{Bumpdate} 30 Weeks

Of course after taking this photo I realize I’ve already worn this dress for a bumpdate, but then I realize I don’t really care because soon I won’t be 30 weeks anymore (taken on 30 weeks, 4 days.) 😉 I also realized these stripes make me look significantly more pregnant than solids, but I’ve just got a thing for stripes! 

Baby Girl,

I’ve been worrying so much about you since finding out I have gestational diabetes.*   Of all people, I NEVER expected to get those results.  The guilt I feel is immense.  My one job as your mom so far has been to make the best choices I can to ensure your safety during your 40 week stay and delivery, and it seems I’m failing already.  

I’ve always tried to live by the 80/20 rule.  Eat healthy and make smart choices 80% of the time and live a little the other 20% of the time.  It turns out that might work for some, but for this pregnancy it’s not enough. Giving up my lattes and the occasional ice cream treat has already been a challenge.  If, however, following a stricter diet means you will grow to be a healthier weight and have a possibility of a safer entry into this world, then it is what I will do.  

I thought all my regular worries were a lot, but now worries of birthing a big baby, induction, or worse, c-sections and you having low blood sugar after birth have me freaking out.  I promise you though, little lady, I will do everything within my control to make sure you have a healthy arrival.

Love, 

Mom

Feeling: Emotional about finding out I have gestational diabetes. 

I never really gave much thought to that first 1 hour glucose test as I never even considered that I might actually fail it.  Even when the results came back that I had failed by only 6-9 mg/dl depending on whose guidelines you follow, I was optimistic that I would not fail the 3 hour glucose test.  I eat healthy most the time.  Treats are occasional.  I love my lattes, but I exercise everyday.  

My other reasoning for not completely freaking out included: I’ve never been overweight, there is no history of diabetes in my family, I did not have a large baby last time around nor did I have gestational diabetes, I’ve been on target with my weight gain and baby girl measured on at my 29 week appointment.  I rationalized that I have been maintaining running throughout this pregnancy.  I ran two half marathons during my pregnancy (one training run in my first trimester and one race in my second trimester).  I couldn’t possibly have gestational diabetes. Except that I do.

When I saw the missed call from the clinic the day after my 3 hour test, I knew I had failed. Two of my four tests had higher than allowed results.  Despite one of the tests being over by only 6 mg/dl, two failed results is a diagnosis of gestational diabetes.  

I was devastated. I was shocked.  I was ashamed.  I was confused.  I was upset.  There was crying and worry. Even after having time to process this and hearing it’s not my fault, take the was out and insert AM, and that is pretty much where I am at with this diagnosis.  There IS crying and worry.

After doing some research and meeting with a diabetic educator, I now have a diet plan to follow that restricts carbohydrates and increases my daily protein.  Luckily so far, the only real changes I’ve made to my diet include eating more protein throughout the day, always eating carbs with protein, and eating less fruit and giving up the occasional treats and lattes.  Making these changes and counting carbs has kept my blood sugar under control.  Should more changes be needed, then I will make those. 

Giving up the few lattes I enjoyed a week has been painful.  It’s heart wrenching to think of a fall season without PSL and yummy pumpkin flavored carbs.  If you don’t know what PSL is then you really won’t understand anyway.  I’m being dramatic…sort of.

It sucks that I can’t have fruit or cereal for breakfast.  Fruit is quite limited throughout the day actually.  Sweets are out almost entirely.  I’m not sure I can restrict myself to the half cup of frozen yogurt or the 2×2 piece of cake with no frosting allowed on occasion (I mean who really eats only 1 serving of frozen yogurt or ice cream?  Seriously, who are you?), so I’m just avoiding it altogether so far.  I was also told to be active after each time I eat a meal, but with a 15 month old and an already active lifestyle I have not found this to be an issue.  Half the time I’m eating while standing and on the go already.

According to my blood sugar test results, which I take four times a day, I’ve never even been close to being over the target numbers I was given.  My hope is that this continues for the remainder of my pregnancy and that my controlled blood sugar will result in a healthy (and not huge) baby girl and vaginal delivery.  I’m also aware that for some pregnant women with gestational diabetes that as their pregnancies progress their blood sugar gets harder and harder to manage.  If anyone has experience with this, I’d love to hear more.  I don’t know of anyone who has had it.

 

All happy pre-gestational diabetes diagnosis. No I dont ever make my bed.

 
Cravings:  I guess it doesn’t really matter what I’m craving since my diagnosis, but oddly enough fruit has become the new thing I wish I could have more of.  I totally didn’t realize how often I would grab a pear or apple, cut up a bowl of berries or enjoy a delicious kiwi for a snack or when I was hungry.  It actually tastes so sweet now when I eat it.

Weight Gain:   At my 29 week prenatal appointment and when meeting with the dietician at 30 weeks, both scales said I’d gained 22 pounds.  I’ve gained six pounds less than where I was at this point with my first pregnancy.

Symptoms:  Many of the same symptoms remain, but I’m just feeling more pregnant. More uncomfortable.  Bigger.  Heavier.  Less able to reach things.  Lots of movement from baby girl.  Much more emotional this pregnancy.

Exercise/Workouts: At 30 weeks I’m starting to feel not as good running.

I think we are officially in the take each day at a time phase of running pregnant.  Each day when I dress to run I won’t know if I’m running, running and walking or just walking until I get out the door.

I’ve had a couple of great runs lately, but a lot of days I’m not feeling as good as I was before.  I’m likely going to be adding in more walks and taking a few more rest days from running to help with this.  The timing is also unfortunate that as I’m growing more uncomfortable our days got busier.  During week 29 we were out of town four days doing fun things and I had three doctors appointments (one required fasting for 16 hours when all was said and done).  This made it really hard to workout.  My details are below.

28 Weeks-

 

Ran-8.65 miles (4.3, 1.65, 2.7)

Walked-5 miles

Hiked-4 miles in Door County

Kayaked-3.6 miles on Lake Michigan

Yoga Class-60 minute class

29 Weeks-  

Ran-1.6 miles

Walked-7 miles

Looking Forward To:  Celebrating your healthy arrival with you in my arms and a PSL nearby.  🙂

Sarah

*Update: I realized I didn’t explain what gestational diabetes is.  It is not known why GD occurs in some pregnant women.  GD occurs when the same hormones from the placenta that help the baby develop also interfere with the mother’s insulin in her body.  This creates insulin resistance in the mother where her body struggles to use the insulin and that extra insulin in the blood becomes glucose and is passed to baby.  Since baby doesn’t need the glucose, it becomes fat and results in bigger babies if not controlled. 

Having GD does not mean the mother was or will be diabetic, but it does raise chances of developing type 2 diabetes later in life for both mom and baby.  Bigger babies can also lead to delivery complications like induction, csections, and low blood sugar in babies after birth requiring formula supplements and monitoring.  Many women who have GD and control their blood sugar go on to have healthy pregnancies and deliveries.

 

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