We went to the gestational diabetes clinic yesterday. This involved seeing an obstetrician who specialises in gestational diabetes, then a midwife, then a dietitian.
The obstetrician just talked us through what having gestational diabetes could mean in terms of my health and the health of the baby. Often, babies whose mothers have gestational diabetes (GD) can be quite large (apparently this is the most common problem caused by GD), but, conversely, it can also cause babies to be smaller than average. They’re not sure whether BabyMouse’s smallness is caused by GD, but from what the obstetrician said, I got the feeling they don’t think this is the case, as she has grown steadily throughout – just not grown as much as the average baby. Personally, I think it’s more likely that it’s my anatomy that has caused her to be small. But anyway. The obstetrician also said what the plan would be for the next week or two – I have to test my blood glucose levels before/after every meal and make some changes to my diet, then go back to the clinic to see if I need to have any medication.
The midwife talked me through how to use the blood glucose testing machine. It’s not very complicated and I feel OK about doing it now I’ve done a few tests. Obviously having to prick your finger on a regular basis is not great, but it’s not too bad – I think it’s better sticking a very small needle into your own finger than having someone else do it! Also it helps that you can’t really see the needle as it’s mainly hidden inside the little plastic thing (not sure what this is called!). I’m trying to use a different finger every time, although obviously I will run out of fingers quite soon – but then the first one should be OK to use again.
We’d been warned that the diabetes dietitians could be a bit strict and scary, but the one we spoke to was very nice, and she was pleased with the changes we’d already tried to make to my diet (cutting out sugary foods, reducing the amount of carbs with each meal). She actually said I could be a bit less strict than I was thinking I would need to be. I was pleased to learn that I’m allowed to eat a small amount of chocolate – dark chocolate is best so we’ve bought a couple of bars of that in case I need any ’emergency’ chocolate! I think I’ll try not to eat it on a regular basis, just in case.
I was supposed to go back to see the diabetes team next week, but there were no appointments left, so we’ve made one for the week after and we can ring on Friday to see if there have been cancellations for next week.
We also went to see the midwives at the local hospital on Monday, and the midwives at the London hospital on Tuesday, for the usual obstetric cholestasis-related liver function tests and baby monitoring (the same tests are done at both hospitals because they can’t see each other’s notes on the computer, which is just silly but what can you do? Roll on care.data?) Unfortunately, my ALT levels have gone up again, and so have my bile acid levels. I don’t really understand why they fluctuate (hormonal changes?) – I probably need to look that up or ask someone at our next appointment.