Eating Moderately

Last Tuesday I went for MGTT in Precinct 9. What is MGTT? It stands for Modified Glucose Tolerance Test. A test which should be done during 28 weeks of pregnancy, and above. But in my case, due to I have gained a lot of weight, I was asked to undergo the MGTT at the 24th week of pregnancy. Anyway, Most people will be required to fast the night before taking MGTT, from 10pm, until the test is done (depends on what time you arrive at the clinic and how many patients are in line :P). I was feeling rather weak that day and I suspected it was due to low Hb. Indeed I was right.

So, I went for the test at 8.30am, had my Hb and urine tested, then off to the lab for glucose test. First, blood sample was taken and then the glucose-drinking part. It was darn sweet to the max! My head felt dizzy not long after that. FYI, after taking the glucose, we area required to fast for another 2 hours until the second blood sample is taken. I just sat there and waited agonisingly for 11am. Met Syuriza there. Had a brief talk before she went back to her office.

Around 11.15am, my name was called. Then the second blood sample was taken. The nurse even asked did I throw up. And guess what? She said the glucose in blood was quite high and I was referred to the doctor. The result was 5.36 mmol/l (before) and 9.16 mmol/l (after). I remembered that the night before bed I ate 2 bananas and 1 glass of Ribena. Bukan apa, takut lapar. Dah lapar kang ngamuk-ngamuk pulak kat klinik kang. Dahla pergi sana sorang-sorang (my husband attended a safety course in Ritz-Carlton). Sudahnya MGTT result was HIGH.

1999 WHO Diabetes criteria - Interpretation of Oral Glucose Tolerance Test

Glucose levels	NORMAL		impaired fasting glycaemia (IFG)		impaired glucose tolerance (IGT)		Diabetes Mellitus (DM)
Venous Plasma	Fasting	2hrs	Fasting	2hrs	Fasting	2hrs	Fasting	2hrs
(mmol/l)	<6.1	<7.8	> 6.1 & <7.0	<7.8	<7.0	>7.8	>7.0	>11.1
(mg/dl)	<110	<140	>110 & <126	<140	<126	>140	>126	>200

Impaired glucose tolerance is often associated with insulin resistance and is often seen in Polycystic Ovarian Syndrome.

Source : wikipedia

SEDIH OK! Memangla during pregnancy I eat a lot. But then, I was really hungry and always end up having heart burns and indigestions. Test gula je dah sampai pukul 11.30am. The nurse cakap kena scan card for afternoon session to see the doctor. Down habis the whole Tuesday. The session ended at 4.30 am. Sehari suntuk habis kat klinik je.

Owh, another bad news, I have to do the BSP, Blood Sugar Profile on the 28th October. 4 kali okeh! First will be before I take breakfast (around 7.30am), then 2 hours after that. Then, after lunch, and the last one after dinner (around 8.30pm, the clinic closes at 9.30pm). Mau tak sedih berpanjangan. rasa nak totally salahkan genetic pulak. I have contradicting issues, which are iron deficiency and high glucose. But then, we'll see on the 28th ok? Saya berdoa *kuat-kuat* supaya takdela confirm gestational diabetes. Gestational Diabetes is caused when the insulin supply is not enough to the digest the sugar in the blood due to hormonal suppression. Yela, dividing 2, for the mom and the baby. Same goes to my iron deficiency. Uhuk.

So hard for me to accept this situation but the nurse said fret not. Jaga pemakanan and eat less carbs. Carbs will turn into sugar to produce energy. Same goes to gluten and simple sugars from the fruits, nuts, honey etc.. Kena makan low Glycemic Index food so that the sugar release into the blood is slow it gives time for the insulin to work. So I already packed up my fridge with bran, yogurt, oranges and low fat milk. I've also stopped drinking EnfaMama for the mean time, and just drink plain low fat milk instead. Udahla jarang exercise, lepas makan, duduk je. Huhuhu~ Antara dugaan yang paling hebat ialah, teringin nak makan macam-macam. Semalam pergi Carrefour, tengok Aunty Anne's Pretzels, teringin sangat. The smell of the baked goods wafting, uuhhhhh~ DUGAANNNNN!. Balik je terus makan wholemeal tortilla wrap dengan salad with chicken balls *sambil membayangkan chocolate eclairs kat Aunty Anne's*. Kenyang, Alhamdulillah...

Since my baby is almost 6 months now, I think it will be a good time to invest in a bicycle and ride them around the neighbourhood. Kan? Dan husband pun duk bising yang dia dah gemuk. Bolehla berbasikal petang-petang hari di kawasan perumahan. Nak baby sihat punya pasal (dan tak nak kena c-section or induced), sekarang kena makan moderately and exercise regularly (light exercise ye, bukan weight lifting or jogging). Semoga berat saya tidak lagi mendadak. Sekarang dah 60kg. Wah wah. Harap-harap not more than 65kg when nearing the due date. Ameen.

Sekian. Kali ini saya tak merepek.