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Anyone with Gestational diabetes?

post #1 of 48
Thread Starter 

At 26 weeks tomorrow I was just told I might have Gestational diabetes. I had a feeling this may happen as I am a heavier girl and diabetes run's on my mom side of the family. I am just passed the border line and my doctor wants me to re take the test to see for sure. I feel so alone in this, I am hoping with some excercising and changing my eating habits (which I can already see being hard as everything I want to eat I almost always have...I know thats a terrible way to think when pregnant but I can't help myself).

 

Anyone have any suggestions, words of wisdom..or going through the same thing? I'm so sad...i'm praying I can fix the problem before I have to go back for my retest praying.gif

post #2 of 48

i just got the call this am that i failed by one point. have to do the big test but i'm thinking that it won't be an issue and the OB doesn't think it should either. plus, dd was one tiny baby so i don't think it'll put me on the "big baby" list even if i fail. it just sucks cause this time around it seems like much more of a struggle physically and i keep doing poorly on these d*nmed tests (i had a crappy quad screen earlier...and i don;t even believe in that horrible test...i just did it to make my OB happy so that he could feel like he was actually "doing" something.) ugh!

 

but i did tell dh that he has to be nice to me today because of it so maybe that's the upside.

post #3 of 48

Did you fail the 1 hour GTT test?  A lot of women fail that and then are fine on the 3 hr test.  I go for my 1 hr GTT on Monday and although they don't ask you to fast, I usually go first thing in the morning as it seems people who go mid-day after eating several meals fail more (mind you this is anecdotal).

post #4 of 48
Quote:
Originally Posted by lisab82 View Post

Anyone have any suggestions, words of wisdom..or going through the same thing? I'm so sad...i'm praying I can fix the problem before I have to go back for my retest praying.gif


Well, before you worry too much I would encourage you to read the works of Michel Odent, & Henci Goer on the topic of GD.  The bottom line from my research (& my midwife concurred) is that treatment for GD (careful nutrition, regular excercise, insulin) does NOT improve outcomes for mother or baby.  The only thing that a GD diagnosis leads to is an increased risk of cesarean for Mom (and possibly an earlier detection of type II diabetes post-pregnancy). Michel Odent calls GD a diagnosis looking for a disease.

 

Hope this helps...! 

 

Sarah

post #5 of 48


 

Quote:
Originally Posted by Nutter View Post

Well, before you worry too much I would encourage you to read the works of Michel Odent, & Henci Goer on the topic of GD.  The bottom line from my research (& my midwife concurred) is that treatment for GD (careful nutrition, regular excercise, insulin) does NOT improve outcomes for mother or baby.  The only thing that a GD diagnosis leads to is an increased risk of cesarean for Mom (and possibly an earlier detection of type II diabetes post-pregnancy). Michel Odent calls GD a diagnosis looking for a disease.

 

Hope this helps...! 

 

Sarah


 

I haven't read on GD much lately but I had the general feeling that maybe the evidence had grown to support treating it.  So I was kind of surprised at my midwife appointment today that as you said, Nutter, the jury really is still out about this (at least, depending on who you ask ;) ) and that the primary risk is still baby's size (and associated risk of baby not fitting), plus the higher risk for mom to develop Type II later in life.  I am leaning toward not doing it this time around...in the past, I have opted to do the screen, but mainly because I felt like I should to avoid rocking the boat (was picking and choosing what to rock the boat about, I didn't want to rock it every time! :P)

post #6 of 48

Thanks for the references, Nutter - I'm definitely going to read those as soon as I have time.

 

I almost flunked my 1hr test during my first pregnancy and had a big baby (8#13), but then again my DH is 6'6" and I was 41.5 wks.

 

This time I really flunked my 1hr test (166, cutoff 139), so I'm going to get the 3hr test as soon as I get over this cold. I'm pretty bummed out by the whole thing, but trying not to get ahead of myself.

 

My sugars have been running 110-115 after meals, and I haven't had any really carb-heavy meals.. so I'm suspecting that I'm probably on the borderline.

post #7 of 48


 

Quote:
Originally Posted by bluepetals View Post


I haven't read on GD much lately but I had the general feeling that maybe the evidence had grown to support treating it.  So I was kind of surprised at my midwife appointment today that as you said, Nutter, the jury really is still out about this (at least, depending on who you ask ;) ) and that the primary risk is still baby's size (and associated risk of baby not fitting), plus the higher risk for mom to develop Type II later in life.  I am leaning toward not doing it this time around...in the past, I have opted to do the screen, but mainly because I felt like I should to avoid rocking the boat (was picking and choosing what to rock the boat about, I didn't want to rock it every time! :P)

 I think it's not so much that having GD puts you at higher risk for developing Type II, but that some women are already at risk for Type II, and the state of pregnancy unmasks that risk in the form of "GD".

 

Some other interesting tidbits re: GD testing are that the urine dip sticks have a 11:1 false positive ratio, and the 1 & 3 hr tests can both be strongly influenced by things such as your stress levels/the presence of adrenaline during the testing period.  Janelle Komorowski, CNM outlines all this in her Pregnancy & Birth Plan Guide which you can download as an ebook for $10.
 

Not that I'm saying nutrition and blood sugar levels are unimportant in pregnancy!!!  I personally think that following a low glycemic index diet, which focuses on *real* food, is probably a good idea for the majority of women in today's day & age, and the preliminary research shows that it can help reduce the 'big baby' risk.

post #8 of 48

I totally failed the 1 hour test too... I had to go in at 7:00 am to get it, so couldn't have breakfast beforehand... even so, at 1 hour my numbers came back 180.  Sooo... I'm heading back in for the 3 hour, but I do not have high hopes at this point.  The 1 hour one really did a number on me.  I didn't start feeling like myself again until about 30 minutes after I walked out the door, and even so I was kind of wiped for the day.  I probably wasn't helped by the fact that I was SUPER nervous about the test.

 

Of course, when we had our ultrasound our baby was measuring exactly 50th percentile on the growth charts, so I'm not too worried on the big baby front.

post #9 of 48
Thread Starter 

Hi Ladies, I am a little relieved that I am not the only one going through this. I have to do my 3 hour test on Feb 22nd and like I said on my first thread I was a point and a half over. On my first test I went first thing in the morning but of course I am going to do the same thing again when I have to go back. My baby is measuring right on track so i don't have any concerns about having a big baby. (not yet anyways) but I am still going to try to keep my blood sugar low.  I am going to keep my fingers crossed and hope for the best!

post #10 of 48

What are the symptoms you feel with GD?  I mean I've read that you many have none..or my midwife has said you just don't feel good after you eat..Also, this may be dumb, but what actually causes it?  Is it genetic only, or your diet, weight?  I go for my test on Saturday and am freaking out too!!!

post #11 of 48


 

Quote:
Originally Posted by Nutter View Post

Not that I'm saying nutrition and blood sugar levels are unimportant in pregnancy!!!  I personally think that following a low glycemic index diet, which focuses on *real* food, is probably a good idea for the majority of women in today's day & age, and the preliminary research shows that it can help reduce the 'big baby' risk.

 

This is where I am leaning with the whole thing...I will freely admit that my diet could be a lot better, and for me I think it would be more productive to really strive as a personal goal to focus on very healthy eating and getting more exercise as a means to not only control blood sugar, but keep blood pressure in check, and prepare in general for the work of labour.  I honestly think I can do better at this with encouragement from my midwife than going into the established system of seeing a nutritionist and being closely followed diet-wise etc.  I saw a nutritionist during my first pregnancy (after passing an early glucose screen with flying colours - the nutritionist seemed surprised when she read my results, which was the first of many times I bristled during our two appointments together) and I swear it was bad for my blood pressure.  I have issues with authority :P
 

I have been flipping around and there was one paper in 2005 that showed that treating GD reduced risk of hypertension in pregnancy by about 5% (however, a review I read of this said the study did not control well for confounding factors).  It seems to me that blood sugar control aside, eating a "GD diet" and exercising would be great for helping to keep blood pressure in check, anyway.

 

And yes, it's not the GD itself that gives you the higher risk for Type II later, it's that people who develop GD seem to be predisposed to developing Type II later on.  Poor wording on my part. :)

post #12 of 48

I'm impatient and doing my own 3-hr test this morning.. hopefully a much more pleasant version :) Mine involves eating a very carb-heaving breakfast (59g) and then testing at 1 and 2 hrs. I'd test at 3 hrs, but I'm supposed to be giving a talk at that time. If my numbers don't shoot up from the combination of lots of carbs, being sick, and under a lot of stress, maybe I'll feel a little better. Or maybe it's just a nice excuse to add extra maple syrup to my greek yogurt..

 

I came across this interesting chart yesterday for anyone who's interested:

http://www.plus-size-pregnancy.org/gd/gd_testing.htm#More%20on%20the%20One-Hour,%2050g%20Screening%20Test%20%28Glucose%20Challenge%20Test%29

 

It basically gives your your average risk of GD based on your 1hr test result. I was relieved to see that mine was only 29% despite getting a 161 on the 1 hr. This is an old reference though, so I'm not sure if the diagnostic criteria are still the same.

 

My understanding is that there are a lot of risk factors (genetic and environmental). I'm pretty small and don't have any family history of diabetes at all, so I actually don't have any of the risk factors other than a previous big baby (who was almost 2 wks overdue, so I'm not really sure if that counts).

 

post #13 of 48

First - as to symptoms:  You might feel bad after eating high-sugar foods or excessive weight gain, but other symptoms are basically similar to pregnancy symptoms, so hard to pick out - things like being tired, excessive urination, that sort of thing.  Not everyone with GD will show symptoms, though...

As for what causes it... I'm not sure on that front.  I know that the risk factors are things like being 30+, having close relatives with diabetes, having previously given birth to a 9+ pounder, high blood pressure, too much amniotic fluid... it's an odd list.  So it looks like there are some things that are genetic, and some that are just caused by special circumstances.

SillySmile - how odd the rises and dips in that chart!  According to that, if I'd been 1 point higher, my likelihood of getting a positive result on the 3 hour would drop by 14%... I *really* want to know what's going on with those numbers (I actually wonder if some are typos?  maybe that 41% is supposed to be 61%).

I also found out when talking to the midwives that I would have been better off if I hadn't 'fasted' before the 1h test... if I'd had a healthy breakfast then, 3-4 hours later, done the test.  They told me that the glucose can basically 'shock' the system, triggering higher-than-normal numbers.  I probably wouldn't have been in the safe zone, but my numbers would have been better.

post #14 of 48

Kamalynsky-thanks for your explanations, they were very helpful.  My midwife said the exact same thing as your midwife about not fasting before the 1 hour test, she said eat a healthy breakfast and not pancakes and syrup. LOL.  It seems it affects all sizes and types of people..I'm not going to worry about it either until I have to take the test..I'm just going to continue eating heatlhy and see what happens.  I can't change what's going to happen now!!!

post #15 of 48

kamalynsky - I agree those are weird dips in the chart. I'm guessing that they just had a small sample size for that study, but who knows.

 

My glucose was up in the 170s an hour after I had my carb-heavy breakfast this morning, so I'm guessing that I'm going to need to follow a diabetic diet from now on. I just hope that I didn't put my LO at risk by not paying attention to diet up until now. The articles about the lack of concordance between management and outcomes are reassuring from that perspective, but I still find it hard to believe that high blood sugars have no detrimental effects on developing babies.

post #16 of 48

kamalynsky - I looked up the original article online, and there were only 17 patients in the group with the really weird dip (181-185). I could be wrong, but I'm guessing that if they had a larger sample the dips would go away. I'd put a link to the article, but I can only access it through my university's subscription. If you have any questions about it just let me know and I can try to look it up.

post #17 of 48

Thanks, Sillysmile!  Those numbers did look odd, and I agree - the low group size seems like the culprit here.  And as the author of the website said, it's just one study.  Even so, it's nice to see numbers.  My years both in hard science and in non-profit work make me go "proof!  show me proof!  And methodology, and, and, and..."  My husband has a tendency to sigh at me when I question the 30 second blurb on a study...

 

Yeah - based on the research I've been reading, I'm going to try and avoid insulin.  It seems fairly controllable by diet & exercise, and insulin doesn't seem to add much benefit, while it does seem to add risk (to the mother, at least).  Obviously whatever happens will be in some level dependent on the hospital I'm currently going with (the midwife group at said hospital), and I'm very much keeping my fingers crossed that if I *do* fail the 3 hour it won't change my birth plan.  I don't know at what point they decide you're too high-risk to handle, or what changes they start making to your care.  That will be a long talk. 

 

Still, I've more or less been following a diabetic diet at this point anyways (not really consciously, it's just when I stopped to really think about it I realized there weren't many changes I'd make other than my breakfast bowl of cereal, and cutting back a bit on the sweets - but dark chocolate doesn't spike your blood sugar much at all, so I just need to grab some of that to munch on when I have a craving). 

 

My mom was diagnosed with diabetes about two years back, so I'm pretty familiar with the dos and don'ts - even so, I'll be sitting down with her and going "advice!  Give me!"

post #18 of 48

so OP, did you retest? 

i just did the 3 hour super test today after failing the original by one point and passed with flying colors. alot of worry and googling about nothing. my levels this time didn't even get anywhere near the cutoff. 

good luck to you too!

post #19 of 48

Got my results from the 3 hour today and failed by exactly 1 point.  The group uses the 95-180-155-140 scale, and I came back at 85-187-155-77.  Yup, that 155 is what pushed me over.  Grumble!

 

So now I'm just waiting to hear when I have to go take the GD class, and then it's time to start monitoring my blood sugar levels.  The good news is I'm still counted as low-risk since I failed by such a slim margin.  At this point I'll still get my natural birth, I don't have to have an IV, and I can still do intermittent monitoring. These are big plusses.  I'm just not looking forward to the negatives.  *sigh*.

post #20 of 48

I haven't had it yet. I'm set to take it next Tues at nearly 29 weeks along. Seems kinda late to be taking it, but that's what the midwife said..

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