* Author Topic: BFP Due Date - January/February 2020  (Read 15730 times)

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Offline Londonwriter

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BFP Due Date - January/February 2020
« Reply #110 on: 26/11/19, 15:41 »
how did your meeting with the consultant go?

I saw him around 12:30pm. My fears about how I'd get dealt with were completely unfounded. I *didn'*t get booked in for the one-hour test when I already knew I'd fail it (so I'd have to do two tests). He *didn't* completely ignore my week-long history of blood sugar monitoring. He *didn't* refer me to the Guy's and St. Thomas' diabetes midwives for the booking-in meeting where I assumed I'd get a lecture about avoiding Lucozade followed by someone a couple of weeks later telling me that my low-carb/low-GI diet didn't follow the Eatwell guide and I needed to eat two slices of wholemeal toast...

Instead, he's booked me straight in for a two-hour blood glucose test. He said I probably had gestational diabetes, given the size of Grape, and he was going to treat me on this basis. Based on my carefully-kept spreadsheet, he thought my blood sugars were actually very well controlled, apart from one or two high readings, showing I'd gone about as far as I could on diet. He acted like (and I'm speculating here) it was all rather strange and is referring me to an endocrinology specialist. He thinks I'll probably end up on metformin, but doesn't want to speculate. In particular, he was open to the idea I might get the Type I antibody tests. 

I was sufficiently relieved that - as I had mild ketosis on my urine test (we agreed it was probably just because I hadn't had lunch) - I went to Natural Kitchen with my mum to celebrate with a decaf cappuccino with almond milk, Teriyaki salmon, and loads of cooked & green salad [Mostly a good plan. DS came too and rejected his very expensive cheese/ham croissant].

[NB: my blood sugar was *still* 6.5 after running with the dog for 30 minutes, running downhill to my dance aerobics class because I was late, doing a dance aerobics class for an hour, jogging back up a 17% hill, travelling to my appointment on the tube, eating lunch, and then walking for nearly 30-40 minutes back to another tube].

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    Offline whatonearth

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    « Reply #111 on: 26/11/19, 19:21 »
    Hi all
    London I saw your two posts this morning and I'm glad you have been able to speak to a consultant and have a proper conversation about your blood sugar.
    You must be feeling relieved.
    Wow, I am amazed that you manage 7 hours of cardio with a job a small child and a bump. I can't imagine fitting in anything like that. You sound very committed and organised.
    Do you find it helps with any of your immune issues.
    I have read that exercise can impact the immune system, but it's quite complex.
    I hope the house is all looking good. That cornicing sounds divine.
    Aggie have you had any more thoughts about baby showers? My friends are talking about January.
    Not really sure what people do. Was thinking about booking a big table at a nearby cafe (frequented by large groups of mums - good cake and not too expensive)
    Had a midwife's appointment today. Blood pressure good and got bloods taken. She said I was measuring 26 weeks (I'm 28+3). Think it's the transverse position?
    The antenatal classes start in a week, only 3,but in the afternoon. I feel bad taking time, but might go to the one about birth interventions because of the induction possibility. I don't know!?


    Offline S_Lauren24

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    « Reply #112 on: 27/11/19, 21:59 »
    Hi ladies I am hoping you are all well, I am going to catch up on all your posts in a little bit. I just wanted to come over and say hi and let you know all is well with me and bump.

    We have had a few ups and downs over the last few weeks, mainly down to the midwife missing things during my appointments. I hadn't seen my midwife since 26 weeks which was okay but at that appointment she told me it was too soon to measure my bump and it would be done the following appointment at 28 weeks during my glucose test. However because I transferred to a different hospital they refused to measure me stating they would prefer my community midwife to do it. I was meant to see my community midwife at 31 weeks but due to reduced movements and having to visit the hospital one evening they found my glucose was high and I had to go in for a second GTT test the day I was meant to see my midwife. When I told her I had to go in she cancelled my appointment and said the hospital would measure me. Of course because I was only there for a blood test they didn't and I missed out yet again.

    I ended up back in the hospital at 32 weeks and 2 days because I had been itching like mad and luckily they measured me then, I was measuring at two weeks ahead of where I am which they weren't too concerned about but they were very annoyed that no one else has measured me. This caused them to book me in for a growth scan on the 9th Dec where I will be 36 weeks and 2 days.

    I saw my midwife last week at 33 weeks and 4 days and she refused to measure me again because I had been measured the week before, she didn't seem at all concerned I have only been measured once! After I had seen her I spoke to my mother on the phone who asked what position the baby was in and was shocked to hear the midwife hadn't felt my bump, hadn't checked what position he was in and hadn't listened to his heart beat.

    All this stuff with my midwife missing things or being told she is missing things has had me a little stressed out which I know won't be good for the baby. This is the first time I have ever gone through this so I don't know what is meant to happen at each appointment. My next appointment with the midwife is Wednesday 4th but she didn't actually tell me what time my appointment is so I need to give her a ring.

    In better news I had my baby shower on the 17th Nov and it was lovely, my family were there and all my friends and it was great to celebrate with everyone. And we received some lovely gifts from everyone. I'm counting down to my maternity and it can't come quick enough, I'm getting very tired very quickly lately.

    Offline Londonwriter

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    « Reply #113 on: 28/11/19, 10:27 »
    Okay. Everyone. So I did my OGTT and I have gestational diabetes. Way worse than you, Aggieblue - it was 10.9 after 2 hours, which appears to be 0.2 points off being diagnosed with Type 1 or Type 2 diabetes instead of GD.

    I wasn't surprised at all TBH. I did a lot of monitoring yesterday as, with the OGTT in the morning, my mealtimes were out of sync. I measured my blood glucose every hour for four hours and found out that my wonderful low GI lunch had spiked my blood sugar to 9.3... except after three hours, rather than one or two. At this point, my DH started wondering if I had Type 1-like symptoms (i.e. grossly inefficient insulin production) so we ran a test this morning where I calculated the number of grams of carbohydrates in my breakfast and then measured glucose until I got a spike. I ate a low-carb breakfast, i.e. omelette, five cherry tomatoes, full-fat yoghurt and nuts - I estimated the total carbs as 18.5g. DH calculated, based on the conversion given to his Type I diabetic sister, that this should raise my blood sugar by 1.85 points. Hey presto, the spike was - within the measurement accuracy of the monitor - around 2 points higher than my resting glucose.

    What this means is that, basically, I have grossly inadequate insulin production. A low GI diet and protein/fat 'pairing' (which you'll see on GD websites) is actually useless to me because, if I have 10 grams of carbs, it doesn't matter if it's in Lucozade or All-Bran - the glucose just arrives later with the latter (because my body can't do anything with it whether it arrives quickly or slowly). This is, in DH's view, something that looks a lot like Type 1-like diabetes, not Type 2. In classic Type 1, you are eventually hospitalised because once you have almost no insulin, the glucose stays in your blood indefinitely until, eventually, it builds up to pathological levels.

    We are obviously speculating, but it looks like I just can't produce enough insulin - for whatever reason - to keep up with the demands of pregnancy, as the body demands more insulin to overcome insulin resistance. This could be due to autoimmune damage to the pancreas (Type I) or some kind of Type 2 mechanism linked to systemic inflammation (which, for a non-obese woman is basically also autoimmune).

    I'm due to see an endocrinology specialist on Monday but, in the meantime, I'm having to be on what's basically the Atkins Diet (i.e. ultra low carb) and then go running after every meal to get rid of the glucose. I did check this was okay with my consultant as it's only Thursday - he thought it would be okay until Monday. Obviously, this isn't diet controllable and, if it got dramatically worse without being treated, my DH tells me that either Grape would die or I would end up with so few food options that didn't spike my blood sugar (before the invention of insulin, the last tolerable food was boiled cabbage) that I would die of starvation before he was born.

    [And, yes, folks, I did spike to ~8.0 after two hours with an omelette and some high-protein yoghurt].

    Wow, I am amazed that you manage 7 hours of cardio with a job a small child and a bump. I can't imagine fitting in anything like that. You sound very committed and organised.
    Do you find it helps with any of your immune issues.

    Whatonearth - I originally started exercising intensively to self-medicate my undiagnosed autoimmune disease as suppresses my immune system. I used to run for 2 hours a day straight after lunch, and the half hour afterwards was the only time I didn't have fatigue and brain fog (that sounds bonkers, I admit). It also used to help me sleep (otherwise, I had fever and insomnia all the time). When my immune problem is under control, I find I don't need to exercise as much.

    I have the advantage of having a lot of childcare and a job with flexible hours. My mum and my DH's mum help out, and I also have a part-time nanny and send my DS to nursery once a week.

    Hi ladies I am hoping you are all well, I am going to catch up on all your posts in a little bit. I just wanted to come over and say hi and let you know all is well with me and bump.

    We have had a few ups and downs over the last few weeks, mainly down to the midwife missing things during my appointments. I hadn't seen my midwife since 26 weeks which was okay but at that appointment she told me it was too soon to measure my bump and it would be done the following appointment at 28 weeks during my glucose test. However because I transferred to a different hospital they refused to measure me stating they would prefer my community midwife to do it. I was meant to see my community midwife at 31 weeks but due to reduced movements and having to visit the hospital one evening they found my glucose was high and I had to go in for a second GTT test the day I was meant to see my midwife. When I told her I had to go in she cancelled my appointment and said the hospital would measure me. Of course because I was only there for a blood test they didn't and I missed out yet again.

    I ended up back in the hospital at 32 weeks and 2 days because I had been itching like mad and luckily they measured me then, I was measuring at two weeks ahead of where I am which they weren't too concerned about but they were very annoyed that no one else has measured me. This caused them to book me in for a growth scan on the 9th Dec where I will be 36 weeks and 2 days.

    That sounds really annoying  >:( And I really think you need to be pushing for a measurement. It's kinda late at 36 weeks to find out how big/small your baby is going to be, especially as - by bump measurement alone - Grape is not measuring large (my consultant guessed it was because I'm thin and he was transverse).

    Offline Londonwriter

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    « Reply #114 on: 28/11/19, 17:25 »
    UPDATE: DH has been here all day to help with DS, as we have floor sanding people and a decorator in today.

    He did have plans, but they've been overtaken by events so he's spent most of the day teaching me how to temporarily control bad GD with diet alone. Amazingly, it has worked so far. I actually had a reading of 3.7/4.0 today and it's been under 5.3 for hours. It is a brutal process that is never going to gain widespread popularity. Basically, plan is to use an Atkin's Diet Phase I (induction) diet plan to keep the blood sugars very low and, if I want to exercise, I have to deliberately eat a weighed carb with the number of grams of carbs adjusted to the likely calorie consumption of the exercise to avoid a hypo. If the number goes over target, I have to take the dog for a run for a prescribed period of time. I'm testing up to 15 times a day to enforce this - plus a once-per-day Ketone urine test. If the Ketone test goes dark (i.e. bad ketosis), I have to go to A&E.

    Obviously, I'm hoping to only carry on until Monday because this isn't long term sustainable, but - cross fingers - it should work until I can get hold of some insulin.

    Offline whatonearth

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    « Reply #115 on: 28/11/19, 20:20 »
    Hi all,
    London, I'm glad you have an answer, the speculation was spiralling.
    I was wondering about the cardio as I did use exercise to lower my slightly raised nk cells, although my main issue was the nk bright/tregs but very few fertility doctors care about measuring those.

    Re the diet - a colleagues at work is on the keto diet because her type 1 boyfriend has been using it to control his symptoms. He rarely uses insulin and also rarely exercises, just walking to work and back.
    They are both in their early twenties, so should be in relatively good health.
    just wanted to drop that in there as a bit of anecdotal info.
    They do seem to eat a lot of meat and fish. I dont think I could do it following their menu, perhaps a more veggie style is possible?
    They even avoid veg such as aubergines - too many carbs! No milk, but a lot of cheese .
    Did you find any more research on ketosis and pregnancy?
    I have the transverse effect, reducing effect too. Eventually, I will have to start sitting properly on an exercise ball and stop slumping around, but not until 30 weeks or something.
    Lauren, that being punted around sounds so frustrating. The left hand doesn't know what the right is doing by the sound of things.
    The tummy measurement is a bit inaccurate from what I have read.
    Are you due a scan to check your baby's position and get measurements?
    It might be worth a private scan?
    I will be scanned twice before my due date. I'm hoping to use the results to get my baby into the best position. It might not work, but Ill give it a go.
    The baby shower sounds lovely. Im glad it went so well.




    Offline Aggieblue

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    « Reply #116 on: 28/11/19, 22:33 »
    Londonwriter, what a nightmare! i'm sorry you have to deal with this on top of everything else. hopefully medication will ease this for you next week.

    Lauren, wow such incompetence. i don't think the measuring of the bump is very accurate but it's strange not to even listen to the baby's heartbeat. her job is to check that everything is going well, how can she be sure without checking? i'm glad to hear both you and bump are otherwise well :)

    whatonearth, what anenatal classes did you manage to book in the end?

    anyone else is getting Braxton-Hicks contractions yet? Mine started a few days ago, it's such a weird feeling and also makes me feel like sh*t is getting real!!

    Offline whatonearth

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    « Reply #117 on: 29/11/19, 19:20 »
    Hi all,
    Aggie omg that is scary. What does it feel like to have Braxton Hicks feel like. I honestly don't remember anything with my son.
    London how are things. Not long until you will be able to be properly medicated and supported for the remainder of your pregnancy.
    London and Aggie will  you have more scans to monitor the size of your babies as part of the monitoring process?

    Offline S_Lauren24

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    « Reply #118 on: 29/11/19, 20:26 »
    Lauren, wow such incompetence. i don't think the measuring of the bump is very accurate but it's strange not to even listen to the baby's heartbeat. her job is to check that everything is going well, how can she be sure without checking? i'm glad to hear both you and bump are otherwise well :)

    anyone else is getting Braxton-Hicks contractions yet? Mine started a few days ago, it's such a weird feeling and also makes me feel like sh*t is getting real!!

    It is such a nightmare that she isn't doing things that she should be doing. She just asks me about movements and that is all. Thank you, I'm just glad the baby is okay.

    What do braxton-hicks meant to feel like? I don't think I've had anything like that yet. Roughly around 6.30pm/7pm I get a little bit of period pain but nothing too bad, I haven't felt any tightenings or anything.

    Lauren, that being punted around sounds so frustrating. The left hand doesn't know what the right is doing by the sound of things.
    The tummy measurement is a bit inaccurate from what I have read.
    Are you due a scan to check your baby's position and get measurements?
    It might be worth a private scan?
    I will be scanned twice before my due date. I'm hoping to use the results to get my baby into the best position. It might not work, but Ill give it a go.
    The baby shower sounds lovely. Im glad it went so well.

    There definitely is a sense of the left and right hand are doing completely different things.
    I just wish they had been checking measurements from when they were meant to.
    I'm only having a scan at 36 weeks so they can make sure they baby isn't too big or too small because I haven't been checked properly.

    Offline Londonwriter

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    « Reply #119 on: 29/11/19, 20:31 »
    Aggie - no Braxton Hicks yet. But, to be honest, I don't remember having any with DS so I'm probably not a good guide  :-[

    Whatonearth - yes, apparently I will have regular scans to check the size of the baby and incase of extra fluid, etc.  I have cheered up a lot now I'm following DH's temporary Atkin's Phase I diet. So far, we've managed to keep the numbers largely in range (so between 3.7 minimum fasting and 6.8 maximum after a meal) for more than 24 hours. During this time, I did a whole 45-minute gym class, ran with the dog (and walked him multiple times), and cycled for 2 hours to collect my son from nursery. I have a lot more energy than I usually do as well. Obviously, the diet is not sustainable for more than a few days as I'm only eating as many carbs as I need for exercise, but I don't feel I'm fighting a monster right now. I'm just crossing my fingers that we can get through the weekend with nothing weird happening...  ^pray^

    Lauren - sorry this is happening :( Can you get in touch with them and push them to make the measurements?