
At my 24 week midwife appointment I was informed that I would be taking the gestational diabetes fasting glucose test at my next visit. One, I don't appreciate, as an adult, being informed that I am going to be doing anything. Two, with the way carbs and I have been getting along this pregnancy, the idea of chugging 12 ounces of super-sugary beverage first thing in the morning makes me want to barf just thinking about it. The idea is that you fast (overnight) and then you slam this syrupy drink and then an hour later they see how your glucose level is, whether your body dealt well with that (insane) amount of glucose. I told the nurse of my genuine concern that drinking that stuff would make me sick - honestly, I fear that if I drank it, I would throw it all right back up, and then where would that have gotten me? - I'd have to drink it AGAIN. The nurse reassured me that I could lay down for the whole hour between drinking it and having my blood drawn, which felt a bit like "you have no choice, but we'll do our best to make you comfortable doing something you know is going to be bad for your body". That of course made me bristle internally again (not externally, because I actually do really like the nurse at the clinic I go to), and I know that the test is not always the most accurate. I told her again that I really, REALLY don't want to do this test.
Lo and behold, there was another option available to me. Why she didn't come right out and say it is beyond me, because I think most women would opt to just come in and drink the vile nectar and get it over with anyway. You could, she said, test your blood sugar at home for a week. I could! Really! She whips out a little pocket-sized blood glucose monitor and shows me how to use it. We test my blood sugar right then and there. She shows me how to use the little lancets to poke my finger and how the machine works, and gave me a prescription for a new vial of test strips.
Easy-peasy, kids. The machine is so simple and it takes exactly 5 seconds to calculate the amount of glucose in your blood. My orders were to test my blood first thing in the morning and then an hour after every meal for a week and then send my form in.
My first step was to get that scrip for the new test strips filled. Surprise (or not): my insurance plan does not cover the brand of strips that go with the monitor the clinic lent me, so I ended up paying $30 out of pocket (not eligible for FLEX reimbursement because it was for me and not my partner, thanks IRS) for new test strips, but all I had to do was think of the nasty orange drink and suddenly I didn't feel so bad about $30.
I've since learned a few things: one, the spring-loaded lancets seem kinder and gentler because you aren't faced with jabbing yourself with a vicious looking point - all you have to do is push it down gently on your finger, and it jabs you automatically - but they stick you much harder than the little points do - and they hurt more! Two, I've found that any amount of sugar or refined carb (a white bun for a turkey sub, for instance) makes my blood sugar go up if there is not enough protein involved in the meal. Oatmeal with butter, milk and 1 tsp of maple syrup sent my glucose through the roof. Lastly, drawing blood from your own finger, on purpose, four times a day, is an incredible freak-show for a nearly four-year-old, who insists on standing and watching the whole ordeal every chance he gets. (Usually four times a day.)
I'm curious what the end results of this test will be - recommendations for a different diet? Anything that I don't know myself already? And will the results be more conclusive than having quaffed the nasty orange liquid? As much as I don't love that my fingertips look like they've been attacked by vampires (I poke one finger a day: two pokes a day with the little lancets, and then two with the spring-loaded ones, on opposite sides of my fingertips... hence the vampire bite look - but at least after that, that finger is done, and I won't be poking it again), I'm already halfway through the week and I feel like I'm gaining valuable knowledge about my metabolism.
Anyway, it's time for another poking.