2 more doctor's appointments--good news and bad news

[ootus973]

So, I saw both the OB and the endocrinologist and have good news and bad news...

OB visit: Bad news, they haven't been able to get my medical records from the birth of my son (when I had the uterine rupture). Without those records, the OB needs another Dr to verify that the baby needs to be delivered before 39 weeks. He says he has no doubt that we should deliver at 37 weeks, but that he needs either the original medical records or a specialist opinion to get approval to deliver early. I see the MFM again next week, and we're hoping they'll write the second opinion. It appears that in CA (where my son was born) they only have to keep records for a certain period of time before they're destroyed. At least the OB and I are finally (almost) seeing eye-to-eye on this issue.

Endocrinologist: For the moment, I can continue to control my gestational diabetes with diet. I'm barely able to stay in the guidelines, though (under 90 fasting, under 120 after eating), even when I eat virtually no carbs at all. The bad news is she said she'll probably have to put me on insulin for the final month before the baby is born. She said it will get harder and harder to stay under that number as the baby grows larger, and it may be healthier if I can eat food and just take the insulin. We're going to try diet alone for another 2 weeks, with a new glycemic index chart to eat from, and see if that works. She said the issue is really trying to eat enough to maintain my energy and baby's weight gain while still not going over that magic 120 number. I work a fairly physically demanding job (I run all over a 150,000 square foot building soliciting and processing credit applications, and can walk over 15 miles a day on a busy day), and she's concerned about that level of activity not keeping my blood sugar down. Sooo...I'm not doomed to insulin yet, but I could be forced to take it very soon.

[Babidol]

Im sorry momma. Not much longer before baby is safely in your arms and this pregnancy is behind you. Big hugs.

[pumpkinpeejays]

Wow, the saga continues, sorry honey! I hope you are able to find a good balance with diet but if insulin is needed on a short-term basis, I don't think it'd be too bad, as long as you can stop it once the baby is born. Probably it's a low dose anyway, right? Like not a huge amount to take? I wish regulations stated to keep records longer. Sorry! I think every state is different.

[LaundryQueen2011]

One month on insulin is much better than a whole PG right? And how come your cut off # is 120? I am pretty sure they told me the cut off was 140 - and I passed because I was at 1

Glad you are getting a 2nd opinion on delivery dates! Your uterine rupture needs to be taken seriously. How long ago was that? And have you had any children since? Sorry if you have answered that - my PG brain is SOO bad.

[WishingNat]

If it makes you feel any better -- the insulin is completely not horrible!! I was panicked with my first pregnancy when they said I'd have to start taking it... and it really was a breeze!!!

I too managed mostly on diet -- and the good thing is, I only had to take a small amount of units at bedtime and the rest was controlled by diet and exercise (was just my morning fasting that was too high for their liking).

Good luck!!!