I too agree with the Advent pump, I was given a different brand, and electric hand pump that I hated, it just quit working very well, and I couldn't find new parts for it. I ended up buying and advent and it was really good, right off.
For exercise I do the firm workouts that I adapt when I'm pregnant, and I also do walking, pilates for pregnancy, and Lesia Harts prenatal workout. I did them all through my last pregnancy without any problems.
Most gestational diabetics are not diagnosed before 19 weeks because usually the placenta is not producing the hormone to block the effectiveness of insulin, so usually the delay in diagnosis is not that long, if the woman is getting good prenatal care. Now someone like me, with my 4th pregnancy, I know the signs of when I start having trouble, it occurs at about 16-17 weeks, I start to get this really funny head, It feels dizzy and heavy at the same time, and my pulse goes up, so I know I have it before the doctor does. With my first I didn't know that is what the sypmtoms were until diagnosis, but I learned since. What has helped with this last one, was knowing what carbs do to the body, and that to control the insulin I have to control the carbs, which helps to control the BS. Doing that I lost weight with my last baby, even though I was eating alot, my BS were very, very stable, and I didn't have to go on insulin. I'm not saying that late diagnosis is good, but there are reasons why gestational diabetes is diagnosed later, it is not a problem with first trimester as is a diabetic mother. Jade, your knowing your condition is great, that is one of the best things for you and your baby. Controling your BS will be the best way for you to control your Weight gain. Remember that insulin is what causes fat storage, you control your BS the less insulin you will have to use, better for you and your baby. Your Body is used to getting insulin at certain points in the day, (I'm not sure how much you take or how often and are you taking other medication to help like glucophage?) but the baby's pancreas will adjust the higher levels of BS during the day to a normal level, but after birth it continues to produce that higher levels of insulin so that is why a baby has a hard time adjusting after birth. You are absolutely correct about compliance, that is why this is such a big issue for me. I have taken care of these babies, and to see mothers so frustrated because the baby generally is healthy, but they can't take them home because we can't get them off of IV fluid. It is sad and hard to do what you have to do, when mothers and families just don't get what a low bs can do to a baby after birth. If it can be stopped or minimized it is so much better. I wish I had the book Life with out bread with me, there is a very interesting comment about most diets suggest mothers eat 40-45 % of cal from carbs, but if that is even dropped by 10 % the incidences of hight birth weight babies, and the complications including C-sections drop dramatically. I wish I had the right numbers here because it was very, very interesting. If you can get hold of the book I think you would find that very helpful. I would also suggest, If you haven't already gotten it, Dr. Bernsteins book, Diabetes Solution, it is a book I think every diabetic should have, even if you don't follow his plan, because he is a type 1 diabetic, his research and understanding of what damage can be done to a body, it very much worth having this book in anyones library.
As to anything else I mention about BS and moms and babies remember this is from experince both as a neonatal nurse, something I have done since 1987, until 2001, and I have also worked postpartum, so what books say, and other studies, hold nothing to what I have seen in the real world, so thus my passion, I don't mean to offend, one of my biggest faults is my passion and my strong opinions, I have to tone it down a great deal!!! When I'm pregnant it is even worse as I get so blasted emotional it nearly drives me crazy. So if I sound completely out of it, or I'm just toooooo pushy, just tell me to take a deep breath, and get over it. Trust me, I say it to myself all the time.
Keep up the good work everyone, and I hope the positive energy rubs off on me. I promise to be good this weekend, no Cheats.
See you all monday.
Tanya
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