It all started several weeks ago, when I had a simple glucose test at the birth center. The gave me some specific instructions for the breakfast I was to eat that morning, and it all had to be timed just right for the testing. I followed the instructions to a tee, and wasn't really worried about the outcome. Seriously, what are the odds I'd have hyperemesis AND gestational diabetes, right? Besides, I eat healthy, exercise, I haven't gained excessive amounts of weight (in fact, I'm under the mark) and at the time that I first tested I was 28 weeks along--the onset of gestational diabetes should have happened much sooner, right?
Well, you know I wouldn't be telling this story at all if there wasn't a problem. I, as you may have guessed, failed that test. I was convinced it was a fluke, but they sent me into the lab for a 3 hour glucose test nonetheless. You know, the one where they make you drink pure liquid sugar and draw your blood four times.
About a week later I found out that I failed that too. AWESOME. The worst part of the news is that gestational diabetes is a high risk condition, and I can't remain under the care of the midwives at the birthing center with a high risk condition. (Mind you, hyperemesis is also high risk, but since we've been able to keep that under control they were politely ignoring it.)
When Layla the midwife called me to tell me about the failing of the 3 hour test, she must have recognized the panic and despair in my voice when she mentioned this rule, and agreed to give me another shot at the 3 hour glucose test. That's right, I did that puppy twice.
But for the second test I went in better prepared. Layla put me on the Paleo Diet, which is a bit miserable but is great for diabetics. Really, I can't imagine living this way. Its like the opposite of the Word of Wisdom, which really bothers me. And makes me feel like its not only miserable, but wrong. But, William, Camille, and my mom helped to convince me that its a medical intervention, and I really am feeling willing to do it under those conditions. Layla seemed sure that it would help suppress the problem and help me to pass the second test.
Don't get your hopes up. I failed 3 hour test #2. The blasted gestational diabetes became an official diagnosis.
Like I said, the worst part of this is that I can't stay at the birth center. This has caused much weeping. I've, all along, had this beautiful vision of being in a calm, quiet, soothing environment. Just me, my husband, the emerging baby, and one of the midwives. I imagined giving birth to my baby (after some seriously hellish pain. I'm not naive, my vision included the pain) and helping to clean him off, and feeding him for the first time, and then going home shortly thereafter. Because at the birth center you get to leave once they make sure everyone is okay. I was really looking forward to being at home so soon and recovering with my baby there.
Anyway, there is no need to wax on about that vision. Its not happening. I'm gonna be in a hospital with the bright lights and nurses changing shifts every few hours, and needles, and people who want to keep asking me if I want to use a vacuum, or forsepts, or if I want an episotmy or an epidural... They will all be well meaning I'm sure, but their goal will be to deliver my baby as fast as possible, as though having a fast labor should be the ultimate goal. Mostly I feel like a healthy labor should be the goal, and that doesn't necessarily mean fast.
ANYWAYS, I digress. I'm transferring to a new practice. I've heard great things about them, and all the reviews I have found online have been outstanding. It really does seem like the best OB-GYN practice in town. And I've chosen to be grateful for the intervention of modern science in my pregnancy. I really wanted to give birth the way women have been doing it since the dawn of time... but if this were the dawn of time I'd be giving birth to a huge baby that would die shortly there after due to insulin shock. In fact, I probably wouldn't have made it this far in my pregnancy without the intervention of Zofran, which kept me from throwing up so much that I threw up blood. (don't forget the hyperemesis.) Anyways, the point is that modern medicine is really awesome, and I should appreciate that.
I would feel good about it if it weren't for this whole insurance issue. I have insurance. Two of them actually. A primary and secondary. This new practice accepts both kinds of insurance. That's not so much a problem. The problem is that they WON'T accept a secondary insurance. AT ALL. I have perfectly good insurance and this should mean that I don't have to pay anything for my medical care. In fact, I have budgeted $0.00 for my medical care. As it turns out, this new place is going to force me to pay the 20% my primary doesn't pay. After spending much time on the phone going round and round with people (including trying to talk medicaid, my secondary insurance, into reimbursing me) I finally figured out why this is. Its because insurance only pays out at the rate they think the doctors should be charging. If they make me pay, they will get more money in the end.
I have ever so many issues with this country's health care system.
So now I'm stuck eating a no sugar super low carb diet and medical bills I wasn't expecting.
Anyways, that's my GD story. Remember that funny little comment I made on this post about trying to give myself gestational diabetes? Cute, right? In all reality, you can't GIVE yourself gestational diabetes - its caused by the strain that being pregnant puts on your pancreas - but that sure is funny now.
Oh, and I hate being pregnant.