Friday, October 30, 2009

Gestational Diabetes

I heard back from the doctor's office on Tuesday that I have gestational diabetes. I have to admit that I was a little surprised by the news. On the one hand, I do have a family history of type II diabetes, on the other, I'm a pretty healthy person. Pre-pregnancy, I was a pretty dedicated exerciser and generally ate healthfully, although I've always had a sweet tooth.

I've really been feeling guilty about it, like there was something I did or failed to do that made me have GD. Luckily, one of my best friends is a doctor and she has done a great job of reassuring me that since I have a family predisposition, there's nothing I could've done to prevent it. Now, I just need to focus on eating a low carb diet and monitoring my blood sugar. That's the best thing I can do for my baby.

I met with a dietitian yesterday to get a meal plan and learn to use the glucometer. The meal plan isn't terribly restrictive, but I did find myself hungry yesterday after following it. I think I need to add a little more protein and veggies at each meal in order to keep myself from getting too hungry. The dietitian was very nice, but the whole thing feels very overwhelming to me. I've had to watch my diet closely my entire life since I do have a family history of diabetes and have always teetered on the upper range of a "normal" BMI. I was really enjoying the fact that pregnancy gave me a brief respite from watching my food so closely, but the GD ends that.

Between worrying about the GD and getting ready for the baby, I just felt so overwhelmed yesterday. I tried my best to keep the tears at bay, but ended up crying in the dietitian's office, which was so embarassing. She was super nice about it, even saying, "I'm menopausal, I know hormones make it hard." I cried for a solid hour and a half after leaving her office. It was awful.

Brett and I sat down together last night and planned out three GD-friendly breakfasts, lunches, dinners, and snacks. Then we went to the store and bought the groceries I'll need to stick to the GD diet. I feel a lot better now that I've had time to figure out my plan of attack.

In addition to the diet changes, I have to see my MW weekly now and get NSTs twice a week. Luckily, my boss is letting me keep track of those appointments and count them as sick leave. I get 12-weeks of maternity leave, regardless of how much leave I have banked. The only thing is that I get full pay for each day of leave that I have accrued vs. 60% pay once I run out of leave. This really isn't too big of a deal to me, though.

My MW did say that the GD diagnosis means that they will not allow me to go past my due date. Since I am pretty insistent on a natural, spontaneous labor, I asked her if we could do everything possible to induce labor naturally. I think this will entail lots of sex, walking, and her stripping my membranes at 38.5 weeks. Here's hoping this baby comes early on his own so that I can have the natural delivery I want.

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