* Author Topic: BFP Due Date - January/February 2020  (Read 14575 times)

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Offline Londonwriter

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« Reply #100 on: 22/11/19, 15:14 »
Whatonearth - I've got raised NKs, raised TNFa and raised IFNg. There's not a direct correlation with my fertility or pregnancy success (my NK cell activity is always way above the levels recommended by reproductive immunologists), but - obviously - I've been able to fall pregnant when it's treated and not when I'm flaring. There is an almost direct correlation between TNFa and my symptoms, but my suspicion is that the Chicago tests are a rough indicator of the problem and the pathology is hiding somewhere else.

I didn't go to any antenatal classes before the first birth or this time around, and it didn't seem to make any difference to my birthing experience or my ability to establish breastfeeding. So, personally, for a second kid - I'd save the money for decorating. However, I have two actively involved grandparents, and a sister-in-law with three young kids who lives locally, and most of my advice came from them.

AggieBlue - was it ketones? That's common on a low-carb diet. There seems to be an active debate online about whether nutritional ketosis is a problem in pregnancy or not.

All chaos here. Decorator started a week ago. We now have three rooms either totally or partially out of action. All of the contents of the rooms is in every other room - you can barely move. The company we'd asked to sand the floors decided that they were booked up until my due date so I had to arrange someone else in a mass rush yesterday. And then the delivery driver for the new baby's sideboard was such an awkward, inflexible so-and-so that it's had to be delivered to a (very kind) neighbour...  :o

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    Offline whatonearth

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    « Reply #101 on: 22/11/19, 16:34 »
    Aggie that's great that you are so healthy and your iron levels are good.
    It is always lovely to hear that little, crazy hearbeart. It's so fast, it's nuts.
    i hear you about the food. Unlike you I do get hungry, but the indigestion is so awful it puts me off eating.must be a nightmare when you are having to watch blood sugar too!
    How do you think you can get out of the red zone?
    Recently, I concluded that I would have to do frequent snacks rather than actual meals, to fight the heartburn.
     I've been eating hummous and carrot sticks, or oat cakes and soup and salad every two or three hours. Will need to buy a bag of nuts to carry about and more bananas. I like a bit of cottage cheese, but obviously not good for vegans. Still lots of dips around, baba ganoush, gaucamole etc...
    so difficult when we are always being told not to eat between meals.
    The anaesthesiologist today was actually lovely. She kept telling me how clever I was for things that actually are not even vaguely clever. Like being able to stick out my lower jaw. Even complimented me on my back because my spine was "perfect" and not underneath a giant layer of flab.
    I'm genius! :0))
    She didn't think I would need any intervention, but there is a pain killer button thing, which is not morphine (London) which can help with induced labour.
    My hospital only has a video tour, no visits (phew! I'm such a wimp)


    Offline whatonearth

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    « Reply #102 on: 24/11/19, 12:56 »
    Hi all,
    London, sorry, I somehow missed your post.
    The decorating sounds mad. It always seems to work that way: plans changing last minute. I think I tend to forget the upheaval involved until itís too late.
    No wonder people go years in between decorating, it takes that long to recover.
    How are things progressing, are you seeing a difference?
    Do you still have a lot of support around? Sounds great. Did you say you have a nanny?
    What are your childcare plans Aggie?
    Iíve had lots of support from friends, but my mum is probably in the early stages of dementia - she has two appointments in the next couple of months to check her memory.
    I wouldnít ask her to go anywhere with the baby, but she would, hopefully be ok just at home, so I could get a break now and then. Plus theres always the impossibly, caring world of CBeebies. Everyone is so inclusive and full of moral fibre on there.
    Ive been looking into altering baby birth positions, probably need an exercise ball (hate them) to get that baby into optimal position. Ooo especially if I have this induction, I have heard they are more painful than spontaneous labour. Donít want any back to back nonsense.
    When do you guys have your next scans?
    My wee lump is transverse (from scan and kicks) at the moment, so will see at the scan in on the 13th how she is lying.
    Is anyone drinking raspberry leaf tea?

    Offline Londonwriter

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    « Reply #103 on: 25/11/19, 12:24 »
    Whatonearth - Well, the lining paper has been stripped off in my DS' room and we're down to bare plaster and filler. The decoration was so bad (peeling lining paper & a bad paint job) that it actually looks better now. We've got the floor sanding people on Thursday/Friday and the decorator is going to be working in the front room while they're upstairs. So, over the weekend, I cleared the spare room of everything (we were using it as a junk room) with the help of my mum (and 'hlep' from my DS) to make the sanding easier.

    My DH, meanwhile, did a blitz on paint stripping the coving in the front room, which took all weekend and still isn't finished (so the living room is now also out of action), but it looks absolutely incredible. The detail on the coving is so good that it looks like it's just been put in new - it's like a time warp back to the 1890s.

    I have a part-time nanny who will be leaving in January as she wants to get a full-time job. In addition, I work at my DS' grandmother's (granny) once a week while she looks after DS, and he's at nursery one day. I also have my mum (Nanna) visiting regularly for a week at a time. At the moment, the nanny is off sick so my mum is looking after DS. When our nanny leaves, I will probably have an au pair for six months and then hire a new nanny. So... I'm recruiting an au pair (on top of the decorating). Plan is that au pair will sleep in the spare room while Grape is in our room, and then - after six months - Grape will move into the spare room.

    No raspberry tea drinking...

    I went for a scan on Saturday due to my continuing worry over Grape being large/needing a c-section I don't want/blood glucose. As I feared, he's enormous. He's at the 89% percentile for head and 98% for stomach, and is running two weeks ahead of date. I've told my consultant and have had an appointment arranged for tomorrow. Anyway, I started monitoring blood glucose again and it was 5.3 fasting, 7.9 after 90 minutes of my low-GI breakfast, and dropped to 4.7 later in the morning. Which is much better than when last monitoring, especially as I have a bad cold. It's also pretty similar to what it was a fortnight ago.

    Grape is also currently transverse so I got some nice pictures. He has his father's nose.

    Offline Aggieblue

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    « Reply #104 on: 25/11/19, 12:34 »
    London, i think it may have been ketones, yes, didn't quite catch with the midwife said but after googling it, it sounds like that might be it. i'm not too worried about it to be honest, i am definitely not starving myself and i am trying to eat a bit more now.
    do you think you'll be done with what you need to do before the baby arrives, decoration wise? sounds like so much is going on!
    Would you consider taking medication for your sugar levels? 7.9 an hour and a half later is still quite high as it's supposed to be under 7.8 after an hour. or are there any more changes you could make to your diet? I still haven't had a bad reading so far, the highest level i had was 7.8 after one dinner when I had to grab something on the go and had a wrap from the shop - white tortilla wrap, not the best idea! so not going to have that again. luckily i can eat two slices of sourdough bread without it affecting my levels, which is a relief!

    whatonearth, sorry to hear about your mum. I don't have family here (and my parents passed away anyway) so I am relying on friends. my best friend offered to stay with me for a week or two after the birth and i know a few who will bring over food etc to keep me going.  thanks for the snack tips. i am treating myself to almond butter i eat out of the jar with some fruit. i always have nuts on me too!
    yes induction meant to be more painful contractions. eeeek.
    my next scan is in 3 weeks, at 32 weeks. it's gonna come around fast!
    regarding childcare, i want to come back to work after a year, maybe 4 days a week, so looking at nurseries now. i should try and visit some this week and next and just reserve a place. it's so crazy you have to do it so early! as a single parent, i sadly will be relying on some support from the government so anxiously waiting on the results of the elections.  ^eyes^

    i went to my hospital on sunday for the NHS antenatal class. it was brilliant, lots of hospital specific information. found it very helpful even if i knew some of the things already. it's good to hear from first hand experience from a midwife in your own hospital. got to visit the labour ward and the birth centre too, both were really nice, spacious and calm. I think i will still visit the hospital closer to me, just in case i end up there for any reason. i'm also a bit worried about being sent home a few times during labour if i misjudge which stage i am as i am now a bit far for yoyo-ing back and forth. 

    Also went to an NCT Nearly New Sales on saturday, there weren't many newborn stuff, but I did buy a couple of cute things, mostly for next winter, but i just couldn't resist!

    Offline Londonwriter

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    « Reply #105 on: 25/11/19, 13:37 »
    London, i think it may have been ketones, yes, didn't quite catch with the midwife said but after googling it, it sounds like that might be it. i'm not too worried about it to be honest, i am definitely not starving myself and i am trying to eat a bit more now.
    do you think you'll be done with what you need to do before the baby arrives, decoration wise? sounds like so much is going on!

    We've got about six weeks to do four weeks' work. It's lining paper/painting in DS' room, plus floor sanding and staining/oiling the floor. Paul (the decorator) is painting the spare room, and that's also going to be sanded/stained/oiled. Then Paul's moving downstairs to paint the front room and papering. I'm only 27 weeks and Paul's suggested he might bring in an extra person at some point.

    Would you consider taking medication for your sugar levels? 7.9 an hour and a half later is still quite high as it's supposed to be under 7.8 after an hour. or are there any more changes you could make to your diet?

    This is 100% a meds issue. There's no point messing about with diet. The 7.9 reading was after one thin slice of that really dense, dark rye bread with sunflower seeds (GI = 55), with a scrambled egg on top, followed by 0% fat yoghurt and nuts, with a decaffeinated green tea. Unless I start eating protein breads or no carbs whatsoever (basically, Atkin's Diet), or cut out all low-fat dairy (because it's lactose without balancing fat), I'm not going to do better than that.

    I did try reducing my carbs further when I was testing a fortnight ago, but - due to the weather and my activity levels - I started getting muscular weakness and lightheadedness. I also got soaring morning blood sugar levels (up to 6.9 at one point), which was my liver going into starvation mode (muscles run off carbs, so it's impossible to go carb-free and be physically active unless you're in constant ketosis, which isn't recommended in pregnancy). DH suggested I could cut my activity levels and go borderline Atkin's Diet, but that seems counter-productive (and I physiologically need to exercise).

    Med-wise, it's also been like that TBH since 25 weeks, which is one week after GD is supposed to start. I've been eating a ludicrously low GI diet for a fortnight now and Grape is still enormous. He was also predicted large (85% percentile) at the 20-week scan. So he's not just started growing. We're looking at someone who does 7 hours of hardcore cardio per week at 27 weeks pregnant, on a rock-bottom GI diet, and who had massive GD-style diabetic blood sugar spikes (9.0+ after eating rough porridge) by 25 weeks... That's not normal.

    In short, DH doesn't think I've got classic GD. He thinks I'm either so high risk for Type II diabetes for genetic reasons that I was prediabetic going into the pregnancy (my blood tests from Dr Gorgy bear this out) OR my autoimmune problem is steadily destroying my pancreas, and I'm about to develop late-onset Type I (LADA). Either way, I'm not even going to mess around doing the one-hour GTT. There's no point. My plan is to bring my spreadsheet and readings, and demand a) insulin and b) a blood test for GAD autoantibodies (one of the blood tests for Type I diabetes). If they won't diagnose based on my spreadsheet, I'll have to do the three-hour test.

    Offline Londonwriter

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    « Reply #106 on: 25/11/19, 14:13 »
    This is 100% a meds issue. There's no point messing about with diet. The 7.9 reading was after one thin slice of that really dense, dark rye bread with sunflower seeds (GI = 55), with a scrambled egg on top, followed by 0% fat yoghurt and nuts, with a decaffeinated green tea. Unless I start eating protein breads or no carbs whatsoever (basically, Atkin's Diet), or cut out all low-fat dairy (because it's lactose without balancing fat), I'm not going to do better than that.

    To add nonsense to injury, I've just tested an hour after eating a brown tortilla wrap (GI < 30) served beside hummus, feta, lettuce, plum tomatoes and French dressing, plus a decaffeinated skinny cappuccino... and... [drum roll] 6.6. It does seem to be a 'blood sugar messes up in a morning' problem, which is apparently quite common.

    Offline Aggieblue

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    « Reply #107 on: 25/11/19, 15:18 »

    In short, DH doesn't think I've got classic GD. He thinks I'm either so high risk for Type II diabetes for genetic reasons that I was prediabetic going into the pregnancy (my blood tests from Dr Gorgy bear this out) OR my autoimmune problem is steadily destroying my pancreas, and I'm about to develop late-onset Type I (LADA). Either way, I'm not even going to mess around doing the one-hour GTT. There's no point. My plan is to bring my spreadsheet and readings, and demand a) insulin and b) a blood test for GAD autoantibodies (one of the blood tests for Type I diabetes). If they won't diagnose based on my spreadsheet, I'll have to do the three-hour test.

    That's a very good plan! Interesting that we didn't have the 1-hour test and the 3-hour test, just this in the middle 2-hour test.
    And i'm definitely not suggesting you go carb free! that's not healthy for anyone, let alone with your exercise regime. But different carbs work differently for everyone, although rye bread is meant to be one of the better ones. But it will be different for everyone, so might be just a question of experimenting. Especially if it's a morning thing, you can get your carbs the rest of the day! Although not sure what to suggest you eat for breakfast if porridge and bread is out of the question, that would also fill you up.  :o your DH is probably right that it's not GD at all!

    Interestingly, Pupo has been large all through my pregnancy as well (sometimes even over the line), but now is right in the middle - except for his head! ouch! i come from a family of big heads so it's hardly a surprise! ;D

    Offline Londonwriter

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    « Reply #108 on: 25/11/19, 16:42 »
    But different carbs work differently for everyone, although rye bread is meant to be one of the better ones. But it will be different for everyone, so might be just a question of experimenting. Especially if it's a morning thing, you can get your carbs the rest of the day!

    I've tried the low-carb breakfast option this morning. It's not really helped that much. The problem is I woke with such high fasting glucose (6.4 average of two readings) that eating something with next-to no carbs (omelette with 6 cherry tomatoes, nuts, 0% Total Greek yoghurt) sent it to 7.2. Can't work out if the 6.4 is normal for me or a result of physiological stress and poor sleep due to the decorating and bad cold.

    On the upside, I can now keep my blood sugar almost constantly between 6.2 and 6.5 during the day by diet. My DH tells me that he wouldn't expect my fasting blood glucose to be low given my entire diet is designed to stabilise my blood sugar for hours at a time while exercising as I'm so prone to hypoglycaemic symptoms and am carb intolerant (this precedes the GD worries, but the meter is helping me remove any remaining spikes).

    I called my consultant yesterday and am due to see him today about the scan result. I'm just panicking about having an NHS dietician tell me that I have to eat loads of carbs when I'm carb intolerant (carbs make me feel really rubbish) or that meds cause me to gain loads of weight because I store the 1.0 point of excess sugar and then hypo all the time (DH tells me that I need to be careful with insulin because his sister was recently taken out of a business meeting on a stretcher due to a hypo - and she's been diabetic for years).

    DH told me that, if I got stupid advice not tailored to my situation, he would personally find me someone who knew what they were talking about - so I should stop worrying. In the meantime, he said that - according to the chart he found on the internet for projected birth weights - Grape was only predicted at 9lb 5oz based on the scan, which was only absurdly large for a second male child if you had a shoulder dystocia with an 8lb 5ozer. Going by his experience with his sister, he thinks my blood sugar is under strong positive control and my concern is entirely that I don't want a c-section so I'm determined to 'shrink' my child (I have explained multiple times that blood glucose issues in pregnancy are not the same as Type I). He actually told me, if I really wanted to shrink Grape that much, I should come off Clexane as I was high risk for intrauterine growth restriction (IUGR) because of my circulatory problems. As I pointed out, I had no idea what that would do and didn't really want Grape to die.

    Offline Aggieblue

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    « Reply #109 on: 26/11/19, 10:03 »
    da*n London that sounds very gloomy. With all due respect to your DH, I know he means the best, but you do need proper advice from a trained professional. i hope you get it. there must be OBs out there who specialise in diabetes related issues - whatever type of diabetes you are fighting with here. I doubt an NHS dietitian would tell you to eat carbs with those numbers but true that they might not have the xperience you need in your situation.
    I appreciate you not wanting a c-section but you do need to look out for yourself and for your baby, above all!

    how did your meeting with the consultant go?