I have two decisions I'm mulling over right now.
#1: prenatal RhoGAM. I am Rh- and have had the RhoGAM shot after both babies, although I chose not to have the 28-week shot. I'm one day shy of 29 weeks and need to make up my mind ASAP about the prenatal shot. I've read pretty much all there is to read and still feel undecided. My mother became sensitized some time before or during her fifth (and hence last) pregnancy, so there is a small but real risk with sensitization. My brother was induced at 37 weeks and was fine, except for being quite jaundiced. But the increasing risks of pregnancies after sensitization made her decide to stop having children at that point.
On the other hand, I am concerned the risks with the prenatal shot. I'm adding risks to my current baby, in the hopes of benefiting a hypothetical future baby. I'm fine taking the postpartum shot; the evidence is a lot clearer, the benefits are more substantial, and any possible risks fall on me alone.
#2: High-ish blood sugars and GTT. A few days ago, I tested my blood sugars over the course of 24 hours. They came back higher than we'd like to see...which makes me wonder if I should do the 3-hour GTT and see what's really going on. Here are the numbers (possibly complicated by the fact that I got a really high reading once immediately after swabbing with an alcohol wipe. 10 seconds later, it was 100 points lower once the alcohol had evaporated. I did use alcohol wipes before all of my tests. If I do any more finger sticks, I'll forgo the wipes and just wash with water):
My biggest concern with testing is ingesting such a huge amount of glucose. Yuck-o.
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#1: prenatal RhoGAM. I am Rh- and have had the RhoGAM shot after both babies, although I chose not to have the 28-week shot. I'm one day shy of 29 weeks and need to make up my mind ASAP about the prenatal shot. I've read pretty much all there is to read and still feel undecided. My mother became sensitized some time before or during her fifth (and hence last) pregnancy, so there is a small but real risk with sensitization. My brother was induced at 37 weeks and was fine, except for being quite jaundiced. But the increasing risks of pregnancies after sensitization made her decide to stop having children at that point.
On the other hand, I am concerned the risks with the prenatal shot. I'm adding risks to my current baby, in the hopes of benefiting a hypothetical future baby. I'm fine taking the postpartum shot; the evidence is a lot clearer, the benefits are more substantial, and any possible risks fall on me alone.
#2: High-ish blood sugars and GTT. A few days ago, I tested my blood sugars over the course of 24 hours. They came back higher than we'd like to see...which makes me wonder if I should do the 3-hour GTT and see what's really going on. Here are the numbers (possibly complicated by the fact that I got a really high reading once immediately after swabbing with an alcohol wipe. 10 seconds later, it was 100 points lower once the alcohol had evaporated. I did use alcohol wipes before all of my tests. If I do any more finger sticks, I'll forgo the wipes and just wash with water):
am fasting: 121If my sugars really are wonky this pregnancy, I'm more than fine with modifying my diet, etc to keep them in line. My midwife said that often just rearranging what you eat & when can make a huge difference, especially for women like me who already eat well (lots of fruits & vegetables, complex carbs, & proteins, little if any simple carbs or processed foods). At my prenatal appointment today, she gave me the drinks & blood sugar testing equipment for doing the 1-hour or 3-hour GTTs. It's up to me if I want to test, if I want to do nothing further, or if I want to go ahead and do some dietary modifications without further testing. If I decide to test and come back with not-so-good results, there's a GD class at a large tertiary hospital that my midwife said is excellent.
2 hours after breakfast: 98
2 hours after brunch: 131
2 hours after dinner: 140
next am fasting: 105
My biggest concern with testing is ingesting such a huge amount of glucose. Yuck-o.
