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Yep - Flunked

The office ceiling for the test is 135, and I scored 166.  Given that my understanding is that at 200 they don't even bother with the second test and just declare you diabetic, I'm not feeling very encouraged.

So Thursday morning I go in for the three hour extravaganza, and then I spend the next week or two spiking my blood pressure while I wait for the results.

This really isn't something that I'm wired to cope with.  I nosed around a bit to find out about some of the diet suggestions for controlling gestational diabetes, and without exception the information that I found pretty much exclusively consisted of things that I would rather be hungry than have to try to get past my taste buds.  On the other hand - I won't have to worry about gaining a ton of weight at the end, because I won't be eating much.  Giving stuff up isn't too bad.  It's adding the stuff that tastes like crap to me that's going to be impossible.

I knew this was going too well. 

zfarcher, can I still borrow the extra kit if I need it?

On the amusement side, the nurse was absolutely flabbergasted that my office still doesn't know.  What can I say - I'm still enjoying the peace and quiet.  It'll be over soon enough.  I'm figuring that the cat will be out of the proverbial bag next Friday, if not sooner.



( 26 comments — Leave a comment )
Jul. 1st, 2008 03:42 pm (UTC)
That was me
Tell me what you do not like and what you do and I will send you my best recipies. I did quite a while on the south beach diet which is all about your blood sugar levels. Lot of yummy and tasty stuff. So much that I did not loose much weight, Portion control is my issue.

Jul. 1st, 2008 03:43 pm (UTC)
That was me
Rennata Here, I do not know why it posts as anon.
Jul. 1st, 2008 05:57 pm (UTC)
Re: That was me
It does that to me every so often.

The problem is that I'm such a horribly picky eater. Portion control is difficult for me, but I could probably win that one. It's all the things I just can't stand. Like anything that contains the phrase "whole grains." Bleh. Wallpaper paste.

We'll see what happens on Thursday. If that one goes awry I'm going to insist that they set me up with a dietician rather than just being sent on my way with a squashy "your GD diet" sheet that doesn't include specifics.
Jul. 1st, 2008 04:05 pm (UTC)
Oh hon...I'm sorry. :-( Well, just follow reccommendations & everything will be fine.
Jul. 1st, 2008 05:49 pm (UTC)
Think positive - I may yet pass the three hour!
Jul. 1st, 2008 04:21 pm (UTC)
You should talk to albreda. She's SCAdian, the mother of twin girls, and currently gestating Lumpy and working around the gestational diabetes issue.

I'm pretty certain that she'll be able to give you some useful advice as to how to deal.

As to the diet thing -- low carb. is usually best for diabetics. The ADA recommends between 100 and 150gm carb per day for diabetics. This is much too high. If you can keep your non-veggie sources of carbs to 50gm/day you'll have a much easier time of controlling your glucose. Don't go low-fat. If you're not getting energy from carbs, you need to get it from fat and the Product of Gestation(tm) needs fat for proper neurological development.

Don't add the stuff that tastes like crap. You don't need it. Protein, veggies, some fruit in moderation (varies by sugar content -- citrus is usually a bad choice, but strawberries a good one), cheese and yoghourt (greek, plain, throw in fresh fruit), eggs... Make what little grains you eat whole grains (the fiber is helpful and they don't spike your glucose as much. Eat protein with your carbs as it slows down the conversion to glucose and keeps the levels level.

Feel free to rant, whine, or ask for advice over email, or in person. It's not the end of the world, won't prevent you from having a beautiful and healthy baby. It's just a bit of a PITA to deal with.

Jul. 1st, 2008 05:49 pm (UTC)
Well, I'm not there yet, so I'm thinking positive.

"Don't add the stuff that tastes like crap. You don't need it."

Yeah, that's the problem. In my universe, stuff that tastes like crap includes strawberries, cheese, yogurt, whole grains (they all taste like wallpaper paste,) and an awful lot of vegetables.

This could be very trying. But for now I'm thinking positive. A lot of people flunk the one hour and pass the three. That's the whole point of doing the second screening.
Jul. 1st, 2008 05:51 pm (UTC)
Well, when you get the results of the 3-hour, let me know. Perhaps we can find stuff that won't spike your glucose but will not taste like crap. And I'll take care of your share of the strawberries :D

And srsly -- if you need to vend, I'm more than happy to listen.
Jul. 1st, 2008 05:58 pm (UTC)
Thanks. I'm not going to borrow trouble just yet, but I *am* starting my reading so that I won't get caught flat footed.

More than welcome to the strawberries. May I have your lima beans?
Jul. 1st, 2008 06:04 pm (UTC)
Sure thing. I do quite like them, but it's a fair trade :D

Reading is good. A lot of the advice needs to be taken with a grain or 10 of salt. It's also worth noting that what works for one person might not work for another. We're all a bit different biochemically speaking. The ultimate expert on your body is you!

Also -- bytchearse knows a fair amount about diabetes and food, though I suspect he's not as well-informed on the gestational bit :D

Edited at 2008-07-01 06:05 pm (UTC)
Jul. 1st, 2008 08:34 pm (UTC)
You and my husband are the only other two people I know who actually *like* them!

"We're all a bit different biochemically speaking."

If I'm correct, that's the logic behind following up with the three hour screen - some people process sugars just fine, but it takes them longer.

It's my own darn fault for getting pregnant while being 60 lbs overweight...
Jul. 1st, 2008 08:50 pm (UTC)
Oh don't get me started! One of these days when we have some spare time, I'll tell you some hair-curling stories...

You might want to check the archives of Junkfood Science. She's got some interesting studies on pregnancy and weight that basically seem to say that weight prior to pregnancy has very little to do with the outcome.

Age at first pregnancy is possibly a more likely indicator of "issues" than weight. But neither of them are contraindications, even when they happen together.

Don't take any shit from doctors, midwives or nurses. Well, maybe a little from midwives, cos most of them know more about it from experience than most doctors are taught.

BTW -- if you are having difficulty processing sugars then that could account for your fatigue.
Jul. 2nd, 2008 05:37 pm (UTC)
Do me a favor? Save the hair-curling stories for, oh, October or so.

Personally, I find that the midwives frighten me more than the doctors and nurses. "True believers" of any stripe tend to make me shy away. All of my "western" medical care people are very supportive of the non-traditional care that I receive. I can't say the same of the non-traditional practitioners.

I've always been a very "bad" patient: doing my own research, asking lots of questions, etc. I've always found doctors who like that attitude, so I've avoided starring in any of the horror shows.

A couple of people have pointed out the fatigue link. But I've still got my fingers crossed for tomorrow's test.
Jul. 2nd, 2008 05:39 pm (UTC)
Certainly -- Perhaps even next Pennsic.

I've got my fingers crossed for you tomorrow as well.
Jul. 2nd, 2008 10:41 am (UTC)
lima beans
Rob and Victoria like 'em too.
I tolerate them, but there's other kinds of beans I like better.
Jul. 1st, 2008 05:38 pm (UTC)
Jul. 2nd, 2008 10:41 am (UTC)
I have no idea what happened here.
I'm sure I was expressing sympathy and support...
Jul. 1st, 2008 07:45 pm (UTC)
Gestational is not too much different. Being diabetic myself I try to follow the Glycemic Index. You can google it. it's basically what the South beach Diet is based upon. Some websites give the numbers for different foods. The lower the number the better. You would be surprised . I didn't think that whole milk is lower on the GI than skim milk.. Good Luck. Try to limit fruit juices. It is better for your blood sugar to eat the whole fruit.
It isn't that bad. Good Luck with it.
Jul. 1st, 2008 08:37 pm (UTC)
It's the fussy eater in me that's screaming in protest. All the things that are recommended are things I despise...

I don't usually drink fruit juices, so that's no hardship. Been drinking skim milk for a while. Lots and lots of water.

Do you think if I freak out hard enough the universe will cut me some slack and let me pass the next one? :-)
Jul. 1st, 2008 09:10 pm (UTC)
"Do you think if I freak out hard enough the universe will cut me some slack and let me pass the next one? :-) "

One can only hope honey.
Jul. 2nd, 2008 05:37 pm (UTC)
I'm mostly over it. But I've got my fingers and my toes crossed.
Jul. 2nd, 2008 12:08 am (UTC)
First, I'm sorry that happened. :^( It is one more thing to worry about...

Second, as someone whose been through it twice now, it's not really that bad, if it comes to it. Speaking from experience, at 166 they may say after the three-hour, "It's close--come back next month." Once you've experienced the full-fledged party that is the 3-hour GTT, you may opt to say, "That's OK--I'll take it from here." (Which is what I did this time--it would have been my 3rd 3-hour if I had agreed to do it, and I was done...I've been monitoring my own sugar for a week now.)

Third, if it helps, I've found that my eating hasn't changed all that much--I just take smaller portions of the carbs and bigger portions of the other stuff. If you go the route, they should recommend a nutritionist consult: take it. I found them (one for each pregnancy) very helpful.

All that said, I hope I'm wasting my time. :^) Good luck!
Jul. 2nd, 2008 05:39 pm (UTC)
I just need to wait and see how the three hour comes back. We'll work it out. If I need to do the adjust the diet thing I'm going to ask them for the nutritionist - I've got good insurance so it should all be covered.
Jul. 2nd, 2008 10:06 am (UTC)
That sucks. Hang in there!
Jul. 2nd, 2008 05:41 pm (UTC)
I'm trying (against my nature) to be optimistic. Hopefully this can all be resolved without needles. If not, I might need you to give me a pep talk/pointers. I'm sure I can do it if I have to, but the thought makes my skin creep.

But nothing bad has happened yet!
Jul. 2nd, 2008 09:29 pm (UTC)
It's my understanding that the insulin needles are similar to the lovenox needles, i.e. very, very fine. I had to give myself shots for about two months the other year and it wasn't anywhere near as bad as I'd feared it would be. In general just a small sting, and sometimes I didn't feel it at all. And at least insulin doesn't leave you looking like someone was using the injection sites as punching bags. 8) I suspect that finger sticking would be the worse part, and they now have meters which can test from other bits with far fewer nerve endings to annoy.

But try to cross that bridge only if you get there, not before.
( 26 comments — Leave a comment )