I wanted to avoid medicalization of my pregnancy. I’ve chosen to work with midwives, to give birth outside of a hospital setting, and, as far as possible, to avoid interventions.
Now I’m sitting at my midwives’ office, just having chugged a foul, cherry-flavored syrup, feeling betrayed.
During the routine screening for gestational diabetes (GD) they gave me at 28 weeks, my blood glucose measured 139—over the cut-off of 130.
The only risk factor I have for GD is being over the age of 25. Everything else—my ethnic background, family history, and BMI—puts me solidly in the “low risk” category. According to my research, 3-14% of women develop GD during pregnancy. Of those women, 40-60% have no risk factors.
I could go on. I’ve been drowning in percentages and probabilities for the last few days, scouring medical journals and pregnancy forums (fora?) and WebMD. My (perhaps ill-advised) internet trawling only led to increased confusion and anxiety. Last night, I dreamed of the test.
After finding out that I *might* have GD, I reduced my consumption of carbohydrates dramatically and completely eliminated added sugar and refined grains from my diet. I’ve felt envy and resentment and something approaching grief upon seeing anyone eating pastry or an ice cream cone. It’s certainly much healthier to avoid refined sugars and starches, even for people who don’t have diabetes. But, if I’m honest, that wasn’t my real motivation: I was hoping (irrationally) to influence the test.
Now I’m sitting at home, eating granola with fresh strawberries from the farmer’s market and organic, non-homogenized, grass-fed whole milk (which I’ve learned, since embarking on my hypothetical-diabetes journey, actually contains a fair amount of carbohydrate in the form of lactose). It’s delicious.
They told me today at the midwives’ office that they weren’t worried about me; that the three hour test was essentially insurance to prevent my baby from being immediately whisked away in the unlikely event of a hospital transfer and treated as if it had been born to a diabetic mother.
I’m all for minimizing risk, but being consumed with anxiety for several days, then forgoing food, drinking a toxic-looking beverage made with 100 grams of glucose, and sitting still for three hours felt distinctly unhealthy. Which isn’t to say that it wasn’t necessary, probably for the best, etc. I just really, really didn’t like it.
I probably will try to be more conscious of my diet now (although I’m certainly no slouch when it comes to healthy eating), replacing my beloved conventional pasta with whole-wheat and eating smaller portions of it, cutting down on my gelato consumption, upping my protein intake.
Still, I’m keeping my fingers crossed that I get good news tomorrow; I don’t want to be petulant when my partner tells me he made peach pie at work. And although sugar is the nutritional boogey-man du jour… YOLO.