“I am a Gestational Diabetic” Pre-natal visit #7 (26 Weeks)
Index of Pre-natal Doctor Visits
- My 1st Pre-natal Dr’s Visit - Sept. 12, 2007
- Time for Blood! Pre-natal Visit #2 - Sept. 26, 2007
- “It’s a Boy!” Pre-natal visit #3 - Nov. 1, 2007
- “Meeting with the Big Guy” Pre-natal visit #4 - Nov. 27, 2007
- “Much Ado About Nuttin’” Pre-natal visit #5 - Dec. 27, 2007
- “I Failed the Glucose Test” Pre-natal visit #6 (25 Weeks)
- “I am a Gestational Diabetic” Pre-natal visit #7 (26 Weeks)
- “Whoops! Says Doc” Pre-natal Visit #8 (29 weeks)
- “The Big Anatomy Scan” Pre-natal Visit #9 (30 Weeks)
- “Don’t Worry, Be Happy” Pre-natal Visit #10 (31 Weeks)
- “CBC - Complete Blood Count” Pre-natal Visit #11 (32 Weeks)
- “First of the Weeklies” Prenatal Visit #12 (34 Weeks)
- My 4 Day Non-Stress Test: Preventing Pre-Term Labor
- “No More Diabetes” Prenatal Visit #14 (35 Weeks)
- “Beta Strep Test Time” Prenatal Visit #15 (36 Weeks)
- “Get Thee to the Hospital” Prenatal Visit #16 (37 Weeks)
- “Forecast: 80% Chance” Prenatal Visit #17 (38 Weeks)
- The Last Prenatal Appointment (39 Weeks)
My entire life I’ve heard of diabetes. My father has to monitor his blood sugar with home testing, my uncle has a severe case of it, and a handful of other people I know have it in varying stages of degree. While I have heard of it, I’ve never paid much attention to it…because, hey, I’m only 25 years old. I’m young. Nothing to worry about, right?
I am currently 26 weeks pregnant, getting ready to start my 7th month in my journey to having our first child. So far, outside of low blood pressure, consistant tiredness, and baby-judo style kicks to my intestines, I’ve had what I would consider a perfect pregnancy. Nausea and vomiting, so common amongst pregnant women, never even knocked at my door.
Until now.
Between the 24th and 28th week of pregnancy, doctors test women for what is known as Gestational Diabetes
Gestational: Referring to the period of pregnancy from conception to birth
Diabetes: A disease in which the body does not properly control the amount of sugar in the blood. As a result, the level of sugar in the blood is too high.
What is means: Sugar is needed for energy. The body’s cells use glucose (sugar) in the blood to produce energy for the body to operate. Insulin is needed in order to break glucose down into energy. When there is not enough insulin in the body, the glucose does not get broken down - and thus piles up in high quantities in the blood, producing what is known as “high blood sugar”.
Gestational diabetes is a special type of diabetes that 5% of pregnant women develop, somewhere between the 20th and 24th week of pregnancy. Although it is not the same disease as regular type 1 or type 2 diabetes, it involves much of the same symptoms - and puts post-pregnant women at a higher risk of developing type 2 later in life.
Because it is “gestational” only pregnant women develop this type of diabetes, and it usually disappears after the placenta is delivered during the last stage of labor. If uncontrolled, gestational diabetes can put the woman and unborn baby at severe risk - from unhealthy fetal weight gain (a “too large baby”) to preeclampsia (where the mother’s blood pressure shoots too high and early delivery is the only cure).
Last Thursday, I had my first one hour glucose tolerance test - and failed with a blood sugar count of 144. I needed to be under 140. (You can read about the testing experience here). It is not uncommon for a woman to fail this first test, and for the 2nd test -the long 3 hour one- they do just fine. In fact, statistics show that only 1/3rd of those who take the 3 hour test fail it. The 3 hour test involves the same routine as the first one hour test - except it’s done in a more comprehensive manner (you’re give a higher sugar dose, and blood is checked multiple times over the 3 hour period).
I took my 3 hour test today.
And failed it.
My appointment was at 8 am this morning at the OBGYN. Thankfully I had my mom with me, because I was extremely nervous about the whole ordeal!
I arrived at 8:04, checked in, and sat in the waiting room for about 15 minutes before the nurse came in to take me back for my first “fasting” blood test. After a quick finger prick, I was given the all clear. My blood sugar at fasting was 77. It is recommended to be below 99 (or…95 according to the booklet I was given).
This time, I was given a choice of flavor - orange (again) or red fruit punch. I asked which one she recommended, and she laughed and said she’d never drank it. (Great.) I went with the orange because I had liked it last week - and it was “comfortable” knowing what it was going to taste like. In hindsight, I’m glad I chose the orange color.
I was told I had 5 minutes to drink it, and I went back to the waiting with mom to start guzzling. Today’s 10 fluid ounce bottle looked exactly the same as last week, with the same directions / caustions / ingredients as I reported on for the first glucose test….with the exception that this label had a green color label trim where last week’s had an orange color label trim.
And it had 100 grams of Dextrose (glucose / sugar) in it.
Last week there were only 50 grams of Dextrose in the same 10 fluid ounces.
For reference, my mom and I calculated from a bag of Dixie Crystal Brand Sugar how many teaspoons of sugar that equals. In one teaspoon of Dixie Crystals sugar, you’ll find 4 grams. That means there were 25 teaspoons for sugar in that one 10 oz. bottle! Or, for more emphasis, that equals 4 oz of sugar (a half of cup).
With the first swig I knew this orange drink was much different than last week. The taste was disgusting and I had a hard time getting this one down within the allotted 5 minutes. Finally, after finishing the bottle off, I went back up and picked up my 60 minute timer. Then I went back to the waiting room couch and started reading a baby magazine.
5 minutes later I begun to feel a bit light headed and nauseated. Within 13 minutes of drinking the last sip, I was becoming hot & clamy, and was so nauseated that I could not longer sit up. After tossing the magazine down and laying down sideways on the couch, my mom began to worry.
“Should I get the nurse??” she asked.
I tried to refrain from bothering anyone. I truly did. But the sickness was coming on so strong that I knew I needed help so mom went back to the front and grabbed the nurse - and she came running. When she reached me she asked what was wrong. Dizzyness, light-headedness, nausea, clamminess, and all over sickness were my thoughts, but I’m not sure how much of it I spoke aloud. “Let’s get you outside for fresh air” she said.
We made it as far as the hall way when I knew the direction I needed to take was strait to the restroom. She half carried, half ran me there - and I barely made it to the toilet before the entire drink came back up. It was my first vomiting experience of this entire pregnancy, and I did a great job of it. And the whole time, all I could think was that my head was 2 inches away from where scores upon scores of unknown women pee in cups. Lemmetellyou, that made the puking all the worse!
Not only did I feel terrible bodily, but I also felt so bad that I had “ruined” the test. I felt even worse sitting on that cold bathroom floor thinking that I’d have to come another day and go through all of this again. “Where do we go from here??” I asked the nurse that was helping me.
“We stop the test…and we now consider you a gestational diabetic.”
After laying down in a back room with a cold rag and my mom for company for 20 minutes, she gave me the clear to go home. She also gave me a large “Managing Your Gestational Diabetes” book and a 2 week menu plan that includes advice (and complete menus) for breakfast, lunch, dinner, and snacks for each day of the week.
Mom drove when we left and we arrived at her house by 9:15 am. That was definately the shortest 3 hour test I’d ever taken!
It took me about 2 hours to wander through the whole book and disect the menu plan. All in all, it’s not too bad, but it feels weird now having to read labels all the time and “think” about my sugar intake daily. I didn’t realize that 8 oz. of fat free store brand milk has 12 grams of sugar in it! I suppose it’s to make up for the fat-taste loss??
Words such as “fat-free”, “low-fat”, “sugar-free”, and “whole grain” are now emblazened in my mind so deep that I’ll probably be dreaming about them tonight. Probably some fat-free cow will be chasing me through a wheat field. Or I’ll get lost in a sugar cane field somewhere. Great.
So that’s my experience. I should have known there was no such thing as a perfect pregnancy!
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I just received my “Happy 26th Week” email from my friend Lucy.


















