Tag Archives: gestational diabetes

Yip!

The nurse called to tell me about the results of my fasting and glucose bloodtests I took on Monday morning. Both were perfectly normal! No more blood tests for me! Yip yip yip!!!! She was unclear on whether this means I am no longer considered a GDer….as in, she didn’t know whether or not I need to keep following my special GD diet. She said to just keep up with it and I can discuss it with Dr. Zen at my next appointment.

Which is fine, I am perfectly okay with this new eating plan. But I will probably splurge on more milkshakes, since I want those babies growing nice and chubby and since I became OBSESSED with them the moment I got the initial GD news. (Haha.)

This has been an nutty, busy, stressful, looooong week of work—with a blizzard thrown in for good measure. Suddenly, my sleep went from bad-ish (waking every two hours to pee and think about the state of the world) to bad (not comfortable in any position, oddly achey legs that remind me of marathon training, weird heavy-ness in my lower ute that makes me panic-y-ish, can’t fall back to sleep unless my bladder is 100% empty, which honestly means getting up and peeing all.the.time, etc!)….which has not helped me power through the craziness at work. I am seriously like a beached whale flipping around in bed every night, poor poor hubs! But it is soooooo worth it for the sweet little babies to be comfie and growing big, strong and healthy in there. Sweet little babies.

I am SO HAPPY it’s Friday and that I got some good GD news to end the week. Yip for 29 weeks! Keep growing big and strong, Baby A and Baby B!! 🙂

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Ahh, Dr. Zen

Alrighty, here is a big ‘ol 28 week update.

  • I showed up for my 10am appointment having not eaten or drank anything since last night and they literally had no idea what kind of blood draw they were supposed to do with me, it was chaos for almost 45 minutes. I was like, PEOPLE! I would rather not beg you to draw my blood! I’m just following the OB’s orders! Whatever is going on, can I please just eat my breakfast?! They eventually sorted it out and we did my fasting blood draw and one-hour post-breakfast blood draw. The lab technician explained the confusion by saying, “It’s just so RARE we have people fail the 3-hour GTT.” Thanks dude. 🙂 I splurged on part of a milkshake AND a piece of apple pie on Saturday (with protein, promise!) so I hope that didn’t f- up my results. Oh well.
  • The growth scan was awesome. Baby A (boy) is measuring 2 pounds 11 ounces and Baby B (girl) is measuring 2 pounds 9 ounces. Good good good job, sweet little babies! Keep growing big and strong!!!
  • I got to see Dr. Zen for the first time since our 21 week anatomy scan! She is such a calm, soothing presence and is so honest and articulate. I really really really like her.
  • Baby A is head down and Baby B is breech. Dr. Zen said that, barring the myriad complications that can happen at pretty much anytime now, she wants to do a vaginal delivery with me. This is my first choice, too, as I would like to experience labor. (I know, nutso.) I told her I would prefer the vag-delivery if I could have my druthers, but also that I am 100% comfortable doing whatever is best for the babies, whether that’s c-section or whatever.
  • I can continue swimming, lifting, elliping, walking, working, sex, etc etc etc for as long as I feel up to it. Btw, I am not really feeling up to much these days. 🙂 Just sayin’.
  • Dr. Zen said if I can make it to 36 weeks I’m going to be very big and uncomfortable and that she recommends working from home or working reduced hours, if possible. Unfort, that is NOT possible with my job. If I’m not at work, I’m not able to work. (Side note: I could maybe work from home on Mondays, this is something I’ve requested for post-maternity leave but my bosses are still thinking it over.) She understood the predicament and suggested I simply not take on any new projects starting at 36 weeks. (Oh, to make it to 36 weeks!)
  • Because the twinsies’ feet are in about the same spot, I can’t differentiate movement from them individually. Dr. Zen said I should feel at least three bouts of movement a day.
  • She did a manual cervie check and I’m long and closed. Phew.
  • I gained one pound over two weeks, for a grand total of 23 pounds. This seems low to me, but Dr. Zen isn’t worried so I’m not going to be either. I was eating so weirdly for that week before I met with the R.D., I wonder if that’s to blame?
  • We talked about Braxton Hicks. (Yes, I talk to EVERY doctor about BHs.) Leave it to Dr. Zen to finally make me understand them! She said, “You know when you get up from going to the bathroom and you have some tightness all over your stomach?” Yes, I do know that feeling. “Those are BHs.” So far, I don’t think I experience them much outside of the zillion and one times a day and night I go to the bathroom. We’ll see how long that lasts…
  • What I do have: random shooting pains in my lady parts region. And random stabbing pains on the right or left side of my uterus. It is pretty cool that my body is doing weird stuff, and I try to focus on that and not panic! Sometimes at night I feel crampy-ish—like that heavy pre-period feeling—and it freaks me out because many bloggies describe the time right before labor in the same way. Again, zen zen zen zen. I am trying to trust that if something is wrong, or I’m going into labor, I will KNOW.
  • Speaking of the bathroom, I’m seriously going a minimum of every 2 hours at night. It’s been like this for the past month. No wonder my right groin muscle kills from swinging it over my Snoog so much, this is what I’d call a chronic overuse injury.
  • We’re scheduled to attend our first of two multiples birthing class on Wednesday night. Unfortunately, there’s a big blizzard heading straight for Chicago on Wednesday so I’m guessing it’ll get cancelled. Hopefully they will resked soon, we are now in the anything-can-happen–zone and I would really love to get this class in ASAP.
  • I have not really blogged about it, but I am literally obsessed with the baby room we’re putting together.  Since we have not traveled or hosted guests the past two weekends, and since I’ve phased out all freelance work going forward, I’ve been able to make progress on all sorts of house projects on Saturdays and Sundays. It feels SO GOOD to cross some long-standing items off my long to-do list. Hubs is crazy-busy with some academic deadlines, but he’s a good egg and helps where he can. Stay tuned for deets.

It’s pretty crazy to be talking about labor and the baby room and ending work and all of that stuff. (Please let everything be okay!!) I am hoping and praying so hard that our sweet little babies keep growing big and strong and that I am able to keep them in as long as possible. So much is out of my control, I am going to just keep feeding them healthy foods, taking it easy when I can, resting as much as possible, exercising when I’m up to it, and working hard at work and at home to create the safest, happiest, most nurturing place possible for them when they are ready to meet hubs and me.

Keep on keeping on. Zen zen zen zen. Positive thinking. All of that good stuff!!!

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Consult with the R.D.

Since I got the ‘ol GD diagnosis last Wednesday, I went crazy Googling and reaching out to women who had GD during pregnancy. And then I went a little crazy overhauling my diet….majorly cutting back on carbs and eating a lot more salads instead of sandwiches. The result: I have been hungry all week. Which I KNOW is not good for the babies, who need to grow big and strong!!!

Fortunately, what I was missing was some advice from an actual expert. I met with my clinic’s R.D. yesterday morning. I learned that I am seriously borderline…she was almost surprised my clinic sent me to her. But the rules about GD are becoming more stringent, and my clinic is dutifully applying their latest rules to people like me. (Women typically have to fail two of the blood draws to be diagnosed with GD, I failed one by less than 10 points…and I passed the fasting blood draw no problem…my OB and R.D. said that means I wouldn’t have been flagged had I done a traditional screening test that most clinics use.)

All of that said, I remain really grateful that my clinic is taking my results seriously. As bothersome as it might be to have to count carbs and stuff, I’d rather be safe than sorry. And who knows, once I begin my weekly blood draws (fasting level then breakfast at the doctor’s office, then another draw one hour later to see how my bod is dealing with glucose), maybe I’ll be failing left and right and we’ll all say SEEEEEE, the new rules are there for a reason!! But I’m hoping I can pass a few tests because then my clinic will just let me follow my new diet and go on my merry little non-blood draw way. 🙂

So here’s the gist….

  • Carbs are NOT out, in fact, I should eat them at every meal and snack. But I need to count them and not exceed 175–200g in a day.
  • I need to always eat protein with my carbs. So, instead of a plain apple, an apple with peanut butter smeared on it. Instead of a half a cupcake (yes! they are allowed!), a half a cupcake with a handful of nuts. Instead of my usual Cheerios for breakfast, a whole grain English muffin with an over-easy egg.
  • I need to eat every 2–3.5 hours even if I’m not hungry.
  • Exercise helps insulin do its job better (breaking down glucose so the body can use it efficiently). I’m adding back my morning calisthenics and weight lifting sessions in front of the Today Show, which I’d become soooo lazy on. It feels good! 🙂 And I’ll continue my weekend swims and EZ ellips sessions + upper body weight lifting.

That’s about it. We also talked about my uber-low iron levels, which haven’t improved since they came in so low at week 9—depsite the fact that I went on a daily iron supp and eat plenty of animal protein and leafy greens. My Mom and little sister have always had low-iron but I’m not sure about what my levels were like pre-pregnancy. Obviously, it’s nothing so bad that I was anemic or fatigued—I mean, I used to do marathons and half-ironman triathlons so I had the energy to train at a pretty intense level! The R.D. said iron levels are genetic and that even though my levels are “low,” they are clearly fine for my body. And the only I thing I care about—the health of the babies—is not in question: They get what they need from me. But, we’re splitting up when I take my supps to see if that makes a diff in how my bod absorbs it (iron and colace in the a.m., calcium + vitamin D, prenatie Rx and colace in the p.m.

I realize that I’m not having to do daily blood tests and insulin injections (and I really really really hope I don’t have to down the road!), but I want to put it out there that this is not the worst thing in the world. It was pretty cool to meet with a dietician who specializes in pregnancy. I got all sorts of cool info on calorie requirements for twinsie Moms and basic pregnancy nutrition advice. It’s stuff I wouldn’t have learned were it not for GD. Thanks, GD!

So, first blood draw on Monday. And that’s also the big monthly growth scan day. And I get to see Dr. Zen! (I’ve only met with her at 9 weeks and after the anatomy scan and I miss her.) For those who are counting, I am 27w5d. Inching toward the big 3T…please let everything continue to go smoothly and let our babies be perfect and healthy. Grow, sweet little babies, grow! I love you so much, I would do anything for you!

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On the border….yet again

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. 🙂

Sigh!

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.

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Holiday happenings

A very belated HAPPY HOLIDAYS, bloggies! I hope everyone had a wonderful holiday, whatever you celebrate!!

I’ve been totally AWOL! First work was craaaaaaaaaaaaaazy before the holidays. Then we were in Philly for Christmas with hubs’s family and I forgot to pack my lappie’s power cord….so I had to ration my battery power to actually do work and not blog. (Sigh.) I read your posts from my phone but it’s impossible to comment that way so please forgive me for being behind in checking in with all of you! We got stuck in Philly with the crazy weekend snowstorm. (Ugh.) We ended up renting a car and driving down to DC yesterday because we couldn’t get a flight back to Chicago from Philly, all of the 12-hour trains from Philly to Chicago were full (!!) and we didn’t feel comfortable driving the 12 hours on winter highways….anyway, we finally made it home at midnight last night and I am so so so so so so happy to be here! Back to my comfie bed (no more fold-out couch!), my lovely Snoogle body pillow, my humidifier, my awesome shower with its amazing water pressure, my healthy breakfast options (no more bacon every morning!)….ahhhhhh, home, sweet home.

The babies got lot of loot this Christmas. 🙂 We got carseats and a travel crib from my parents. Hubs’s parents gave us a rocking chair for the nursery and some onesies. Hubs’s sister gave us a nursing pillow and stuffed animal and more onesies. Hubs’s brother gave us a flip video cam. And my sibs all went in together on a totally adorable night light for the nursery (above) that I would never have splurged on for myself but have been eyeing for 6 solid months.

Lucky us, lucky babies! And now for some random updates….

I am feeling good but big. I stopped jogging after the Turkey Trot with my fam over Thanksgiving and have been rotaing yoga DVDs, swimming and the elliptical a few times a week. Just getting to the gym is becoming more of an effort but it’s so worth it to get some exercise and feel like I’ve got a healthy routine in place. Hubs and I hit the gym a few times over the holidays and it not only felt good to move around, but it was also lovely to get some Zen, me time away from the house.

*****

Over the holiday weekend I had some discharge that freaked me out. It was more copious, yellow and a thicker consistency than the usual thin, white stuff I get. The next time I went to the bathroom there was some semi-solid discharge, about the size of a pea. Of course I used my phone to Google my findings and found scary stories about women losing their mucus plugs and going into premature labor. It was the day after Christmas and we were officially stuck with the snow so I opted not to call my doctor’s office, figuring they’d hear the fear in my voice and invite me into the office to get it checked out (which I couldn’t do). The discharge went right back to normal and I took it easy snuggling with hubs’s family’s dogs in front of the TV the rest of the weekend so I feel okay about it. But I’ll ask my OB about it when I go in for my growth scan next week. (Grow babies, groooooooow!)

*****

I also have my gestational diabetes test next week. Just this month my clinic eliminated the orange drink-blood test because they felt they were getting too many false positives. So they told me to scrap the orange glucose fluid they’d sent me home with in November and to come in for that 2nd test most folks only take if they fail the first one, after having fasted for 8 hours. I know twin Moms tend to develop gestational diabetes more often so we’ll see what happens…..at least I’ve had my fill of egg nog (gallons worth, seriously!) before I get the news!

*****

I rolled my ankle and fell again today. 😦 Hubs and I were walking some groceries into the apartment and I bit it as I crossed a small patch of snow to the sidewalk. WTF?!?!? I twisted my body and landed on the snow on my side, but it scared me again and I’ve got new bruises and my right ankle is swollen and blue again. (I felt them bumping a little bit after lunch so that made me feel better.) I guess that old saying that pregnant women lose their sense of balance/have looser joints is not a myth. I have been so careful, but I guess I need to take it up a few more notches!

*****

Between the weird discharge, the stress and fatigue of traveling and being stuck away from home due to the snowstorm, I’m starting to see why many clinics encourage preggos not to travel past 24 weeks. I have one more trip to KC for a shower with my Mom’s girlfriends the first week in January and that’s the end of airports for me. I am obviously so very very excited for this shower and to be home with my family again (three times from Oct 31 to Jan 7, that’s totally a record for us!), but the honest truth is that nothing sounds worse to me at this moment than traveling again in 9 days. I pray we don’t get stuck again and that it goes a lot more smoothly than our recent trips to NYC and Philly!!

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