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03/06/2007: "Kaiser strikes again"
Remember when I said yesterday that my glucose numbers didn't make any sense because my level at three hours was higher than my level at two hours? Yeah, that's because THAT DIDN'T MAKE ANY SENSE.
Turns out the "advice nurse" who I had to wait for to talk about my results? She read the results in no discernable order whatsoever. She was just reading numbers like a crazed auctioneer. As in, she told me the 3 hour number, then the 1 hour number, then the 2 hour number and never even gave me my baseline. But she said they went one hour, two hour, three hour. Which was mystifying and also very wrong. So I spent an inordinate amount of time yesterday Googling "glucose challenge results rising" and "3 hour glucose test rising results" and "Glucose numbers all over the fucking map is everything OK with my baby HELP ME" with nothing to show for it because people's numbers don't jump around over 3 hours like that when they're not eating anything.
I knew something wasn't right. I should, honest to God, skip right over medical school and go directly into practice for myself, with Google as my partner. We would do better than the entire "advice line" at Kaiser put together.
It turns out that, although I am indeed screwed in the gestational diabetes department, I am not New England Journal of Medicine screwed. This is more comforting that you might think. My baseline fasting number was high (they want under 94, I was 112 - a poor start), my 1 hour number was 211 (they want under 180), the 2 hour number was 203 (going down veeeeerrrry slowly, but they want it under 155 so I was definitely hosed) and then I was 118 at 3 hours, which is actually a good number and under where they want it. I guess my pancreas finally stepped up. But it was too little too late. Of four draws, I flunked three of them and with this test if you're bad on even two numbers you're outta there.
Next week I go in to see a dietician and get testing supplies and learn how not to infect entire nations through the judicious use of a sharps container. And since I am 27 weeks today, I only have about 13 weeks or so of daily finger sticks to go since they won't let the baby bake for much longer than that, given how GD tends to grow big ol' honking kids (actually, with careful monitoring and diet, there should be no problem, and we know how I will insist on careful monitoring. I'll insist - though at Kaiser we know that's no guarantee that I will receive).
So... good news. Sort of. At least I'm trying to see it that way, since there's nothing else to be done about it. More news tomorrow, as I'm seeing my midwife this afternoon.
Replies: 1 Comment - Go read it!
on Wednesday, March 7th, Jeannie said
My last comment in this regard was self-involved and sucky and self-pitying, and so now I'm going to try to make up for it. (Kaiser is weird.) You'll pull through this fine. I knew someone with gestational diabetes when she was pregnant, and through diet she managed it, and all turned out well (and, bonus, it goes away after the baby is born). I love you, and my thoughts are with you, and I know you and baby girl are going to be fine! xoxoxoxox