I went to see the dietician today.  I was dreading the appointment because I’m still “spilling ketones” in the morning, basically she said there are 3 reasons that cause that, one dehydration and I know that’s not possible.   # 2 is high blood sugars, not having that issue.   # 3 starvation/not enough calories being eaten.  Hmm…so basically, when my endocronologist sent me to see this new dietician he said that because (at that time) my levels were up so he wanted to see if she could change my diet to fix it.  So….two weeks ago at that appointment I got a brand new meal plan that limited my carbs/calories.   So since then I’ve had lower sugar levels but am spilling ketones, so basically I was eating too strict of a diet and wasnt getting enough calories so through the night my body was burning fat instead of the food I was eating and causing problems.    So….starting today I eat more food, as if 3 meals and 4 snacks during the day wasnt enough.    She said she was having to think hard about what to tell me to eat because she’s usually telling patients to limit their caloric intake but I need more calories.   We know that this will probably clear up the burning fat issue and spilling ketones but will take us back to when my levels were high so after seeing how my levels do for 24 hours or less if it gets really bad, then they will add insulin to my morning whereas right now I only take insulin at night.

I told her how concerned I was about the baby being affected and asked which condition is worse for the baby, ketones or high blood sugars.  She said both affect different things, high ketones can damage the baby’s nervous system ( and no kid of mine needs help with that since genetically it’s getting my sucky genes as is) and high blood sugars has a few negative affects most which arent an issue, big baby doesnt matter since I’m having a c-section but….the baby would be big and mature slower and might have problems regulating it’s sugar at birth.   So neither is good and right now we’re trying to fix one problem and causing the other problem.   it’s very upsetting to me since I’m trying very hard and she knew I was doing really well and acknowledged it’s not my fault.   I’m hoping to take some of what was discussed today to the ob tomorrow in hopes of getting my due date changed.   Chances are after my meal adjustments in the morning the ob will be concerned, not to mention how high my ketones have consistently been for the last few days, none of which the ob is aware of since I’ve been contacting the specialist about it.

So I started the new meal plan at lunch today, eating so much made me feel so sick to my stomach. my after dinner level was almost too high, and thats going to be what happens as I eat more to clear the ketones, it’s very frustrating to me that there’s no easy way to fix both of these problems.   I dont know how folks who are always diabetic do it.   I’m praying hard that this goes away when the baby is born but the chances of my getting type II diabetes in the future are high.

Dean came home about 3O minutes early because I begged him to leave early since I was feeling bad, knowing full well he intended to go back to work tonight after getting the kids in bed.   So now  bo is in bed, Caleb is watching a movie and dean is on his way to work.   I know he hates his job right now and his boss has told him he needs to start staying later or coming in on weekends, meanwhile he really needs to be able to be home more to help me since it’s getting harder on me to physically keep up w/ the kids.   So he’s going in tonight and I guess its ok if the kids are in bed, but he wont get paid overtime, or get any incentive for working more, he’s salaried.   they wont even let him work from home to be able to help out some w/ me eventhough there are a ton of things he can do working from home.  Needless to say I am frustrated about the whole thing, I wouldnt care if he were getting paid for this extra time but he’s not, and we really need some money not to mention I could use a hand around here, I’m starting to have trouble keeping up with things.  I guess being 36 weeks pregnant and miserable will do that to you.

well time to get Caleb in bed and try to finish up cleaning and doing laundry that I had to neglect today due to being at the drs office for so long then having to deal with a fussy toddler all afternoon.   Tomorrow’s my ob appointment and I’m anxious about it.   I’ll update afterward, when I get time.