Feb 15, 2014

Too Good To Be True...

My pregnancy has been quite wonderful, less the one week where my back was tweaked, so I suppose I should continue to be grateful despite getting my blood results back from my 3 hour glucose test.  Sad to report that 2 of my 4 results were slightly over the safe threshold which labels me with gestational diabetes.  I was a bit saddened by this news at first since I am very interested in nutrition and feel I am very thoughtful about what I eat.  I also despise meal planning, but have recently been working on this.  Now things are going to be that much more complicated only because I have to think about meals and snacks a little differently than what I've gotten used to, what I'd begun to see as effortless prep.  I know it will be fine and it's only for another 9 weeks and it is in the best interest for Bean so of course I'm glad to be aware.  My numbers that were over the safe threshold were just slightly over so once I start my food journal and self blood sugar checks I should be able to see when and why my levels spike and make adjustments.  Our cousin Abi was diagnosed as well and she finds that just being aware of pairing her good carbs and fruit with plenty of protein and veggies does the trick as well as walking around after meals.

For those of you who have not had to endure information on Gestational Diabetes before and are curious now, here is a little info:

What is gestational diabetes?

Gestational diabetes means that the body has a problem with insulin during pregnancy. When women are pregnant, the body needs more insulin to keep blood sugar at the right level. Women’s bodies make more insulin during pregnancy. When the extra insulin is not enough to keep blood sugar normal, women get high blood sugar. This is called gestational diabetes. Blood sugar usually returns to normal after delivery.

Who gets gestational diabetes?  (this part, I find seems to be less accurate these days if 1 out of 4 of my OB's patients are being diagnosed, not to mention the only variable I fit into is being 37, aka: old)

About 7 out of 100 pregnant women get gestational diabetes.
Gestational diabetes is more likely for:
  • Women who are overweight.
  • Women with family members who have had gestational diabetes.
  • Women with family members who have type 2 diabetes.
  • African American, American Indian, and Hispanic/Latina American women.

How Can I Treat Gestational Diabetes?

Eating healthy and staying active are two of the most important ways to control blood sugar and treat gestational diabetes. Activities like walking and swimming are helpful. The activity does not have to be hard. The goal is to get up and move. Talk with your doctor or midwife about creating an exercise plan that works for you.
All women with gestational diabetes need to follow a special diabetes meal plan. Your doctor or midwife may ask you to meet with a diabetes educator or dietitian. Diabetes educators or dietitians can help create a plan just for you.
The diabetes meal plan follows simple guidelines like:
  • Watching portion size.
  • Eating a variety of foods, including fresh fruits, vegetables, and whole grains.
  • Limiting fat calories to 30 percent or less each day.
Being careful about weight gain during pregnancy is also very important to control gestational diabetes. Ask your doctor or midwife how much weight gain is right for you.

Feb 8, 2014

Magnesium!

I've had an exhausting week not just from working every single day for almost 2 weeks, but last Friday I tweaked my back :(  An old and familiar injury but twice as fun this time being 29 weeks pregnant.  Between my wonderful chiropractor and being extra careful and mainly just dealing with the pain as my muscles healed from being in spasm, I am on the mend.  I'd also like to thank my sister-in-law Beth for bringing magnesium supplements to my attention and will promote these for everyone now!

How does it work?

Magnesium is required for the proper growth and maintenance of bones. Magnesium is also required for the proper function of nerves, muscles, and many other parts of the body. In the stomach, magnesium helps neutralize stomach acid and moves stools through the intestine.

An interesting blog from a mom of 3 regarding morning sickness and effects of a few changes, one being adding magnesium: Wellness Mama Blog.  Also other big diet factors like bone broth, cod-liver oil, protein, eggs, coconut oil (all of these I had read about as well and increased while trying to get pregnant and always wondered if this helped or I was just lucky in my lack of morning sickness.) TMI for some, but most pregnant women experience issues with constipation due to slower digestion (so the body can pull more nutrients out for the baby).  I've monitored my fiber intake to try and keep any major issues at bay, but am happy to report magnesium helps even more so I highly recommend.  Here is more info: magnesium in your pregnancy.  Also known to help with headaches, back aches (as I mentioned) and restless leg syndrome.  As it's frustrating to have to avoid over the counter pain meds, this is a great option!


Where Has All The Magnesium Gone?
Unfortunately, most modern farming processes tax the soil, depleting it of its natural magnesium. On top of that, many hybrids are selectively bred to survive low levels of magnesium and most conventional fertilizers use nitrogen, potassium, and phosphorus, and do nothing to replenish magnesium levels.
These additional dietary factors can also deplete magnesium:
  • Consumption of caffeine
  • Consumption of sugar (It takes 287 molecules of magnesium to metabolize a single glucose molecule!)
  • Consumption of processed food
  • Consumption of alcohol
  • Consumption of produce from depleted soil
  • Consumption of foods high in phytic acid
What Does Magnesium DO?
Magnesium is necessary for hundreds of functions within the body, but is especially important for:
  • Gives rigidity AND flexibility to your bones (more important than Calcium in many cases)
  • Increases bio-availability of calcium
  • Regulates and normalizes blood pressure
  • Prevents and reverses kidney stone formation
  • Promotes restful sleep
  • Helps prevent congestive heart failure
  • Eases muscle cramps and spasms
  • Lowers serum cholesterol levels and triglycerides
  • Decreases insulin resistance
  • Can prevent artherosclerosis and stroke
  • End cluster and migraine headaches
  • Enhances circulation
  • Relieves fibromyalgia and chronic pain
  • Treats asthma and emphysema
  • Helps make proteins
  • Encourages proper elimination
  • Prevents osteoporosis
  • Proper Vitamin D absorption
  • protection from radiation
  • To aid weight loss
  • Lessen or remove ADD or ADHD in children
  • in proper carbohydrate digestion
  • emerging evidence is showing a preventative role in many cancers
Are You Deficient?
As I said above, the answer is likely ‘yes’ in today’s world, as over 80% of tested adults are. Unfortunately, blood tests are relatively ineffective in gauging magnesium levels as less than 1% of magnesium is in the blood.
Low magnesium levels are often diagnosed by symptoms alone, and the following symptoms can point to low magnesium levels:
  • Inability to sleep or insomnia
  • Irritability
  • Sensitivity to noise
  • Mental disturbances
  • Anxiety, depression or restlessness
  • Muscle soreness or spasms
  • Infertility or PMS
  • High levels of stress
  • Headaches
  • Heart “flutters” or palpitations
  • Fatigue or unusual tiredness
  • Coldness in extremities
  • Fuzzy brain or difficulty concentrating
  • Allergies and sensitivities
  • Lack of appetite
  • Back pain
  • Body odor
  • Bad short term memory
  • Poor coordination
  • Insulin resistance
  • Carbohydrate cravings
  • Constipation
  • Frequent cavities or poor dental health
  • Gut disorders
  • Kidney stones
  • Thyroid problems
If you have more than one of the above symptoms and especially if you have more than five, it is highly likely that you could benefit from magnesium supplementation.

What's New... What's New...

This is why I haven't posted recently... I don't feel like I have a whole lot to report.

I did go take the 1-hour glucose test about 2 weeks ago and failed.  I'm not too worried right now as my Dr. doesn't like to ask pregnant women to fast for the 1 hour so as we left for the appointment, Josh needed to stop for a coffee and pastry to tied him over.  Well... like I'M going to resist a pastry at 7 months pregnant and salivating over sugar??!  So yeah, I went for the plain croissant.  Dang it!  I knew better but I was not thinking clearly :(  The cut off is 130 and I scored 147.  I truly believe the croissant and all of it's white flour fluffy goodness that turns straight into sugar is what pushed me those 18 points over.  Anyway, I have worked nearly every single day since my test and haven't been able to schedule the 3-hour glucose test until now.  I go Tuesday morning.  Hurrumph.  I am less than thrilled to sit and do nothing in a lab waiting room for 3 hours so I can get my blood drawn every hour.   Let's just hope with fasting that I am processing insulin efficiently and my scores are good.  If 2 out of 3 come back over, then I will be diagnosed with gestational diabetes and have to keep a food journal, watch my sugar and carb intake and do a finger prick blood test 4 times a day to make sure I'm staying at good levels.  Our cousin Abi, who is one week behind me, failed hers recently :(

Wish me luck!!  I've always been pretty good about watching my carb intake, especially any white flour carbs and I have a moderate sweet tooth that I normally keep under control.  During my pregnancy my sugar cravings have definitely increased.  I have no way to gauge whether it's just that of a normal level or not, but I think it's still under control.  I like to eat ice cream every day.. but it's about 1/4 a pint.  Is that a little or a lot?  I've also been addicted to the convenience of my almost daily fruit smoothie.  Although good sugars, still sugars if you are monitoring yourself for gestational diabetes. I cannot imagine giving up any sugar! 

PS:  I love this to add major nutrients to my smoothies:  Vitamineral Green Powder

Appointments, Appointments, Appointments!

Choosing to have a midwife was a great decision, but we also needed a back up OBGYN for any lab work and non-emergency appointments possibly requiring labs or prescriptions (like my UTI) all of which are 100% covered by mediCal so that is helpful as our midwife is unfortunately a luxury expense not covered by insurance.  Hopefully one day.  This also means we have twice the appointments, but it really hasn't been too bad.  We are now rolling into the every 3 weeks portion of this pregnancy, but it won't be for much longer!

Our OBGYN, Dr. Richard Kochenburger, who was recommended to us by Pearl for having a great bed side manner and accepting mediCal.  Josh and I both liked him right away.  He has delivered hundreds of babies and gone through the routine check ups a million times, but he never sounded like his spiel was old and tired.  He is laid back and completely on board with our home birth plan, but still does his part as if he were going to be delivering our baby.  Not surprising Dr. Kochenburger has won the Patients' Choice Award FIVE years in a row!  Since 2008, Dr. K has been the go-to OB/GYN in Alameda, CA.  Lucky Us!
More info on Dr. K: Click Here!

More info on our midwife, Pearl Yu: Click Here!
 
And about Sacred Birth Place in Oakland: Click Here!
The birthing suite is really nice, in my opinion.  Before choosing a home birth I was assuming I would have Bean at a birth center and happy to find the space so cozy and tranquil.