Yesterday I had an OB appointment, the first one since I started checking my blood sugar numbers 3 weeks ago. Things have been going fairly well, as far as the gestational diabetes goes. I've settled into a routine. It's definitely easier the second time around! I always eat the same thing for breakfast (1/2 c. bran flakes, milk, and a hard-boiled egg), and I eat similar things each day for lunch (usually a turkey/cheese/spinach sandwich, or a spinach salad with chicken and walnuts, or occasionally chicken salad with spinach and a few crackers--I usually eat a piece of fruit too). I don't have any problems with these meals. Dinner is a little bit harder, just because there's more variety. A lot of the quick meals I have are carb-heavy, and I have had a few high readings after dinner, but not too many. They want me to keep my after-mealtime numbers under 120, and I've had a few over--my highest was 136 once.
Surprisingly, the number I've been having the most trouble with has been my fasting number, which I take first thing in the morning, before I have eaten anything. They want it to be under 95, and usually my number is between 95 and 99--so not terribly high, but still . . . I went back and checked my numbers from when I was pregnant with Faith (because I am just that anal, and amazingly I could still find where all that stuff was), and I never had any trouble with my fasting number, no matter what I ate at night for my snack before bed. The numbers were always around 89. I was pregnant with Faith 4 years ago, and I guess I am just that much more insulin-resistant now. Anyhow, I have been experimenting with what snack gives me the best fasting numbers. I know what doesn't work--any sort of cookie or anything, even if I have some protein with it! I've tried a bunch of different things, but what seems to work best, interestingly enough, is a 1/2 cup of a good (high fat) chocolate ice cream, and then I also eat a slice of turkey for protein. When I do that, my numbers are usually around 93--still higher than with Faith, but better than with any other "healthier" snack I have tried. Hey--I'm just reporting on the results of the experiment here--but I'm willing to eat a little bit of ice cream each night if that is what I have to do!
But back to the appointment--I was wondering what the doctor would say about my higher fasting levels (since I didn't start trying the ice cream until a few nights ago--although that is what I usually had as my snack/reward for getting through the day when I was pregnant with Faith as well), but she wasn't concerned at all. She said everything was going well, I'm measuring right on, and she was happy to hear about all my exercising (twice a day most days--over an hour a day!). She said she hopes she doesn't have to put me on any sort of medicine, because that automatically puts me into a different category of GD mom--"category 2"--and that means they monitor more closely (non-stress tests and so on), and they induce a week early. I'd be happy to go into labor a week early, but I'd rather not be induced that early, and I definitely don't want to have to make the drive to Bethesda any more often than I already have to, so I also hope I can control this GD again with just diet and exercise!
Next Friday is my follow-up ultrasound to see if my placenta has moved away from my cervix. I have been praying it has!! This ultrasound will be done in radiology, instead of in the prenatal assessment center. Then I will have my next OB appointment the following Friday. Fridays are a good day for me to make the trek, so I'm glad it's working out to have all these appointments on Fridays!
So everything is going well. I am still really loving the maternity belt I bought from Amazon. I don't think I could do all the walking and exercising I've been doing without it. I have definitely had a lot less round ligament pain this time than I did with Micah. Today I worked at a kids' consignment sale, and I was on my feet, running around for 3 1/2 hours. I was so thankful for the extra support of the belt! This baby is so active at night--I think it will be a challenge to get his days and nights straightened out once he is born! But I'm so busy during the day. It's not until I lay down to sleep at night that he starts really moving around in there! We've made a little progress on possible names, but honestly, there hasn't been that much time to talk about it! The kids have all voiced their opinions. This is where I remind them that this is not a democracy, LOL.
Just a little over 6 weeks to go!