(DAD-- in case it's hard to tell, that is a profile shot of your grandson. He's looking up, and there's an arrow pointing to his mouth.)I had my first appointment this morning with a perinatologist. Because I'm considered high risk, the perinatologist is yet another doctor that I see on a regular basis. The main thing they do are in-depth ultrasounds throughout my pregnancy to make sure the baby is growing healthy and at a normal rate. Corban's dad was in Provo and was able to watch Pepper so Corban could come with me. Trying to keep her out of all the cupboards and medical waste bins isn't quite as fun as it sounds.
The baby looks great. This is the 3rd ultrasound we've had confirming that it's a boy. (So if anyone was waiting to buy baby boy stuff just in case it wasn't really a boy--well, it really is a boy!) He is healthy and growing at a normal rate. Fetuses that grow too big, too fast are a common complication of diabetics who don't have good control of their blood sugars. This was not a problem in my pregnancy with Pepper, and so far isn't a problem this time around. The perinatologist told us about some recent developments within the medical field that are changing the way diabetic pregnancies are viewed and treated. She said that the American Congress of Obstetrics and Gynecology now recognizes that not all diabetic pregnancies are the same, and recommends that they should be looked at on an individual basis instead of automatically being grouped together. The perinatologist said that since the ACOG released these new recommendations, the other doctors in her practice as well as the hospital she works in have adjusted their procedural guidelines accordingly. In an ideal world, the malpractice insurance carrier for my OB office would know this and adjust their (stupid) rules also. But I know that is a lot to expect--because it's a recent development, I know it will take time for the rest of the medical world to catch up. I don't expect anything different with this pregnancy, but maybe further down the road things will change.
I know that most women do whatever they can to ensure a healthy pregnancy, and I'm sure this is the case with many pregnant diabetics... but every time I see one of my doctors, they almost seem surprised to see a patient with good blood sugar control as well as a low A1C. I know I mentioned this recently, but it really does make my day when I get positive recognition for my low A1C from a health professional. Nerdy, I know.
On a very different topic: for some reason I thought that toddlers sticking things up their noses was something boys did, not girls. I was wrong. Over the past couple months Pepper has developed a fondness for sticking her finger up her nose, and in the last few days has discovered that rice and Cheerios will also fit up there. Yikes. Where in the world did she pick that up from??

