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!