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Gestational Diabetes??? - Page 2

post #21 of 31
I have recently been diagnosed with GD and do pretty well with diet control. I do know they want your fasting sugars under 90 consistently as well as 1 1/2-2 hours post meal below 120. Your readings will vary with exercise as well as what you had the night before. My MW had to refer me to an OB (in our state, my particular MW is now unable to assist with my birth as I am "high risk") and he sent me to a diabetic counselor. And you don't have to cut out the carbs, just learn to balance carbs and protein. My counselor also said I could have 1/2 cup of ice cream, but prefers it during the day rather than night. There is also something called "glycolitic dumping" that can happen during the night which involves your liver dumping sugar into your system (you might want to research that a bit more than trust my knowledge!) and that can raise your fasting readings. Someone mentioned your diabetes perhaps not being GD and I agree; you should be tested for GD between 24-28 weeks because the hormone resistance to insulin at that time. Your pregnancy is still early and the resistance should not be as high. Try walking at night for 20-30 minutes after eating and it might help.
Good luck!
post #22 of 31
My doctor likes for my fasting to be below 100. I was too high for a while, and got put on glyburide, but it was still high, and insulin was being considered. I also started eating Extend Bars in the evenings (they're supposed to help with fasting blood sugars all night) and I have been taking cinnamon, in a capsule form, every morning. With these changes, I've gotten my morning test down to below 90 every time. Some people say vinegar also helps, but I was only able to swallow that one time! Good luck!
post #23 of 31
I had gd with my first pregnancy, and the only thing that helped my fasting levels was drinking a smoothie made with protein powder and a little soy milk right before bed. I was on the maximum dosage of glyburide by the end of the pregnancy, and nothing, nothing helped my fasting levels until I figured out this smoothie trick.
post #24 of 31
I had GD with my last two pregnancies (the first of which ended at 33 weeks, before I'd had a chance to get used to having GD!). With the last pregnancy I was testing myself at home once a week and the GD kicked in at 17 weeks.

The main tricks that helped me keep my numbers good were these:

1) Walking a good distance every day. Exercise helps type II diabetics, and GD is type II-like. I tried to get in 30 minutes at a decent pace every day (didn't always work, but I tried!)--two 15-minute walks spaced over the day is probably even better. And truly, little things like using stairs instead of an elevator (if you still can as your pregnancy progresses! ) are also helpful.

2) Eating small portions 6 or 7 times a day instead of regular portions at 3 meals.

3) Always combining protein and/or fat with carbs: a banana with peanut butter, cheese and crackers, meat and salad. I love fruits and vegetables, but the only way I could eat them was to make sure I had a glass of whole milk, some nuts, or some yogurt with them. (ETA: eggs may become your new best friend! They're also supposed to be great for developing brains. And this is also your chance to have a little bacon every day if you love it!)

Note also that you *will* be able to eat small quantities of ice cream and other sweets high in fat and protein. In fact, Ben and Jerry's ice cream was kinder to my blood sugar than a "healthy" bagel with lox and cream cheese! No sorbet or other carbs-only treats, though, and keep it to a small portion at a time.

4) Eat some cheese and crackers before going to sleep to keep your blood fasting levels low. Sounds crazy, but it works. (A PP already explained why, I think--if your body goes "too long" without gastronomic input, it releases sugars into your bloodstream to keep your blood sugar level from tanking, which in someone with GD can't be processed quickly enough to be back to fasting levels by morning.)

Remember also that your insulin resistance (your GD) will change throughout the pregnancy; it hits a maximum at about 32 weeks, I believe. So don't expect to figure out exactly what and when you can eat and use that for the rest of the pregnancy. I tested fasting and my 1 and 2-hour levels after every meal one day a week every week of my last pregnancy. If they were good, I knew I was still eating okay for my current insulin resistance. If they were a little high, I modified my eating (smaller portions, more protein, fewer carbs, . . . ) and kept testing until my levels were good.

Hope this helps, and good luck to you!
post #25 of 31
Thread Starter 
Thanks everyone for your input. I had my 3 hour OGTT two days ago and found out yesterday afternoon that I passed! It's really odd, but it seems that the high blood sugar I had last week seems to have disappeared. Suddenly over the weekend my numbers started dropping.. Last week my fasting numbers were in the 120s and that is what alarmed me. Saturday my fasting was 86, then it went up to the 110s and stayed there until yesterday I got a 95 and today a 101???? Interestingly, my high numbers occurred when I was eating barely any carbs at all and no sugar. This week it seems I can eat whatever I want and my numbers seem to be dropping. Makes no sense to me, but even with fasting numbers at 110 I was sure I'd fail the ogtt, but I promised myself that I'd go with whatever the lab says, so since I passed I'm not going to worry.

I will, however, continue to eat healthy, cutting out sugar and bad carbs and I'll test my morning fasting level every day just to be sure it doesn't spike again.

I'm seriously confused as to why this happened, but I'm happy that I seem normal now, so I'm going with it, lol!
post #26 of 31
Congrats Kathy! That's good news.

I think the glucose meters aren't as accurate as they say they are. Mine would've definitely diagnosed me as GD, yet I passed the 1 hour test with flying colors.

So perhaps your meter is off. I know I'm going to get a new one.

V
post #27 of 31
So true about the meters--I have three, all Accu-Chek models, and all give different numbers. The one the hospital gave me for GD has the lowest readings, the oldest monitor is about 4-5 pts higher than that, and the third one is usually 8 pts higher but has been up to 14 pts different when I take the readings all at once. I go with the lowest since that's what they want me to use.

Random question--does sleep affect fasting blood sugar? I had two high fasting readings yesterday and the day before and slept really poorly, if at all (up at least every hour to pee, trouble falling back asleep), then slept more "normally" last night and my fasting was back down again. There were some other factors, I know, but the sleep was the biggest change in my mind, so I wondered if that can have an impact!

ETA: By "high" readings I mean 95-100 the past two days, with it going back down to 86 this morning--so not a huge jump, but Dr wants it under 90 (ideally) or at least under 95, so it was noticeable.
post #28 of 31
High blood sugars that early in a pregnancy is not GD. My advice for anyone in this position would be to get a hemoglobin A1C test done and see an endocrinologist. There are things that should be looked at closer for diabetic preganant women, including a level 2 ultrasound at a certain gestational age to insure there are no heart defects (a concern for diabetics). These high levels also put you at very high risk of being diabetic after pregnancy, so being followed up by a doctor is important. I would also definitely see a dietician who is familiar with diabetes. I was having high blood sugars early in my pregnancy (I had my mothers old monitor), and was treated for gestational diabetes while pregnant, even though I really was diabetic, and still am. I followed the diet very carefully, and managed to do a great job and frankly, I ate more food while pregnant than at any point in my life. It's a great diet really. And yes, you should eat balanced meals and 3 snacks, it's important to get protein and fat as well as complex carbs. Things like white rice, pasta, mashed potatoes, ketchup, corn, and so on were very problematic. I wouldn't go overboard on the protein though, 2 oz at breakfast and lunch, 3 oz at dinner, and 1 oz at snacks. The important thing is to educate yourself on serving sizes for carbs, for many carbs the serving sizes are MUCH smaller than we are used to. I think a serving of white rice is 1/4 or 1/3 cup! That's COOKED mind you! Pasta is half a cup. My son had no issues because of my diabetes, thankfully. But seriously, see a doctor!
post #29 of 31
Quote:
Originally Posted by ishyfishie View Post
So true about the meters--I have three, all Accu-Chek models, and all give different numbers. The one the hospital gave me for GD has the lowest readings, the oldest monitor is about 4-5 pts higher than that, and the third one is usually 8 pts higher but has been up to 14 pts different when I take the readings all at once. I go with the lowest since that's what they want me to use.
Are your meters calibrated? Each meter should have come with some "standardized" glucose solution that helps calibrate the meter. This should be done somewhat often.
post #30 of 31

fwiw

fwiw--don't mean to go too off-topic, but i had horrible blood sugar problems after my last pregnancy. i found the traditional foods board here, and i NEVER get low blood sugar anymore. just something to check out that's nearby--experienced mamas already getting rid of all refined sugars and carbs and doing in a fun and delicious way! http://www.mothering.com/discussions...play.php?f=365
post #31 of 31
I had GD and had a homebirth with my second son. However, we(my midwife and I-I work for her) were in total denial about it and it was uncontrolled. We didn't really believe in GD...however...
An hour after a normal meal (as in not a lot of carbs, no sugars) my number was 154. I got tested because I was just dumping sugar into my urine.
I had a 12lb 12oz baby who was a 5.5 minute shoulder dystocia, he had APGARs of 2 and 10 and needed resuscitation. It was terrifying for everyone in involved, particularly for my partner.
My biggest fear was fetal demise. It can be a risk of GD and it should be taken seriously.
If managed properly, it would be perfectly fine to have a homebirth.
I would have walked a mile a day,seriously changed my diet and tested my blood sugar if I could go back in time. I cut back on sugars, but still ate them as well too many carbs. I ate a very healthy diet, but treated myself to goodies too frequently.
Good luck!
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