My Diabetes Inklings

Pregnancy During COVID Times

To be perfectly honest, it took a few months before really acknowledging and believing that I was growing a little human in me. All of this couldn’t have happened at a better and worse time while the world was falling apart thanks to a global pandemic. There was widespread panic in the early days when we were ordered to work from home, which was then followed closely by lockdown restrictions.

While healthcare embraced and transitioned to telehealth, my antenatal appointments became a lonely journey as my husband wasn’t allowed to attend any clinics or scans with me. My nearest and dearest missed out on seeing the growing watermelon I was smuggling around in person. And zoom meetings made it a little too easy to hide the pregnancy from the world, which wasn’t necessarily a bad thing.

Initially, I had planned on sharing the news once we hit the 12 week mark. Then a friend shared that they had miscarried, among other stories of friends struggling to fall pregnant. I felt guilty. Suddenly it didn’t feel right to share my news. It also always felt like I was holding my breath until we hit the next milestone before I told myself that I would feel comfortable sharing the news. So we never quite got there until the very end.

I thought this conflict was interesting because I had always wanted to share my journey of managing diabetes during pregnancy in real time. Both as a way to keep track of what was happening and reflect in the moment and to be as honest as possible through the good times and the challenging ones. My motto has been that we will deal with whatever happens but I wanted somewhere to write them all down. However, with the chaos around work and the pandemic, I think the larger part of me enjoyed the unique quietness around pregnancy I might never experience again.

It was almost blissful to roll through the pregnancy away from any spotlight and unsolicited advice/belly touching from strangers. Although the occasional stupid comment about having an “iso-baby” surfaced from time to time. Traffic and parking were rarely an issue when it came to hospital appointments. Working from home meant more flexibility for rest and saving money from having to buy a brand new maternity wardrobe for work (not that it really stopped the online shopping!).

The thing I struggled most with was the lack of face to face childbirth education classes, which had all been cancelled and replaced by online videos due to COVID. After spending the majority of my working day in zoom meetings, the last thing I wanted to do was watch educational videos online for myself. When I had finally scored a midwife appointment, I was bitterly disappointed to then be referred back to online resources again without any attempt to do face to face education during our consultation.

One thing for sure though was the fact that I would not have survived through this journey without my support network. Their advice, encouragement and excitement for bubs kept me going and I knew that no question was too silly with them (partly because they’ve been exposed to a million other silly things I’ve done in the past!). Goes to show that peer support is important no matter what area of healthcare you’re in.

My Diabetes Inklings

Our Biggest Adventure Yet

When I was in high school, my idea of a perfect life was to have a steady job somewhere and a family with two to three kids. I saw myself as a family focused person and couldn’t imagine being in position where my job and my identity would be closely intertwined. As the years went by, so did the years of study (and accompanying degrees) and ambition to climb the career ladder.

Sure, having children was something that still bubbled away at the back of my mind. I had no shortage of people around me reminding me of this. But there was always something else I wanted to do to “line my ducks in a row” before we got to that stage and I kept saying to myself that I still had time on my side. Besides, I didn’t feel ready to be a mum yet, I selfishly still enjoying life without having the responsibility to care for a tiny human.

2019 ended up being a massive year of “ticking off” the life milestones. It wasn’t long before my endo sat me down to have another discussion about planning for pregnancy. Because with diabetes, there is little in life you want to leave unplanned. I knew this was on the cards and it was one the reasons I had been trying to get on top of my diabetes management and my A1c within range over the past year. Except this time round, I left the appointment with an actual referral to a pre-pregnancy clinic.

I was a ball of mixed motions when my first appointment came round. There were nerves, excitement, trepidation and gratefulness for being accepted into the clinic in the first place. We went through all the usual information around diabetes and pregnancy; the risks involved (especially with diabetes), how the care process works and what the next steps were.

The endo I spoke with was beyond lovely to put my worries at ease and made me feel like I would be coming on board a very supportive team if/when I fell pregnant. I left the clinic with a long list of bloodwork to do, things to read (which I think are still sitting in my bag untouched), and action items to complete.

Everything seemed to be tracking well and we were given the official green light to start trying. The only thing that was odd was my thyroid function tests. It seemed to be jumping all over the place and my endo(s) couldn’t figure out why. My usual endo had put it down to the different pathology labs’ interpretation and ordered a repeat of the tests for my next appointment. Then my sugars started to play up and I thought it was because of my thyroid and stress at work.

Until my period tracker said that I was late…but it must be from the stress at work…

Three days later I woke up in the middle of the night (okay about 4am…) needing to pee. Then suddenly I thought “what if…”

Even though we had been trying for months, we had started to become a bit blasé about the whole “start a family” thing since nothing had happened so far.

But what if…

Yep…
…the magic wands have spoken.

To be continued…

My Diabetes Inklings

Finding Rainbows Among Storms

If there’s anything 2020 has taught me, it is how to find the silver lining of any situation. I’d like to think of myself as a pretty optimistic and resilient person. Because of that, I think people are surprised when I talk about trying to overcome imposter syndrome, which is rife in academia and to a certain extent in the diabetes advocacy community too.

As humans, it’s in our nature to compare how we’re doing against others. It’s not necessarily a bad thing, as comparing ourselves to a higher standard or benchmark can often push us to be better. However, it can certainly make for some pervasive negative self-talk and an overly competitive environment rather than collaborative one if we’re not careful.

What is key though, I believe, is surrounding yourself with like-minded people who truly believe in the work that they do rather than chasing the spotlight or the next academic achievement. That’s not to say we shouldn’t be ambitious in pursuing our goals and dreams, but to do so while staying grounded.

Earlier this month I found out that my application for academic promotion was rejected. I was absolutely shattered and spent the day moping around, being angry and upset. There were tears and comfort eating involved. My reaction surprised me because I had initially thought I was too young and early in my career to apply for promotion anyway. Yet I was bolstered along by my very supportive mentors, colleagues and friends. So I thought that maybe I had a chance and approached it with the “you gotta be in it to win it” approach.

When the outcomes were announced, my reaction surprised me. There was so much negative self-talk, beliefs that I wasn’t good or deserving enough and embarrassment with a sense of failure. After the initial shock and tears (literally, running to my husband who was still in bed and cried for a bit after reading the email), I told a few close colleagues.

Our conversations meandered from sharing the disappointment of the outcome (and a few choice words), to the nature of our teaching and research role in academia. Slowly, I came out of my haze and started to feel bloody grateful for my job. Never once did the words failure or embarrassment emerge. Instead, we talked about the opportunity we have to shape our future nutritionists and dietitians while trying to make a difference in the diabetes community and healthcare system through research.

Equally, the people I spoke with could’ve easily dismissed me and said I was naive to apply for promotion or laughed at my attempt to chase the academic ladder. (Although to be honest, I wouldn’t be friends with people who put me down…) Instead, we reflected on our environment, where we’re at in our careers and what we wanted from it and the bigger things in life.

I am so thankful to be reminded of WHY I’m in this job and career rather than just blindly chasing the next ladder rung. It brings me so much more happiness and contentment doing so in an environment where the stress and constant pressure are high. And with the current world situation, we definitely need more rainbows. So if you’re reading this, take this as a reminder/sign to focus on your WHY and to thank the people around you who keep you grounded, supported and sane.