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~primal/paleo pregnancy~ - Page 5

post #81 of 115
Thread Starter 

i told my midwife that i didnt want the glucose tolerance test, the sugary drink would make me sick; that she could check the fructosamine instead if she wanted something.  she wasnt pleased about it, and i dont think she can actually order tests that arent on her list of tests that she usually orders.  i might ask my regular doc for the fructosamine test (or the hga1c, which is nowhere near as helpful), but again i think i might run into the same problem that i usually do.  here in canada, healthcare is like one big bad hmo, where the docs are only allowed to order certain tests. 

 

i've also heard of women who check their postprandial sugars to see if they're falling into the normal range.  if i felt like things were 'off', i might consider doing that.  it seems more realistic/practical/closer to my reality than drinking a sugar drink and then testing.  <shrug>  i'm already eating the diet that's recommended for women with gest diabetes (adequate protein, lower carbs, real food!!), so i feel like i have it covered anyways.

 

i'm sure that some paleo moms do the gtt.  i think everyone should be able to decide for themselves and i'm definitely not one to judge another mom for making a different decision than mine!! :)

 

post #82 of 115

moss - Thanks for the info!

post #83 of 115

I have not yet been asked by my Dr. to do the test, but I'm sure I will be asked.  I'm in Canada too, any idea how many weeks along before they ask for it?  I think I will turn it down as well since they would probably just tell me to eat what I'm already eating, low carb (or at least they should tell me that!).  I also have a home blood sugar test kit and if he feels it's an issue I'll let them know I will keep track of my levels on my own time.  Better than getting sick a couple hours after that test!

 

LaRue

 

 

post #84 of 115
Thread Starter 

i'm at 22 weeks now, and my midwife said that they usually do the gtt at the next visit, so at 24 weeks, or thereabouts :)  different practices might have their own timeline that they follow though.

post #85 of 115

Mine do it at 28 weeks. WebMD and such say the range is between 24 and 28. 

post #86 of 115

Is that test standard now?? I haven't ever had one in pregnancy, as far as I can remember... I guess I'll ask at my next appt. if it's something they will want to do, because I really don't want it.

post #87 of 115

Yeah, it's pretty standard these days. Out here they want all moms to do it at 8 weeks and at 28 weeks.

post #88 of 115

Ugh, seriously? What's the point of doing a GESTATIONAL diabetes screen at 8 weeks??? Placental insulin resistance doesn't begin until at LEAST 20 weeks. Any sugar test at 8 weeks is not a gestational diabetes test, it's just a diabetes test. eyesroll.gif

 

'scuse my indignence. I guess increasing diabetes rates in the general population are probably the cause of increasing standardization of tests. :-/

post #89 of 115

Rosie, this is one of the many reasons I'm homebirthing. I don't want to deal with that crap. I'm already on metformin because I do have (very mild, but highly symptomatic) insulin resistance and I will never ever ever do the GTT again. Ever. It made me so sick and it was awful and ugh.

 

Also, it's not that diabetes rates are going up, it's that they redefined diabetes to include something like 40% more people. http://seattletimes.nwsource.com/news/health/suddenlysick/sickdefinitions26.html

 

Plus with gestational diabetes I think they're often just TRYING to get more people diagnosed that, so they can induce or section more women. Back when I had my bloodwork in DD's pregnancy they randomly included a glucose screen but didn't note the time of day. I got a call a few days later saying that they were concerned about my fasting glucose numbers, even while on metformin. I asked what the number was (120-140, something like that) and mentioned that I had eaten lunch not an hour before the test. "Oh, that's ok then." I've heard similar stories. You'd think for a test that's so dependent on what's going on with the body at that point they'd at least note things like "fasting" or "postprandial" or what have you. But apparently not.

 

There's a woman in my mom's group who got kicked out of her hospital midwife practice at 37 weeks because, after changing her diet drastically, she had two days of fasting glucose above 90. It didn't matter that she was seeing a dietician, that often a diet change will mean your blood sugars are temporarily higher, or that her numbers were totally fine the next week. Boom, no midwife at 37 weeks. She wound up begging and pleading to get into an OB with a good reputation instead of the monster they randomly assigned her. And people wonder why I wont' birth there.

post #90 of 115

Quite a good point about re-defining what it means to be diabetic. 

 

So, I'm curious. It's clear to me that there are financial, legal, and temporal incentives for OBs offering unnecessary interventions like inductions and c-sections. Not to mention that it is incredibly hard for humans in general to be an aid but to sit back and do nothing, especially with the social constructs US societies seem to build up around doctors. But I don't understand why midwives would have an incentive to risk a mama out of their practice?

 

Just in case my comment is perceived in a way I don't intend: I'm in no way challenging whether or not your friend had a GD problem. I'm curious to try to understand that, assuming she did NOT have a GD problem, what incentive would her midwife have to risk her out? Really low risk tolerance and liability? Other reasons?  

 

(Sorry this is somewhat far afield from Paleo talk...)

post #91 of 115

Well in this case the CNM practice is connected to our largest clinic/hospital. They're very much "medwives." So I don't think it's that they thought she was too unhealthy to have a hospital birth with a CNM, but that the administration of their clinic/hospital was. This is the same hospital that likes to put healthy full term babies into the NICU for 2-6 days. Unfortunately this CNM practice is hands down the most popular group to birth with in town, and I have heard too many horror stories to think they're worth seeing. When I had my OB ultrasound freak out I didn't even call them, and several of my local friends wondered why. GTT at 8 weeks, group appts, stricter rules for patient compliance were the reasons.

post #92 of 115

I'm not getting any screening except basic bloods, BP etc, I just don't see the point unless my midwife has concerns. And blood glucose levels and insulin sensitivity change in pregnancy anyway, making all pregnant mums a bit insulin resistant. If I took that much glucose in one hit I'd be a basket case.

post #93 of 115

Can I join in? I'm actually due May 9th...but could use the support. I was doing primal for about 4 months (with some cheats) to lose weight before I got pregnant and didn't lose anything but I felt great. I think I overdid dairy and have now eliminated it although I have been eating too much rice and potatoes this pregnancy and had quite a bit of take out bag.gif

post #94 of 115

Welcome sosurreal! You’re going well if it’s just rice and potatoes! Practically all I could eat for the first 10 weeks was bread, fruit and juice! I’m back on track now and feeling much better, loving my eggs again (they made me barf before), at week 14. I have been primal for about 3 years, off and on, but pretty much on track for the past 18 months. It was a big shock to feel so rubbish and not want to eat any meat, as I love my meat. I have paid the price with gaining more fat than I would have liked but it may just be because I am showing. When you go from flat flat tummy to being pregnant there is just nowhere to put it! I’m not due till June but it’s nice to compare stories with others who are like-minded. I have my fingers crossed that the first trimester was the worst.

post #95 of 115

Moved to I'm Pregnant where it is more suitably posted. 

post #96 of 115

Thanks Cynthia!

post #97 of 115
Quote:
Originally Posted by NZPixie View Post

Welcome sosurreal! You’re going well if it’s just rice and potatoes! Practically all I could eat for the first 10 weeks was bread, fruit and juice! I’m back on track now and feeling much better, loving my eggs again (they made me barf before), at week 14. I have been primal for about 3 years, off and on, but pretty much on track for the past 18 months. It was a big shock to feel so rubbish and not want to eat any meat, as I love my meat. I have paid the price with gaining more fat than I would have liked but it may just be because I am showing. When you go from flat flat tummy to being pregnant there is just nowhere to put it! I’m not due till June but it’s nice to compare stories with others who are like-minded. I have my fingers crossed that the first trimester was the worst.



Yeah I was on a crossaint kick in my first tri but they were 53% butter haha

 

What do you guys think about eggs? Is there a point where you can eat too many? My DD is 27 m/o and ate 5 eggs and 4 sausages today (3 and 2 as breakfast and then 2 and 2 for a "snack" it was my food actually the second time...) We didn't get pastured but we do get the Land O Lakes omega 3 eggs (which have 350 grams per egg).

post #98 of 115

I'd only get pastured eggs but I wouldn't think there would be any issue with eating too many eggs. Maybe you could over do it on egg whites but not on yolks, if you were concerned I'd do two or three whole eggs and then separate them and just use yolks. I have heard that omega eggs are not such a good idea as they create them by feeding the chickens flaxseed in quite large quantities, which is not that healthy for them. Flaxseed is im sure fine as a small part of a chickens diet but not in the amounts they feed them.

post #99 of 115
Quote:
Originally Posted by sosurreal09 View Post





Yeah I was on a crossaint kick in my first tri but they were 53% butter haha

 

What do you guys think about eggs? Is there a point where you can eat too many? My DD is 27 m/o and ate 5 eggs and 4 sausages today (3 and 2 as breakfast and then 2 and 2 for a "snack" it was my food actually the second time...) We didn't get pastured but we do get the Land O Lakes omega 3 eggs (which have 350 grams per egg).



 

Sounds like a great eater.  I would be worrying about the nitrates in the sausage far more than the eggs. 

post #100 of 115

The sausage don't have nitrates? The ingredients are pork and spices that's it. If I get the ones with the lamb casing that is the 3rd ingredient.

 

As far as pastured eggs go it's winter here right now anyway and the hens are in their coops and eating feed. When the weather gets nice again I'm going to hunt for eggs! (the only ones I found were $5 a carton EEK but I saw a couple houses with signs out recently.

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