Day 1 as a (gestational) diabetic…

Last night T and I went on a mini date night to the cinema. (Side comment: We invested in Unlimited cards for the cinema a few months ago, which we got at a discount – they have been a great investment as it means once we’d been a few times, we now have effectively free cinema trips for an entire year.)

Before the flicks, we decided to go and get some dinner so we went to a burger place as T was meeting his other friend today and they were probably going for pizza (the other choice) and also I was thinking a burger without chips (fries!) is probably not that bad for carbs, and anyway I’d told the diabetes nurse I was only going to start the following day. I also had a milkshake because, in for a penny, in for a pound…

Felt fine. We went to see Arrival, which I really wanted to see. It was not what I expected! It looked good but it was really quite boring and I kept falling asleep! T had to prod me at one point as apparently I was snoring! In my defence, I think I’ve been very tired lately. Not sure if it’s the anaemia or pregnancy or gestational diabetes or all three.

So far, so Friday night. (My new kind of Friday night where I’m not out at a bar getting tipsy!) Went to bed, and then at around 03:30 in the morning I woke up with stomach pains. It was really weird, and felt like period pains. I was worried about it and wondering whether to wake T, and I googled abdominal pains 31 weeks to see if it was normal or not.

There didn’t seem to be an internet consensus, other than it could be Braxton Hicks (which I thought didn’t hurt but was more like tightening, which I’ve been having for months already). Also most people said that their doctors had said not to worry as long as it didn’t go on for a really long time and there was no bleeding.

After a while I felt like I needed to go to the bathroom so did that… (TMI time: number two!) Went back to bed. I still had the stomach cramps for a while. And then suddenly I really needed to go again and rushed to the bathroom and I had really bad diarrhoea. (TMI – I warned you!) I think I mentioned on my last post that since taking the iron tablets that I have felt like when I need to go, I really need to go… Well this was pretty bad. Since starting the iron tablets, I have had mild diarrhoea once in a while but not as bad as that. Maybe it was the burger/milkshake. 

Anyway, after that I felt much better and went back to bed and the stomach cramps went away. It was weird as I felt that they were more in my stomach / bump area but they seemed to go away after that.

Then at around 05:30 I woke up feeling cold. Now, what follows is something I have had once before in this pregnancy – it’s a feeling of intense shivering, teeth chattering and uncontrollable shaking. I woke T and he put the whole duvet cover double folded on me and also my dressing gown, and I grabbed Dog as a handy hot water bottle and I was still shivering.

I asked him to look up what it might be, as it seemed worse than last time. Last time was also at night, early on in the pregnancy and eventually the shivering went away after a few minutes. But this time lasted a lot longer and felt worse. I just couldn’t stop shaking. T was searching online and he said apparently it happens to quite a few people in pregnancy and it could be a sign of dehydration or low blood sugar… and with the whole gestational diabetes thing, we thought maybe it was that. 

He got me a drink of water and I drank all of that, and then he got me some grapes. (I had been shivering for quite a while by this time and it was not fun!) I think I had about 6 grapes and shortly after that, the shivering stopped. We then thought to test my blood sugar (we should have done it before eating the grapes but I was too busy shivering) and I think it was 4.7 which is quite low. Maybe before the grapes it was less. 

Online it seems to suggest that less than 4 leads to hypoglaecaemia (low blood sugar) and one of the symptoms is shaking. When I woke up this morning and tested pre-breakfast, it was 5.3 so higher than last night before the grapes. So I’m wondering if I had a “hypo”? I couldn’t really find much information online about it, but it was definitely a bit odd.

Today (the weekend) I tried to do everything right, so I got up and tested again. I guess it was not really fasting blood sugar as I’d had the grapes at 05:45 or something. The official blood glucose targets during pregnancy for our hospital are:

Fasting <5.3

1hr value after meals <7.5 (NICE guidelines are 7.8)

2hrs after meals <6.4

For breakfast I had sugar free Alpen (muesli) which I even measured out to the correct amount (45g) which is really small! And then for my mid morning snack I had an apple and some cheese which we had been recommended during the diet session yesterday.

What happened is… Well, I was so tired for the entire day. We took Dog out for his morning walk, and then I had my breakfast, then sat and watched some tv, then had the snack and then fell asleep for the entire afternoon. I am thinking that this really isn’t ideal as I can sleep during the weekend but I can’t sleep all day during the week!

I woke up feeling peckish but also really tired. T was having some crisps, so even though I know I’m not supposed to have them, I had some. And then had enough energy to take Dog out for his evening walk. I guess I’d missed lunch but I think I even fell asleep before lunchtime. This GD business is not ideal! I had another apple and cheese a while ago and have put diner in the oven. (Chicken goujons bought before the GD thing. But hopefully protein and a bit of carbs.)

My feeling is that the lack of carbs really contributed towards my complete lack of energy today. Like I tried to do everything right but clearly needed something carby to give me the energy not to sleep all day. I need to go to the supermarket and do some shopping according to the diet leaflet, but that’s what I was intending to do today and that clearly didn’t happen as I slept most of the day! Argh.

So yeah, so far Day 1 of being a diabetic is not really doing it for me.