Thursday, May 19, 2011

The Honeymoon Is Over

What a difference a good night’s sleep makes.  Yesterday, I was in rough shape.  The multiple nights in a row of only a couple of hours of sleep had taken its toll physically and emotionally.  Then, last night, something amazing happened.  I slept…the WHOLE night.  And when I woke up this morning, I felt wonderful.  The thoughts that have been triggering my anxiety lately were still there, but I was able to let them go quickly.  I smiled and joked with my husband this morning, instead of scuffling around him in zombie-mode like I have been the last few mornings.  I sang with the radio on my way into work.  It was lovely (not my singing…but the happy commute).

And then I went to a doctor’s appointment.  When the fertility center did my second beta test, on Monday, they called and let me know that I needed to start thyroid medication because my tests showed that my thyroid was underactive.  The only problem is, I’m already on thyroid medication for hypothyroidism and I have been for over 10 years.  Apparently, even being a little bit pregnant can make your thyroid go crazy, so I had to set up another round of blood work and an appointment with my primary care doctor to follow-up on the thyroid issue.  Yesterday, the lab drew blood to test my cholesterol, blood sugar, insulin level (gestational diabetes and Type 2 diabetes runs in my family, so we test my thyroid and insulin each month), and thyroid function.  Today, when I saw my doctor, she actually hugged me and squealed a little because she was so happy that I am finally pregnant.  But then, she looked at her computer and the mood turned somber.

One of my two thyroid tests shows that my level is three times what it should be (indicating a severely underactive thyroid) while the other thyroid test came back completely normal.  Both tests were normal last month, at my check-up.  Also, my insulin level is already just over the normal range and my blood sugar came back very low.  Usually, high insulin means high blood sugar, so my lab result is a bit contradictory and is completely different from last month’s lab work.  On the bright side, my cholesterol is good even though my weight is not.  Ultimately, the doctor said that, because I am pregnant, she isn’t comfortable interpreting these results and I need to start seeing an endocrinologist.  I also need to pay attention to what, how much and how often I am eating because I am not consistently getting enough nutrients if my blood sugar is so low.  The doctor recommended that I start journaling what I eat and then check where my calories are coming from so I can make healthier choices.  

I knew this was coming.  I’m starting a pregnancy obese, with a family history of gestational diabetes.  Of course I was going to have to start policing my food better and making healthier choices.  But I just thought I would get a slightly longer honeymoon period…maybe one month when I could eat whatever I wanted whenever I wanted, 100% guilt-free, because I’m pregnant.  Apparently, the honeymoon is already over and although it pains me to do so, I will be doing a thorough cupboard and refrigerator cleaning very soon…ditching many of the “vice” foods I bought to “celebrate” being pregnant.

Now I need to decide how much I want to tell The Prince.  He is all into body building and drinking protein shakes, etc.  He is REALLY good about being self-controlled with his nutrition and he is REALLY good about being an inspector of anything I put in my mouth, if he has a reason to be.  I don’t tell him when I’m dieting anymore because I want to jam my doughnut right in his face when he says “Are you supposed to be having that?”  Guilt is not helpful to me when I’m struggling to do what I need to do.  I’ve tried to explain to him that I need support, not a food policeman.  But he is who he is, and he can’t change his response to my behavior anymore than I can change my behavior.

So…do I tell him?  The stakes are higher this time, so maybe I need the accountability in all its ugliness.  On the other hand, if I feel guilty, I will be miserable and might overeat in response.  I feel like I should tell him because he can be helpful about eliminating the foods we shouldn’t have in the house (getting rid of temptation) and because, God forbid I have a hypoglycemic attack, he should know what is going on.  But I feel like I shouldn’t tell him because he is going to worry about the situation and might blame me if something goes wrong with the pregnancy.  What would you do???


amiracle4us said...

Maybe just say you want to eat healthier for you and the baby, but leave out the rest? That way he can be encouraging without being too pushy?

New Year Mum said...

Sorry to hear that you've already got to watch what you eat... find things to treat yourself and your bub though. I agree... maybe the 'less is more' approach would be better to start with then you can always tell him more later, if you feel that it would be helpful. Love always xoxo

Christina said...

I agree with the pps. Start off with just wanting to eat healthier for the "2 of you" and go from there as/if needed.

I'm sorry that your levels are all off, but at least you are being monitored closely and they caught this all earlier rather than later. You can still treat yourself, just make it more infrequent- then it is even more of a reward!

Princess Wahna Bea Mama said...

Thanks, ladies. I took your advice and tried to bring it up with The Prince last night, but he was in a bad mood and it didn't go very well. I said I needed to try to eat smaller meals more often and start moving towards a healthier diet. In response, he ordered pizza from Pizza Hut for dinner and we ate at 9:00 p.m. I think I might just have to eat seperately from him for awhile, until he gets through whatever it is he's going through. Anyways, thanks again for the good advice.

Sandy said...

I agree with the other ladies. Try not to stress to much about this it sounds like they are watching you closely.

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Norma said...

When I was in primary, I was diagnosed with an underactive thyroid . I was prescribed with desiccated porcine supplements . After a few months of usage, I'm glad my thyroid level has returned to normal level.