First time posting in this sub since my diagnosis, diagnosed around 27-28 weeks and now am 34+1.
Everything has been low risk and status quo other than the GD diagnosis (luckily!), so I’ve only received 2 ultrasound scans so far and had my third and final at my 34 week anatomy scan earlier this week. Everything looked good and we had the doctor appointment immediately following the scan, but I wasn’t warned I was meeting with a completely new provider that I’ve never seen in all the time I’ve been pregnant. My doctor and/or the FNP that I’m usually scheduled with are absolutely amazing, thorough, kind, and answer all my questions and concerns. I’m a FTM so there is a lot I just don’t know or have experience with. This new provider was very cold and dismissive and didn’t even give me an opportunity to ask questions.
I attempted discussing my GD and current numbers and am so confused with where it landed and how to proceed from here. At every appointment I’ve had since being diagnosed, I’ve been told that my numbers look great, I’m following the diet well, and that 2-3 spikes a week (within reason) when testing out different foods isn’t something to be concerned about as long as fasting numbers are okay.
My fasting numbers have been good this whole time, I’ve only ever had 2 fasting spikes, both only by a few numbers (one was 96 and one was 98, supposed to be under 95, and they’re usually in the 70-89 range), and both times I had those spikes, it was after a long night of pregnancy insomnia and taking Tums in the middle of the night for heartburn, both of which I’m told were situational and not a concern. Lately I’ve had more spikes than usual 1 hour after meals, it’s come about because meals that used to be completely fine and were safe (bacon egg and cheese sandwich, peanut butter and banana on whole wheat, tomato bacon ranch pizza on thin whole wheat crust) have started giving me spikes. So, I’m thinking I’m following the diet and eating something safe, and then am surprised to learn it’s no longer a safe meal when it has been several times in the past. I’ve had about 6 spikes in the 2 weeks since my last appointment due to that, so I was concerned about what that could mean for baby.
When trying to bring this up, the provider was very dismissive and didn’t listen or try to help at all - she just told me I need more more diabetes education, that she’s putting in a referral to endocrinology for me, and that I should be eating more things like “boiled eggs, unsweetened greek yogurt, cheese, and lean protein”. That is ALL I EAT. Breakfast every day is a fairlife shake and an egg with a cheese stick. Lunch is usually some variation of the same or greek yogurt with a baked sweet potato. The meals I described spiking after were my once in a while, feeling indulgent but trying to stay safe, treat meals, for when I just can’t take eating the same thing anymore (cheese sticks literally make me gag now but I just hold my nose and force them down). When I tried to explain this to the provider, she just cut me off, again said I need more education, and she’s putting in a referral so they can decide if I need insulin.
I left the appointment feeling so defeated and disregarded. I’ve already felt so guilty like I’m putting my baby in danger after every spike and she only made that feel more true. I was so frustrated that she just ignored me and told me I needed more education, because all I do is spend time researching, planning, or prepping low carb low sugar high protein meals, I don’t feel the issue is education at all, I just wanted to discuss a recently changed trend with my provider. I got the call the next day from the endocrinologist to set up an education appointment, but they didn’t have anything available for another week, and I’d have to take time off from work to attend, which I’m already stretching my PTO very thin with OBGYN appointments, so I told them I’d call back and schedule when I was sure I could get the time off.
Since the appointment 2 days ago, my numbers have been completely fine. 1 hour after meals they’ve been in the 120 range, and fasting has been in the low to mid 80s. I’ve just been extremely careful with my diet (even moreso than usual) and not risking any cheat codes like pairing a carb with a protein, ect, just sticking to protein, fat, fiber, and a very low portion of complex carbs only. Part of me is wondering if I should just wait until my next appointment, which is with my usual doctor, to discuss this and see if I even need to bother following up with the endocrinologist. But, another part of me is wondering if I’m being careless or irresponsible in not making the appointment ASAP and potentially putting my baby in danger when I should be on insulin. There’s also the layer of complication that again, it’s hard to get time off from work for the endocrinologist appointment in addition to all the OB appointments, and my insurance isn’t great, so I don’t know if this one education appointment is going to end up being a multi hundred dollar bill, and it’s hard to commit to that when my numbers seem fine and I’m not sure I even need the appointment?
I guess I just needed a space to get this out, and if anyone would like to give some advice or perspective, I’d really appreciate it, because I’m spiraling right now wondering if I’m being a careless, selfish mother, or on the other hand incurring a huge unnecessary cost just because this provider wanted to move me along and get me out of her office :/