Gestational Diabetes

“Apparently”, I have gestational diabetes. Sense the sarcasm. I’m feeling like one of the midwives at the practice was trying her hardest to give me this diagnosis based on my weight and the fact that Livi was a big baby. I’m very frustrated right now.

I’ve only had one appointment with one of the midwives at the group I went with. The appointment had gone well. Knowing that I was thinking of a home birth the midwife wanted to do a little extra monitoring on me because I am overweight. I was fine with this. The extra monitoring was basically only some extra ultrasounds to monitor the size of the baby. She acknowledged that I already had a big baby, with out having gestational diabetes, and pushed her out in less than 30 minutes. She even made the comment that I was “made to have big babies”. Which apparently I am! Livi was 9.11 lbs. I was 9.10. My mom was over 9 too. I have numerous cousins who have also been and birthed 9 and 10 pound babies. 
Anyway, one of the initial blood tests ordered, which I didn’t really realize was an extra precaution, was a fasting blood glucose test. It came back at 5.1, which is high but after some research I discovered it was still in the normal range. A midwife called me and told me that it was over the threshold and she wanted to retest me. Having not researched it all yet, I redid the test. My numbers came back at 5.5, which is over the threshold. She referred me too the diabetes clinic and started talking about possibly having to send me for an OB consult to make a care plan. I asked if that meant I couldn’t have a midwife anymore and she said she didn’t know. She also wants me to have a consult with an anesthesiologist ‘in case’ I have to have a c-section. I felt very discouraged. 
I chose to have a midwife this time because I had a really easy pregnancy and birth with Livi. I figured that midwives were less invasive and more laid back. I also really like the fact that midwives come to the mother’s home after birth instead of the the mom having to pack up all the kids to get to the appointment. I would like to try and see if I could have a water birth this time too because they can be so much calmer and relaxing. 

The more I’ve been researching and thinking about it I believe this midwife is being way to premature and even prejudice. The Canadian Diabetes Association Clinical Practice Guidelines for during pregnancy recommend the fasting glycemic target to be under 5.2 mmol/L and even has a line that states “Values are higher in obese women.” The first test was under this threshold but she retested me anyway. I asked the diabetes clinic why she would have retested me and they said maybe the midwife was suspicious of my first big baby. If this is the case, the midwife completely disregarded my family history of having big babies, disregarded the possible higher values for being overweight, and disregarded the fact that I was tested for GD with Livi and it was negative. 

Yes, my levels were higher the second time. I asked the diabetes clinic about this too and she said that any given day the level may be higher and the next it may be lower. So, in my mind, one time of catching my glucose high just doesn’t seem enough to diagnose me and possibly put me under the care of an OB who will most definitely want to induce me early to ensure not having a big baby. A big baby with jaundice and low sugar levels is the biggest complication with gestational diabetes. 

The diabetes clinic has me monitoring my glucose levels 7 frickin’ times a day. I’ve been doing it because I want some leverage to go back to the midwife and show her this is a misdiagnoses. Each day since starting my numbers have been WELL within the normal range. Yes, I’ve cut out a lot of the extra sugar that I’d been indulging on since learning about all this… but not completely… and my numbers are still within normal. I’m just eating healthy on the whole, which is what I should be doing anyway. 

I don’t know what all this means. I have an appointment with one of my midwives in a few weeks to discuss everything. Hopefully find out what this all means for my birth experience and see if I can get this diagnosis reversed. I made a consultation with the Maternity Group that I was happy with the first time. They have three midwives and two doctors working alongside each other. The only thing with that is I might end up with a doctor if they are the ones on call and I would have to have a hospital birth and give up the home visits after birth because I live outside their jurisdiction. I’d be giving up my hopes for a water birth if I went with them. 

If I have it, I’ll deal with it properly and make sure the baby and myself are healthy. I’m not fighting this because I just want to eat sugar. I just  really don’t think I have it to the extent they are treating me. I may be borderline. I may eventually get it. But right now, this seems very premature. She tested me 12 weeks earlier than normal and my numbers were only high once! Okay, I think that’s it for my rant. Pray that this can be reversed and I don’t have to fight for a natural birth. I want this to all be as stress free as possible. 

Father’s Day

I’m sure I have lots to say about how wonderful a father my husband Jon is, but I’m too tired to blog. I just needed to make special note on Father’s Day how good a dad Jon has become. He can do pony tails, diapers, meals, imaginary friends and obstacles, story time, nails, and even has gotten pretty good at picking outfits for the girls! He’s got it in the bag if we have another girl and if we have a boy on the way then I think he’ll be happy to get a little more testosterone in the mix 🙂

I’m so thankful he is the Daddy to my (almost three) children! He has truly redeemed what a father is in my eyes. Thank you babe.

He finally got his wing back chair. Happy Father’s Day!

10 Months!

This has been an insane month and filled with more transition for Sofie. She has had so much in her short little life. She is dealing with it so much better than we could have hoped for though!

This month we moved. We packed up our home, all our earthly belongings and came to a beautiful new home. Sofie has been doing great with it. She really does seem to be taking comfort in her family rather than her surroundings. It is amazing to see. I don’t think I expected this level of attachment this quickly. Sofie is such a miracle and testament to what love and security can do for an innocent child.

She hasn’t had one night terror since moving to the new house either. We expected at least a few. Actually, I can’t remember the last night terror she has had at all! Maybe only one in the last two month! This is truly a miracle. When she first came home she was having them 4-5 times a week. They are horrible to see and there is nothing I can do to help. I’m so thankful she knows peace now. What a privilege to be a part of giving her that peace.

Singing Open and Shut Them, one of her favorite songs.

Sofie has been having some extra behaviors with all these transitions. She has been hitting more and been extra clingy and needing to be held but i guess that is expected. That hasn’t stopped her from developing! She is now putting two word signs together like “drink milk”, “more/all done eat”, “sorry Mommy”, and a few more that I can’t think of right now. She is also saying more words. “Drink” is the most common one. She answers yes or no questions about her preferences appropriately and has started handing me things trying to communicate that she wants me to do something with the object. Today she handed me sunglasses and did not want me to put them on her but on myself 🙂 She has also learned her aunties names and can say her own name and identify herself!… most of the time 🙂 She has come for far.

…. “do not let them in!” ….part of Open and Shut Them.

Another big thing this month is we’ve beginning to transition her to a big girl bed. We have completely child proofed her room… at least we hope we have… and took one of the rails off her crib. We put a short toddler rail up for her. The first night she fell straight to sleep! In her bed! We were not expecting that. Each night since she has fallen asleep on the floor. We are trying to get her ready for sharing a room again with Livi once baby comes. They will have bunk beds, so hopefully it will work out better than when they can see each other. We’ll see…

Singing Itsy Bitsy Spider… She really washed the spider away 🙂

Yesterday Sofie had another appointment at Children’s Hospital. They are so wonderful there. We got there an hour early to see the ENT about possible sleep apnea. He got us in right away. After mentioning I wasn’t impressed with the three audiologist appointments we’d had in our home town, he got us right in to see the audiologist! Who was wonderful and got the most response out of Sofie at one of these appointments. These doctor’s listened to me. They acknowledged my concerns as valid and are pursuing non-invasive treatments first to rule out things. The home town audiologists wanted to send her for a ABR (sedated brainwave test) despite my concerns of sedation for Sofie. She has opposite reactions to it and I think she has sleep apnea. The ENT agreed that she probably has sleep apnea and wants to get a handle on that before doing any sedated testing or procedures. He, like what I’ve been trying to say to the doctors, feel that the lack of oxygen could be contributing to her lack of physical growth, among other things. I was so thankful for this affirmation from a specialist! He is going to try a nasal spray for two months to see if it is as simple as that to help the snoring and restlessness at night. I think the next step is tonsils and adenoids out.

As for her hearing, she has some mild hearing loss, possibly more in one ear rather than the other. With both ears working together, she doesn’t really seem to have much hearing loss at all. After the sleep apnea is figured out we may pursue the ABR test depending on how she is responding in her audiology appointments. The ENT did mention a possible problem with the three little bones in her ear, and hinted that that is probably the worst case scenario, but we are crossing our fingers that her hearing loss is much simpler than that.

Cutie 🙂

As for her growth, she is continuing to gain and grow steadily. She could definitely do with a little more fattening up and growing taller! She is 26 pounds still and 34 1/8 inches tall. That isn’t up basically any at all in two months. A little frustrating.

For her 10 month anniversary home she got sick. Really sick. My poor baby has never had anything worse than a cold. This morning she started crying halfway through breakfast and holding her stomach. All she wanted was cuddles. I held her and she just lay on my chest. Then came the throw up. It was gross and all over me… not good for a pregnant Momma. I felt so bad for her though. She was so sad and lethargic 😦 After we got all cleaned up Sofie was just done. She just lay on my chest and fell asleep for an hour. She hasn’t fallen asleep on us since Bulgaria! I loved the cuddles but my baby was so sick 😦

This kid has an amazing imune system though because shortly after her morning nap, she bounced back! I know three other kids who have been hospitalized for dehydration because of this bug this week. Sofie ate her small lunch and kept asking for more and more dinner! Crazy kid! She was slower but played and sang and danced as usual! So much for having a “medically fragile” child 🙂 I’m sure she will defy more stereo types than just that in her life!

Livi was so doting. She didn’t leave Sofie’s side while she was sick.