#glucose tolerance test

[bookdoctorconsultationonline]

Know Everything About Oral Glucose Tolerance (Ogtt) Test at Livlong

Discover the complete details of the oral glucose tolerance test (OGTT) to diagnose diabetes. Visit Livlong for more information on OGTT test at Livlong

[wellhealthhub]

Exploring the Intricacies of Type 4 Diabetes: Gestational Diabetes Mellitus

Greetings, esteemed readers, and welcome to this all-encompassing, highly detailed guide centered on the elucidation of Type 4 Diabetes, an intriguing and somewhat less ubiquitous entity compared to its better-known counterparts, Type 1 and Type 2 Diabetes. Our paramount objective within the confines of this article is to embark on a comprehensive exploration, traversing the labyrinthine…

[timesofpharma]

Diagnostic tests for diabetes  

Diagnostic tests for diabetes details about Fasting glucose level glucose tolerance test and Hemoglobin A1C test and their relevance. In order to diagnose if a person is pre diabetes, or a diabetic his blood sugar level is measured, along with various other diagnostic tests for diabetes Fasting blood sugar level diagnostic tests for diabetes. Blood glucose level is measured after overnight…

[rmlpathology]

Understanding Different Types of Diabetes and Their Impact on the Body

Diabetes is a chronic condition that affects millions of people worldwide. It disrupts the body's ability to regulate blood sugar (glucose) levels, leading to serious health complications if not managed properly. There are several types of diabetes, each with unique characteristics and impacts on the body. This article will explore the different types of diabetes, how they affect the body, and the tests provided by RML Pathology to diagnose and manage this condition.

1. Type 1 Diabetes

Description:

Type 1 diabetes is an autoimmune disease where the immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas. This results in little to no insulin production, which is essential for regulating blood sugar levels.

Impact on the Body:

Requires lifelong insulin therapy.

Increases the risk of complications such as diabetic ketoacidosis (DKA), a potentially life-threatening condition.

Long-term complications include cardiovascular disease, kidney damage (nephropathy), nerve damage (neuropathy), and vision problems (retinopathy).

Can cause frequent urination, excessive thirst, extreme hunger, weight loss, fatigue, and irritability.

2. Type 2 Diabetes

Description:

Type 2 diabetes is the most common form of diabetes. It occurs when the body becomes resistant to insulin or when the pancreas does not produce enough insulin. Lifestyle factors such as obesity, poor diet, and lack of exercise significantly contribute to its development.

Impact on the Body:

Often managed with lifestyle changes, oral medications, and sometimes insulin.

Can lead to complications like heart disease, stroke, kidney disease, eye problems, and nerve damage.

Symptoms include increased thirst, frequent urination, increased hunger, fatigue, blurred vision, slow-healing sores, and frequent infections.

3. Gestational Diabetes

Description:

Gestational diabetes occurs during pregnancy when the body cannot produce enough insulin to meet the increased needs. It usually resolves after childbirth but increases the risk of developing type 2 diabetes later in life.

Impact on the Body:

Can cause high blood pressure during pregnancy (preeclampsia).

Increases the risk of having a large baby, leading to complications during delivery.

May result in low blood sugar levels in the newborn and a higher risk of obesity and type 2 diabetes in the child later in life.

4. Prediabetes

Description:

Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as type 2 diabetes. It is a critical stage for intervention to prevent the progression to type 2 diabetes.

Impact on the Body:

Often reversible with lifestyle changes such as diet and exercise.

Increases the risk of developing type 2 diabetes, heart disease, and stroke.

Symptoms are often absent or mild, making regular screening important.

Tests Provided by RML Pathology

RML Pathology offers a comprehensive range of tests to diagnose and manage diabetes effectively. These include:

Fasting Blood Glucose Test:

Measures blood sugar levels after fasting for at least 8 hours.

Helps diagnose diabetes and prediabetes.

HbA1c Test:

Provides an average blood sugar level over the past 2-3 months.

Used to diagnose diabetes and monitor long-term glucose control.

Oral Glucose Tolerance Test (OGTT):

Measures the body's response to a glucose solution.

Commonly used to diagnose gestational diabetes.

Random Blood Sugar Test:

Measures blood sugar levels at any time of the day.

Useful for diagnosing diabetes when symptoms are present.

Gestational Diabetes Test:

Specifically designed for pregnant women to detect gestational diabetes.

Conclusion

Understanding the different types of diabetes and their impact on the body is crucial for effective management and prevention. Regular testing and early detection play a vital role in managing diabetes and preventing complications. RML Pathology provides a wide range of diagnostic tests to help you monitor and manage your diabetes effectively. If you have any symptoms or risk factors for diabetes, consider visiting RML Pathology for a comprehensive evaluation.

Contact RML Pathology Today:

📞 7991602001, 7991602002 📞 0522-4034100 🌐 www.rmlpathology.com

Experience the best in diagnostics with RML Pathology – where your health is our priority.

[concubuck]

Glucose test

To Dr. Stripper's credit, when Alastor introduces the alternate he's brought along to his obstetrician appointment as "Alastor, the probable father," she only spends about ten seconds staring between their faces in mounting confusion before she decides to simply accept that this is a thing that's happening and nods.

This is the first time Alastor's brought his alternate along to an appointment. He wouldn't have thought to do it if Cal hadn't asked to come—he feels deep in his bones like the pregnancy is HIS problem, something for him to deal with alone—but he's glad Cal's there. Somehow it makes the whole process feel 50% lighter.

Rut has left Cal a wreck—bouncing his leg in the waiting room as he tries to hold himself together through his mounting arousal, nearly snarling whenever somebody touches Buck to check his blood pressure or—God forbid—press a stethoscope to his belly; but nevertheless, Alastor can tell just how delighted his alternate is to be a part of this process. He's practically radiating joy at every little update, the baby's size, the position. When Dr. Stripper diffuses his alternate's burst of possessiveness by offering to let him listen to the baby's heart through the stethoscope, Alastor half expects him to faint with glee. This is the happiest appointment he's ever had.

It's also one of the longest ones. Amongst a whole host of horrible health complications Alastor had no idea existed two months ago, apparently it's also possible to temporarily develop diabetes while pregnant; the point of this appointment is for him to take a glucose tolerance test to check whether he has. Standard procedure at the end of the second trimester. He had to fast for eight hours before the test (he'd scheduled it for the morning), get his blood drawn, have a sugary drink, wait an hour, and get his blood drawn again.

"—And you can screw in the restroom while you're waiting," Dr. Stripper says casually, like she tells telling expectant couples this several times a week, "just don't use the wheelchair stall. If you suck, do NOT swallow. It can skew our test results."

They fuck over the toilet.

(It's going to be a hard adjustment when his alternate's rut is over and Alastor has to go back to spending hours a day begging strangers to ask him for sex.)

On some level, Alastor expected the test to come back declaring he did have gestational diabetes. As miserable as the rest of this experience has been, it would be the cherry on the top for him to be unable to eat normally for the rest of his pregnancy. But no, he's given a clean bill of health. He can eat anything he wants—"Just don't overdo it," Dr. Stripper cautions. "You're at the high end of weight gained for 28 weeks. At your height and starting weight, it's nothing to worry about yet—but you'd be surprise how many people take 'eating for two' to mean they can double their portions. Keep in mind that the second person you're eating for is a lot smaller than you."

Alastor nods and smiles politely and throws this piece of advice into his mental incinerator.

She advises them both on what they probably want to be doing during the third trimester—touring hospitals or meeting with midwives or doulas, depending on their birthing preferences; making a back-up plan in another ring, since he'd be at 38 weeks during extermination; attending birthing classes. She seems impressed by how interested Alastor's alternate is in being involved in all of the above activities. Given Alastor's century of experiences around the common American male, he supposes Cal probably is more enthusiastic than most fathers-to-be; but he can't help but wonder how much of her surprise at Cal is just when taken in contrast with Buck's historical underenthusiasm.

"Sometime between week 30 and 32 we'll want you in again for your third sonogram, to make sure the baby's horns haven't come in at a shape that makes carrying to term or vaginal birth dangerous," Dr. Stripper says. "And after that, I'll want you in for checkups every two weeks until the last month, when I should be seeing you every week."

God. Imagine scheduling something every two weeks, and actually doing it. Imagine doing something weekly. Who's the alien she's talking about who has that much energy? Alastor can't remember the last time he did anything that consistently.

But he dutifully schedules the appointments, records them down in his phone, adds triple alerts to minimize the odds he'll forget them, and hopes his alternate will help him remember.

[gracelaboratory]

A Glucose Tolerance Test (GTT) is a medical procedure used to assess how well your body processes glucose. It is commonly used to diagnose diabetes, gestational diabetes, and other disorders of glucose metabolism. The procedure involves fasting overnight, followed by a blood draw to measure your fasting blood glucose level. You will then consume a sugary solution, and additional blood samples will be taken at regular intervals to monitor how your blood glucose levels change over time. This test helps healthcare providers determine how efficiently your body metabolizes sugar.

[diabetes-health-corner]

Muktotsav: A Celebration of Freedom

Muktotsav comes from the conjoining of Mukti, meaning freedom, and Utsav, meaning festival or celebration. And this is exactly what it is. Muktotsav is FFD’s annual event when our champions step into the well-deserved limelight. This is when they are felicitated and awarded for their achievements.

Read the full blog here: https://www.freedomfromdiabetes.org/blog/post/muktotsav-a-celebration-of-freedom-Freedom-from-diabetes/2637

[soumyafwr]

Glucose Tolerance Test Market Analysis, Size, Share, and Forecast 2031

[fatliberation]

I saw a comment on your blog that says 'the way you eat does not cause diabetes'...are you able to expand on that or provide a source I could read? I've been told by doctors that my pre-diabetes was due to weight gain because I get more hungry on my anti psychotics and I'd like to fact check what they've told me! Thank you so much!

Pre-diabetes was rejected as a diagnosis by the World Health Organization (although it is used by the US and UK) - the correct term for the condition is impaired glucose tolerance. Approximately 2% of people with "pre-diabetes" go on to develop diabetes per year. You heard that right - TWO PERCENT. Most diabetics actually skip the pre-diabetic phase.

There are currently no treatments for pre-diabetes besides intentional weight loss. (Hmm, that's convenient, right?) There has yet to be evidence that losing weight prevents progression from pre-diabetes to T2DM beyond a year. Interestingly, drug companies are trying to persuade the medical world to start treating patients earlier and earlier. They are using the term “pre-diabetes” to sell their drugs (including Wegovy, a weight-loss drug). Surgeons are using it to sell weight loss surgery. Everyone’s a winner, right? Not patients. Especially fat patients.

Check out these articles:

Prediabetes: The epidemic that never was, and shouldn’t be

The war on ‘prediabetes' could be a boon for pharma—but is it good medicine?

Also - I love what Dr. Asher Larmie @fatdoctorUK has to say about T2DM and insulin resistance, so here's one of their threads I pulled from Twitter:

1️⃣ You can't prevent insulin resistance. It's coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI.

2️⃣ The term "pre-diabetes" is a PR stunt. The correct term is impaired glucose tolerance (or impaired fasting glucose) which is sometimes referred to as intermittent hyperglycemia. It does not predict T2DM. It is best ignored and tested for every 3-5yrs.

3️⃣ there is no evidence that losing weight prevents diabetes. That's because you can't reverse insulin resistance. You can possibly postpone it by 2yrs? Furthermore there is evidence that those who are fat at the time of diagnosis fair much better than those who are thin.

4️⃣ Weight loss does not reverse diabetes in the VAST majority of people. Those that do reverse it are usually thinner with recent onset T2DM and a low A1c. Only a tiny minority can sustain that over 2yrs. Weight loss does not improve A1c levels beyond 2 yrs either.

5️⃣ Weight loss in T2DM does not improve macrovascular or microvascular health outcomes beyond 2 years. In fact, weight loss in diabetics is associated with increased mortality and morbidity (although it is not clear why). Weight cycling is known to impacts A1c levels.

6️⃣ Weight GAIN does NOT increase the risk of cardiovascular OR all causes mortality in diabetics. In fact, one might even go so far as to say that it's better to be fat and diabetic than to be thin and diabetic.

Dr. Larmie cites 18 peer reviewed journal articles (most from the last decade) that are included in their webinar on the subject, linked below.

[physicianclinic]

This infographic explains the different types of blood sugar tests used to diagnose and manage diabetes and other conditions. Learn more about fasting blood sugar tests, random blood sugar tests, and oral glucose tolerance tests, and their respective uses. The Physicians Clinic is a leading healthcare provider that offers blood sugar testing and other medical services to patients.

[karmaphone]

scared that I might have diabetes 🫠

[wellhealthhub]

Everything You Need to Know About Diabetes Tests - A Journey of Uncertainty and Surprises!

Prepare yourself for a roller-coaster ride through the perplexing world of diabetes tests! Embark on this whirlwind tour of different tests, diabetes types, interpreting results, and managing the enigmatic condition. Gain insights to take control of your health in this exhilarating adventure! Introduction to Diabetes Tests – The Enigmatic Puzzle Unveiled! Diabetes, a mysterious metabolic…

[scientia-rex]

I've been trying to figure out what the deal is with prediabetes so I can write a meaningful response to an ask I got about it, and I just keep going wait--okay--here's one paper--but here's another one--here's a Cochrane review--but here's a different meta-analysis--and here's newer data from an RCT...

It's nuts! It's bananas. And anybody who says we have good, crisp, clear guidelines around what prediabetes even IS, much less what to do about it, is FULL OF SHIT.

What I really need to know in order to feel more confident about my handle on whether to medicate pre-diabetes is the population incidence. Not prevalence. Because if I take the most optimistic studies about medication as an intervention, specifically, I could be looking at about a 30-40% reduction in risk of progression to diabetes. But! How many people is that, actually? Because medication is not without its harms! We need to compare number needed to treat with number needed to harm, we need to have high-quality evidence that says yes, if we give this medication to everyone who meets X level of criteria for pre-diabetes (it's different in different sources AND it's changed repeatedly over our lifetime!), we will see a level of benefit sufficient to justify making these other people who would not have progressed to diabetes without it endure the hassle and side effects of taking a medication for the rest of their lives.

AND HERE'S THE REAL FUN PART: we don't really know where tissue damage begins! We thought we did! 6.5-7ish A1c. But it turns out there is a marked risk of retinopathy beginning at 5.5! Which is considered normal. AND ALSO we should probably be thinking of it as at least three separate disease based on our current ability to measure--A1c is a broad marker that collapses multiple forms of dysregulated blood sugar, and when we use more fine-grained tests, we see meaningful distinctions that probably affect preferred treatments between people who have impaired fasting glucose, people who have abnormal values on an oral glucose tolerance test, and people who have both. We should treat these groups differently because they reflect different underlying pathways: elevated fasting glucose means your liver is breaking down too much glycogen while you sleep, which is one issue, while elevated post-prandial glucose means your skeletal muscles (OR SOMETHING ELSE they're not totally sure) are behaving abnormally in response to insulin. IT'S NOT THE SAME THING and people with both impaired fasting glucose and abnormal post-prandial glucose are at higher risk of progression to diabetes/tissue damage than people with just one of those. AND WHILE WE'RE AT IT, what is diabetes? What's the best cutoff? What's the best measure? How many underlying pathophysiologies are getting collapsed into the same group????

THE MORE I LEARN ABOUT THIS THE MORE QUESTIONS I HAVE and experts are all being serenely confident while contradicting each other so I have to actually dig in the data a lot harder than I usually do. I've been meaning to do this for months, but one of the presenters this morning made a comment about the benefits of putting prediabetics on metformin that made me go "hm, do I need to start doing that?" and I've gone from my kneejerk answer being "no, we studied this and it doesn't help" to "I don't fucking know and neither does anyone else."

...as always, Cochrane is probably right.

[thunderheadfred]

I’m so exhausted with this, whatever it is. Is this normal? Is it just me? Is it because I had Covid before? Is it just because I’m weak and pathetic?

It’s really getting to me; I can’t pretend otherwise. I can barely do anything. My head aches constantly and I feel woozy. I’m weak, wobbly, have no energy. There hasn’t been a good day in weeks.

Last few days I just want to cry all the time; there’s no relief. Worst of all, I feel guilty for feeling this way, like it’s all my fault and I’m doing something wrong. All I can do is sleep, or sit up in bed like a woman in a Victorian novel, pleading for liquids. I don’t know how to feel or what to do. I felt shaky all last night, like there were bees and wind inside me.

Doctor on Thursday morning. Glucose tolerance test, anatomy scan, checkup. Partner will be there to advocate for me; I’m too tired to even know what to say anymore.

[anotherpage-inthe-book]

March 30th - April 25th

April 5th 2023

Apologies in advance cause this post is going to be lonnnnnnnng but I have chosen to share something very personal and real. So here it goes;

I always knew I wanted children. I have known ever since I was old enough to comprehend what having children & a family would actually mean. I was always set on having a baby the good old fashioned way. Toughing it out and delivering vaginally. Of course, I always understood that things could happen and that circumstances could change. Although, that couldn’t happen to me... right? Wrong.

When I first found out I was pregnant with our daughter, I was in disbelief. I think I bought about seven or eight pregnancy tests because I was in such disbelief at the first one. The initial feeling of ‘oh my god’, quickly turned into, ‘OH MY GOD I’M HAVING A BABY!’. I went into our room and told my partner (let’s call him J) I needed to talk to him about something. After he had finished up on his computer, I held out 3 positive pregnancy tests. J said, “Why are you showing me your positive COVID test”. He quickly realised it wasn’t a COVID test and he was over the moon.

Fast forward to being 33 weeks pregnant; I had done all of my scans. Which showed normal growth, normal sizing, and most importantly, a healthy baby. I had done not one, but two glucose tolerance tests. I found them not to be as bad as what everyone says they are. It just tastes like really strong lemon cordial. I had all my blood work come back normal, with just a minor iron deficiency. This is very common in pregnancies because bubba gets majority of it. I had just finished at my last growth scan and was headed home. I was feeling good, I had just seen my baby girl and was told/shown that she was measuring well and was healthy. As to be expected, I had gained some weight from being pregnant. Although, I was just happy that our baby was getting the nutrition she needed.

It was about 9:30, just after my Mother was due to start work, when I started to get a headache. So I had some water and went to bed. I woke up around midnight with a pounding headache, seeing stars in my vision and just feeling unwell and not myself. I messaged Mum and told her what was going on. She told me to get J to help take my blood pressure, have some Panadol & water and lie down with calming rain sounds to help. J helped me do my BP, which I thought was relatively okay (given I was a tad agitated and in pain from my headache). So I did what Mum told me to do and went to sleep. Woke up the next day and was feeling my normal self, so I went about my day as normal.

That evening, I started to feel the same way that I felt the previous night. This time, I kept it to myself. I thought it would go away just like it did the night before. Around 5/6pm, I went outside and sat in the pool because this strange feeling just wouldn’t go away. I spent a good 30-45 minutes out there. I went inside for dinner and to chill out whilst I tried to figure out what was causing me to feel so off.

Mum and I sat in the lounge room, watching TV, when she asked me if I wanted her to do my blood pressure. She asked because I was looking agitated and uncomfortable. She did it, and when I looked at her to ask how it was, she had this smile on her face. It was the type of smile one gives another person when they are trying to dull down how serious a situation. I asked Mum if it was good or bad. She just said, “I think you need to call the hospital and see what they say.” My blood pressure was 180/100mmHg. Which is very, very high.

I rang the maternity ward at the hospital. Sure enough, they said I needed to come in as soon as possible. We quickly packed a small bag with all the essentials for a SHORT hospital stay. I thought that we would only be in overnight and maybe the next day. When J and I got to the hospital, the first thing they did was reassess my blood pressure, take a urine sample, and some blood tests. All came back elevated. My blood pressure remained alarmingly high. My urine test came back with elevated protein and my bloods were marginally worrisome. I just kept asking if the baby was okay. I kept asking if this was causing her distress and what we could do to stop it. I was given medication, after medication, to try and bring my blood pressure down. However, nothing was seeming to work definitively. After multiple doses of anti-hypertensives, my blood pressure started to plateau around the 140-150’s. This was still not ideal, but better than what it was. I was feeling like rubbish at this point because of the anti hypertensives, pain medication, antacids, and anti nausea medications I had been given.

Our doctor came in at around 1am. She was was able to give us some news that, quite literally, made me sick to my stomach. It was from nerves, stress, and an entire range of other emotions. I was diagnosed with sudden onset severe pre-eclampsia. She told me that, if left untreated, could be fatal to Bub and I.

Preeclampsia is a complication of pregnancy which is detected by women having high blood pressure, high levels of protein in their urine (that indicates kidney damage) and/or other signs of organ damage such as epigastric pain (indicating the liver damage). The doctor then told me that I would be staying for almost 2 weeks. However, it ended up being a few days longer. It was all starting to make sense and fall apart, simultaneously. My general feeling of being unwell, the headaches, the rapid weight gain and fluid retention (I probably tripled in size within a week due to fluid retention which was a big yikes), the blurred vision and visual disturbances; the lot. And I was sick, I mean physically I threw up after we were told. I think it was from anxiety but it was probably because of all the medications I had been given. Our doctor reassured us and tried to calm our nerves, but I know I was out of my mind worried about bubba. As was J. Funnily enough, our daughter was healthy and unaffected by what was going on & it was my body that wasn’t coping however that very well could’ve changed at any given time.

That first night I would like to say was the worst it got. Unfortunately, it wasn’t. I was admitted to the maternity ward the next day where we received nothing but the best from the midwives. They were kind, caring, and were always checking in on us to see how we were coping. I think it was because they could see the mental and physical toll it was taking on not only me, but J and my Mum as well. During my stay on the ward, I had multiple different tests and scans to monitor by blood pressure, kidney, liver functions, and my overall health. I won’t lie, I really was unaware as to how unwell I was and how serious the situation was.

Due to the severity of my preeclampsia, we were told that our daughter would probably have to be born early around 37 weeks. At 37 weeks, a baby is considered to be full term. They have fully mature lungs, as the baby is getting ready to be born. I had asked the doctor, and the midwife, if it was still possible to follow our birthing plan of having a water birth. Unfortunately, as we were now a ‘high risk’ pregnancy, a water birth was out of the question. Then came the question of, "will I be able to have a vaginal birth with our baby?". This was an aspect of pregnancy that I was actually very eager to be able to experience. Originally, I wanted a water birth with as minimal medical intervention as possible. I felt like, as painful as Labor may be, it would be equally as beautiful to be able to bring our daughter into the world this way. My treating doctor told me that, although labor was not impossible, it was highly unlikely that I would be able to safely go through labor. She explained that I would likely need to have a caesarean. I was obviously 100% on board with whatever our little baby needed to be happy and healthy, but it still felt like I was stripped of having the birthing experience that I wanted.

It was a few days after I was admitted that we were informed that we wouldn’t be able to make it to 37 weeks. The doctors were worried my body and organs would give up due to the stress they were under. I said to the doctors I would at least get to 34 weeks (which was 4 days away). They were hesitant to wait that long. I thought I would be able to, because it was only just a bit of high blood pressure right? Clearly I was in a bit of denial about everything. Over the next few days, I had multiple blood tests, CTGS and vital signs attended. All showing that my body was struggling. My liver functions were declining. My kidneys were struggling. I was struggling to move due to the fluid retention. I was having issues breathing and doing everyday activities that I usually would’ve been able to do independently. My blood pressure, although much more controlled due to being on two different anti hypertensives 4-5 times a day, was still elevated. The CTG’s weren’t bad, but they weren’t good. So I was sent for an ultrasound to check on the baby’s measurements & they showed that the baby was measuring smaller than expected. Meaning she wasn’t getting everything she needed to grow healthily. That’s where I actually became concerned.

It all came to a head the morning of the 05/04/23, after a shitty sleep and another 2-3 hour CTG tracing. Mum had stayed overnight with me (she and J often took turns doing this). I turned to her and said, “I can’t do this anymore”. She could already see how exhausted I was (physically and mentally). I made a decision to let the treating team know that I needed something to be done that day. We weren’t seen by the initial obstetrician. Another obstetrician (let’s call him Doctor A) who works along side the obstetric team came to review me. Straight away, he asked how long the CTG trace had been trending that way. He asked how long it had been on for, if anyone was monitoring it, and what was the point if nothing was being done about it. The doctor asked me a few more questions about how I was feeling. They asked if I was I struggling, coping, etc... I told him that I was trying to make it to the 34 week mark, but I was unsure how much longer my physical and mental health could last. He left to discuss things with ‘the team’ and to see if a decision would be made that day. Around lunchtime, Mum and I had just taken a bite of our sandwiches when Doctor A came back. He asked how I felt about having a baby that afternoon. It was a definitive ‘let’s have a baby’. Mum and I (more so Mum who is a midwife and wasn’t letting on just how unwell and dangerous my situation was) felt relieved. Someone had decided on a plan, instead of just sitting and waiting.

That afternoon, after a quick phone call to J telling him to get his ass to the hospital ASAP, I was prepped. We went downstairs where we were about to meet our little girl. After about 45 minutes of trying to be cannulated, I was wheeled into the theatre room. They told me what the process would be, how long things would take, etc... It was time for me to have a spinal anaesthetic (that thing with the big needle. The one that numbs you so you don’t feel anything. Yeah... That thing...). I will admit that it was not as bad as I expected. It took two tries, but the most unpleasant part of it was losing feeling and control of my legs so fast. I still had to try and move around to get into position, but that’s just me whining. It all happened pretty quick after the spinal anaethetic. Or that’s how it felt to me at least. The anaesthetist asked us what we would like to listen to, music wise, whilst the procedure was happening. Obviously, it was a no brainer. The 1975 was the only option. Before we knew it, the doctor was telling us to "look up... look here....", and there she was. Our little girl. She was looking like a “mandrake” from Harry Potter, but she was healthy, breathing on her own, and squawking.

I think I was in some kind of trance or something, because it was all feeling so surreal. I mean... This little bundle of love wasn’t due for another month and a half. Yet here she was wrapped up in a blanket and in her Dad's arms. It's safe to say that I was in a bit of shock, but the best kind. It was a pretty quick ending of the caesarean. I was stitched back up and sent round to recovery, whilst Dad and Bub went to the special care nursery. This is where we would spend the next few weeks. I think I was delirious after everything happening so quickly, but I was stable. When I was taken back to the ward, the first thing I asked was "When can I see bub?" and "How is she doing?". Being wheeled back into an empty maternity ward room without my husband, my mother , or baby was very confronting. I felt alone, but not upset, because I knew they were with my baby girl. I felt really good. I think it was the best I had felt since I had been in the hospital.

However, after I returned to the ward, my midwife attended my vital signs. My blood pressure and other symptoms resulted in her calling a medical emergency. I was given more medication and they increased my observations overnight. Unfortunately, I had another medical emergency. They sent me back to the birth suit for 1:1 care. I had a 24 hour magnesium sulfate infusion running (to help bring down my blood pressure). I had a catheter re-inserted (was not a happy little Vegemite) and I spent the next 24hours having half hourly vital signs, hourly catheter output/input measures, and barely any sleep. This entire time, I hadn't even been able to hold my baby yet. I had minutes with her briefly, after she was born, before she was wrapped up and sent up to the special care nursery. It was a lot to internalise. I felt guilty because I hadn’t been able to cuddle our little girl since she had entered the world. During the night spent in birth suite, the midwife that took care of me was nothing but an angel. She could obviously see the toll that not being able to see (or hold) our baby was having on me. She could see how uncomfortable I was with being pricked, prodded, and my catheter blocking. I think it was just after 11pm when, after checking my blood pressure, our midwife said we could go and see our daughter. She would have to accompany us as I had IV’s running and I would have to go in a wheelchair, given my recent surgical wound and how unwell I was.

Seeing our little girl in the incubator, with an IV line in (along with all the other lines), was the hardest thing I think either of us have had to see. Seeing a little baby with lines and tubes in is hard; but when it is your child, I think it just stings that little bit more. Our daughter weighed 1780 grams when she was born. Our daughter had a nasogastric tube inserted, as she was too little to breastfeed or bottle feed. This was another blow, as I felt like I was letting my baby down by not being able to breastfeed. She was given IV glucose drips until she decided to yank her IV out. Just like her mother, she gave the doctor’s a challenge to reinsert the IV. Ultimately, they gave up because she was doing so well on just her 3r hourly feeds via the feeding tube. Her feeds were majority expressed breast milk, but in the beginning days (when my milk supply was just coming in) she had formula as a substitute. It was a relief that once my milk did start flowing. I was able to express and bottle it for her without any issues. I think we had about 6-7 litres of frozen breast milk in our freezer at one point. It was one less thing to worry about, given everything we had going on. Our daughter spent almost 4 weeks in the special care nursery. She recieved the absolute best care possible. I cannot thank the nurses and midwives enough for the care they gave my daughter & I. After those four weeks, we brought our little girl home. She looked a little bit funny sitting in such a big car seat.

4 weeks of visiting the hospital at all hours of the day. The hours spent holding our baby girl, giving her the tube feeds, changing her nappies, leaving the hospital in tears, feeling like the world was against me and sleepless nights at home wishing our baby was at home with us; it was a very tough time. I remember speaking to J in the hospital cafeteria “I feel like the world is against me, like I’m the butt of a bad joke and it’s not fair”. The guilt I felt over leaving our girl... I would leave the hospital either in tears, or angry at the world for our situation. I felt a lot of emotions at once. I was feeling guilty for not being able to hold my new baby and have a normal first interaction with our daughter. I missed out on the first few hours of skin to skin contact... Just because I was sick? I was angry at myself for being unwell and I felt like I had let our daughter down, beause I wasn’t there. I still get angry at times over this and it’s still something I have to deal with on the daily.

I take my hat off to all midwives, special care nurses, and neonatal nurses. I could not do what they do. Our daughter received the absolute best care from the most beautiful people in the special care nursery. We were reassured and checked in on every time we were there. They had offered support, given education, and assisted with her care when it was our turn to take the ropes. Those amazing people will always hold a special place in our hearts. I will never forget the kindness and care given to our family, especially when I wasn’t well enough to be able to.

I spent two weeks in hospital being pricked with needles, having constant CTG’s to monitor the baby, multiple blood tests, scans, and had numerous sleepless nights. I even had two emergency calls due to my BP being elevated. I had sudden weight gain and large amounts of swelling all over my body. The swelling was not just in my legs, but my arms and fingers as well. My hands still tingle from time to time due to the swelling and carpal tunnel I experienced. I was retaining large amounts of fluid, which was shown by my size and by how difficult it was for me to physically move. I have never felt so humiliated and disgusting. I relied on others to be able to help me move, wash, and do everything I am usually able to do.

I have never thought so lowly of myself. I refused to look in the mirror in the bathroom because I thought I looked disgusting and gross. I still felt this way after being told it wasn’t actual weight, it was the oedema that caused me to get so big. I have to continue to remind myself that the strectch marks and baggy skin is a normal part of pregnancy. I have bruises and scars from constantly being stuck with needles, multiple cannulas, and having blood tests. My liver functions and renal functions are only now starting to improve. However, I’ve had multiple follow ups with doctors from different departments and my GP to monitor these. I physically feel weaker. I can feel when my muscles are close to giving up, but that is slowly starting to change since I started exercising again. I struggle with anxiety from leaving the house, wondering if our daughter is unwell, and taking her out in public. Although, I am starting to slowly get better at managing these anxieties. I am still struggling to deal with how my body looked/looks now. Body image has always been a big issue for me. It will be an ongoing process, but one step at a time. Walking by myself, and walking with our daughter, has helped me cope with a lot of these negative thoughts. It has helped my mental and physical health immensely.

I’m slowly learning to accept that, while I might not have experienced giving birth how I would’ve liked, I am so very blessed and thankful to have a healthy and happy baby girl. She is thriving and becoming her own (very small) person. I have been left with some physical and mental scars from this entire ordeal, but I remind myself everyday about how lucky I am. I'm a Mum and our baby made it home safely. It has taken my almost 3 months for me to finally finish writing this. It brought back a lot of negative thoughts and upsetting memories, but getting my thoughts out on paper has helped me process this traumatic (yet wonderful) experience. It’s also made me so thankful that our little girl, who is just like her Mumma, is tough and resilient. Seeing her smile and laugh, makes everything I went through worth it.

[neige-de-mars]

I had to fast for 8 hours, and now I have to wait 2 hours for the glucose tolerance test. I'd kill for a drop of water fr