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Gestational Diabetes Support Group - Page 51

post #1001 of 1308
Hi All,
I went to my new midwife yesterday and overall it went very well. I feel a little unsettled about the whole "sugar thing". At first I felt great. She looked at my paper with my numbers that I had been taking and wasn't alarmed much because they weren't as high as 160's-180's. She said absolutely NO fruit juices, sugars or sweeteners and no white flours. Stick to whole foods.

I then asked her if she wanted me to just chart what I was eating or if she wanted my numbers from blood pokes too. She thought about it and said she just wanted to know what I was eating. She also said that very very rarely do babies have problems from mom's with gestational diabetes--it's only if you become insulin dependent that you could have problems.

This sounded great at first, but I got to thinking, but how would you know if I was insulin dependent unless I was charting my numbers along side of looking at what I was eating.

She said she was going to do some more research on the importance of the numbers and the ok numbers. She asked me if I had the gestational diabetes diet and I said no. but she didn't have it either and said she'd find it online.

I'm kind of feeling like she doesn't know what she's talking about, but she's got great statistics and has done over 1100 births.

What do you guys think?
Sarah
post #1002 of 1308
Quote:
Originally Posted by mamatoady View Post
Hi All,
I went to my new midwife yesterday and overall it went very well. I feel a little unsettled about the whole "sugar thing". At first I felt great. She looked at my paper with my numbers that I had been taking and wasn't alarmed much because they weren't as high as 160's-180's. She said absolutely NO fruit juices, sugars or sweeteners and no white flours. Stick to whole foods.

I then asked her if she wanted me to just chart what I was eating or if she wanted my numbers from blood pokes too. She thought about it and said she just wanted to know what I was eating. She also said that very very rarely do babies have problems from mom's with gestational diabetes--it's only if you become insulin dependent that you could have problems.

This sounded great at first, but I got to thinking, but how would you know if I was insulin dependent unless I was charting my numbers along side of looking at what I was eating.

She said she was going to do some more research on the importance of the numbers and the ok numbers. She asked me if I had the gestational diabetes diet and I said no. but she didn't have it either and said she'd find it online.

I'm kind of feeling like she doesn't know what she's talking about, but she's got great statistics and has done over 1100 births.

What do you guys think?
Sarah
Hmm personally I would invest in a meter & at the very least keep track of #'s.

I wouldn't really know I had gd except when my sugars get really high I get super tired, so having a meter to check gives me some idea if I'm eating something my body isn't going to tolerate(spiking #'s) or if I'm just regular old el preggo tired.

Also I've had some really low blood sugars just from 'overdoing' it by cleaning the house for extended periods. Hypoglycemia is not something to play with imo. When #'s drop under 70 it's important to make sure you get some glucose in you.

Not trying to scare you just throwing out a few of my reasons for wanting to test. I never took gd too seriously until the first time my #'s crashed & if dh hadn't been there to grab me, I would have fallen face first(and baby first) onto the floor when I passed out.
post #1003 of 1308
Quote:
Originally Posted by mamatoady View Post
Hi All,
I went to my new midwife yesterday and overall it went very well. I feel a little unsettled about the whole "sugar thing". At first I felt great. She looked at my paper with my numbers that I had been taking and wasn't alarmed much because they weren't as high as 160's-180's. She said absolutely NO fruit juices, sugars or sweeteners and no white flours. Stick to whole foods.

I then asked her if she wanted me to just chart what I was eating or if she wanted my numbers from blood pokes too. She thought about it and said she just wanted to know what I was eating. She also said that very very rarely do babies have problems from mom's with gestational diabetes--it's only if you become insulin dependent that you could have problems.

This sounded great at first, but I got to thinking, but how would you know if I was insulin dependent unless I was charting my numbers along side of looking at what I was eating.

She said she was going to do some more research on the importance of the numbers and the ok numbers. She asked me if I had the gestational diabetes diet and I said no. but she didn't have it either and said she'd find it online.

I'm kind of feeling like she doesn't know what she's talking about, but she's got great statistics and has done over 1100 births.

What do you guys think?
Sarah
I personally would want to know what my blood sugar numbers are. I'd get a glucometer and test regularly. Fasting and 2 hours after meals, then depending on the numbers go from there. That way you will know whether you need insulin or not.
post #1004 of 1308
We probably don't have anyone left in this thread on glyburide do we? I think the last time I saw it in my search it was still 2008.

I took my first dose this a.m. after staring it down & willing it not to give me any wonky side effects for 20 minutes.

Fasting was 99, 1 hour was 164 & 2 hours 102. So at least it didn't keep spiking I guess?

Hopefully it starts kicking in faster so I can avoid the 1 hour spike but even if it doesn't I'll take feeling better in 2 hours than not at all
post #1005 of 1308
I'm on glyburide. It does seem to help me with my numbers and without it I would not able to eat any carbs at all, which isn't healthy.
post #1006 of 1308
I do have a meter and I am tracking my #'s for myself...I guess I'm just wondering if I should be more concerned that my midwife doesn't seem overly concerned or if I should just trust her.

Sarah
post #1007 of 1308
Quote:
Originally Posted by mamatoady View Post
I do have a meter and I am tracking my #'s for myself...I guess I'm just wondering if I should be more concerned that my midwife doesn't seem overly concerned or if I should just trust her.

Sarah
If you are having problems and your midwife is not concerned, then I would be concerned. If you are tracking your numbers (highly recommended by me as well) then if you are NOT having issues by controlling things with diet then I would be happy to have a hands-off midwife and just go with it. Take charge of your own care. If things are not right, ask for help and keep asking until she listens. Check out the websites that I linked to several pages back (sorry, need to eat, I'm starving or I'd go look for them again!) or google plus-size-pregnancy diabetes and there is an excellent website out there that has compiled lots of data/studies on outcomes for moms with GD. In short, your midwife is right, those of us with diet-controlled diabetes are at a pretty low risk as there is very little evidence that there is any change in outcomes based on treatment vs. no treatment if "no treatment" means diet control.
post #1008 of 1308
Quote:
Originally Posted by mamatoady View Post
I do have a meter and I am tracking my #'s for myself...I guess I'm just wondering if I should be more concerned that my midwife doesn't seem overly concerned or if I should just trust her.

Sarah
yes. I think she is being way too loose about it personally.

Quote:
Originally Posted by KarlaC View Post
We probably don't have anyone left in this thread on glyburide do we? I think the last time I saw it in my search it was still 2008.

I took my first dose this a.m. after staring it down & willing it not to give me any wonky side effects for 20 minutes.

Fasting was 99, 1 hour was 164 & 2 hours 102. So at least it didn't keep spiking I guess?

Hopefully it starts kicking in faster so I can avoid the 1 hour spike but even if it doesn't I'll take feeling better in 2 hours than not at all
yay for your numbers going down!

Quote:
Originally Posted by kdtmom2be View Post
If you are having problems and your midwife is not concerned, then I would be concerned. If you are tracking your numbers (highly recommended by me as well) then if you are NOT having issues by controlling things with diet then I would be happy to have a hands-off midwife and just go with it. Take charge of your own care. If things are not right, ask for help and keep asking until she listens. Check out the websites that I linked to several pages back (sorry, need to eat, I'm starving or I'd go look for them again!) or google plus-size-pregnancy diabetes and there is an excellent website out there that has compiled lots of data/studies on outcomes for moms with GD. In short, your midwife is right, those of us with diet-controlled diabetes are at a pretty low risk as there is very little evidence that there is any change in outcomes based on treatment vs. no treatment if "no treatment" means diet control.
:

Me: Appointments went great! Passed the NST, had two HUGE contractions and no decels,whew. Ultrasound was 8/10 again b/c he was sleeping, well of course he had just performed very well for his NST and was tired They did measurements this time and he is 4 days ahead at 6lbs 14oz. My placenta looked great for 37 weeks so the GD isn't affecting it at all and my blood sugar numbers are probably dropping b/c I'll deliver soon, yay! No weight gain, low blood pressure and my tummy measured right on 37 weeks. I couldn't ask for a better appointment.
post #1009 of 1308
Quote:
Originally Posted by Amydoula View Post
Me: Appointments went great! Passed the NST, had two HUGE contractions and no decels,whew. Ultrasound was 8/10 again b/c he was sleeping, well of course he had just performed very well for his NST and was tired They did measurements this time and he is 4 days ahead at 6lbs 14oz. My placenta looked great for 37 weeks so the GD isn't affecting it at all and my blood sugar numbers are probably dropping b/c I'll deliver soon, yay! No weight gain, low blood pressure and my tummy measured right on 37 weeks. I couldn't ask for a better appointment.
Yeah Amy!! So wonderful that everything is looking good. Sending soon labor vibes your way. . .and Emma's way as well. At 31 weeks I'm looking forward to reading some birth stories soon!! :
post #1010 of 1308
Quote:
Originally Posted by bemommy View Post
Yeah Amy!! So wonderful that everything is looking good. Sending soon labor vibes your way. . .and Emma's way as well. At 31 weeks I'm looking forward to reading some birth stories soon!! :
: Sounds like you're doing great!
post #1011 of 1308
*hugs* to all of you with GD. I don't have time to read this whole thread, but I'm so happy to find this support thread. I had GD when I was pregnant in 2007 and I would have loved this. My baby is now 19 months and doing fine!
post #1012 of 1308
I had my baby girl yesterday at 5:17PM. She was 9lbs even and was born after about 2 1/2 hours of "hard" labor. I am going to post the birth story in my DDC (april) with the birth announcement, but I wanted to let you all know it went GREAT! She was big but perfectly healthy. We didn't even check her (or my) BS during or after labor (lol, we didn't have time during labor!). She's nursing great, alert, lovely, etc. My fasting was 77 this morning, and I ate a nice big hearty breakfast of oatmeal, fruit, eggs, and coffee, and a glass of "emergen-c" and 90 minutes later my BS was 85. After that I just felt so relaxed about it! I am going to do some random pokes over the next few days, but I don't even want to worry about it until I am about a week PP when I think I'll check 1 meal per day for a bit just to see what is going on. If everything is normal and low, I probably won't even do a glucola screen thing at 6w pp.

The funny thing is that she was born (by planned HB) on the last date my medical shadow care people gave me as acceptable for going into spontaneous labor- 40+4. So, we followed their guidelines anyway.

The HB was such a great choice for us, for many reasons, but it was so great that I just wasn't treated like an emergency waiting to happen (and the relatively precipitous birth would certainly have fed into that!!).
post #1013 of 1308
Welcome to Emma's baby girl! : What an absolutely wonderful birth story. So glad everything went smoothly. Continue to enjoy your babymoon. Oh and have another piece of cake for us
post #1014 of 1308
Quote:
Originally Posted by emmaegbert View Post
I had my baby girl yesterday at 5:17PM. She was 9lbs even and was born after about 2 1/2 hours of "hard" labor. I am going to post the birth story in my DDC (april) with the birth announcement, but I wanted to let you all know it went GREAT! She was big but perfectly healthy. We didn't even check her (or my) BS during or after labor (lol, we didn't have time during labor!). She's nursing great, alert, lovely, etc. My fasting was 77 this morning, and I ate a nice big hearty breakfast of oatmeal, fruit, eggs, and coffee, and a glass of "emergen-c" and 90 minutes later my BS was 85. After that I just felt so relaxed about it! I am going to do some random pokes over the next few days, but I don't even want to worry about it until I am about a week PP when I think I'll check 1 meal per day for a bit just to see what is going on. If everything is normal and low, I probably won't even do a glucola screen thing at 6w pp.

The funny thing is that she was born (by planned HB) on the last date my medical shadow care people gave me as acceptable for going into spontaneous labor- 40+4. So, we followed their guidelines anyway.

The HB was such a great choice for us, for many reasons, but it was so great that I just wasn't treated like an emergency waiting to happen (and the relatively precipitous birth would certainly have fed into that!!).
Congrats Emma! So glad that things are going well and you had a good birth.
post #1015 of 1308
Quote:
Originally Posted by emmaegbert View Post
I had my baby girl yesterday at 5:17PM. She was 9lbs even and was born after about 2 1/2 hours of "hard" labor. I am going to post the birth story in my DDC (april) with the birth announcement, but I wanted to let you all know it went GREAT! She was big but perfectly healthy. We didn't even check her (or my) BS during or after labor (lol, we didn't have time during labor!). She's nursing great, alert, lovely, etc. My fasting was 77 this morning, and I ate a nice big hearty breakfast of oatmeal, fruit, eggs, and coffee, and a glass of "emergen-c" and 90 minutes later my BS was 85. After that I just felt so relaxed about it! I am going to do some random pokes over the next few days, but I don't even want to worry about it until I am about a week PP when I think I'll check 1 meal per day for a bit just to see what is going on. If everything is normal and low, I probably won't even do a glucola screen thing at 6w pp.

The funny thing is that she was born (by planned HB) on the last date my medical shadow care people gave me as acceptable for going into spontaneous labor- 40+4. So, we followed their guidelines anyway.

The HB was such a great choice for us, for many reasons, but it was so great that I just wasn't treated like an emergency waiting to happen (and the relatively precipitous birth would certainly have fed into that!!).
Aww so glad to hear everything is going/went great!! Thank you for sharing with us. to you & your dd.
post #1016 of 1308
Congratulations Emma! Enjoy your baby girl
post #1017 of 1308
Congratulations!
post #1018 of 1308
Thanks for your congrats and good wishes. We are doing great! I plan to check my sugars more consistently when I've healed/recovered/slept more and can think about it. For now its such a relief to just not have to think about it all the time. I know you all are looking forward to that too. I hope everyone's births go smoothly and "on time" so you don't have to deal with be harassed by medical people, and nagged by worry...
post #1019 of 1308
Quote:
Originally Posted by jammomma View Post
I'm on glyburide. It does seem to help me with my numbers and without it I would not able to eat any carbs at all, which isn't healthy.
Jammomma I'm curious if the glyburide took a bit to kick in for you at all? So far it's only been a few days but it really isn't doing anything for me, my fasting #'s are actually going up
post #1020 of 1308
It took about a week for it to really kick in for me. It helps if I take with water before I eat. It doesn't seem to work as good if I take with my food.
I tried going off it for awhile just to see if I could control with diet and exercise but I can't. I still need to watch my carb intake, but for example I can have a piece of sprouted whole grain toast with my eggs in the morning and be within range in 2 hours.
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