This week has been a week of milestones and life changes for me. I am now 30 WEEKS PREGNANT! 10 more weeks to go! Let the countdown begin. Also, I am now diagnosed with Gestational Diabetes.
Remember in my previous post, I mentioned that I had to go to the hospital to take a 3-hour glucose test. In the beginning of the test, before you even drink the Glucola, they test your fasting glucose level. This tells them how much sugar is in your blood after 8 hours of fasting – no food, only water. The normal number should be under 90 … mine was 134. Because it was so high… I couldn’t even continue with the test. They sent me home.
A few long and agonizing days later, the doctor finally called to say I have been diagnosed with Gestational Diabetes and I have to go to a Diabetes Education class to learn how to use a Glucometer (a device that pricks your finger to test for blood sugar) and learn how to change my diet. The doctor doesn’t want to put me on medication right away. They always want to try to lower my blood sugar levels with diet first.
I’ve been logging all my meals and I’ve been following sample gestational diabetes meal plans. I have to test my fasting glucose first thing in the morning, and test again 2 hours after every meal. So, I’m testing my blood 4 times a day. The nurse said that my morning fasting blood glucose should be 95 or below. 2 hours after each meal it should be below 120. My glucose levels have been within the normal range usually after every meal… the only issue I’m having is higher than normal fasting blood glucose in the morning. Every morning. I am suppose to be below 95… and it has consistently been in the low 100’s (between 101-116.) I have adjusted my meals before bed and have done everything I’m told to do but I can’t control my fasting glucose number.
The nurse said that if I have continuous high fasting glucose levels, they would most likely have to prescribe medication for that because fasting glucose numbers are the only numbers that you can’t really control by diet. I’ve also read that pregnant women that have high fasting glucose numbers will most likely still be diabetic after pregnancy. Usually the diabetes goes away for most women after pregnancy because your body’s demand for extra insulin for you and the baby is not necessary after birth… so the body’s blood sugar levels drop back down to normal and you’re not diabetic anymore. But for me, I don’t think this will be the case.
Extra sugar in my blood crosses the placenta and gives baby girl more sugar than needed. That extra sugar is converted to fat. This leads to bigger babies when moms have gestational diabetes. There is a higher risk of complications during delivery for baby and mom if the baby is too big. I asked the nurse if I’ll need an ultrasound to determine the weight of the baby. She said that it is not necessary right now. In fact, all they need to do is measure my belly at every baby check-up. If my belly is too big, then they will schedule an ultrasound to better determine baby’s weight. She also said right now is way too early to even know if I would need a c-section or not (if the baby is too big.) Hopefully I will be able to deliver on my own now that I am closely monitoring my glucose levels, have changed my diet and will start medication quickly if needed.
The baby may have low blood glucose after she’s born. This is because she would be used to the extra sugar in the womb and her body is trying to produce the extra insulin needed to control her own blood sugar in the womb. Once out of the womb, she will no longer be getting that steady stream of sugar and her blood sugar may drop too low than what she’s used to. She will need to be closely monitored after delivery to make sure her blood sugar levels aren’t too low. If it is, they can fix it by giving her some sugar water. I too will have my blood sugar checked right after delivery… then again at about 12 weeks post delivery to see if the diabetes is gone. I have a feeling I may still be diabetic after I deliver. I will keep logging my blood sugar and meals after delivery so the doctor will already have a clear picture of what’s going on with me once I’m tested again in 12 weeks.
This adjustment has been lots of work and takes so much time. I have to measure out my food and log every meal. I have to count the carbs for everything I eat. I always have to remember to eat at the right times. After meals I can’t continue nibbling on something because I have to wait 2 hours to test my blood sugar. Every fingertip is sore and bruised now from all of the finger sticks when testing. I have been having a hard time getting the small beads of blood to enter the test strip and I have to keep sticking myself until I finally succeed. It has become so frustrating and mentally draining.
I’ve lost weight. Before diagnosis I had finally reached a weight of 160. I am now 154. I weigh less than my pre-pregnancy weight. Doctors don’t want you to lose weight in the 3rd trimester of pregnancy. No doubt the low-carb diet has affected my weight, but I wonder if the stress hasn’t also made me lose weight.
Last night I had a dream that I was trying to test my blood sugar but no blood would come out of my fingers. I had to keep poking myself and I was crying from the pain. I started poking myself everywhere trying to get blood to come out and I just kept crying and crying. The stress is definitely getting to me. This is a physically and emotionally hard adjustment to make. Please keep me in your prayers.
I just have to remember that God is in control. “We are confident that God is able to orchestrate everything to work toward something good and beautiful when we love Him.” Romans 8:28
30 weeks belly pic…
What baby looks like at 30 weeks…
Your baby’s about 15.7 inches long now and weighs almost 3 pounds (about the size of a large cabbage). A pint and a half of amniotic fluid surrounds her, but that volume will shrink as she gets bigger and takes up more room in your uterus. Her eyesight continues to develop, though it’s not very keen; even after she’s born, she’ll keep her eyes closed for a good part of the day. When she does open them, she’ll respond to changes in light but will have 20/400 vision — which means she can only make out objects a few inches from her face. (Normal adult vision is 20/20.)
We did a little shopping for baby over the weekend. Faith had fun :)
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