Posted in Mommy's Diary

Oral Glucose Tolerance Test (OGTT)

Being pregnant does not only mean that you JUST have to carry a small person inside your small tummy for nine months. It also means your body needs to undergo a series of laboratories aside from ultrasound, randomly, for nine months as well. One of these laboratories is the OGTT-which I hated the most.

OGTT is when they have to extract blood from you four (4) times. Yes, four (4) times. I have a bit of background of OGTT, because just this early 2016 I undertake the same procedure when my Doctor requested me to do this thing because I fainted suddenly. And through this procedure, we find out that I had a Hypoglycemia (Low Blood Sugar). So, how’s the process? It’s like this. You have to present the laboratory request from your OB and present it to the laboratory clinic. They will instruct you to have a fasting for 8-10 hours. Upon arriving at the laboratory clinic, they will extract you blood from you, that is the first extraction. After that, they will give you that toooooo sweeeeeet mixture of sugar and water, about the same quantity of Yakult. Some clinic, have concentrated orange flavor instead of water and sugar. You have to finish it as soon as possible; they will not allow you to drink water. And the MOST IMPORTANT thing is that, YOU SHOULD NOT THROW UP THE SOLUTION. Or else you will have to repeat it again. One hour after finishing the solution, they will again extract blood from you-Second Extraction. Then after every hour is another extraction for the Third and Fourth Extraction. You cannot eat anything until you finished the procedure. You really have to endure the sweet taste of the solution, I almost vomit it but I had managed to prevent it from coming out.

I was 6 months pregnant when my OB requested me to have an OGTT. Though I really hate it, I had no choice. I was confident I’d passed the test because we don’t have diabetes in our family. On the contrary, as I said earlier, I was diagnosed with Hypoglycemia-the opposite of diabetes. Yet my OB wants me consult with Dr. Ang, though my sugar is not really high. Dr. Ang instructed me monitor my blood sugar at home. I had to buy a Gluco Meter a handy device that lets you check your blood sugar at home, in the office, in the groceries, anywhere. I bought mine at South Star Drug Store for only Php 1, 400. 00, its brand name is ACCU-CHECK Active.

download (1)

The package comes with free 10 pieces strips and 30 pieces lancet (needles). Strips and Lancets are both disposable. The Strips come with a code. When you buy the strips, they will ask for the code of the strips you were using. I was able to buy spare strips for Php 670.00 at Generika Drug Store for 25 pcs  (If I’m not mistaken). If you don’t want to buy the device, you got to go the drug store near you and have you blood sugar tested right there for Php 25.00-30.00 per test.  As for me, it is not convenient because I have work but for stay-at-home preggy, it could be applicable for them.

In monitoring the blood sugar, Dr. Ang instructed me to test my blood when I wake up, that means fasting. Then took another test two hours after eating. For example, if you wake up at 6:00 am, you have to take the test, then you eat at 6:30 am, you have to take another test at 8:30 am. Then take another test two hours after every meal.

What makes it difficult for me is that if I eat less, my blood sugar drops – hypoglycemia takes in. When someone had hypoglycemia, you don’t have enough energy to even move, you feel dizzy and helpless in the sense that it seems like you cannot control your exhausted body, worst is that when you collapse which happened to me many times. When you have high blood sugar, diet is very essential. Less soft drink, less carbs, more exercise. But when you are pregnant, it is hard to control your diet, let’s face it. What you need is self-discipline.

The oral glucose tolerance test (OGTT) measures the body’s ability to use a type of sugar, called glucose, which is the body’s main source of energy. It can be used to diagnose prediabetes, diabetes, gestational diabetes (diabetes during pregnancy). Gestational diabetes needs to be recognized and treated promptly because it can cause health problems for mother and baby. It is not permanent though. Once the baby is born, blood sugar will most likely return to normal quickly.

Too much can destroy you, but too little can also do the same. Remember not to deprive yourself so that you will not come to a point where you will overindulged because of unsatisfied and unfulfilled cravings. Just self-discipline fellow ladies.

Love ♥,

2

Advertisements
Posted in Family and Life, Mommy's Diary

St. Martin De Porres Charity Hospital

Having a baby in your tummy is one of the greatest feelings you’ll ever had … ever. But mommies-to-be or parents-to-be can’t hide the feelings of uncertainty and worries when it comes to choosing the right maternity hospital for them, especially if one of the things to be considered is your budget. Now that you are going to be a parent, you have to be wise.


Nowadays, Maternity packages are so expensive. It usually ranges from 20,000 – 50,000 for spontaneous normal delivery while 60,000-up for Emergency Caesarian Delivery. Not to mention the monthly prenatal check up, vitamins, prenatal milk and laboratory expenses. Yet, not all hospital or lying in has a good service, a good doctor and safe. See? It’s really not a joke. So, you really have to think twice in choosing the right Maternity Hospital and a trusted OB Gynecologist.

For first time mother, I would suggest they prefer a Hospital than a lying-in for their monthly prenatal and delivery. Since it’s your first pregnancy, you don’t know how well or worst you are during pregnancy. Especially when it’s time for your delivery. I have heard many stories, usually sad and unfortunate when it comes to giving birth in a lying-in only. The fact that lying-in has limited facilities and expert Doctors. You could give birth in a lying-in if it’s your second pregnancy; by then you already know how your body reacts to your pregnancy and delivery.

As for me, there are many hospitals around us namely- Victor R. Potenciano Medical Hospital, Mandaluyong City Medical Center, Sta. Ana Medical Center, Unciano General Hospital, Lourdes Medical Hospital and St. Martin De Porres Charity Hospital. We decided to choose St. Martin De Porres Charity Hospital located at Bonifacio Street, San Juan. Its nearest landmark is the Domican College and Santuariao del Sto. Cristo Church. St. Martin De Porres Charity Hospital is not a government owned hospital. It is operating by 57 years last September 27, 2016. Originally known as Blessed Martin De Porres Free Clinic.

From our place, we just ride a tricycle to Shaw (Metro) Mall in Nueve De Pebrero for Php 15.00 for special trip then take a jeep to JRU, SM Hypermarket Kanan via Starmall for Php 8.00 per head. When we’re in San Juan, we walk up to Jollibee, and then from there we took a tricycle to St. Martin for Php 15.00 (special trip). So you’re just going to spend Php 76.00 vice versa. You could also ride a jeep and take off at the Domican College and San Juan Church then walk for just more or less 3 minutes to get to St. Martin de Porres.

If you’re a new patient, you have to go straight to the INFORMATION/RECORDS SECTION to secure your new records through filling up the Patient’s Information and card, yellow for charity while green for private patient. Remember, your chosen type of card will be your lifetime card in St. Martin every consultation.

After that, they will instruct you to go to the OB-OPD Section of the hospital to schedule an appointment. Scheduling of Appointments for New Patient is as follows:

Mon, Fri, Sat   = 2:00-3:00 pm

Tue, Wed, Thu = 10:00-11:00 am; 2:00-3:00 pm

They will have you sign a waiver and an agreement, stating that the hospital doesn’t have an incubator (yes, they don’t have any, that’s why they are extremely strict with the prenatal check up because they don’t want any risk or complications that will lead to pre term labor) and that if you failed to come on your scheduled appointment, THE HOSPITAL WILL NOT ACCEPT YOU ANYMORE, even if you are near the BIG day. Yes, that is how they disciplined their patients. As per one of the resident OB-Gynecologist once said,” They did not become a doctor in just one day!” So you really have to be responsible with your appointments, not because it’s the policy but it’s for you and your baby’s health.

During my first trimesters, my appointments is just once a month, not unless you belong to the high risk group of pregnancies. High risk means you have gestational diabetes, spotting, open cervix etc. Luckily, I have a healthy pregnancy, not after my OGTT results. I will narrate more about OGTT some other times.

My result is not that high though, but my OB just wanna make sure that I will not develop Gestational Diabetes, so they instructed me to have an appointment with Dr. Ang for my blood sugar monitoring. That’s why my prenatal appointment with my OB changes from Saturday to Monday.

Remember, every time you come to St. Martin for your prenatal, you must head first in the RECORDS SECTION to get your records/folder. It’s either they will give your folder to you or they will be the one to bring your folder to the OB-OPD.

For the laboratories, OB Sonologist at St. Martin is by schedule that’s why I had my ultrasound and other laboratories outside the hospital. I would recommend Birth Place Clinic by Dr. Sharon Mendoza located in front of Mandaluyong City Medical Center. They have a friendly staff and up to date machine. The following were the cost of the ultrasound during my time.

PBS (Biophysical) Ultrasound         =          Php 900.00

Congenital Ultrasound                      =          Php 2,800.00

Pelvic Ultrasound                  =          Php 650.00

I also tried Baby in my Tummy Clinic adjacent the Birth Place and John Vier Laboratory Clinic near Mandaluyong City Medical Center, both clinics have an OB Sonologist and cost cheaper than Birth Place. Ultrasound for pregnant should be done by a license OB-Son, not by just a technician only. A number of times of ultrasound during pregnancy is not the same; it will depend on your pregnancy case and by the hospital as well, as I have noticed and heard that most of the government hospital has had less number of ultrasound all throughout the pregnancy.

Bear in mind that after the prenatal and delivery does not mean your expenses also ended. It is just the beginning, that’s why you have to be really wise in spending hard-earned money. This also applies in purchasing baby clothes, things, and other accessories. Branded and expensive ones do not guarantee your child’s future and health. It is how you take care and love him/her. After all, we were all born with no clothes at all and at the end of the day, we will be known not through the clothes we wear, the hospital where we’re born or the school we’ve attended to, but on how we are as a person.

 

Love ♥,

2

It’s Positive !

I used to have a timeline for my dreams and for myself. By the age of 18, I should graduate from college, by 25 I should have my own family, get married and have kids. Yet, it’s God who decides for us.

Two years ago, I was diagnosed with PCOS (Polycystic Ovarian Syndrome) is a condition in which a woman’s levels of the sex hormones estrogen and progesterone are out of balance. This leads to the growth of ovarian cysts (benign masses on the ovaries). PCOS can cause problems with a women’s menstrual cycle, cardiac function, appearance, and worst – fertility. (For more information, please wait for my blog about PCOS or just research it in Google.)

When I first discovered it, I just shrug off my shoulder then let it pass to the other side of my ear. It was by 2015 that I took it seriously. When again my menstruation becomes less frequent, aside from being irregular and other symptoms such as weight gain, anxiety, mood swings become more frequent.

Aside from that, I notice that more and more of my batch mates are becoming a mother. Pressured eh?  I was afraid that I will not be able to bear a child if I still ignore it. Also, we were really planning to have a child soon, though we were just in our mid-twenties.

I started seeing my second OB Dr. Esther Ongkeko, a resident OB-Gyn at Victor R. Potenciano Medical Center (also known as Polymedic General Hospital, Inc.). She was really good and kind and calm. By the symptoms I told her, she easily identified it as PCOS. And joke that it was her specialty. She made me undergo a number of laboratories which confirms my case. Then she let me choose between two options, either to take a pill or the natural way (which requires a lot of patient and time management-it is some kind of a cream, forgot the name, though) to make my menstruation regular or even close to it. She also told me that PCOS is not curable but preventable.

I started taking Diane pills ( yes, I chose the less hassle option) by September 2015.  As far as I remember, it cost Php 648.00 in Mercury Drug Stores. Then eventually, my menstruation visits become monthly. Fortunately, I didn’t feel any negative side effects from taking one. But I stop taking it when January 2017 enters. I decided to try what others said about stopping the pills and it might get you pregnant.

download

For months, my menstruation became close to regular, meaning I had my monthly visits but the dates were not accurate. By May 2017, it stopped until June. I then schedule my appointment with Dr. Ongkeko for my check up by June 22.  Had undergone pap smear, Pregnancy Test, Ultrasound, and BhCG test – a pregnancy test thru blood. All my test turned out to be negative. I was expecting it as well since I am not feeling anything inside my tummy or even the early symptoms of pregnancy such a vomiting.

Then Dr. Ongkeko schedules an appointment after a month, that will be on July 13. I still haven’t had my monthly visit by then. The night before my appointment with her, I already took my Pregnancy Test. I was thinking, since I haven’t had my mens since my last visit to her, she would then told me to do the PT in her office and it was costly for me hahaha :). And the test was Positive ?! I can’t decide because it was just a faint pink line then just shrugs off my shoulder.

By morning, at the Hospital, before proceeding to Dr. Ongkeko’s office, I took another test, I don’t know, my instinct was urging me to do so. And boom, it was very clear – two red lines. It’s POSITIVE! I reallyyyy can’t believe.

14502049_1177035945673604_2123988877_n

When my time comes, I show my PT results to Dr. Ongkeko and ask for confirmation if it was really positive. I had my emotions mixed. Then she told me that ” Yes! It’s positive! Congrats, you can’t deny it! ♥”. She prescribed me with prenatal vitamins for the baby and for me.

When I came out of the Hospital, I was like floating on cloud nine. I couldn’t explain how I feel. I’m so happy and excited and anxious and worried and mesmerized. I really can’t believe. And above all, I am so thankful to God that in spite and despite all my mistakes, I am still too bless!

I didn’t tell Maue right away, I want it to be personal. By evening, when he comes home, I show him an ampao and ask me what was that. I told him to open it. When he realized what he saw, he hugged me so tight and I could feel tears were flowing in his face. He was speechless 🙂 I was too. Now, our grand adventure is about to begin!

I always believe that if it’s God’s will, it will come true. You just have to trust him with all your hearts and surrender. No one’s perfect, we are just human and making mistakes is one of our nature. But our Merciful God never forgets to forgive us and still look after us after everything we’ve done. All we just have to do is pray and trust HIM!

Shall I say, Welcome to motherhood to self then eh ?! ♥♥♥

Love♥,

2