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GD moms, how is it going? - Page 7

post #121 of 354

Good luck, Iris!

post #122 of 354

Thanks, guys! I did the two hour test this morning and had no adverse effects from the nasty orange stuff. They kept asking me if I was feeling dizzy or nauseated, so I guess it's not uncommon to feel lousy. I was just hungry after 12 hours of fasting, so I was happy to have at least something in my stomach!

I would be bummed if I fail this one, but at the same time I am still very much in a "who cares, my kid does not have Trisomy 18, and everything else is just a minor inconvenience" state of mind. Ask me again in a month though if I fail, I'm sure I will sing a slightly different tune then!

post #123 of 354

Had an OB appointment today.  Got my first growth ultrasound and baby girl is measuring in the 40% for size.  AND (especially reassuring because I'm hesitant to just trust ultrasounds on size) I'm measuring about 10 days behind, which the doc had absolutely no concern about. I've gained 18 pounds at this point, which is a tough pill to swallow, but I know it is normal, healthy, etc (I have about a 20-21 BMI usually).  

 

Blood sugars are still nice and stable, though my insulin dose is going up rapidly.  Not really that concerned with that. 

post #124 of 354

I was away all week at camp (where I had very little control over my food options) & was pretty pleased with my numbers overall. Had some very interesting conversations with a young woman who just developed Type I 2 months ago (@ 19 years of age).

 

Unfortunately I saw the endo on Monday as well & it was very disappointing & angering. First off he was an HOUR late seeing me (I LOVE spending 75 minutes in a hospital waiting room with a 2 year old!) & then of course the appointment was only 8 minutes long. First thing he did was weigh me (which is so incredibly irrelevant given he had already asked me how much I gained) & made a gasping noise when I stepped on the scale - seriously?! Wow!

 

He wants me to take nph insulin at night to deal with my fasting numbers which was not unexpected but still disappointing. I'm only taking 8 units for now & it seems to be bringing me into line ok but I do expect we'll have to increase it some.

 

But he also prescribed novorapid which was TOTALLY perplexing to me as all my other numbers are easily within range - it took me asking 3 times about this prescription for him to backtrack & say it was just so I didn't have to make another office visit if in several weeks I need it. Oy.

 

Then he proceeded to fill out a blood work form for an hour long test every 2 weeks. He wanted me to fast, do a draw, eat at the clinic & then do a draw after an hour. When I was shocked at this he said "well, this shouldn't be a surprise, you've done this before" to which I explained I most certainly had not with ds. Then he said "well, it's only an hour" to which I almost yelled "an hour every 2 weeks with a 2 year old!". At that point he junked the form. Double oy.

 

What an awful appt but hopefully I won't have to see the jerk again as I can apparently make the changes to the insulin dosages through the dietician I saw a couple weeks ago.

post #125 of 354
Ugh, sorry about that appointment, lifeguard. That sounds awful. Sounds like you held your ground, though. Lab blood tests every two weeks? What a complete waste of time, energy, money, sanity.

Here's my problem: fasting numbers are still high, dr increased my glyburide dose. Now I am having too low numbers during the day (60s). It is scaring me a little, and also causing me to eat quick carbs just to get my numbers back up to normal. Starting to wonder if nighttime insulin would just be easier....
post #126 of 354
Thread Starter 

lifeguard, hope you don't have to deal with that doc much more. sheesh. in San Diego, the medical folks I saw were always like that- hour+ of waiting for a speedy little appointment. Whats up with that? Why not just schedule realistically?

 

doing okay here- numbers still looking good, I think I'm gaining quite a bit but hey, I am 28 weeks and that is expected. Doesn't seem to be too much body fat- non-maternity cords still fit (very low-waisted ones!) though the button is feeling a bit too tight.

post #127 of 354
Thread Starter 

and blood test every 2 weeks?!? WTF? I've never heard of anyone doing that if you are using the meter regularly.

-E

 


Edited by emmaegbert - 8/1/11 at 6:49pm
post #128 of 354

So I just got confirmation that I failed my 1 hour test...all I was told for the three hour was to fast...any tips I should know about besides walking during the test?

post #129 of 354
Quote:
Originally Posted by DragonflyMom View Post

So I just got confirmation that I failed my 1 hour test...all I was told for the three hour was to fast...any tips I should know about besides walking during the test?


Bring a straw, makes it easier to drink the glucola. Honestly, I wouldn't walk during the test. Yes, it may lower your numbers slightly, but then it may appear that you don't have GD when you actually do. And if you have it, it's important to know. I had no risk factors in my first pregnancy, no family history, healthy weight, ran 10+ miles/week up until about 36 weeks, barely failed the test....then ended up having stubborn GD in three pregnancies requiring medication/insulin. It's a pain, but I'm glad I didn't do anything to skew the results of the test. Good luck, hope you pass!
post #130 of 354

dragonfly - that sucks. Don't count on being able to walk during the 3 hour. Ime you are required to sit in the waiting room - they don't even seem to like it if you go to the bathroom. Bring something good to read or something interesting to do (crochetting or whatnot).

 

I really do wonder about how doctor's handle their scheduling. I asked the receptionist after 45 minutes of waiting (when ds was becoming just awful)if this was normal & she said yes. I just don't get it - you obviously are doing an awfully poor job or scheduling/time management if you are ALWAYS behind by an hour. My ob is sometimes on time & sometimes quite late but I get that - he has to attend births as well, but the endo is just seeing people in his office. Sigh. It's so frustrating.

 

Nica - I have to say as much as I would have loved to avoid insulin it does take the stress level down. Now my fasting numbers are easily under control. I'm taking very little insulin but it is enough to give my body the little boost it needs. I think there is just such a feeling of "failure" if we can't do it with diet/exercise alone but the fact is our bodies just are not functioning optimally.

post #131 of 354
Lifeguard, maybe try scheduling your appointments first thing in the morning, before they have a chance to fall behind? Or call before you leave for your appointment, to see how far behind schedule they are? Really a sign of office mismanagement.

Re: insulin, I am already on Glyburide, which seemed to work fine in my first pregnancy, but that was 7 years ago now. I feel like the Glyburide is defeating the purpose, because my fasting numbers are still rising (115 this morning) while I'm getting numbers in the 60s after meals. Then I panic and have a 15 carb snack to bring the number up, but it's throwing my diet plan off, throwing my meal/snack schedule off, etc. And now I'm constantly a little worried about my number going too low while I'm driving or out with the kids, so i'm testing too often and wasting strips. So insulin might be easier, but those needles freak me out. Maybe they could prescribe a pen or something. Ugh. It is starting to feel like I've been pregnant forever. Can't believe I have 3 months to go! I do have a call in to the doctor, we'll see what they recommend.
post #132 of 354

Eh. I had no issues with the glucola going down on my first test...I chugged it in less than 30 seconds lol, the nurse was impressed.

post #133 of 354


 

Quote:
Originally Posted by lifeguard View Post

I really do wonder about how doctor's handle their scheduling. I asked the receptionist after 45 minutes of waiting (when ds was becoming just awful)if this was normal & she said yes. I just don't get it - you obviously are doing an awfully poor job or scheduling/time management if you are ALWAYS behind by an hour. My ob is sometimes on time & sometimes quite late but I get that - he has to attend births as well, but the endo is just seeing people in his office. Sigh. It's so frustrating.


There are a few issues at play:

 

- In many cases, OHIP pays a set fee for a set appointment time. Many physicians find that the time allocated is not actually enough. (E.g., family docs get 6 minutes per visit for most visits.)

- Patients show up late, early, etc. so they arrange the schedule to compensate by making patients wait more. Having the doctor waiting around is incredibly expensive.

- You never really know which appointments are going to take longer than scheduled. When a patient brings up a second issue, you can either deal with it then (and run that much later) or tell them too bad, it will have to wait (which very few docs want to do, because it's poor patient care.)

- Sometimes there are a variety of people involved in the visit (nurse, dietitian, CDE, endo, residents/fellows/students, etc.) and so it's that much harder to coordinate.

 

To deal with the above, most clinics schedule multiple patients at the same time. I still remember my shock at this the first time I ran a research study in a clinic. I looked at the schedule for the day and saw that every 15 minute time slot had 3-4 people in it. All of a sudden it made sense to me why, when I was a patient, I would get taken into a clinic room and then wait for various people to come in and see me.

 

Basically, when it works well, patients don't really notice the doubling/tripling/quadrupling. When it doesn't work well and they start to get behind, it sucks for everyone.

 

And some people run a tighter ship than others. I know specialists who routinely run 3 hours behind by the end of clinic. One hour is actually not terrible.

 

The endo who is handling my pregnancy (not my normal endo) is known for running a late clinic. My first appointment (scheduled by them, not me) took four hours. So I only make appointments with that endo for first thing in the morning. (You can also go for right after lunch if it's a full day clinic, but those spots tend to be harder to get.)

post #134 of 354

pi - they most definitely have constraints that are outside of their control. I have never had much luck calling to ask how far behind they are - they seem to get all defensive & rude ime.

 

booking first thing in the morning or right after lunch definitely helps but with this appt I had to go with what I was given. With any luck I won't see this guy again.

 

Nica - the needles were a hard idea to wrap my brain around with ds but it really didn't take long to get used to it. Last time I had syringes & a pen, this time I only have a pen. I have to say I liked the syringes better - the "handles" on them are shorter so I found them easier to control & inject whereas the pens feel cumbersome to me & I always worry I will wiggle the needle while trying to inject. In all honestly the whole process is not as bad as I anticipated & this time I don't need to refrigerate the insulin so that makes it much more convenient.

 

It's interesting that some docs will use glyburide while others absolutely won't even consider it. Such inconsistency. Sigh.

post #135 of 354
Thread Starter 

dragonfly- I was able to walk during my test but still came back with (borderline) GD, which was manageable with diet for me. I wasn't like out there working out or anything, just took a little walk around the neighborhood in between some of the blood draws.

 

One thing I have read since is that you should eat your normal diet the days leading up to it. If you go low-carb or reduce your carbs a lot, your body will start releasing less insulin and you will have a higher blood glucose level. So... if you have a normally low-carb diet, then drinking the 100grams of glucose all at once can make you look diabetic when you are not, does that make sense? Its a big shock to your system which isn't used to processing that and won't have released enough insulin to mop up all that sugar (Some people say to "carb load" before the test which personally I wouldn't do, b/c I am sure its not healthy for me)

 

For me, my morning fasting numbers are often lower if I have exercise the day before (esp late in the day- and I am talking moderately vigorous walking, swimming, not like some insane workout situation) and a high protein snack before bed (lately mine is nuts and blueberries with some whole milk). So, you could do that. Its not like it will be bad for you to have exercise and a snack the day before your test.

 

And here is the thing about trying to "cheat" the test (which I don't think you can really do, we're talking very small differences in your numbers here). Why do you want to avoid a dx? I wouldn't want to have that high risk label if I was giving birth in a hospital, if I could avoid it. I was planning a HB with my last, and I am again, and neither of my midwives has freaked out about GD. I mean, these current caregivers are fine with me skipping the testing all together. Yes, they want to see good numbers (not even as strict as the medical folks) and they can't deliver my baby at home within their license if I am on insulin. But personally I wouldn't avoid the testing, or avoid treating it for that reason, you know? In my case I was actually borderline. if my 2-hour number had been ONE POINT lower I wouldn't have been classified as GD. If I knew I had to give birth in a hospital, then yeah, I'd exercise and eat more carbs the days leading up to the test, I'd walk before hand, and in between if I could. But that said, I am glad I have the blood glucose meter and that I've learned how my body responds to foods. I was still able to have my no-intervention home birth AND I got to learn a lot about how to be much healthier. After my last baby, I lost almost 40 lbs (and kept it off) just by eating in a way that is better for my particular body, and that was huge for me. Assuming that weight comes back off after this baby (not that I've gained 40lbs!) I might have my GD to thank, in a weird way, for helping me adjust my lifestyle in a way that is much better for me in the long run.

post #136 of 354

GD MAMAS!!!! VERY IMPORTANT ANNOUNCEMENT!!!

 

MAKE THIS:

 

http://cohorestaurant.com/recipes/dark-chocolate-mousse-recipe/

 

lol.gif Okay, I'll stop yelling now. I just made this and its amazing. With the four eggs and heavy cream, its full of protein and fat and if you use very dark chocolate (I used 80% cacao) its actually pretty low in carbs for a super decadent dessert.

 

I'm just so geeked because I have been searching high and low for a low carb dessert that didn't call for artificial sweeteners, so I am very excited about this!

 

Oh yeah! I got pasteurized eggs so no worries about bacteria from the raw eggs.

post #137 of 354

That sounds amazing - I SO wish I could have dairy!

 

 

post #138 of 354

Hi Ladies, can anyone help me out with advice/thoughts?

 

I am having trouble with my fasting numbers, I'm on medication, my post-meal numbers are quite low.  I have discovered the past couple nights that my numbers get quite low during the night, then rebound (which I think is a fairly common phenomenon).  This morning, for example, my bs was 74 at 5:30am, and then I went back to sleep without eating anything and my number was 109 at 7am.  What would you do here?  Wake up in the middle of the night and eat something?  What would you eat?  What would you count as your fasting number when you submit numbers to your doctor?  Would you just get up for the day at 5:30?  Any ideas appreciated.  I'm a little reluctant to discuss this too much with my doctor, they are a bit alarmist and not very flexible about trying new solutions.  Thanks!

post #139 of 354

Might not be that helpful, but it isn't just you, nica!  http://www.mayoclinic.com/health/dawn-effect/AN01213   I typically report both to establish a trend. 

post #140 of 354

Interesting. I've bee trying to have a protein snack at bedtime lately and found that my fasting numbers keep going up too. Since I tend to be up around 2:00 to pee anyway, I guess I'll start checking numbers then too. Oddly the lowest fasting numbers tend to come when I really sleep in and fast for more than 12 hours.

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