Friday, July 24, 2015

Decisions Moving Forward

After reading and educating myself more, I decided I'm not going to take the 3 hour test. Drinking 100 grams of super processed sugar and sitting around for three hours is not a reflection of my diet or lifestyle. Just because my body can't process sugar like that doesn't mean I have diabetes. I don't ever take in that much sugar at once, especially without anything else.  The problem is, it's not going to just be that easy. 

The nurse I've spoken to about the testing and results has been extremely rude and unpleasant to me. I'm starting to think that switching to this office was a bad idea. I know I'm just going based off of her, but she's the person they have chosen to call people with test results and discuss them. She's representing their office. 

I explained what happened last time with the testing. How I took the 3 hour test twice, failing the first time just barely and by quite a bit the second time. My reasoning for this is the second time I had changed my diet to a diabetic diet. The drink was that much more of a shock to me because I wasn't processing those amounts of highly processed sugar. The nurse, however, told me the reason I failed by so much the second time was "because you had diabetes and it had gotten worse in that timeframe." So why were my blood sugar levels always fine then? Why did my last practice not even ever label me with GD? I honestly felt like I was a teenager arguing with my mom. She thought she knew everything, yet I have a good understanding of my own body and needs. She didn't want to listen to me or hear what I had to say. It didn't matter, she knew everything. 

I called again yesterday to ask about my options if I don't take the 3 hour. Once again, she was pretty rude and condescending. I explained that my levels were fine last time. I told her I'm happy to test my levels for a few weeks, but I don't want to be labeled as GD just because I refused the test. She told me I needed to wait for my next appointment to talk to my provider. She also said based on which provider I saw in the practice, I may or may not automatically get the label for skipping the test. Like I said, I'm okay with testing for a little bit to show my levels are fine, I'm just not okay with pricking myself four times a day for the next 11 weeks. I'm on blood thinners. This means each little prick results in bleeding that's hard to stop at times. I'm not able to just squeeze one drop of blood out and move on. When I mentioned to her that my levels were fine last time she was insistent it was because I was on Metformin. I failed the tests on Metformin, so obviously it wasn't helping me that much. I also was not on it for diabetes. It's not like they started me on the medication to manage the diabetes. She insisted it was this diabetic drug that what made the difference, not the slight alterations I made to my diet. 

Last time I tested twice a day for a few weeks. After that, my dr had decided things looked fine and I just tested periodically. They were so much more relaxed about things. 

I honestly feel like I'm being bullied by this nurse. She think she knows everything and is giving me a really bad feeling about moving forward with this practice. I don't like the way I'm being treated. I like being treated like an active participant in my own healthcare and want to be treated with respect. I'm not an idiot. 

So, I have to wait until next Friday to speak with the Dr. I'm just not willing to accept that label because with it comes an increase in possible interventions and monitoring. I hate that I'm being treated more high risk this time around than last time. 

At my last appointment they also gave me a chart and told me to track the first 10 movements that baby makes every day. I'm supposed to count those movements and then write down the time of the 10th movement. Honestly, this is just stressing me out more. As if I don't have enough on my plate trying to take care of toddler twins, now I'm supposed to count and track movements in the morning? I know that baby is moving around just fine. I'm not worried about any lack of movement and know if I do then I should call. 

It's weird to me that the practice that is so well known for their VBAC success is also extremely conservative about things. I'm hoping I can reason with the Dr next week and we can make a plan we are both happy about moving forward with. 

1 comment:

  1. Wow, your last paragraph sums up everything I was thinking. I didn't have twins and I cannot imaging having tried do do kick counts with my 2nd pregnancy. If I was worried about lack of movement, sure, but every day? That's kind of crazy. I Hope you get a doc next week who listens to your concerns and appreciates that you're educated and informed about your own health care. I'm glad you're not throwing in the towel based on 1 nurse. We have a nurse like that in the family practice office I work in and it DRIVES ME NUTS thinking that she is the "face" for our office and she's so hard core. *sigh*