Glucose test #2; please don’t be positive

This morning, I skipped my usual gym session and instead walked across Central Park up to the Upper East Side for my second glucose test. I abstained from having any refined sugar in the two days leading up to this test for good luck and even subbed brown basmati rice for the usual long grain white rice I use in fried rice in my Monday cooking, as well. I figured none of this could hurt, right?

Well, the instructions I was given over the phone by the doctor’s assistant were wrong. While I thought that I’d come in at 9am, do a baseline blood draw, drink another bottle of sickly glucola, and have my blood redrawn at 10am, what ended up happening was that I had to have FOUR blood draws total: One at 9am for a baseline, then one again each at 10am, 11am, then 12am after the glucola consumption. When I expressed dismay at having to come back at 11am, the nurse was confused. “Didn’t tell they you over the phone that it would be three hours?” No one told me this!! I had meetings that I ended up having to skip, and with a crappy signal in the doctor’s office, I ended up leaving to wander around the Upper East Side and Central Park before blood draws to get fresh air and an internet signal.

So after the fourth and final blood draw, the nurse let me know that I could finally eat (you have to fast during this!), but “nothing sugary,” and that my results would be available tomorrow. Little did she know that I had already stopped by Tal Bagel for a toasted everything bagel with vegetable cream cheese, and I was very much looking forward to diving into it after I left the office. While a bagel is not quite on the gestational diabetic’s list of friendly foods to eat, I did not care; I had not eaten anything since 5:30pm the previous night, and I was so famished that I could feel myself getting light headed walking back from Tal to the doctor’s office for my final noon blood draw.

Now, I just have to hope and pray: please do not have gestational diabetes. Please do not have gestational diabetes. Please, please, please.

First time back to Istanbul in 10 years

When I first visited Istanbul in July 2011, everything about the city felt like a magical wonderland. It was the closest I’d ever been to the Middle East, and it was the first Muslim-majority country I’d ever visited. The level of kindness and hospitality I felt everywhere from the hotel where I stayed to the restaurants and sweet shops I visited astounded me. I’d never been inside a mosque, and so visiting historical sites like the Hagia Sophia and the Suleymaniye Mosque felt quite unreal. And the beautiful and colorful Turkish breakfast spreads, the richness and thickness of the Turkish coffee, and the complex sweetness of the endless varieties of baklava and lokum (Turkish delight) had my taste buds in a total whirlwind. At that point in my life, I really hadn’t traveled much, so everything made me feel wide-eyed and amazed. But coming back to this city ten years later made me realize that the amazement and awe I felt of the city was not just because I was then a newbie traveler; it was because Istanbul has a unique charm and beauty all its own.

After an overnight flight and a quick nap at the hotel, we ventured out into the city and didn’t come back until about 9pm that evening, which was surprising because of how exhausted I was. I think the exhaustion was partly because of the heat and humidity, partly because of the lack of sleep, and also since I’m now over 24 weeks pregnant and thus carrying extra weight (and the extra need to pee all the time). Chris and I have always been efficient travelers, traveling light and always adjusting quickly to whatever time zone we’d fly into, but this time was a little different since I’m pregnant. I’d forgotten how steep the hills could get in this city, as well; Istanbul’s steep and winding hills make San Francisco seem like a flat stroll in the park.

A lot about the city has changed, but a lot is also the same. Walking across the Galata Bridge, you can always expect to see men of various ages fishing at all hours of the day and evening, waiting to catch just a handful of small fish or buckets full if they are lucky. Birds are constantly flying over the Bosphorus River, oftentimes highlighted by the bright lights of the bridge at night as well as the mosques. The various bazaars are full of hawkers trying to sell their treats and wares, although one after the other is actually selling the exact same thing, and it’s really just a matter of who is most persuasive to pull you in with sweet meats and teas to guarantee your purchase.

The city was always an eclectic mix of old and new, historical and modern, old and young. When I first visited 10 years ago, I remember the couple of days I wore outfits that revealed my shoulders, I was definitely the minority; both men and women gawked at me in disbelief that I’d dress so scantily in a Muslim environment. Now, though I can’t tell if they are locals or other European tourists, it was more normal to see women bare their shoulders and legs. In 2011 when I visited, the Hagia Sophia was a museum; its status has now changed back to a mosque, which not only means it’s more accessible to everyone given there’s no charge to enter, but as such, it’s more crowded and packed with people. In addition, they no longer allow you to ascend to the higher levels of the mosque for different perspectives, which I was sad about. The Blue Mosque (Sultan Ahmet Cami) was mostly under construction, so unfortunately, Chris couldn’t see it in all its full glory. The underground Cistern, which was incredible in 2011, was also closed for construction. While it was good to see that they’re repairing these famous sites, it was just terrible timing for us since Chris couldn’t enjoy them.

Another difference this time around was the sweet shop that I went to a few times my last visit, Hafiz Mustafa. There were always multiple locations of this shop and cafe, but back then, the samples were ample, and the service was always warm and friendly. Attendants would basically stuff you with samples of baklava and lokum to the point that you nearly had a dessert meal just walking through there. Now, Hafiz Mustafa’s branding went through a total overhaul at some point in the last ten years; I didn’t even recognize their logo. And the inside looked like some modern, shiny, high end dessert/pastry shop. The prices are also a lot higher than I remember them being in 2011. Funnily enough, this was the same shop I purchased lokum from and also got a gift box from for Chris then. We still have the box sitting on our dresser now with all of our little display Christmas houses.

Istanbul is one of the only cities in the world that is in both Europe and Asia. It’s no wonder it’s one of the most traveled to cities in the world and one that I continue to love and admire. Who could not appreciate a city full of so much history, culture, and delicious food?

Glucose test #1 follow-up

On the way to the airport this morning, my OB’s office called with my first glucose test results. The assistant informed me that my result was a few points over the desirable limit (her exact words were, “slightly elevated”), so my doctor wants me to come back in before my 28th week for a second glucose test.

Fuuuuuuuuuuuuuuuuuuck. Needless to say, I was not thrilled to hear this.

For the second glucose test, they ask you to fast for at least 9-12 hours before you come in to drink the glucola a second time. When you come in, they give you the same bottle of glucola, you drink it, then wait an hour. Then, they draw your blood again to see what the result is. I’ve read that for many women who “fail” the first test, the vast majority end up having no issues and do not have gestational diabetes – this is somewhere between 85-90 percent of women. Maybe I will be one of those lucky 85-90 percent of women? Please? Please…

Me? Potentially having gestational diabetes? Why? I exercise a ton and keep active. I eat a very balanced diet and don’t even eat that much refined sugar. This is just really terrible luck if I end up having it. They say that it’s not the pregnant woman’s fault when she gets it, and little can be done to “prevent” it. It’s just genetics and plain bad luck unless you are already obese/overweight, do not exercise, or have a terrible diet.

Just need to keep positive. I really, really hope I pass the next test. It’s scheduled for the Wednesday after we come back from Turkey, and I have to go first thing in the morning. Ughhhhh.

Glucose test – the prenatal test every woman loves

So today, I had my inevitable glucose test. This is the test where, between week 24 and 28 of pregnancy, your OB asks you to drink 10 ounces of a sickly sweet drink called “glucola” in ten minutes. Then, an hour later, they draw your blood and evaluate it to see if you have gestational diabetes. If you test positive for it, they will screen you for further tests to see how severe it is. Then, depending on the severity of it, you will be required to prick your finger multiple times a day and adjust your diet accordingly. That basically means: limiting or eliminating refined sugar, reducing refined carbs (goodbye, white rice, white flour anything, ahhhhhhhhhhh). This needs to be done until you give birth for the health and well being of your baby. And if you test negative, well, congratulations! It means you can eat and live your life as you did before the test.

I know too many women who have developed gestational diabetes during pregnancy, and although it is temporary, it still is no walk in the park. Women always say their lives are already restricted because of pregnancy, and a gestational diabetes diagnosis just restricts your life even further. I’m hoping and praying that I test negative for it.

In the days leading up to the test, I reduced any refined sugar/refined carb intake and even didn’t eat any fruit before my appointment. It’s also been said that regular exercise in pregnancy can reduce your chance of gestational diabetes by more than 70 percent. I hope this will include me.

If I test negative for it, I am definitely celebrating by baking chocolate chip miso cookies. That will be my reward for myself.

Birth doula

I’ve read a lot of really inspiring stories about moms who have been fortunate enough to experience a natural, unmedicated birth. The most inspiring book I read was Ina May’s Guide to Childbirth; it was really eye-opening to me how amazing and magical the birth process can be when you can fully be immersed in the moment and be completely present. Some have given birth at birth centers. Others have given birth at home in their own bathtub (or on a chair, and even standing up!). Some women have had the double privilege of giving birth at a birth center that is affiliated and attached to a hospital. Unfortunately, I just found out that Mount Sinai West, the hospital closest to us that is just one block away, recently closed their birth center in December 2019. Fortunately, though, all their midwives are still delivering with their usual philosophy and methods at the maternity ward at Mount Sinai, and they also work closely with OB-GYNs if medical intervention is needed. But again, the unfortunate part of this? The Central Park Midwifery group that delivers babies here is 100 percent out of network, much to my dismay. So that’s a no-go for me.

I really like my OB-GYN, as I’ve been going to her for nearly ten years now. I love her practice, and I’ve enjoyed meeting with her practice partners. They are actually known as being one of the practices in Manhattan that advocates for “low intervention,” meaning that they will not force a c-section or episiotomy or epidural on you unless there’s actually a medical necessity for that. It’s sad that I cannot say that about all practices in this city or country given that doctors and hospitals clearly profit more from c-sections and the addition of more procedures/medications than from less.

But despite liking my OB a lot, she’s not going to be with me throughout the entire labor process, as she will be on call at the hospital and attending to many moms in labor. She will likely only be able to pop in at the very end of the pushing stage. For that reason, I feel like I may want a birth doula for emotional support and guidance. I need someone who’s going to know what stages I am going through, how to help from a physical and emotional perspective (do I need my hips pressed? my back massaged? do I need a slow dance to relieve pelvic pain?), and how to ultimately advocate for me. A lot of people say that’s what your partner is for, but to me, that’s a little like the blind leading the blind; my husband has never attended to a birth, nor does he have the faintest idea what is going to help relieve labor pain or the right touch or massage techniques to make me feel better in these moments.

I’ve started meeting with some potential birth doulas. I don’t think I’ve found the right fit just yet, but I am interested to see who I mesh with and how this all turns out.

Approaching the third trimester and what to expect

One of my good friends, in her third trimester of pregnancy, developed pregnancy carpal tunnel syndrome. It was so bad that she could barely hold ceramic mugs that had liquid in them and could only carry really light things up until the point she gave birth to her baby. Another friend told me she had milder carpal tunnel, then developed other muscular issues with her thumbs and index finger once the baby had arrived. “Don’t get rid of your wrist splints!” she warned me. “You’re going to need them again!”

Because of these stories, plus ones I’ve read, I have no doubt that I will have exacerbated carpal tunnel soon. It’s not that I WANT it — it’s more that I already know I have mild cubital tunnel and even milder carpal tunnel symptoms from my daily discomfort in my elbows, wrists, and hands (plus my nerve test that confirmed this), so why would it NOT get worse in the third trimester given all the information above with constricting blood flow? Today, I started noticing my palms under my thumbs on both sides were sore, and my elbows and fingers in general have just been feeling more awkward and stiff. It doesn’t seem to matter how much “nerve gliding” I do, but it still just feels uncomfortable. If this does end up happening to me, I hope my body will give me some grace and give me less third trimester symptoms of other sorts.

Fetal movements tracking

Now that my little baby has grown quite a bit, it’s estimated that at 23+ weeks, she’s just over a pound in total weight, and thus I can feel her more often than just after rigorous physical activity and eating. Now, I feel her movements throughout the day, sometimes when I am just sitting here on a work call, I can feel her moving and squirming around. Though almost like clockwork, she will always move quite a bit after meals and after my morning workouts.

For a second, I felt a little worried today because after lunch, I barely felt her move at all. So to check in on her, I started tapping and pushing my fingers into my lower abdomen to get her to react, and well, yes, she seemed to have felt it, as she responded by pressing up against my stomach and then making me want to pee immediately. She then continued to move around for a few minutes and then slowed down. It was a little bit paranoid, but I needed to make sure my baby was okay. I’ve read that at week 24 and beyond, baby in the womb can also sense light, so if you are sitting in darkness and shine a flashlight on your belly, she will actually react by moving! I’m looking forward to testing that out and teasing her.

Newborn care specialists and post-partum doulas

I’m currently doing research and looking at referrals/recommendations for newborn care specialists (otherwise known as night nannies or night nurses) and post-partum doulas for when the baby arrives. Given that both of us have no idea what we are doing when it comes to raising a baby and have no family nearby who could help, it made sense for us to hire someone who actually does know what she’s doing to help us with things like feeding and very importantly, allowing us to sleep and not bite each others’ heads off once the baby is here. Sleep deprivation is very common and almost 100% expected once a newborn has arrived, and it’s the number one reason that causes irritability and problems between couples once a baby has come into the picture. A colleague of mine told me that with his night nanny, he and his wife had zero regrets with hiring her, and it actually ensured their marriage stayed in tact, as they were both well rested and had enough energy to think and speak rationally in those initial 4-8 weeks of newborn chaos.

It seems that these services tend to book up very quickly, as one person I reached out to who has a team of NCSs let me know that she and her entire team are booked out for December. The search and interviewing continues.

“Nesting”

I told one of my friends that Chris and I bought the Costco-sized diapers and baby wipes that were on sale during our trip this past Friday, and she exclaimed, “Yay! You’re nesting! So exciting!”

I’m not sure how I feel about the term “nesting.” Nesting refers to expectant parents getting their home ready for the newborn’s arrival. That could mean purchasing baby gear, clothes, toys, and necessities, child-proofing the home, discarding or giving away things that may be hazardous to the new baby, and/or decorating the nursery. And here, I just thought “nesting” meant snuggling.

I’ve started compiling a list of things that I think we need, but I am hoping I make some headway with the Facebook mom and “buy nothing” groups I’ve joined. And I’ve already mentioned how annoying researching stroller and car seat options are. I really have no desire to be THAT parent who thinks their child needs every toy and high end stroller and baby item on the market and then cluttering our entire apartment. I’d like to be as minimalist as possible while also being practical, but this seems to be a bit of a challenge now as I am overwhelmed by all the options that are out there.

I wish someone else could make all these choices for me. 😀

Week 22: belly tightness

I’m officially 22 weeks pregnant today. Every day that passes, I still cannot believe I’ve made it this far. Every time I feel the baby move around and flail and kick, I smile and remember how lucky I am to be able to grow a tiny human inside of me.

While running on the treadmill this morning, I noticed that my belly seemed particularly tight. I’ve gradually been running slower and slower given the weight is noticeable on me more and more as the weeks go by. The tightness eventually went away but came back on and off throughout my workout, so I started doing easier activities just in case. Eventually, the tightness went away, but I was wondering why this was happening.

I did a quick Google search for belly tightness at this stage of pregnancy, and depending on the level of tightness or “hardness,” these could be early Braxton Hicks contractions. They aren’t real contractions in that the baby is not ready to come out, but these are said to be “practice” contractions the uterus does to gear up for the Big Day.

Well, that can be a little scary. Who knew that “practice contractions” were a thing the body does?! I’m constantly learning new things about my body through this whole process and being amazed by it all.