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GD moms, how is it going? - Page 6

post #101 of 354
General guidelines are under 140 at one hour and under 120 at two hours. Some providers are stricter, some are a bit more lax.

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post #102 of 354



I only had to do the two shots of steroids, 24 hours apart.  So it's been since Thursday at 7 pm since my last shot.  My numbers are still crazy though and I'm wondering how long that's supposed to last.  I put a call into my OB about it today, but didn't get a response.  (uggh!!!) 

I haven't been pushing back eating times because of the numbers but am drastically limiting carbs again.  I do a no carb or really low carb breakfast already and that still isn't helping the post-breakfast numbers.  I'm hoping this is still all related to the steroids and not just a sign of greater insulin resistance as I get further along!

 

Quote:
Originally Posted by emmaegbert View Post

Starlit- when my mom (who has type II) has to take steroids for her breathing (chronic lung problems) her numbers go crazy. She usually has to go on insulin (she usually does not use insulin). Thats all I know and its not encouraging I know. It clears up as soon as she is off the steroids... how long/often will you have to take them? One thing I know from myself and hearing from others, is that a high fasting will often drop after breakfast. Don't not eat b/c of high numbers. Also regardless of numbers, you are pregnant with twins. You need to be eating well and enough to nourish yourself and the babies. Maybe see what happens if you do a low/no carb breakfast? (like eggs and/or meat, plain yogurt with nuts, and some veggies... many GD moms really can't tolerate carbs at breakfast anyway)

 

I'm feeling fine about donuts and whatnot. Ice cream is still my downfall. But we'll see- my mom has made homemade cake (and potato salad, and breaded eggplant parm) for a little cocktail/dinner party she is hosting.  Um, I can't have potatoes, cake, breaded things OR cocktails. And she made this big deal about how she is doing it at 5 to include the me and my kids. I mean, why bother if its just to torture me with a big spread of things I can't eat? She said, "there will be green salad" and I almost burst into tears and said, "I'm pregnant I can't just eat green salad for dinner". She relented and is making deviled eggs and says she will keep out some berries and whipped cream for me (which are for the cake). I swear it feels extra mean, partly b/c she's my mom, but also b/c she has type II diabetes and knows perfectly well what I can't eat. (and we are living with my parents for the summer, so I am not really in control of what food is around, I sometimes feel like she is intentionally trying to sabotage my eating... to justify her own decision lately to pretty much ignore her own diet... what is with family!?! Ugh. If I wasn't living with her I could more easily just ignore.)

 

 



 

post #103 of 354
Thread Starter 

my reccs from 2.5 years ago were 1 hour under 130, 2 hour under 120 (but they *really* wanted me testing at 1hr). I generally aim to be 1-hour under 120, since that is my understanding of "normal" but don't freak if I get to 130. fasting recc was under 90, but again, I have read that "normal" fasting is really more like under 85.

 

my current MWs haven't given me strict guidelines. They seem pretty happy with what I've been doing and honestly my numbers have almost never gone above any targets anyway.

 

Shonahsmom, bread really pushes my numbers up more than, say, the same amount of carbs from fruit or yogurt. Or rather, grains in general. I hate to say it, but maybe try skipping the bread all together? It makes eating, well, harder. But those numbers don't sound crazy high anyway, I wouldn't worry too much. Though I agree, my 2-hour (when I test it) is generally in the 90s again, though actually I rarely test 2-hour since I know my spike is around 1-hour (from doing a bunch of testing). I often will only test 2-hour if I had a high 1-hour and I am curious if its going down. Insulin resistance does rise during the third trimester for most of us, then starts to go back down in the last few weeks. I could totally eat bread (in moderation) by week 37 or 38 last time and have very good numbers. Not true at 29 weeks.

 

 

post #104 of 354
Thread Starter 

starlit, don't worry about it too much if you can help it! I think... eat healthy foods to nourish you and your babies, and focus on that, not your numbers. You are dealing with a lot. Steroids do crazy stuff to blood sugar, and so does stress (which you are under- physical and emotional). 

post #105 of 354

I was talking to my trainer today about this thread & gd in general. He & his wife both see the same nutritionist as us (they referred us to him) & so he found it interesting. He was SHOCKED at how many carbs the dietician from the hospital recommended. He definitely agreed that it just seemed like too much just in general never mind for diabetes. Interesting conversation.

 

My ob was pleased with my numbers today. Didn't care AT ALL about the couple of random high ones I had during the day. We can definitely see a trendb of my fasting being a little high & in fact he lowered the goal for me even more. He said the goal he originally gave me (under 5.5) was ok but it would be better to be under 5 or even 4.5 which is coming closer to what I was told last time (under 4). With those new numbers I'm consistently too high in the mornings. I have an appt with the endo on Monday so I am going to try to focus on my bedtime meal more & see if I can get good numbers for a few days in a row.

post #106 of 354
Just checking in to say hello....had my first appt with the perinatologists today, after seeing a dietician last week. My post meal numbers are fine, I'm exercising a lot, but my fasting numbers are hovering around 100-105, have been for weeks, and will not budge. Same thing happened with my first two pregnancies. No magic bedtime snack ever had any effect, very frustrating. The good news is....my perinatology group has started prescribing glyburide instead of insulin shots! I am elated! I was on glyburide with my first pregnancy but on insulin with my second. There were so many nights when I was crying because I just couldnt deal with giving myself another injection. No more! Got my first prescription today. Anyway....I just can't seem to get worked up about gd this time around, I'm doing the best I can and just looking forward to not being pregnant anymore.
post #107 of 354

NicaG, yay for no shots!

 

So, my fasting this morning was 84! I have never had a fasting that low! I've been keeping it steady between 90-94 and feeling really good about it. Last night I had my MW appointment, plus DS and I took a long nap in the afternoon so my eating schedule was thrown. I basically wound up having lunch around 4:00p, a snack a couple minutes before 6 as I ran out the door to my appointment and then my dinner at 8:00 and my bedtime snack at 10:00 (which is the usual time). My dinner at 8:00 was really high protein and pretty high fat. I'm wondering if its the late dinner that did it? Maybe I should always eat my dinner at 8:00!

post #108 of 354
Thread Starter 

yay for good appointments lifeguard and nicaG, and low fastings Shonahsmom. I am doing well, diet getting stricter but I think that is just the way it will be the next month or so. I'll have an A1C when I get my iron checked next week, so we'll see what that says. going to the local doc next week (we're out of town for 2 months) so I'll find out what I weigh, and my fundus height and stuff like that. So, together with my log, and the A1C I'll have then, this will all hopefully add up to good news. (i/e baby growing well, and me not growing too much!). MWs don't seem concerned at all, just want me to keep sending the logs.

 

I really enjoyed a batch of coconut almond flour biscuits from the girl gone primal blog. I had them with peanut butter AND cream cheese, and the kids were gobbling them up too. http://girlgoneprimal.blogspot.com/2009/06/recipe-almond-coconut-biscuits.html

I am going to have to buy some more almond flour though. eating low carb is expensive except that I can't buy anything "out" so I probably end up saving money in the end (not that there is anywhere to eat in town other than the greasy spoon diner place and their ice cream window. The former not so appealing, the latter a little more!)

 

The wild blueberries are going crazy right now around here, so I am picking a pint or so a day for me and the kids. I love that berries are a good choice for me b/c they seem like such a treat too. My 2yo was picking with me and STUFFING her face.

 

I guess I wanted to talk for second about what I am loving to eat, not bemoaning what I can't have. What are you guys loving right now?

 

post #109 of 354
Quote:
Originally Posted by emmaegbert View Post

 

I guess I wanted to talk for second about what I am loving to eat, not bemoaning what I can't have. What are you guys loving right now?

 


 

Bacon. bag.gif

 

 

post #110 of 354

Lemonade made with fresh lemons and splenda.  It has gotten me through moving during the hottest week of the year!  

post #111 of 354
Quote:
Originally Posted by livacreature View Post

Lemonade made with fresh lemons and splenda.  It has gotten me through moving during the hottest week of the year!  


Mmm, that sounds good. I am mostly living on Greek yogurt with wheat germ and sliced almonds, low-carb wraps filled with salad and veggies, and lots of stuff on the grill. Strangely, the only evening snack that gives me low fasting levels is Haagen Dazs chocolate/toasted almond frozen yogurt mixed 1/2 and 1/2 with sliced almonds. I am not supposed to be eating refined sugar obviously, but this snack gets me between 90-95.
post #112 of 354

Ooooo, and veggie omelets with pepperjack cheese, sauted onion, green pepper, and diced tomato.  

Nica, I have been having a small slice of apple pie before bed at night, regular, not low sugar, and my fastings and 3ams have been great.  It is so freaking weird.  I'm sure it will change by next week, but I'm enjoying it while it lasts!

post #113 of 354
Thread Starter 

 

Quote:
Originally Posted by lifeguard View Post

I was talking to my trainer today about this thread & gd in general. He & his wife both see the same nutritionist as us (they referred us to him) & so he found it interesting. He was SHOCKED at how many carbs the dietician from the hospital recommended. He definitely agreed that it just seemed like too much just in general never mind for diabetes. Interesting conversation.


well, glad to know we aren't alone in thinking these guidelines are crazy, but its upsetting to me that professional advice can be so wrong.

 

 

Quote:
Originally Posted by NicaG View Post



Mmm, that sounds good. I am mostly living on Greek yogurt with wheat germ and sliced almonds, low-carb wraps filled with salad and veggies, and lots of stuff on the grill. Strangely, the only evening snack that gives me low fasting levels is Haagen Dazs chocolate/toasted almond frozen yogurt mixed 1/2 and 1/2 with sliced almonds. I am not supposed to be eating refined sugar obviously, but this snack gets me between 90-95.


NicaG, well, that sounds like a nice problem to have :)

I was doing okay w/ ice cream as a bedtime snack but then checked my 1hr number and realized not so fine :( (not SOOOO bad, so I am still allowing myself ice cream once a week)
 

Quote:
Originally Posted by livacreature View Post

Ooooo, and veggie omelets with pepperjack cheese, sauted onion, green pepper, and diced tomato.  

Nica, I have been having a small slice of apple pie before bed at night, regular, not low sugar, and my fastings and 3ams have been great.  It is so freaking weird.  I'm sure it will change by next week, but I'm enjoying it while it lasts!


Yum on the omelet and on the apple pie. Hmm, I am not sure a "small slice" of apple pie is even in my reality.

 

I am having a hard time with afternoon snack. I just don't feel like eating it at all. I really have to kind of force myself. Bedtime snack I also don't feel like eating but since I have one thing I always eat, I just do it every night (frozen wild blueberries, nut-coconut-"granola" and a little full-fat milk and greek yogurt). I find I have sort of "set" meals for a lot of them (eggs for breakfast, salad for lunch, my bedtime snack). Its hard for me to come up with different stuff to eat every day, but then I don't like getting bored either, phooey.

post #114 of 354
Quote:
Originally Posted by emmaegbert View Post

 


well, glad to know we aren't alone in thinking these guidelines are crazy, but its upsetting to me that professional advice can be so wrong.

 

 


NicaG, well, that sounds like a nice problem to have :)

I was doing okay w/ ice cream as a bedtime snack but then checked my 1hr number and realized not so fine :( (not SOOOO bad, so I am still allowing myself ice cream once a week)
 


Yum on the omelet and on the apple pie. Hmm, I am not sure a "small slice" of apple pie is even in my reality.

 

I am having a hard time with afternoon snack. I just don't feel like eating it at all. I really have to kind of force myself. Bedtime snack I also don't feel like eating but since I have one thing I always eat, I just do it every night (frozen wild blueberries, nut-coconut-"granola" and a little full-fat milk and greek yogurt). I find I have sort of "set" meals for a lot of them (eggs for breakfast, salad for lunch, my bedtime snack). Its hard for me to come up with different stuff to eat every day, but then I don't like getting bored either, phooey.




I know about the boredom. I have basically three or four meals and three or four snacks that I know work reliably well and I just default to those all of the time. But it does get really, really boring. I am really sick of eggs, but they are really the only breakfast that I feel really good after and always have low numbers. But I am SO OVER EGGS!

 

 

post #115 of 354

Just found out about GD Friday, I have been reading a lot of differing diet info- can I eat carbs? The lady said no white carbs -which I have been doing all along. I did have to quit pop, which is ok since it's not good for me at all. Also, am I the only one with GD symptoms? I swear, I was peeing every hour, thirsty and super super tired. 

 

 

post #116 of 354
Thread Starter 

Lynne, though I am sorry you are dealing with this- nevertheless, welcome.

 

are you testing your post-meal numbers? the thing that the diabetes educator told me w/ my last pregnancy, and which makes a lot of sense from what I subsequently learned about blood sugar control and diabetes, is that your meter readings will tell you the most reliable information about what you can and cannot eat. The diabetic diet plan is WAY to high carb for me, but its right on about the frequency of eating (every 2.5-3 hours). I really can't eat much carbs, particularly from grains and starchy roots (moderate amounts of fruits and legumes seem okay for the most part, and even "carby" vegetables like carrots are generally fine) and have good numbers. I am not taking any medication, and have very mild GD, which I am aiming to control with diet alone.

 

I think many of us are not having symptoms b/c we are not experiencing high blood sugars. And for me, thirst is normal during pregnancy and in the summer, and frequent peeing is pretty much par for the course as well! As for super-super tired... again, a normal pregnancy symptom or COULD be related to something like anemia. My MW w/ my second pregnancy recommended for all pregnant women a daily nap (short is fine- 20 minute or so) and being sure to eat enough protein and minerals, and to drink plenty. Regardless of GD symptoms these things might all help you with your energy levels.

 

If you dramatically reduce your carbohydrate intake, you might feel like crap for a couple of days. That passes. You might feel better and much more energy if you eat a low/no carb breakfast (high protein and fat) and maybe eat your fruit or whatever at midmorning. A lot of GD moms can't tolerate carbs first thing in the morning, but can process them fine later in the day.

 

What you eat doesn't cause GD (or Type II or Type I diabetes). People without it can eat all this stuff and have fine blood sugar. Its not fair! So yeah, you'll have to switch to diet soda (there is a brand sweetened with stevia called "zevia" if you are avoiding chemical sweetners), or other drinks like unsweetened iced tea, or fizzy water with a little splash of juice... and as for "brown carbs"... well, try them out and see what your post-meal numbers are. When I see mine, I just realize its not worth it.

 

Good luck figuring things out, and I hope you are getting good support and good information from your health care providers, as well as a little patience (like a week or two) for you to figure out what works for your body.

post #117 of 354

Woot! I am in some kinda sweet spot! My numbers are all so good right now! For dinner I had 2 slices of extra thin crust pizza, a ton of broccoli and some cherries and apples and my one hour was 112 and my two hour was 92. I ate some Haagen Daz this afternoon and my one hour was 115. I'm surprised that my numbers are improving instead of creeping up, but I'll take it!

post #118 of 354

Hi ladies! I just found out today that I failed the 1 hour test and am going for the 2 hour tomorrow morning. I failed with 162, I don't think that is horrifyingly high but I have a feeling I will fail the 2 hour test as well. I was wondering, if that is the case, do I get a glucose meter to check my several times a day? Or do I just get a diet list at first that I have to stick to? Or does that depend on where you are or on your doctor? (I'm in Canada.)

I didn't have this issue with my previous two pregnancies and I'm a bit taken aback by the fact that I failed the test. I have no idea what exactly to expect if I fail the 2 hour one as well. It will be a pain in the hiney, because we are dirt poor at the moment and we just cannot afford high quality meat and whole grain foods and the like. 

post #119 of 354
Thread Starter 

Iris, good luck on your two-hour. You may well pass it anyway. The one-hour has a lot of false positives.

 

I think that if you do not pass, most of the time you will get a counseling session of some sort, and they will recommend a diet and give you a blood sugar meter, and teach you how to use it. They will also give you a regimen for testing your blood sugar and targets that they want you to meet. You will likely be asked to log your food and blood sugar readings. It is a pain in the hiney for sure. FWIW I am a vegetarian and I can't really eat hardly any grains and keep blood sugar stable (whole or not) so... you might be okay. lots of veg (good time of year to get that cheaper as there is a lot in season), some fruit, lots of protein (eggs, tofu, cheaper sources, beans might be just fine for you- they are for some people). Cultured and higher-fat dairy are fine for me (cottage cheese, full-fat plain yogurt). IME the recommended diet wasn't all that realistic for me if I wanted to stay off meds, so I do what works for me, and having the opportunity to do your own blood sugar monitoring really helps you figure that out.

post #120 of 354
Hi Iris, hope you won't have to join us here, but try not to worry too much. Most dietitians will wok with you to figure out foods you like to eat and can afford. The main things you'll need are lots of veggies (frozen are fine) and lots of protein (eggs, peanut butter, tuna fish, and whole chicken /thigh meat are some inexpensive sources). Whole grains are preferred, but if you need to mix in a slice of white toast or some white rice/pasta here and there, you should be fine. Hope you pass your 2-HR test!
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