I used to write about how anytime I’d do a medicated cycle, I’d get a “borderline” cyst that RE #1 would always decide necessitated me riding the bench for a month. It. Would. Destroy. Me. I do not miss those appointments.
Well, today at my biweekly OB appointment I found out I am on the border again. (And also that the babies look great and their little hearts are beating away!!!) Last week I took the Glucose Tolerance Test (GTT). My clinic changed its protocol two weeks before I was scheduled for my 26-week gestational diabetes screen, and, instead of having every patient do the typical screening test (drink orange glucose liquid at home, come in and get blood drawn an hour later), they now make everyone do the full GTT shebang to ensure they aren’t getting false positives or negatives on the screen test (fast for 12-hours pre-test, get a fasting blood draw at the office, drink orange glucose liquid, get another blood draw an hour later and then another two hours later…I think some clinics do three hours worth of blood draws but mine stopped at two).
Anyway. My fasting level was normal. My 1-hour level was on the high end of the normal range. And my 2-hour level was 9 points above the normal range. So….bam….I am being treated as though I have gestational diabetes. Oh, and my iron was also low (even though I take a supplement every morning and have iron in my pre-natie Rx, weird). The OB told me to indulge in plenty of cheeseburgers. But apparently SANS BUN and with no chocolate shake as a chaser, if my preliminary research on GD is any indication. 🙂
Ah, well. I am feeling a little weirded out by this news, but it’s because I want the very best for the babies. I don’t want my hormone issues to put them at ANY risk. I want them to be healthy! The next step is to meet with a dietician (I already left her a vmail…I’m ready to make my body a healthy non-carb/non-sweets sanctuary for the babies ASAP!!!!), then I will need to have all of my future appointments at Dr. Zen’s office in the early morning, because from here out I will come to them having fasted, I’ll get my blood drawn, then eat breakfast, then have another blood draw an hour later. I may have to go in for those blood draws once a week, I think the OB is going to discuss me with Dr. Zen to see how she wants to handle. Because I’m “borderline,” they think diet tweaks and office blood draws will be enough to make sure everything’s okay, I (hopefully!) won’t have to mess with insulin injections and at-home blood draws.
When Dr. Zen’s partner told me the news, I admit that got a lump in my throat. My first question was, “Was it something I did?” I have gained a healthy 22 pounds at 26w5d. I eat healthfully the vast majority of the time. I don’t eat fast food. I exercise regularly. I have a normal BMI. I have no family history of diabetes or GD. I write about nutrition, for gosh sakes! She said it has nothing to do with me, it’s about how my body processes glucose during pregnancy and that’s out of my control. And my body is borderline not-so-hot at it. (This apparently happens twice as often in twin patients.)
I’ve read blogs where the writer finds out she has GD and she talks about feeling responsible. I would read those posts and think to myself, Of course it’s not her fault, she shouldn’t feel that way! But then, when it happens to you, you do feel like it’s something you did. I’m trying to shake that feeling. The important thing is that there is something I can DO about this diagnosis.
So. It’s all good. I am okay with being on the border this time. I’m so happy my office caught me when I might otherwise have flown under the radar—this way we can make SURE that the babies and I are perfectly healthy. We’ll get it in check. These babies are going to get whatever foods the R.D. says is best for them and they are going to be healthy kiddos! 🙂
I’ll update on this topic when I’ve done the requisite hours of Googling and the meeting with the R.D., of course.