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Archive for gestational diabetes

Large and in charge

By Goddess in Progress · Comments (7)·   January 20th, 2011

First, a big thank you to all who commented on Delurker Day!  89 comments, that’s definitely a new record for this little blog!  Those of you who read regularly, please click through and say hi more often, it totally makes my day.  And, that means I just donated $90 to Crickett’s Answer, so give yourselves a big pat on the back.

And, once again, we’re back on pregnancy talk. I swear, I’ll say something about my challenging-yet-delightful 3-year-olds again, soon.

Went in for my 32-week checkup yesterday, and I am suddenly measuring a few weeks “ahead.”  Of course, during my last pregnancy, I always measured absurdly far ahead.  But, that time, there were two kids in there.  This time, not as much.  Three weeks ago, apparently, I was measuring right on target.  Additionally, I learned that I passed the 1-hour glucose screening by the skin of my teeth – a single point under the threshold.  (Last time I failed it by a single point, though…)  Between measuring large and my barely-passing score, my OB is wondering if I may, indeed, have gestational diabetes.

First order of business: ultrasound. Stat. Never have I gotten an appointment so quickly, literally 24 hours later.  And, joy of joys, I got to drag my 3-year-old entourage with me.  Thankfully, they were well-behaved and the ultrasound tech was good-natured.

One thing I miss about my high-risk days? The instant feedback. All of my ultrasounds were in the high-risk OB’s office, and not only were the techs pretty talkative and forthcoming about what they were seeing and measuring, but the doctor then came in immediately after the ultrasound and told me what was up.  Now, in low-risk land, the tech doesn’t want to say much, and I have to wait for results and the return phone call.

Anyways, turns out the baby is measuring pretty average, but there appears to be more fluid around her than normal (the likely cause for my larger-than-dates measurement, not to mention the old irritable uterus). And additional fluid is another potential indicator of gestational diabetes.  You know what that means…  the Three-Hour Glucose Test!

If you’ve been around this blog for a while, you might remember how well the three-hour test went last time.  To sum up: very very not well. There were lots of needle sticks and lots of crying. It was bad.  And seriously, what good can come of a hungry and dehydrated pregnant woman?  NO GOOD AT ALL.

I have a marginally better attitude about it right now.  For one, obviously, if I do have gestational diabetes, I want to get right on that and make sure it’s managed properly. Much as I hate going low-carb/low-sugar, I’m not messing around with this baby’s health (or mine, for that matter).  Plus, there is now a blood draw lab right across the hall from my OB’s office.  Not only do I not have to sit in a crowded hospital waiting room, but the phlebotomist at this lab is nothing short of spectacular.  Honestly, I’m a phlebotomist’s nightmare. My veins are awful, I’m a terrible stick.  But this woman has gotten me on the first try every.single.time.  I am going to her. Period.

It will all probably have to wait until Monday, when M can take a vacation day to be on kid-duty so I can sit in a lab for a few hours.  But if you see a bunch of hysterical, starving, dehydrated tweets on Monday morning, you’ll know why.

Comments (7)
Categories : OB Appointments, Pregnancy, Ultrasounds
Tags : 3-hour Glucose Tolerance Test, blood draw, gestational diabetes, measuring large for dates

Ultrasound, 27w6d

By Goddess in Progress · Comments (0)·   June 7th, 2007

Another day, another doctor’s appointment!

Today was a combo, 2-hour glucose test and a regular perinatologist ultrasound and checkup. Both of them take place at my hospital, so I was glad to be able to combine the trip.

The glucose test went fine, as far as my experience goes. They only had me do a fasting and a 2-hour draw, with some glucose drink in between. The phlebotomist had to take it from the back of my right hand both times, but she was able to get it on the first stick each time, so I can’t really complain. I should get the results tomorrow.

In the middle of all of that, I went up to the second floor for the ultrasound. Both babies have flipped! Now, baby girl A is breech, and baby boy B is vertex for the first time. They both grew well over the last two weeks. Little peanut A put on another 8 oz to measure 2lbs 1oz, about the same percentile as last time (~27%). Her brother is packing it on, adding 11 oz to be 2lbs 10oz! I’m not sure of his percentile. It seems that she’s just plain littler than her brother, but since they’re both growing well and everything else looks good, no one seems worried. They both have good amounts of fluid (hence their flipping), and both of their heart rates were about 148.

After describing some of the feelings I’ve been having in my belly, it does appear that I’m having the occasional Braxton Hicks contraction, which my doctor said was definitely to be expected at this point. The good part is that it seems to be having little to no effect on my cervix, which is still measuring 3.8-4cm. Excellent.

I’m really feeling very good after today’s ultrasound. Things are moving along nicely, the babies look great, and I’m showing no signs of early labor. This really is putting my mind at ease for the time being. Certainly, I’ll freak out again, but so far, so good.

I also learned that, starting at 32 weeks, I should expect have weekly non-stress tests at my OB’s office. If fluid or growth gives any concern before then, they could start them earlier, but I should expect it at 32 weeks. I also asked about vaginal vs. c-section birth (I really don’t care which one I have, though some people have strong feelings one way or the other). She said she would not recommend me being allowed to try for a vaginal birth unless both babies were head-down at the time. If baby A was the larger of the two, they might let me try even if B was breech, but since she’s little, they both have to be vertex to even try. The likelihood, therefore, is for the c-section. No problem by me.

Back later with photos!

Comments (0)
Categories : Hospital, Pregnancy, Ultrasounds
Tags : blood draw, gestational diabetes, perinatologist

The Glucose Compromise

By Goddess in Progress · Comments (0)·   June 3rd, 2007

I did hear back from my doctor’s office regarding the whole glucose test situation. First of all, the two results that we did get from last week (fasting and 1-hour) were both good. They were 80-something and 130-something, respectively, which are within normal range. But to be on the safe side, she wants to make sure I don’t spike after the 1-hour, so we came up with a compromise.

On Thursday, I will go back to the hospital for a fasting blood sugar, then they’ll give me a slightly lower dose of glucose, and do a draw 2 hours later. She also said that, though I do have to fast, I should basically drink as much water as I can up to the point of the fasting draw. Hopefully that will make the needle sticks just a little easier.

What’s even a little better is that I have my usual appointment with the perinatologist at the hospital on Thursday morning at 9AM. So I can combine the visits: go in at about 8:00, do the fasting draw, drink the orange stuff, go upstairs for my ultrasound, and come back down in time for the two-hour draw. Whew!

So, there you have it. I’ll still get a pretty thorough evaluation of whether or not I have gestational diabetes (so far, looking good), but I don’t have to go through the same hell as last week. Sounds fair to me.

Comments (0)
Categories : Hospital, Pregnancy
Tags : blood draw, gestational diabetes

The Glucose Fiasco

By Goddess in Progress · Comments (5)·   May 29th, 2007

Time spent in the hospital laboratory: 3 hours, 45 minutes
Phlebotomists who attempted to draw my blood: three
Individual needle sticks: six
Vials successfully drawn: two
Gestational diabetes tests completed: zero
Crying your way out of the hospital: priceless

Needless to say, it was not a great morning.

To set the stage, let’s remember that I haven’t eaten anything since 9:00 last night, nor have I had any water this morning.

I arrived just before 9:00AM and found a rather crowded waiting room at the lab, and it appeared there was only one phelbotomist working. Great. At 9:45, I was finally called for my first blood draw: a fasting blood sugar. Though phlebotomist #1 went for the (more painful) back of my right hand, she did get it on the first try. She said they’d do a quick test of my blood to make sure it was OK to give me the drink, and they’d call me back to drink it. I asked if I could drink water, knowing how much harder the blood draws are if you’re dehydrated, and she said only little sips. Awesome.

At 10:30, they finally had me drink the nasty orange soda. I was scheduled to get blood drawn at 11:30, 12:30, and 1:30. I have a stash of food with me, waiting for the test to be over so I can finally eat again. I sit back out in the waiting room and do a little crocheting and reading.

At 11:30, I walked in for the 1-hour draw. Phlebotomist #2 tries the back of my left hand with no success. She gets phlebotomist #3, who tries both arms. No dice. I’ve now been told I have the “worst veins ever.” #3 asks if I’ve had water and why I’m dehydrated. I’m livid. All of the sticks, combined with no food and pregnancy hormones, means that I’m now in tears. Phlebotomist #1 comes back and gets the blood from the exact same spot as her first draw: back of my right hand. Extra painful, but 25 minutes after it was supposed to be drawn, it’s finally done. I’m already getting concerned that this is a timed test and that the delay in draws will mess things up, but they brush off my concern.

I only have about 30 minutes until my next draw. I go outside to call my husband and vent/cry a little. He’s as sympathetic as can be, and says if the next draw goes as badly, I should just call it a day. He felt pretty badly for me, and would honestly come and do the test for me if he could.

At 12:30 (my face still splotchy from crying, and getting a little woozy from lack of eating), I went in for the 2-hour draw. Phlebotomist #2 is now the only guy on duty, everyone else is at lunch. He is clearly not excited to see me again, having been defeated the first time we met. He tried again, this time with two tourniquets (fun!), and still no dice. Even he seemed at a loss.

By this point, I’ve been at the hospital nearly four hours and have only accomplished a fasting and 1-hour blood sugar. I was done. I just couldn’t handle one more failed needle stick, one more comment about my terrible, small veins. I was, of course, crying again. And this was just to get the 2-hour reading, forget about the 3-hour. I told #3 I was done, and I got up and left for home.

I usually try to be somewhat stoic for medical procedures. I don’t want to be the baby, the complainer, or the chicken. But I was at the end of my rope. I’ll go on the GD diet if I have to, but I just cannot do this test again.

At this point, of course, there was no way I was going to work for the rest of the day. It was already near 1pm, and I was a wreck. There’s not a lot going on, so I knew I wouldn’t be too sorely missed. But it certainly felt like a complete waste of a day. No GD test completed, no work. Just a crappy morning. Alas…

Comments (5)
Categories : Hospital, Pregnancy
Tags : blood draw, gestational diabetes

OB Appointment, 25w4d

By Goddess in Progress · Comments (1)·   May 23rd, 2007

Had my regular OB checkup yesterday. Before my 9AM appointment (I didn’t think they really existed!), I had to stop in on the ground floor phlebotomy lab and drink some super-sweet flat orange soda for my glucose challenge test. I then popped up to the third floor for the usual pee-in-a-cup, blood-pressure routine. My appointment was actually with the office’s nurse practitioner, who I like quite a bit. I’m measuring nearly 33 weeks, 7 1/2 ahead of my true gestation. Got to hear those beautiful heartbeats, including baby A kicking the microphone in between beats. By feel, there’s a chance she’s gone back head-down, but we’ll see tomorrow at the next ultrasound. Here’s hoping for a growth spurt.

After the (always brief) appointment, I scheduled my next for another two weeks, and went downstairs to await the great blood draw. At precisely one hour post-soda, I had three little vials of blood drawn. And it only took two pokes! She sure tried for a while to make the first one work, though. Not fun.

Completely unrelated to my doctor’s appointment, I stayed home from work for the day. Before I left, while doing the usual post-shower things like lotion and teeth brushing, I was musing on how lucky I’d been that my back hasn’t been bothering me too much. After all, I’ve long had back problems, but they’ve been mostly absent from this pregnancy. I spoke too soon. Barely finished with the thought, my back decided to spasm, in a fit of pregnancy karma. I had to hobble into the bedroom to wake my husband up to help me finish lotioning. It was quite a sight.

The pain wasn’t so awful, and it was certainly not worth missing a doctor’s appointment, but now that work is a much quieter place, it was a good day to avoid my uncomfortable desk chair. I spent the day on the couch, doing next to nothing, watching a wide variety of baby shows on Discovery Health or TLC. Not too shabby…

Fingers crossed that I’ll get good results from yesterday’s test, and not have to do the three-hour one!

Comments (1)
Categories : Illness and Injury, OB Appointments, Pregnancy
Tags : back pain, blood draw, gestational diabetes
   

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