It’s not you, it’s me. Well, no actually, it’s you.

I’m going to call my OB’s office tomorrow and break up with my dietitian. When I went in for my check up on Monday, we barely spoke. Each time I go there, though, I get anxious about having to deal with her. So I think at this point I just need to give her the opportunity to see other patients.

In the last four weeks I’ve gone to three conferences nearly back-to-back. I understand the cost of putting on a production like that and I also understand that foods high in carbs are much cheaper and easier to provide than those with a lower glycemic value. I am also sick to death of living off of protein bars out of my laptop bag.

At this point, anytime I eat or do something out of the ordinary, I pay for it with very high or very low blood sugars. Mind you, by out of the ordinary I don’t mean splurging on a jelly doughnut since everyone else had one. I mean out of the ordinary like eating cereal without pouring it into a measuring cup first or disconnecting my pump for a 15 minute shower or swim. My carb ratios are so low now that the difference between guessing that a food is 30 versus 40 grams of carbs can possibly be the difference between my blood sugar being 50 or 250 from wrong calculations. I’m tired of crying over finding a new painful infusion site, agonizing over what foods to eat and being disappointed in the consequences. And I’m definitely tired of not getting any support about it but just criticism and disdain.

When I went for my appointment on Monday, my dietitian Marilyn came in with some random student. She didn’t introduce the student, took my log book from me and started reviewing it on the counter with her back to me. The student smiled awkwardly. Marilyn flipped through my log and then blurted out, “ooOOOoo watermelon! I sure hope you had some protein with that.” I was floored. Seriously? She just went ooOOOoo at me? I told her, “I don’t remember what I ate with it because you’re holding my log book.” Marilyn said nothing for almost a minute. Then she mumbled “Well, it doesn’t look like your blood sugar went high because of it.”

Watermelon is actually not that bad for you because it’s mostly water. I just looked it up in my completely compulsive online spreadsheet of all food and medication I’ve had since FEBRUARY and my blood sugar was 69 before the watermelon and 97 afterward. First of all, can anyone tell me what the hell you had for lunch on February 24th? I had an egg salad sandwich and mushroom barley soup at 12:12pm.

So you know what, Marilyn? Fuck you. I don’t have to dread opening my fridge or hear your bullshit about everything I might want to eat either in my head or at our visits. I shouldn’t have to create secret codes in my log book for the completely fictitious foods I put in there because I don’t want to listen to snarky comments about what I really did or didn’t eat if it doesn’t bother my blood sugars. I don’t want to hear the same line about protein like a broken record and yet get disinterested shrugs when I ask for advice on what could have caused a high blood sugar despite eating cheese with my meal. This relationship has become too much work. You’re too controlling. You’ve driven me to lie and cheat and I don’t need this abuse anymore. So I’m leaving.

I thought I could tough it out with you a little longer for the baby’s sake but it’s just not healthy for me and my son.

8 Comments

  • abbersnail says:

    GOOD FOR YOU!!! I think we rarely trust our instincts, particularly when it comes to a medical professional’s opinion. I’m proud of you for standing up for yourself!!!

  • Theo says:

    I think you should sent this blog entry to your obgyn to get across how not-helping the dietician is.

  • Jen says:

    Oh thank goodness. Seriously, I was starting to have anxiety every time I saw a dietitian post! I hope you can work with your OB/GYN to find a good replacement, because no one deserves to have to put up with that kind of crap.

  • Grace says:

    Good for you Genie! I think that we, as a society, really need to learn to stand up to our healthcare practitioners, and to fire them when they are hurting us more than helping us. It’s a really hard thing to do, given the sort of position of power they hold, but we defnitely feel better when we do it.

  • Gina says:

    You are AWESOME! If you have to angst over the appointment and listen to her disdain, you’re better off without her. Her attitude shouldn’t make you want to lie on your foodlog; she’s supposed to be HELPFUL, which she was not at all.

    I’d say that in the long run, you are the best person to judge what you should and shouldn’t eat; you’re the one who knows you best and you’ve been doing all of this for years (yeah, the pregnancy part is new, but she wasn’t really helping with that).

    GOOD FOR YOU! Vive la Revolucion! :-)

  • Kori says:

    Yay for you! I will send up good thoughts for JUST the right dietician to come ito your life; it IS important for your health to get rid of the B*&$h, just sayin.’ :)

  • Megan says:

    I’m adding another good for you. You need someone who can help you and this woman is clearly not helping. I also agree with Theo that you should email this post to your OB. This woman is likely Not Helping a bunch of people. Way to put you and the baby first. Rock on, Strong Mama.

  • I have a friend who is diabetic and watching what she goes through when she is pregnant makes me want to stress eat for her. If I learned anything as a total NOT health professional it’s that pregnancy is already unpredictable enough let alone add in a wonky endocrine system.
    I like that you’re giving her the opportunity to visit with other patients. That’s very kind of you to free up her snark schedule.