Because the last time I did I had unexplained bleeding. So I’m not going to complain about it, per se, I’m just going to discuss it. In reality I am delighted for this constant reminder that the baby is probably still there.
It’s just that my morning sickness is a bit perplexing.
I’m fairly sure it’s caused by a combination of metformin and prenatals and should let up some at the end of first trimester when I can wean off the metformin. (Well, a combination of metformin, prenatals, and being pregnant… prior to pregnancy there wasn’t so much of the actual throwing up.)
First off, because of the PCOS and insulin resistance, I cannot have sweets. (DC often reminds me it’s because of the medicine that I can’t have sweets. That’s not technically correct, but it’s close enough.) I cannot have refined carbs. Metformin takes care of a lot of the insulin problem, but I don’t always remember to take it on time (and twice so far I’ve woken up feeling AWESOME… only to realize I forgot to take the previous night’s pill), and I’m fairly sure there’s a two hour window where the extended release is no longer releasing quite so much. Since it is *probably* (but they don’t know for sure) the insulin spikes that cause the higher increased risk of miscarriage in women with PCOS, it is safest to control that both through diet and through medication. So no saltines for me.
Of course, saltines wouldn’t work anyway because baked goods with wheat continue to be anathema to me, even the ones I’m allowed to eat. DH made a wonderful banana bread studded with dried apricots and nuts from the New Laurel’s and managed to remove all the refined carbs and I had two big slices and it was delicious (though not as delicious as with sugar would have been)… and then I couldn’t keep it down and that was unpleasant. So no more banana bread. I don’t understand why I can’t keep wheat down. Other people can eat wheat… I’m not normally gluten intolerant and I’m definitely not celiac. *Sigh*
My body also HATES iron. I’m often anemic, and have had deficiencies in vit D (taking extra vitamins for this!), vit B12 (though I don’t have that now) and iron (though I don’t have that now). Prenatals with iron are the most horrible awful things ever. (Side note: On the internet people say: Take the gummy prenatals! They’re sooo easy to digest! They’re easy to digest because they have no iron and actually have less of the needed prenatal nutrients than a Centrum.) This means I recently divested myself of a spinach salad with steak from the most expensive restaurant in town. For some reason I also don’t like chicken or turkey. I don’t know why. I’m still occasionally eating pork, but the problem with pork is that the tastiest kinds disagree with metformin in the other direction (this is something true even without pregnancy), which is painful. Note to self: do not eat half a package of bacon or kielbasa when on metformin.
In terms of vitamins, I alternate: Whole Foods’ only prenatal that doesn’t always get thrown right back up, then Centrum the next day. On days when I can’t face the Whole Foods prenatal, I take one of DC’s children’s chewables. A previous doctor told me two children’s chewables would be fine, but ze currently has enough iron in hirs that I can’t keep two down. Maybe the next batch I will make sure it doesn’t say “with iron” on the package and I’ll do the two children’s chewables. (There are some important heuristics with prenatals– they need to have more than 100% folic acid, less than 100% vitamin A and so on.) The evil super-expensive non-formulary prescription prenatals that were supposed to be magical on the stomach sit unused next to the sink. They did not behave as advertised.
So what do I eat? I always eat fruit. Fruit is my best friend in the whole world, and smoothies are my extra special bestest friends. Oats are also still getting along with me. My bowl of oatmeal keeps me fortified every morning until 9:30 at least. I drink a lot of ginger tea. And fizzy water. I’m hooked on Knudson Farm “Sparkling Essence”, even though they’re expensive and we have to drive to the city to get them. Trail mix provides me with substance. So far sweet potato products seem to get along with me. Most of the time, but not always, I can do brown rice. Despite the iron, I occasionally crave beef. Other times I avoid it like the plague. I’ve been using beans on occasion in place of say, spaghetti noodles. Actually not so bad.
Most of the time I can have frozen mixed veggies (microwaved with a pat of butter). I can eat most kinds of vegetable pickles, including multicultural cabbage pickles (at least of German or South Korean varieties). Whenever I have to go out with people I order a salad (but no more spinach ever ever again). I seem to be able to eat a lot of seafood too, though that has to be limited to 2x/week because we’re poisoning our seafood with heavy metals. I mostly stick to things lower on the food chain for that reason as well. I ate really well at a sushi place the other week… lots of eel and other cooked seafood.
Also: thank goodness for ice cream. If I keep it below a certain level of sugar (and get full-fat), I can eat that. Occasionally I’ll have a yogurt parfait for breakfast rather than my regular oatmeal.
We’ve completely given up menu planning at our house. Our eating out expenses have gone way up– if I think of something I can eat and crave, DH rushes out to get it. And I’m incredibly grateful. There’s also no Trader Joe’s, so the frozen fruit for my smoothies is a lot more expensive. Food is my number 1 thought every moment of the day. Except the brief but frequent moments when I really have to use the restroom.
And the sad thing is…. this was all much worse with DC. At this point in my last pregnancy, I was eating fruit all day because that was all I could eat and it takes a lot of fruit to fill up a hungry pregnant lady.
Re: morning sickness medications: There are none that have been proven both safe and effective. There is a kind that is available in Canada (but banned in the US) that is supposed to be both. The first part of my DC pregnancy was in a part of the country that is very leery about giving medications in which the overwhelming preponderance of the evidence isn’t there yet, and I kind of agree with them. I also know that a lot of these problems are caused by medication and I don’t like taking medication to fix problems caused by medication. I kind of prefer listening to my body, even though it is sure it does not want as much iron as the doctors think I need. When it gets really bad I will stop the damn prenatals and do children’s chewables. And in a few very short weeks I will be able to completely get off Metformin and loosen up on a lot of the carb restrictions (since they’re only contraindications for first and third trimesters, so long as I don’t go crazy). In the mean time, lots and lots of ginger tea and fizzy water.
update: It wasn’t iron– it was that the vitamins weren’t gluten-free.