I had my MFM Appointment yesterday to go over my food log. It wasn't very good... I've had a pretty hectic schedule the last few weeks and I haven't been able to log as good as I have been. They weren't bad... just some really bad food choices and then not consistently checking my after-meal glucose levels. My blood pressure was good at 110/68.
We are only making one change this week on my Humulin N morning value. Going up from 20 to 22 iu. The goals for the next two weeks: 1) consistently log after-meal glucose levels and 2) make better food choices.
Antenatal Depression
I actually wonder how much of the antenatal depression has to do with me not being disciplined enough to check my glucose levels?
I asked my MFM that and she said that she doesn't think it's the antenatal depression, it's probably more the stress from my schedule impacting everything and making the depression worse.
We discussed how I've been feeling lately and I was honest and told her that things haven't gotten much better... so it's a good thing I have a therapist appointment on 3/14 scheduled. We did talk about medication again... The main reason I'm hesitant to take medications is because the drug will go through the placenta and the baby will experience the effects of the drugs. I don't feel good about that... In certain cases, it's better that this happens because the alternative can be really bad... But I just don't know if that's what's best for me. Also, I feel "so close" to the big due date... about 13 weeks left. Can I hold off till then?
The other good thing about seeing a therapist is that after the baby is born, they can put me on meds right away since it won't impact the baby at that point. I did ask about breastfeeding, but she said it doesn't have the same impact as in-utero. The odds of me having postpartum depression are really high for me at this point. I won't be hesitant to take meds after the baby is born. I'd prefer NOT to... but I'll do what I have to do and what my therapist will recommend.
Lots to think about really where all of this antenatal depression is concerned. One problem I'm having is I feel sooooo busy that I don't have any time to just "be" and think about things. Because of this, I think I'm not processing things very well or have time to come to terms with things. There's just so much to do all of the time. I feel so behind.
Post-Pregnancy
Sometimes my brain lives far in the future thinking about things. I had some questions about post-pregnancy. Mainly, what do I do with my diabetes and insulin after baby is born? I guess it depends, I can go back on Metformin or I can take half the dosage of the insulin. Will see how that goes. My MFM is going to refer me to a diabetes specialists. Previously, I was just seeing a regular doctor to manage my diabetes. I think going forward, I'd prefer to see someone that specializes in it to get better care.
Next Steps: MFM Visit on 3/14 for U/S to check growth and Diabetes follow-up
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