Today was my first NST (non-stress test) since I recently hit 32 weeks with my pregnancy. Fortunately, everything continues to go smoothly with the pregnancy and thanks to my low carb diet, my bgs have stayed pretty steady and my A1C has been between 4.9-5.1 throughout.
The NST was at the MFMs office and each time I go, they ask a number of standard questions - if I brought my “logs,” how my post-prandials are doing, etc. I usually leave the appointments really frustrated because they often seem very judgmental and inflexible, despite my great A1C and how well the baby is doing. This time I was more prepared with how I wanted to respond.
I explained to the nurse that I upload my data to a website, which I can pull up for them. When they said they want to see the logs each week so they can recommend adjustments, I explained that I make my own adjustments as needed. When they said they are interested in seeing the 1- and 2-hour post-prandials, I explained that those metrics are only relevant to someone on a high carb diet. I also assertively let the nurse know that I would be happy to discuss and negotiate with the doctor. I also confirmed with them that they mostly see gestational diabetics and few T1Ds (and mentioned that I’ve been living with and managing my diabetes for nearly 30 years).
During the NST itself, I pulled up my CGM data online and looked for my averages over the last week, which I shared with the nurse: 88 overnight, 102 morning, 93 afternoon, and 107 evening.
When the doctor came in, we talked a bit about my strategies and practices for making adjustments. The nurse shared the bg averages with her. There was no mention after that of me bringing in logs or them making decisions about my diabetes.
I’ll probably have to go through this each week, but at least this week, I feel like I was able to demonstrate my competence and walked out feeling good about the experience.