R-E-S-P-E-C-T! That’s the song I felt like belting out as I soared out of the diabetes in pregnancy clinic earlier this week all afloat with good momma-to-be vibes swooping through me.
When I walked into the clinic Tuesday morning, I was prepared to give them hell if they gave me any trouble – any trouble! – with my weight gain or BG control. I’d been practicing in my car all week with strong one-sided conversations with that nasty dietitian I saw last, and I was determined not to let her break my shell again. But the practice was all for not. This week I saw a new dietitian, and my favourite endocrinologist of the clinic was back from her European holidays.
So what happened? Well, let’s start with the weight gain: It seems I’m down a smidge from a month ago (0.7 kg to be exact) which could have something to do with the fact that because these medical peeps have essentially freaked the crap out of me, I wouldn’t step on that scale without first removing my shoes, jeans, insulin pump and watch! (FYI: the scale is in the washroom, no one is around me, I could have gotten stark naked if I so desired… and believe me, the thought did cross my mind.)
The new dietitian, who I really liked was a little concerned with my slight weight loss, and so I told her what I did and why. Her eyes half bulged at my reasoning for stripping down. She told me I am in no way overweight for my pregnancy, that in fact, I’m slightly below the range I should be. Not upsettingly low, just 1 kg below the 73 to 77 kg range they’d prefer I be in. She told me not to worry about weight gain, I’m “on the right track.”
She was also super impressed with how much I check my blood sugars. I half-laughed and told her that over the years I’ve become a bit OCD with my BG control, even before pregnancy, to which she replied I was a breath of fresh air after dealing with so many others who hardly ever check their blood sugars.
When it was time to see my favourite endocrinologist of the clinic, I was so super happy and took the opportunity to combine the diabetes appointment with a counselling session. Pretty much as soon as I walked into her office, I was spilling out every bad appointment I’d had since she left more than a month ago, the tears, the nasty comments, the worries, the fears, everything. And I kid you not, I think she might have been more offended than I was with the situation. She told me in no way should any of that have been said to me. She said my HgA1c is “outstanding,” and that “it’s the best of anyone in that clinic,” and that my belly, which measured 25 and a half inches, was perfectly in line with being 25 and a half weeks at the time, and that the higher blood sugars I was experiencing corresponded to the exact same time that non-diabetics get tested for gestational diabetes due to a healthy placenta pumping out added hormones that make it more difficult for insulin to do its job efficiently. “You are doing everything right,” she said. “Don’t let them freak you out!”
So basically, suck it nasty doctors and dietitians!
26 weeks: Channeling Aretha was first published June 14, 2012.