YES. Also frustrating that of course there are probably multiple reasons why women develop "GD"-- and so management of it probably has to be very different depending on the particular patient.
Originally Posted by NicaG
It's really frustrating how there doesn't seem to be one standard of care for gd, or even one reliable source/website for information. Or even a decent blog!
The dietitian I saw at the hospital education session gave us all the official info, then she put the charts and plans down and said "what really matters is your meter readings". She emphasized to us verbally that as a GD and Type II diabetes educator for years, she has come to believe that fats and protein can be eaten to satiety, and that carbs cannot be tolerated by some people except in very small amounts. She also said most GD patients have to eat a very low carb breakfast, often no carb servings at all. And that you should spend a week or two adjusting your diet depending on your meter readings. At which point either you will pretty much know what you can and cannot eat, or, if that is not effective, its time to start medication. I appreciated her expertise and info- she was much more helpful than I expected. But it made me mad that in the reams of paper we brought home, this was nowhere! So a conscientious educator KNOWS the official diet is problematic for most patients, yet still has to go on handing out the info.
My HBMW was also really knowledgeable about nutrition and diet, and she said similar things- that the standard american diet is really not a good starting point. She was gluten-free herself, so understood how challenging it can be to cut out something considered a vital food group by most people (i/e grains/starches: I think we can probably live just fine without grain... relatively recent in human evolution to have a grain-based diet... but it sure is inconvenient!) She really read my food logs carefully and gave me feedback. She was concerned that I not be undernourished (the 5 weeks of weight loss in third trimester bothered her) or start experiencing hypoglycemia (around week 37 we realized I was dropping into mid-70s in between meals and she was adamant that I start eating more or closer together b/c that wasn't good for me either). The hospital-based folks only worried about high numbers and weight gain, and not the flip side.
Funny you mention there isn't even a decent blog. DH has been urging me for a while to do a food blog (for my vegetarian, whole-foods, low grain, low sugar recipes), and when we found out the (HUGE surprise) that I'm pregnant again he says even more so... he remembers how hard I searched for any info when pregnant last time. I ended up using the things my mom has learned from dealing with type II and the info on that blood sugar 101 site, along with the old GD support thread to guide me.
Sadly I think there is so much stigma around diabetes in general. Its such a prevalent disease, very much misunderstood. And those stupid ad campaigns like "eating junk food will give your kids diabetes" don't help- so many people get the takeaway message that diabetes is caused by eating junk food. So, we all must be these gluttonous unhealthy people who did this to ourselves. Not that I am advocating feeding kids junk: of course not! But I think its clear that diabetes is caused by complicated genetic and environmental factors and interactions, many of which we have no control over. This stigma all interferes with a message that might actually help people prevent the progression of and complications of a truly serious disease.
Having the GD kind of made me feel like I had an induced eating disorder (something I've never had, but it really gave me some insight into what that might be like!)... I became so obsessed with my eating, and I really judged my self-worth by those stupid numbers. I remember we'd walk once a week to the $1 cone day at Baskin Robbins (about a mile each way), and I'd stop right before we got there and check my blood sugar reading, I remember how BADLY I wanted to see a low number so I would feel like I was "allowed" to have my once a week junior size scoop of ice cream. And how "scared" I was to test my levels an hour after eating it (they were always fine). I really hope I can steer away from that attitude more this time.