Instability

[estherchaya]

So, you know, I was getting really bored with my pregnancy.  I mean, hyperemesis is so last year.  And preterm labor?  Come on!  I've been there done that - it's not exciting anymore.  So I thought I'd mix things up a bit and try for gestational diabetes.   I mean, sure, not eating for five months would seem to free me from that specific concern,

Comments

[mrn613]

I'm a little worried about you, I don't think you should be alone until you're stabilized. is that ok to say?

[estherchaya]

I'd be more worried if my sugar was crashing - because that can come on without warning and leave me unable to make a phone call. Seth checks in on me throughout the day, particularly if my nanny's out with the triplets, so that's about as good as it gets. (Seth also only works 1.8 miles from home which makes it a lot easier to count on him than when he was working 35 miles away in Baltimore).

I just have this feeling I'm NOT going to stabilize until this baby gets his or her eviction notice. Nothing with this pregnancy has been straightforward.

Definitely appreciate your concern, and yes, it's okay to say.

[cleobatya]

I'm becoming very familiar with diabetes and what to do if blood sugar gets low etc., but with your pregnancy and inability to eat, and other complications, it seems even more confusing and difficult to predict/control.

[estherchaya]

gestational diabetes is kind of a force of its own, anyway (and usually more like Type II diabetes - insulin resistance, than it is like Type I diabetes).

Fortunately, for the moment, I have to worry less about my blood sugar crashing than it skyrocketing. Skyrocketing is bad, but sugar crashes aren't real pleasant.

Hopefully this will all go away once the baby is born.

google searches

[atimesif]

I'm sure you've google'd it but here are some links I found that mention HG and hyperglycemia

Re: google searches

[estherchaya]

I have consulted Dr. Google, yes. Neither of your links really applies, but are reasonable questions.

For #1 - I'm not getting parenteral nutrition. I have hyperemesis and a PICC line, but I'm only getting IV fluids (with 5% dextrose, but that's only 25 calories per hour, so that's not a reasonable explanation). If I were on TPN, I wouldn't have been surprised by hyperglycemia in the least bit. Two of my preterm labor medications can elevate blood sugar, but not to the degree that I'm experiencing.

2. Ketosis wouldn't explain hyperglycemia. Before I had the IV fluids, I was ketotic, yes - but I wasn't hyperglycemic as I had zero intake. The 5% dextrose in my IV fluids is pretty much there to keep me from going into ketosis again - not really for nutritional value. Ketosis isn't good for fetuses, apparently, so the goal is to keep me out of it. But ketosis doesn't cause hyperglycemia.

Thanks for the book suggestion - I hadn't seen that one.

[hipstamom]

I don't get if you are having little intake that GD decides to crop up. I hope everything is going O.K.