Tuesday, July 07, 2009

6th and 7th Month of Pregnancy

I forgot to post a record of my 6th month of pregnancy. It was very uneventful though. There were no problems and I was feeling great. Enjoying the last month of my 2nd trimester. All that "boring-ness" is now gone. I am now into my 7th month and my last checkup I had to do the glucose tolerance test. Sadly, I failed. My jaw dropped when the nurse said "you're diabetic." I couldn't believe my ears. My last 3 pregnancies were all smooth sailing. No problems nor complications (well, except for retained placenta during birth). Well, I guess this is what happens when you get pregnant at an older age.

Change is never easy. Having to change my eating habits is a great challenge for me. Cutting out rice and noodles is a big adjustment. Especially since it's been my staple food since I was a baby. Now I have to think of healthier food choices - wholewheat bread, high-fiber crackers, no-sugar peanut butter, more vegetables, smaller but more frequent meals, low GI (Glycemic Index) food etc.... My sugar craving is still there. I've had to practice a great deal of will power. No more Ribena and Milo. Only plain water. No more bread with butter and kaya. No more bananas, mangoes and rambutans (okay, got curi-curi eat a bit, but very minimal). Now it's back to apples for me. No more "char kuey teow". Now thinking of the cakes and jelly I'll have to skip during the kids' birthdays next month. I also bought some lemons a couple of weeks ago to make Lemon Bars. Guess that idea has to be thrown out the door. I've also started my morning walks again. They say exercise helps to control the blood sugar level.

Although I'm constantly worried about my condition, this worry is good for me. So, what am I worried about? Well, let's take a look at what complications Gestational Diabetes can bring:
  • Since baby has so much sugar to feed on, baby might grow too big. They call it macrosomia. Then I will have problems when trying to give birth. Instead of a normal vaginal delivery, I might end up having a cesarean.
  • After baby is born, baby may have a low blood sugar level. There is also the risk of breathing problems.
  • Baby might have jaundice.
Here are some of my other concerns:
  • Although gestational diabetes goes away after baby is born, there is no way to be certain that what I have is gestational diabetes. I will have to be tested again 6 weeks after delivery to see if I'm still diabetic. So, is this really gestational diabetes or Type 2 diabetes? There is no way to know now.
  • If I get pregnant again, it's very likely that I will have gestational diabetes again. I know, I know, some of you are saying, "you already have 4, you want some more babies?" So okay, this is the last one okay (unless have accident-lah).
  • This increases the chances of me developing Type2 diabetes later on in life. It seems there is a link between the tendency to have gestational diabetes and type 2 diabetes.
Although I'm whining about this, it really is a good wake-up call for me. If this is gestational diabetes, then I have to endure this for only another 3 months or so. It's better I start making some lifestyle changes now before I have this condition for life and have to be on medication.

Well, today I have to do BSP (blood sugar profile test). I have to go to the clinic and get my blood tested 4 times - 8am, 12pm, 4pm and 9pm. Before my 8am appointment, I had to fast for 10 hours. The other 3 times, I have to fast 2 hours before. We'll see how today's test go.

On my to do list is going to the hospital to meet with the dietician. That will be good coz' I'm not sure if my diet is correct now. Am I eating enough? Eating too much? Eating the right stuff? Oh, and if you're wondering if baby is a boy or girl..... I DON'T KNOW YET! I'm meeting the doc tomorrow to go over today's BSP results. I'll see if I can get them to do a scan.

7 comments:

  1. hi.. just dropping by here... have a nice day! http://kantahanan.blogspot.com/

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  2. Hi Lian,
    I have high sugar during my 1st pregnancy but miraclously within less than 1 month back to normal.

    I was sent to see dietician and she couldn't find any problem with my diet... Then it just back to normal level. My 1st child was born at 2.58kg.

    Take care and do update us more...

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  3. Ai Lian where ar u checking up again?

    I hate the glucose test..it made me vomit(shhh...) nope I did not go back to drink another...was damn scared to drink it ever..AGAIN :P

    My first pregnancy checkup at private, they did not asked me to drink dat yucky drink ler..but in govt. yes...

    Both my two kids are over 3.5kg :P n via c-sec.

    I do hear there's higher risk as we grew older..BUT not to worry as long as u take care of ur diet (it's high time and good time to readjust too rite ;)..I am sure u'll b ok...

    One of my fren had it..she just had to get someone else to taste the cake she bake..for us..oh... :P

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  4. Be very careful with food - especially eating out food. As your pregnancy progresses, the diabetes gets worse and worse.....right now, despite being on medication, I can only eat ONE slice of wholemeal bread to keep within limits of blood sugar levels. And the only thing I can eat bread with is eggs....everything else is too sweet.

    You will notice that if you supplement every meal with lots of green leafy vegetables, it'll knock your sugar levels down but who wants to eat green leaves for breakfast? Breakfast is also the worse time for sugar because your body has starved for long hours so food absorption is rapid in the mornings i.e. sugar levels go up faster and higher. Lunch and dinners are much better controlled sugar times, so can eat more. But on average, a fistful of carbo is all I can afford at each lunch and dinner.

    I've been controlling my diet since Trimester One!!! Torture!!! And now durian season, some more!!!

    At least I only have 3-4 weeks more to go - but even then, I cannot tahan already. SO I've been curi-curi makan every now and then. Sigh.....pray......

    Good luck, Lian!

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  5. hope your test goes smoothly and have a good result. rest well :)

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  6. chanelwong:
    Lucky you it was gone after 1 month. No need to suffer from food cravings.

    AlohaMolly:
    Doing my checkup at a government clinic nearby.
    Yeah, that drink was tooooooo sweet. Thanks for the reassurance.

    BigPumpkin:
    You are the expert on this topic. How you tahan for soooo long, I cannot imagine. My hats off to you. Have a safe delivery!

    Mummy to Qiqi:
    Thanks for the well wishes. The test did go well.

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  7. When I went on a strict low-carb diet many years ago (I had PCOS), I avoided dried fruits, including raisins coz they are loaded with sugar. Mangoes are also very high in sugar, as with grapes and melons. I had sugar in my urine too during my 1st pregnancy but only for 1 month coz that month, I ate too much grapes and ice-creams.
    If it's a baby girl, you will have a pair each, how nice :)

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