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GD moms, how is it going? - Page 9

post #161 of 354

Random 126 when I woke up this morning.  And I was starving.  So I brought a tupperware full of shepherds pie filling to work and ate that.  Belly measurement is still on the same curve, measuring 10 days behind.  Growth ultrasound and first NST on the 24th.  I've decided to take leave a bit early to fit in doctors appointments.  I hate that I might be wasting three weeks of leave, but at the same time it seems totally worth it.

post #162 of 354
71 seems ok for a fasting number...especially if it's a natural number, you're not on insulin or anything. Great you're able to keep your numbers so low!

I am still battling random lows, mostly after breakfast. My fasting numbers have finally come down into the 80s. But now my mid-morning numbers are in the 60s. It's making it difficult to exercise in the morning, because then my numbers drop even lower. Went to the grocery store after breakfast with dd, tested in the parking lot on the way home and I was at 57. Ate some crackers, drove 5 minutes to get home, tested again, and I was at 53. Started to feel like I was about to pass out, had a glass of milk, got my number back up to 82 finally. Getting really tired of this! Feels like I am doing battle with my body every day. I am seeing the perinatologist on Tuesday, maybe they will be able to adjust my medication or diet or something.
post #163 of 354

Thanks for the article - very interesting how not enough sleep affects bs levels - I suspect this a big part of my problem lately. Last night was not too bad but ds woke up with a foot cramp/growing pain again. Poor kid - but it also really messes up my sleep 'cause besides disrupting it I don't sleep well the rest of the night with him with me.

 

Nica - have you tried adding more carbs in the morning then? If you're looking to bring the bs up quickly something like juice would work better than crackers or milk.

post #164 of 354

So I failed my 3 hour test....depressing..

Im at 32 weeks BTW

My OB seemed fairly positive still, she told me I need to see a dietitian (oh joy) and start testing at home but to "not freak out" about it....

So I left feeling OK but not great, went to my Fetal Medicine doctor who basically just does my ultra-sounds.

When he heard that I failed he told me

"You need to accept the fact that your not going to be able to birth naturally, get your ahead around the idea of an induction and c-section because the odds of them happening are high"

I pretty much walked out of the appointment,dragged my husband into the ladies room and had a panic attack...

Do I just have a shitty U/S doctor or is he right?

I have trust issues with doctors so now Im worried my OB is lying about not needing to freak out over this/it not interfering with a natural birth....shes the one who is going to be delivering the baby so I would hope she would be upfront about realistic expectations.

Im just so depressed over this, I see a dietitian sometime next week and I know its going to be horrible, I really do not eat that much but I know shes just going to be thinking "Fatass" the entire time :(

post #165 of 354

Dragonfly, as a t1, not GD, I have a lot of fluctuations and veritably that can be crazy dramatic. Despite of this, at this point, my doctors are encouraging me to NOT eliminate natural birth from the table.  There could be the need to induce, there could be the need for a c-section (okay, not necessarily 'need', and unrelated to the diabetes, this kid is breech.  My brother almost died due to a severely fractured skull and my mom had a very traumatic breech delivery with him, so if she is still breech, I will probably opt for a c-section...spin baby spin!)  I'm very much taking a wait and see approach because I don't want myself to get my heart set on a natural labor and delivery and it just not be the way to go.  I know lots of GD moms who have had successful, natural deliveries.  My understanding, it might increase the likelihood of intervention, but it no way mandates or guarantees it as being necessary.  If you have things under control, your primary providers are optimistic, I would say that is a good sign.  :)  I hope you have a good appointment with the dietitian.  If she's worth her salt, she will know that one does not get GD from eating too much.


Edited by livacreature - 8/13/11 at 11:45am
post #166 of 354

dragonfly - I went through this with my pregnancy with ds. My ob was great - my endo was not. Every. single. appt. with the endo I left in tears & one of the main reasons was every. single. time. he talked about a c-section. Then every time I'd go to the ob I'd stress about it to him & he'd tell me quite clearly to not worry about that it had nothing to do with endo.

 

Interventions can definitely be higher with gd but that does not mean we are guaranteed a c-section - it simply means we have to go in a little more prepared & a little more sure of what our goals are. I had a vaginal delivery with ds with minimal interventions all of which I felt were appropriate & all of which were discussed with me before being done.

post #167 of 354
Dragonfly: this is my third gd pregnancy and none of my doctors has ever said anything about c-sections. I think the usual protocol is to induce during week 39, because the placenta deteriorates rapidly after that. My ob has said that she hopes I will go into labor naturally, she prefers not to induce. My previous two labors were induced. Induced labors have a higher chance of ending in a c-section, but many are vaginal births (mine were). Yes, induction is not ideal, but it can still be a positive birth experience.

During labor, there may be more monitoring and less freedom of movement than you might prefer, but if you are aware of that going in, you may be able to work out some compromises ahead of time.
post #168 of 354
Quote:
Originally Posted by lifeguard View Post

dragonfly - I went through this with my pregnancy with ds. My ob was great - my endo was not. Every. single. appt. with the endo I left in tears & one of the main reasons was every. single. time. he talked about a c-section. Then every time I'd go to the ob I'd stress about it to him & he'd tell me quite clearly to not worry about that it had nothing to do with endo.


What lifeguard said. Though my tears were over the discussions about dead babies at Every. Single. Appointment. starting at 35 weeks. (I hated that endo by the end. And I got to know the washrooms on that floor really, really well. I cried in them a lot.)

 

Like livacreature, I am type 1, not GD, so it's a different situation in a lot of ways, but for what it's worth, my experience has been that the high-risk specialists can be spectacularly pessimistic people, but the OBs (you know, the ones who actually attend births and make primary recommendations) are usually much more aware of the range of possibilities and aren't so doom and gloom.

 

In other words, in response to your question, yes, you have a shitty u/s doctor, or at least one who has a terrible bedside manner and communication style. The rates of induction and c/s are higher than without GD, but you are not doomed.

 

In case it's helpful, a strategy I use personally is to express things a little differently to get a different reaction. For example, my first pregnancy, I was really gung ho on a natural birth, and I talked that way. My feelings haven't really changed all that much (though they are more nuanced now) but I discuss it much differently now. For example, instead of, "I am planning a natural birth," I say, "Well, I'd rather minimize interventions if possible, but I'd like to wait and see how things go and make decisions based on clinical indications at the time." It goes over much better, because it doesn't trigger the concern that I'm totally unprepared for anything not to go perfectly. My response to statements like the one your u/s doc made would be something like, "Yeah, I'm aware that it's more likely. I'm prepared for that if it happens. We'll just have to wait and see, won't we?"

 

livacreature, re: frequency of appointments, I agree with you. The endo I am seeing, who was new to me as my normal endo does not handle pregnancy, initially wanted me to come in once a week or at least every two weeks. I don't usually get much out of endo appointments, and simply refused to attend more than one per month. That caused some ruffled feathers at first, but now that they've seen my consistently beautiful numbers over the past 6 months, they've calmed down somewhat. It's still a bit of a power struggle, but I try not to let it get to me too much. Plus I do occasionally get a piece of advice that is helpful. E.g., the CDE made a suggestion for my basal rate a few months back that I thought was off-base, but I tried it and it worked beautifully. I do understand some of where they are coming from -- their experience is not generally with women who maintain tight control. And I'm willing to go in more often as I get nearer to the end of pregnancy and am having regular BPPs/NSTs, so I'll be at the hospital anyway.

post #169 of 354
Thread Starter 

dragonflymom- no, that doctor is wrong! I had a HB with my second baby, totally uneventful, amazing fast "easy" birth of a healthy 9lb girl, and I had GD. I am planning HB again. (Of course my experience in mine, and everyone's will be different, but it just IS NOT an "automatic C/S"). Take it one step at a time and do not panic. And the dietitian might surprise you. The one that I was required to see was actually quite helpful. And she was not judgmental at all, as far as I could tell. Very practical lady in fact. You will likely have a strict diet to follow for the remaining weeks of pregnancy. Its hard but its really for a short time! Listen to what they say about diet and meds and blood sugar targets, but testing your own blood glucose levels gives you TONS of information, and you *may* be able to keep inside healthy (normal) targets with diet changes alone. You may not. (I have been able to). I was so panicked and depressed when I first got the dx, but in retrospect, it was a good thing for me. I learned a lot about what is healthy for my body and I am thankful for that.

 

NicaG- the hospital MWs I was seeing for co-care last time, at that hospital standard of care was if you do not go into natural labor by 40 weeks to induce. BUT when I had the appt (required) with the high risk OB, I convinced him to "extend" my date to 40w4d. From what I understand, there really isn't one "standard of care" for GD. Though the hospital where you will deliver (or your MWs if you are planning out-of-hospital birth) will have guidelines that they follow. And there may well be wiggle room in those guidelines anyway. Its very important to figure that stuff out, and to be a good self-advocate. As Pi says, I think part of that is being ready to talk their talk in a way that lets them know you understand where they are coming from. Don't just take everything they say either- ask questions. I think when they see that you are engaged and interested in understanding, they will explain more, and frankly they will see you in a different way (as a person, more like themselves, not a generic patient).

 

Actually that high risk OB told me that I can refuse treatment but it is his job to advise me based on his experience as to what would be the best alternative. I told him that I would not schedule an artificial induction based only on dates, and he kind of rolled his eyes, but then he "extended" my dates (much to the surprise of the MWs, actually, who told me later that they were very pleased to hear about it). He did stop and really look over my blood sugar logs b/c I was a little more fiesty, I guess, and I remember I told him, "I am not making these up, these are my real blood sugar numbers" and he seemed kind of embarassed that I suggested they thought I was making stuff up. But seriously, sometimes I think they need to be reminded that this pregnancy is happening TO US, the pregnant women, that its OUR babies they are talking so cavalierly about.

 

post #170 of 354

I'm grumpy today. I know I only have a short time left to deal with this (I'm 33 weeks and 1 day today) and usually I feel pretty accepting, but I'm just having a moment.

 

My fastings drive me nuts. I keep a tight diet, have the same snack pretty much every night, get the same general amount of sleep, mostly go to bed and wake up and test at the same time every day... but this past 10 days or so, its high for 2 days, then its totally fine for 2 to 4 days, then I get three high readings in a row and start to think, shit, do I need medication here? And then 3 days of totally fine readings. So I breathe a sigh of relief and then.. a high number.

 

One day I don't eat perfectly and my numbers are totally fine, another day I eat exemplary and my numbers are elevated.

 

Gah. I'm just tired of it. I'm tired of pricking my finger 4 or more times a day. I'm tired of eating one thing on Monday and getting a great number and eating the exact same thing on Tuesday and getting a high reading. I would just think there'd be slightly more rhyme and reason than I feel like there has been recently.

 

I'm tired of ALWAYS having to make separate meals because I have the world's pickiest children who both act as though they are allergic to protein and would gladly eat nothing but carbs if left to their own devices.

 

And I just want a donut. And a Coke.

 

I know this is so important to the health of my baby and I know that I need to adapt to a lot of these changes on a long term basis for my own health, I'm just feeling like it occupies 75% of my brain space everyday and I'm just over it at the moment.

post #171 of 354
Thread Starter 

Shonahsmom, when I was feeling like this last time, I baked birthday cake layers and froze them to have on the day my baby was born. It helped knowing there was some GOOD chocolate cake waiting for me. Hugs! Its not much longer now. Thank goodness my kids are protein fiends... except it can be annoying when they always want to eat my low-carb biscuits and whatever that I made for myself (since I can't eat the rest of the food). And its freaking my parents out (we are living with them) to see the rate we go through cheese and peanut butter. Oh well!

post #172 of 354

shonah'smom - I totally hear you. I had the same experience last time - I would eat the same thing every single day for breakfast & would get a different reading each time - it was just so incredibly stressful. I'm a little more relaxed about things this time & am not comparing my numbers to each other as intensely - but I am also staying within range more easily overall. To be honest when I started insulin last time it so easily brought my numbers under control that it brought my stress levels waaaaaaay down. Yeah, it sucked to do the insulin but it did make things easier - this time I wasn't pleased when he suggested insulin but in a way it was a relief.

post #173 of 354

I really appreciate all the responses to my freak out post.

 

I have been looking at diet suggestions and things online the past few days and honestly...the only problem Im going to have is giving up my orange juice (I NEED MY CRACK MAN!!) and giving up sushi...but you know what, its 8 weeks at the most so who cares!!

 

Anyone have an recomendations for good sugar free popsicles?

Aspartamine makes me vomit..it just tastes so horrible but I love pops...also, what about replacements for juice? Are any of you fans of Crystal light type stuff and can tell me which ones dont taste like ass?

 

post #174 of 354

dragonfly mom - we do more artificial sweeteners around here than we should. Quite honestly anything with aspartame just takes like aspartame after awhile. Splenda is better imo but harder to find.

post #175 of 354
Quote:
Originally Posted by Shonahsmom View Post

I'm grumpy today. I know I only have a short time left to deal with this (I'm 33 weeks and 1 day today) and usually I feel pretty accepting, but I'm just having a moment.

 

My fastings drive me nuts. I keep a tight diet, have the same snack pretty much every night, get the same general amount of sleep, mostly go to bed and wake up and test at the same time every day... but this past 10 days or so, its high for 2 days, then its totally fine for 2 to 4 days, then I get three high readings in a row and start to think, shit, do I need medication here? And then 3 days of totally fine readings. So I breathe a sigh of relief and then.. a high number.

 

One day I don't eat perfectly and my numbers are totally fine, another day I eat exemplary and my numbers are elevated.

 

Gah. I'm just tired of it. I'm tired of pricking my finger 4 or more times a day. I'm tired of eating one thing on Monday and getting a great number and eating the exact same thing on Tuesday and getting a high reading. I would just think there'd be slightly more rhyme and reason than I feel like there has been recently.

 

I'm tired of ALWAYS having to make separate meals because I have the world's pickiest children who both act as though they are allergic to protein and would gladly eat nothing but carbs if left to their own devices.

 

And I just want a donut. And a Coke.

 

I know this is so important to the health of my baby and I know that I need to adapt to a lot of these changes on a long term basis for my own health, I'm just feeling like it occupies 75% of my brain space everyday and I'm just over it at the moment.


Totally going through the same thing here with fasting numbers. I have been a bit sick with a cold and pink eye this week, so that might be throwing things off. But this week i've had fastings in the mid 80s, then around 100, then 113 this morning (yes, I took it twice and it was still high). Sometimes walking on the treadmill before bed helps, other times it makes no difference. Same bedtime snack for days, totally different numbers. I'm also making separate meals for everyone, sick of everyone being such picky eaters. Also sick of thinking about this constantly, it's making me crazy. I have an ultrasound on Tuesday. Hang in there!
post #176 of 354
Thread Starter 

I often sweeten with a mix of stevia (go easy on it) and xylitol, and then a tiny, and I mean TINY bit of "real" sweetener (sugar, agave, honey, maple syrup). The combo works to me but I also have gotten where I don't care for things to be very sweet.

 

Juice: I have never been a regular juice drinker but have really cut it out entirely from my diet. I drink sparkling water with a SPLASH of juice (like 2 tablespoons or something) and/or some lemon juice. I am used to that and find it really refreshing, but I doubt it would be totally satisfying for a regular juice drinker. DH likes this soda called "zevia" that is stevia-sweetened. But if you aren't averse to artificial sweeteners you could also just drink diet sodas.

 

For pops... maybe you could try some of the crystal light in small packs or buy a mix pack and see what you like? But I think that the no sugar might make a problem for texture... it will be like rock solid ice. Instead you could use a plain yogurt of kefir (the sugars listed on the label are probably not accurate, as the milk sugars are actually digested by the bacteria) and lightly sweeten with either splenda or the mix I mention, and mix in some vanilla and/or berries (which are actually quite low carb) and that might freeze to a nice sugar-free pop. Or even the yogurt together with a crystal light type thing, to make a sort of creamsicle? You could mess around with coconut milk and make chocolate coco pops with unsweetened cocoa, sweeteners, vanilla. Also sugar-free pudding mixes might make good pops but you'd have to use a low-sugar "milk" (like unsweetened soymilk, or low-carb almond or coconut milk). You might experiment with blending some ripe melon and water, with a little extra sweetener and freezing that. My guess is that there are sugar-free pops out there already commercially, just be sure to read the nutritional label that they are actually low carb too.

 

Also as you've probably seen on this thread already- some of us find that we can't eat the recommended amount of starch servings (anywhere near it actually) and stay within blood sugar targets. Breakfast is the hardest meal for many people. I eat a very low carb breakfast (and I even have very "good" numbers this time around). Like eggs and coffee with cream. Maybe some plain yogurt with berries, or some nut granola. I pretty much cut all grains and limit fruit, and of course sugar (and most liquid milk) and that works for me. Tonight I had my tacos on cabbage leaves, was okay. The first couple of days adjusting are probably the hardest.

 

Good luck!

post #177 of 354
I have been making low-carb smoothies that might freeze well into ice pops. I use Almond Breeze almond milk (2g carbs per one cup) or Silk light soy milk (I think this has 6g carbs per one cup, plus 6g protein). Then I blend in some frozen berries and a little stevia, but you could also try cocoa powder. Sometimes I add almonds. Cherries, fresh or frozen, are very low on the glycemic index and actually seem to have the effect of lowering my bs, you could try blending those in.
post #178 of 354

Out of curiosity what are the target numbers everyone is being given?

 

I've been told under 4.5 (80) for fasting, 7.8 (140) for 1 hour post-meal & 6.9 (125) for 2 hour post-meal.

 

It's the fasting I'm most curious about 'cause it continues to be unattainable for me on a consistent basis & anything I can find doesn't support a need for it to be this low.

post #179 of 354
Quote:
Originally Posted by lifeguard View Post

Out of curiosity what are the target numbers everyone is being given?

 

I've been told under 4.5 (80) for fasting, 7.8 (140) for 1 hour post-meal & 6.9 (125) for 2 hour post-meal.

 

It's the fasting I'm most curious about 'cause it continues to be unattainable for me on a consistent basis & anything I can find doesn't support a need for it to be this low.


That fasting goal is crazy. I personally have only been under 80 maybe twice in the last 6 weeks.

My goals are under 95 for fasting, and under 120 for 2-hr.
post #180 of 354

I was told under 90 for fasting (93 seems about average for me though, no matter what I do) and under 130 but preferably 120 for 1-hour which seems a lot lower than what others are being told.

 

Shonahsmom, I am so with you on the anger and frustration! Plus my regular OB was a dick last time and blew me off saying my body wasn't "storing insulin." Yeah, and neither is yours, doc, because insulin doesn't work that way.

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