Thursday, March 31, 2005

Dear Wilfred,

in response to recent developments, I did a little web-research. here are a few excerpts from WebMD that I found interesting. my comments are in parentheses.

The following factors increase the risk of developing diabetes during pregnancy:
-Being overweight prior to becoming pregnant (reason number 403 garvey will never be pregnant)
-Being a member of a high risk ethnic group (there's an affirmative action joke in there, but I'm going to leave it for now.)
-Having glucose in your urine (no, ma'am, we asked if you wanted sugar in your "tea"...)
-Impaired glucose tolerance (don't be confused by the double negatives)
-Family history of diabetes (we have a family history of diatribes. "and then, in 1849, our great great great second cousin twice removed bitched about Zachary Taylor for three days.")
-Having too much amniotic fluid, a condition called polyhydramnios (from the greek roots "poly", meaning "many" and "hydramnios" meaning "syllables I can't pronounce")
-Half of women who develop gestational diabetes have no known risk factors (so if one arm and one leg are peeing sugar, call your doc)

Gestational diabetes is managed by:
-Monitoring blood glucose levels four times per day (sounds like the perfect reason to start a blog)
-Monitoring urine for ketones (this bullet point brought to you by "101 All New Uses For Urine", from ICUP Publishing)
-Following specific dietary guidelines as instructed by your doctor. You'll be asked to distribute your calories evenly throughout the day. (which means you need to have the same number of chicken finger subs at each meal.)
-Exercising after obtaining your health care provider's permission (pleeeeeease can I work out?)
-Monitoring weight gain (coming soon: www.whenshesitsaroundthehouse.blogspot.com)
-Taking insulin, if necessary. Insulin is currently the only diabetes medication used during pregnancy (miniature marshmallows don't count)
-Controlling hypertension (so pay attention to all this information... But don't stress about it.)

If you have gestational diabetes, follow these eating tips:
-Eat three small meals and two or three snacks at regular times every day. (That could be a lot of eating, depending on how closely you look for loopholes here)
-Do not skip meals or snacks. (Done and done)
-If you have morning sickness, eat 1-2 servings of crackers, cereal or pretzels before getting out of bed. (polyhydramnios wanna cracker?)
-Choose foods high in fiber such as whole-grain breads, cereals, pasta, rice, fruits and vegetables. All pregnant women should eat 20-35 grams of fiber a day. (Oh, wait, maybe that's what the first point meant about "regular times throughout the day")
-Drink at least 8 cups (or 64 ounces) of liquids per day. (this bullet point brought to you by the instructional preface in "101 All New Uses For Urine", from ICUP Publishing)
-Make sure you are getting enough vitamins and minerals in your daily diet. Ask your health care provider about taking a prenatal vitamin and mineral supplement to meet the nutritional needs of your pregnancy. (which, admittedly, just adds one more step to an already intense daily schedule, but hey... at the end of it all, you get a baby out of the deal.)

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