Thursday, July 9, 2009

Nutritional Counseling

Really more diabetes education than anything.

I've got my meter and some test strips and I will be checking 2 or 3 times a day after meals for the next couple weeks.

She showed me how to use everything and then pushed it towards me. Ok, I haven't intentionally stabbed myself in a while, this ought to be fun. But the lancet is a very efficient poking device and it's super easy to get a drop out.

I let my blood get sucked up the strip and sat staring at the digital display as it flashed... it was a total flash back to waiting for digital hpts. I held my breath and felt all anxious again and then it was over... the thing only takes 5 seconds to tell you your blood sugar! Five seconds, why the hell can't we get hcg testing technology that is that quick? Can you just imagine pricking your finger and getting a quantitative beta 5 seconds later? Someday.

My first reading was 107 and it was about 2 hours after I'd eaten a bunch of strawberries. They want my 2 hr blood sugars to be under 120 and my fasting to be under 105 (and these are for gestational diabetes, regular diabetes has different, higher limits).

So I ate dinner last night (some Archer Farms cheese lasagna) and waited 2 hours and it was a mere 82. So I was really curious what I would have this morning... I obviously haven't gone into a diabetic coma, but at 82 last night I wondered how much it would drop by the morning. It was 85. So apparently it was stable (I assume a little variation is just error). And 2 hours after breakfast today: 88. Yes, it appears that I'm not diabetic yet.

And I have to say, I was pretty apprehensive about testing, but it's kinda fun. I'm an experimenter, so now I'm really curious to see how my body reacts to different foods.

When I've done this type of thing before I usually get really pissed off. In the past it's been more like I show up and some idiot that is not a vegetarian gives me a brand new diet completely different from the foods I normally eat and tells me to follow it. That's not realistic, you can't just tell somebody to change everything.

This counselor didn't do that. We talked about what I eat and she thought it sounded pretty good and then gave me some guidelines to aim for 45-60 grams of carbs per meal, which is probably more that I normally get at most meals. And she really didn't emphasize a lot beyond that, probably mostly because we're just kinda wanting so see what my body does at this point.

One of the most annoying things that previous nutritional counselors have done to me before is to really limit my dairy consumption which is pretty nuts IMO. That's my main source of complete protein. And yes, most of it is high in fat, but that seems to be the choice I have to make: fat or no protein. I've even been told that the only type of cheese I should eat is Parmesan b/c it's the lowest carb. This counselor said not to worry about it. Eat all the cheese I want. Awesome.

I even confessed my daily chocolate milk habit and was not condescended upon. It's tasty and makes drinking milk more enjoyable and it makes it easier to swallow my prenatal. Ain't no one taking my Hershey's away anytime soon.

I'm keeping a food journal this week and will send it into my counselor. And I will just keep track of my blood sugar for the next couple weeks and probably review it with my OB and maybe go back to the counselor... it's still pretty ambiguous to me how we will proceed forward at this time.

I guess I'll have more to say on this later.

1 comment:

Michelle said...

It sounds like you are on the right track. And very good that the sugar levels are in the normal so far. :)

And I wanted to add from your comment on my post today....The pain was actually at ovulation time?? I've never experience it this way before so I found it odd. But there is definitely something going on.