Blush: GDM

GDM, or Gestational Diabetes Mellitus, has taken over my life.

In week 24, most OB’s/midwives recommend a blood sugar screening. You go in, drink an orange drink (I’ve heard there are other flavours, but the place I went to only had the one) that tastes like flat Orange Crush with 50 sugar packets added to it, wait an hour, and get your blood taken. They are testing your blood sugar level (at a higher accuracy than a diabetes monitor would be able to).

My results from that test came back at 8.4. The upper limit (to not have GDM) is 7.8.

So my OB had me go and do the whole thing again, but the two hour test this time.

The two hour test is slightly different. It must be a fasting test. They take your blood when you arrive before you drink, one hour in, and at the end of the two hours.

This time, one hour in, my blood sugar was at 12.2.

I had GDM.

Dammit.

Sugar cubes. Image from nytimes.com.

I was told this on April 5th. My appointment at the hospital with the nurse and nutritionist was on April 18th. I was given no further information.

Not wanting to endanger our unborn child more than necessary, we started doing research into how to control my blood sugar, and found the low GI diet.

Fortunately, not only was this very easy to follow (especially since I love veggies) but it ended up being the recommended diet to follow by the nutritionist that I saw two weeks later.

At the meeting with the nurse and nutritionist, I was given a diabetic monitor, test strips, and needles. (and a prescription for more of the latter two – thank goodness for insurance!) I was to prick my finger when I woke up and one hour after every meal (not snack).

Dragon insists on watching me do it and has started “pricking” her finger with a crayon and saying a random number.

I’m seeing the doctor at the hospital today, two weeks after the meeting with the nurse and nutritionist. She will hopefully say that my numbers are okay and I don’t need to go on insulin. We shall see. I’ve had a couple pretty weird readings.

On top of watching my blood sugars and eating a mildly strict diet, I also get to have more ultrasounds. One a month for the next two months, and then one a week until the baby arrives. These are to monitor his growth, to make sure he doesn’t get too big.

One of the biggest risk factors with GDM is the baby growing too large. Another is the risk of the pregnant parent developing type 2 diabetes in the future (ugh, fun).

I’m sure there will be more appointments that I’m not yet aware of. For someone with a toddler who sleeps until 11am and doesn’t have a car (but has awesome parents who give me access to theirs or drives me to the appointments, yes I know I’m very lucky), these extra appointments are very trying.

Let’s hope I don’t need insulin on top of the rest of this.


References

Diabetes Canada
Glycemic Index

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