and emotions, but also with my control of my blood sugars! I feel like I’ve been an emotional wreck and my poor husband is there to pick up the pieces. The hormones have made my blood sugars impossible to control, with so many highs and lows.
I’ve learned to eat slightly lower carbs meals in order to avoid high blood sugar spikes. I’ve also made higher basal incriminates on my insulin pump so that I’m constantly receiving more insulin throughout the day. Both tricks have worked through hormone changes, and then everything goes back to normal and my blood sugars drop dramatically. Time to go back to my “normal” basal incriminates for another two weeks.
I kept telling myself that it was going to be “my month.” We go through all the emotions of the ‘fertile week’ and ovulation, then the two week waiting period. And then it hits me & I start my period. It feels like such a let down. I burst into tears telling my husband that all the sex we had didn’t work. “We’ll just try again,” is his response, but I can see it in his eyes that he is hurting too. Maybe it’s not just the hormones that effect my blood sugars? Could it be that my emotions are throwing my numbers out of whack too?
For now, we are going to continue on this TTC journey with type 1 diabetes. I’ve found lots of resources on what to expect in support in groups like Type ONE Nation and by reading books like Balancing Pregnancy with Pre-existing Diabetes: Healthy Mom, Healthy Baby. I never could have imagined than planning to having a baby would be so hard. Juggling to keep those blood sugars in line along side the journey is not a fun struggle. Hopefully, the hormones and out of whack blood sugars will soon pay off when we see those two pink lines! Or maybe they will get worse? On;y time will tell.