Our Little Fam

Our Little Fam
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Wednesday, May 22, 2013

Sugar Baby: 29 week 3 day Appointment update

Sugar pie hunny bun..you know I love you!

Oh the fun of pregnancy!! Today Doug, Miss E and myself went in for our 29 week 3 day apt. We had a wait which is normal when the specialist is coming from the hospital. Our apt was booked in for 8:45am we probably got into the actual first room to wait for him around 9:20am.

Doug assumed it was just going to be a Doppler apt to hear the heartbeat and check my blood pressure. He first came in and looked at my file..and was talking to us about my blood work that was done last week from my sugar test. I am considered to now have gestational diabetes!! Which means my number tested high enough that they assume you are already gestational diabetic and skip the 3 hour blood sugar test. My blood sugar after the test was 11.3 which basically means my body may not be creating enough insulin itself to process the sugar. I am now going to see the diabetic clinic at PRHC our hospital in town to get a consult.  He continued to take my blood pressure after telling me the lovely news and said he would like to do an ultrasound after the other rooms with the machines were empty to check on the size of the baby at the current time. I do not know how my blood pressure was still perfect according to him..helps that I focus on the floor and think happy thoughts.

We waited a bit longer. Surprisingly  Miss E was being really good considering how long any trip to the doctor must be for the baby...waiting and all. After about 10 mins or so we moved into the next room to wait for him to do a ultrasound. The baby is at a good wait 3lbs and I can not remember what he said for ounces to be honest. Overall all that mattered is that the doctor said the baby is at a normal wait and growth right now.

On our way out he asked us to do more blood work and they faxed the diabetic clinic for us to get in for an appointment. We went down to the lab to get the blood work done and urine sample. I did not realize I got the joy of peeing in two cups today. As if peeing in a cup is not hard enough when you are in your 7th month of pregnancy..we need to make you do it twice in a day. My poor arm is beginning to look like I have track marks. I have a bruise still from last weeks needle and the arm they use is the better arm to get my blood...so in they go again.

When we got home within a half hour I got a call from the diabetic clinic asking if I could come in today at 2pm for a consultation appointment. I was not expecting to hear from them for another week. So I called Doug back asking how his afternoon looked considering how much we were gone already this morning. They did not have any other appointments this week open so we called back and booked it in this afternoon for 2. I was not really sure what to expect other than I knew I was bringing in my old blood sugar monitor incase I could still use it and I was going to be in there for a hour.

When we first got there I had to fill out a form..general info. First we met with a nurse telling us what was going to happen and then with a diabetes dietician. When we met with the dietician she basically asked how I was eating..examples..how many meals ect. She seemed really happy with how and what I was eating I just may need to after being monitored for 3 weeks switch to adding in snacks or moving my banana to say a snack in the am in between breakfast and lunch to keep my levels down lower. I have to monitor my sugar levels when I first wake up..2 hours after each meal and what it is before each meal...and write in if I happened to have a snack in between. I did more blood work at a lab at the hospital and a finger prick with my new monitor to compare the results and check the machine result.

 I have to go back to see them March 13th..so 3 weeks out. My window that they would like me to be at is smaller numbers when you are pregnant than when you are not. When I used to monitor it could be between a 5-8 and be normal depending on what you ate, time etc. This time I have to have it at 5.6 or less in the morning and 6.6 or lower 2 hours after meals. If it is consistently higher and we try to change it with a diet change and exercise and still does not go down..then I may have to be on insulin pens until I am done being pregnant or have the baby.   

Gestational diabetes is something you have to be watched for especially in pregnancy. I am honestly surprised I did not have it with Miss E. But I was eating a lot of smaller meals all of the time since we only had 15 min breaks at work..which causes your sugars to process more regularly. This time I have lost quite  a bit of weight in the beginning ..may have gained like 11 altogether and the baby is a good size..but my levels are out of whack. The specialist believes it is all related to my hormone levels before with my past PCOS and not processing my sugars. Hormones aren't they a wonderful thing...NOT!

Some babies of mamas who have gestational diabetes can be a lot larger...than the norm. This is why they may watch you more frequently to make sure the baby is still safe and growing at a normal pace and it is still healthy to deliver in size. If too much sugar is passed to the baby once born the baby could have sugar lows. High sugar during pregnancy also causes these bigger babies to be less mature for their actual weeks gestational age. They may act like premature babies and are at risk of developing jaundice and other problems. If not properly controlled there is a risk of stillbirth. I also would have a higher risk of preeclampsia.  Miss E was jaundice when we had her..I am kinda thankful that we will be in the summer so that we will have natural vitamin D to aid the wee babe.

Soon I will have to do the strep test again. Most of the time if you are positive like last time I will be again. Which means I can not give birth if my water breaks before having a antibiotic so that is is passed to the baby ahead of time. I am allowed to stop my low dosage aspirin this Monday 30 weeks. I am okay to take my acid reducer until closer to the time of the baby's birth. I asked for the reason that it may affect my breast feeding.

So now we go back June 5th and see the doctor every two weeks. 10 weeks after this Monday coming up..8 or 7 if you listen to Doug. What a crazy day of appointments. This baby is moving tons and hiccuping and somersaulting like mad. Until next time..new blog post with pics coming soon..Miss E will be 17 months this Sat. Happy Hump Day!!!


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