Saturday, December 17, 2011

The Past Few Days

These past couple of days have been pretty busy. On my lunch yesterday I had to go see my Endocrinologist for my monthly appointment. Since my appointment one month ago I have officially lost nine more pounds. He is upping my carbohydrate intake, especially in light of our new development. He also told me that I need to do my best to increase my Glucophage (Metformin) to a minimum of 2000mg, ideally 3000mg. He said even for someone with straightforward insulin resistance a dose no lower than 1500mg should be used. I have been taking 1500mg a day as I was having a hard time taking a large dose in the morning but he told me that I needed to do my best to fight through the GI upset. I am going to try and take 500mg with breakfast and with lunch, 1000mg with dinner and 500mg with an evening snack. With this pregnancy he is going to monitor me every four weeks as I am at much higher risk for gestational diabetes. He gave me his email address and told me to email him right away if my fasting blood sugars go much over 90 or if they are above 140 one hour after I eat.

After my endocrinology appointment, I had an email from Dr. Braverman telling me that he wanted my RE to draw a beta HCG ASAP so we had a baseline even though my original beta wasn't supposed to be until Tuesday. I contacted my clinic and they scheduled me for this morning despite that I am only 7dp4dt (11dpo). A little before noon today I received a phone call from my clinic to let me know that my progesterone level was 33.5 and my HCG was 78.9!! They told me that is a beta that they would expect to see at 14dpo, so my beta is a little on the high side. I hope that indicates that this is a very strong and healthy pregnancy. I go back on Monday for a repeat beta, my immune panel and to have my TSH level checked again. Once I have my second beta HCG level and TSH results, I need to email Dr. Braverman and we will come up with a plan for the rest of this pregnancy. I have a lot of great doctors that are managing me so I feel pretty confident right now that everything is going to be alright. I will take things one day at a time!!

2 comments:

  1. Wow! That's great that you got a beta already and that it's already nice and high!

    Sorry you're having so much trouble with the metformin. That must be really uncomfortable and frustrating, even if it's necessary to keep you and your baby healthy . . .

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