23 weeks 4 days

After a week's worth of home monitoring of my blood pressure, the doctor called me and has decided that my blood pressure is consistently elevated and that I needed to start taking medication. I will be taking a medication called Labetalol twice a day, starting tonight. Ultimately, I am thankful that we can go the medication route instead of going straight to bed rest like my OB/GYN suggested would happen. I cannot imagine being a full time mother of four and being on bed rest for the next 3 1/2 months or so.

I was also given a supply of insulin and syringes. I have to inject myself with insulin at bedtime to bring my fasting numbers down. At this point, it is highly likely that the dosage, which is currently 10 units, will have to be increased over the remainder of my pregnancy. Most pregnant women with gestational diabetes will generally have to have their insulin needs increased around their 30th week due to placenta and fetal grown, increased resistance hormones, and increased speed of insulin breakdown.

Currently, this particular insulin is one that works over a long period of time, basically an extended release. The nurse said it does NOT carry the same risk as the Glyburide does in the sense of sugars dropping too low in the middle of the night and possible death, which was a relief for my heart and mind!! She also said it will start working INSTANTLY. I won't have to wait 3 or more days to figure out if my body is going to have an issue with it, or if it's going to work at all.

I am confident that no matter what happens, that I am possibly in the best hands that I could EVER be in. I didn't know it at the time, but my doctor is basically the BEST doctor in this area for me. He was actually appointed Medical Director of High Risk Ultrasound and Fetal Testing for an entire group of hospitals in our area, which includes five hospitals. It goes a long ways, knowing that your doctor is competent.

My next baby appointment is with him on the second, for an ultrasound and followup. I'm sure there will be other tests done at that time too now, considering the medication addition and the fact that now I will need to be monitored even more closely.

Until then....one more day at a time.

Take your medication and SHOVE.IT.

I called my OB/GYN's office this morning and talked to the nurse. My doctor is out today and won't be back until Monday morning. The doctor she talked to wants me to keep taking the medication. He said that I'm JUST starting my second trimester, I'm still going to be having a lot of nausea and vomiting issues, and I'm GOING to be tired and stressed out. She also said OBVIOUSLY nobody can MAKE me take the medication, and if I choose NOT to, to just REALLY stick to the diet, make sure I'm getting my snacks in and watch my sugars really closely.

Let me tell you something MR. DOCTOR WHOEVER YOU ARE. I've had Hyperemisis for three whole pregnancies and was hospitalized at least once for EVERY one of my four previously completed pregnancies. I KNOW what strictly having nausea and vomiting FEELS LIKE. I also know what TIRED is. This is pregnancy number six, I KNOW what tired is. Asshole. I also know what STRESSED is. Asshole. And I'm not STRESSED about packing and moving stuff because I don't have to lift a FINGER. Sure, I'm moderately stressed about moving some place new and having to do a bunch of shit like find new providers on a time schedule, but that comes with part of moving. I moved during my last pregnancy and was fine. ALSO, How do you explain the fact that I ONLY had these symptoms while on the medication, but they suddenly VANISHED as soon as I stopped taking the medication? Mr. Doctor who knows EVERYTHING, when was the last time YOU were pregnant? And have you been pregnant five or six times already? NO. IDIOT.

Anyway, the nurse is going to keep my message for Monday when MY doctor comes back, but I'm pretty sure MY doctor is going to say the same thing. And frankly, I don't give a fucking SHIT what she has to say. I cannot take the medication because I cannot FUNCTION on it. I might as well be in a vegetative state on this medication.

Vegetables cannot drive to Texas. Damn it.

I hate this medication.

I HATE this medication. Like to the extent that I want to go see the doctor and scream profanities in her face right now, but don't have the energy to.

I'm on Glyburide 2.5mg

The first night, I didn't sleep at all. I had to GAG down a peanut butter sandwich, because I have to have the protein before I go to sleep and that was what she recommended. I was up and down ALL night, freaking out that my blood sugar was going to drop too low and I really was going to DIE IN MY SLEEP. When it was time to wake up, not only did I NOT want to get out of bed, but I seriously STRUGGLED to do so. I was a zombie through the rest of the day, and fell asleep some time around 2:30 in the afternoon and slept till almost 7. Thankfully Dan was up by that time and someone was around to take care of the baby.

Night two wasn't quite as bad, but almost. I almost hurled in the middle of trying to force the PB sandwich down, and again at the end, even though I was attempting to wash the nastiness down with milk. Again, I struggled to get out of bed. I felt sluggish and tired and just yucky in general. But there is no other reason for it, except the med. I'd slept from 11 the night before, to 7:30. (8 1/2 hours)

I didn't get dressed until it was almost time to leave and take the baby to get his last couple of shots before we leave for Texas. From there, we ran back to the apartment so I could get some things, and believe me, climbing the stairs was the most energy draining thing I have ever done. I wanted to collapse and sleep by the time I got to the front door and we are talking two half-flights. So it's only ONE flight of stairs in all. We went and saw the ATTORNEY (which is a blog in and of itself later) and came home around 2:30, only for me to fall asleep again until 6. (3 1/2 more hours)

We ran to Winco, because in the middle of my crappiness, I'd forgotten to go to the grocery store for baby food. I got some Almond Butter. Some sunflower seeds, some mixed nuts, and some edemame. And let me tell you, ALL of it tastes like CRAP. I had to gag the shit down for a THIRD night in a row. I would rather DIE than ever see a creamy nut or eat some kind crap that tastes like DIRT again. Nastiness, the lot of it.

After I ate a little dinner, I set my alarm to do my blood sugar test like I always do, and managed to fall back to sleep almost immediately (for another two hours. 8-10pm) Then I got up, was up LESS than an hour and right back to sleep again, until 8am this morning. (9 more hours)

It's the same deal again this morning. The only reason I got dressed was because the babydaddy insisted that he had an appointment today for pre-op surgery and I convinced him he was an IDIOT to do the surgery before we leave for Texas in SEVEN DAYS because the soonest they would probably get him in, would probably be AFTER we leave. I had some Kashi cereal and sat on the couch for a while, slumping over further and further the longer I sat there, until finally I had to pry my dead ass off the couch and staggered to bed again. It's 10am and I am in BED because I have zero energy or life left in me. My fingers aren't working right, my eyes aren't working right, I feel like I'm going to HURL and if I just lay here for five minutes, I'll probably fall asleep.

I DON'T WANT TO SEELP!!!!

I have CRAP to DO! I am supposed to be getting this house ready for the movers and I cannot even FUNCTION RIGHT NOW. And I should mention that I am swelling ever so slightly. We got my ring sized a half a size larger than I would need it because we knew by the end of my pregnancy that I was going to need that half a size for swelling room. I AM ALREADY USING IT. There is an indentation in my finger from the ring!!!

I hate this. I HATE IT. I don't like being sick. I certainly don't like being sick for NO REASON. And even MORESO, I don't like being sick when I can just STOP TAKING THE MEDICATION AND FEEL BETTER. I want to break shit and punch people and I don't even have the energy. I will surely spend the next six months, in bed, crying my god forsaken EYES OUT.

I can't DO anything. I probably should not be driving when I feel like this. I hate feeling helpless. It doesn't suit me well for as independent as I am. And I want to puke. This pregnancy is going to go down in history, not only as my LAST, but as my WORST.

IT BETTER BE A GIRL. That's all I gotta say.