When one reaches the 28th week of pregnancy, the ob-gyn conducts a test: the glucose test. This means that the pregnant woman must fast for a minimum of 10 hours, have a fasting blood draw, drink a cup of sugared substance similar to soda without carbonation and then receive a one hour blood test and a two hour blood test. Glucose readings are taken after each test.
I had this very test a week ago, and I did not pass. My third stick was higher than the allotted glucose amount. Talk about disappointment and frustration. The lab tech called me up, and said I was high. I was, therefore, gestational diabetes, and I would now need to attend classes with a diabetes nurse and a dietician. *Sigh*
Risk factors for GD include being overweight before pregnancy, inactivity, poor diet, having a prior baby over 9 pounds, family history of Type 2 diabetes, African American descent and age 35 or older. The only factor that I meet is the age. I am still running, eating fruits and vegetables, lean proteins and taking good care of myself. So, why do I have GD?
I asked this question of the nurse, and she said that the placenta simply compromises the body's ability to process glucose. It is nothing that I could have done differently to prevent it, but nonetheless, I feel responsible. My new routine is to now test Ketone levels (proteins) in my urine every morning and to monitor glucose with 4 finger sticks per day. Of course, diet and exercise are still critical.
Late next week I will visit with the dietician. The plan is to maintain healthy levels with diet and exercise, so that insulin does not have to be taken. So, this is the new "normal," and I have discovered that the world of restaurants are not always diabetes friendly. Carbohydrates are hidden everywhere: sauces, breadings, potatoes, even simple vegetables like corn. I will keep you posted on what I learn!
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