Gestational Diabetes

I found out yesterday that I have Gestational Diabetes. This news has hit me quite hard, even though in a way, I was expecting it. I have PCOS, but along with that, I am also insulin resistant. My blood sugars have never been so crazy out of control that anyone diagnosed me with diabetes, but it was definitely something I was concerned about. When I first went to my OB/Midwife appointment back in November, I mentioned this concern and worry, especially when they told me that I would come off Metformin at 12 weeks. The midwife basically argued with me for over 10 minutes about the issue, claiming that I couldn't be insulin resistant without being diabetic and that PCOS had nothing to do with insulin resistance. I seriously wanted to choke her. I told her that I had a pre-existing condition and told her exactly where to find my labwork that showed I did have some issues with insulin.

At my second appointment, the midwife (a new one this time b/c the practice rotates several) acted as if she'd never heard this news. She didn't understand why I wanted an early glucose test. She just stared at me with a blank face and said they do the GD test at 25 weeks and there was no need to do it early. I insisted, expressing again that I was concerned about it. Finally, I was scheduled for a test at around 19 weeks (last Thursday). They just called me back yesterday at almost 5 in the afternoon to tell me that not only were my levels high, they were so incredibly high I won't even have to do a 3 hour glucose test. She used the words "Dangerously high", which of course freaked me out. Anything over 140 is bad, right? My level was 232. She then said that I would be sent to see a specialist at Duke, but when I asked when the appointment would be, she just said, "Well, if they don't call you within the next week or two, give us a call back." WHAT?? A week or two? You can't say my levels are dangerously high and then tell me it might be two weeks before anyone bothers to explain to me how to deal with these levels or begins to monitor me. I was both devastated and angry.

I went in this morning and demanded to talk to someone in patient services. I explained the problems I've had so far with the practice and that I haven't felt like I was taken seriously with my concerns. The woman agreed that some mistakes were made. For example, there was not a single note in my file about me having previous insulin resistance. She said I should have been treated from the very beginning as a diabetic patient rather than just let this go untreated. I'm so upset. I don't know whether to stay at this practice or try to find a new doctor. She said she would mark my file as MD only from now on so that I won't have to go in and see the midwives. There are 2 OB's at this practice. Ironically, I chose this practice specifically because of the fact that they have midwives. I felt I would get a better level of care and personal attention, but that hasn't been the case at all. I've been rushed through every appointment and had to argue my way through both this insulin issue as well as details of my due date, ultrasounds, etc. But I also know that switching practices mid-way through my pregnancy could be a real ordeal. Will insurance cover everything? How do I know another practice will be better? How do I find a better practice? I have no idea what I should do, to be honest.

This news of GD comes with a whole new set of fears. Will I have to be induced now? Will I need insulin shots? Is my baby going to suffer because of this? Will he be healthy? Will he be too big for me to have a natural birth? Is he growing okay in there? It's such a scary thing. I know there are plenty of women who have gestational diabetes and who go on to have perfectly healthy babies, so right now I am trying to concentrate on the positive, but it's so much easier said than done. I am going to have to be super diligent about eating well and eating low carb, high protein for the next 20 weeks. I also need to get more exercise in and make sure it's every single day. I hate that my gym closed, because that would have been an ideal place to go walk on the treadmill every day even when it's cold outside or raining. I just want everything to be okay.

Sorry this post has been kind of a rant out of nowhere, but it's been a tough day for me, and I'm so scared. I hope my baby is okay.