or Connect
Mothering › Mothering Forums › Pregnancy and Birth › I'm Pregnant › Gestational Diabetes Support Group
New Posts  All Forums:Forum Nav:

Gestational Diabetes Support Group - Page 61

post #1201 of 1308
I'm 37 weeks today and had a good appointment with my endocrinologist yesterday, where we went over various scenarios of my going into labor, and what I should do with my nightly insulin shot.

She said that after the birth, the hospital might be monitoring my blood sugars, so I should wait until I get home to "celebrate." Rats, I was planning on making my husband go out and get me a hot fudge sundae! But she had a good point: I don't want to worry the nurses into giving me more drugs and stuff.
post #1202 of 1308
I have an appointment to meet with the Diabetic educator tommorow. I dout she will tell me anything I don't already know but I'll probably get the paperwork started so I can be set up with an insulin pump and countious gloucose moniter which I'm all for.
My doctor wants my fasting no higher than 95 that hasn't been a big issue actually I'm hypoing a lot so seeing a lot of 30 and 40s I keep trying to see what that danger is (other than the obvious to me such as passing out) but I can't find anything I eat a lot of skittles these days
I've had some highs in the 250-260 range but I test often and correct fast in order to avoid those thankfully nothing higher so far. So far this pregancy has actually improved my numbers I'm used to waking up high no matter what I do but lately I'm waking up in the 80-90s.
I can't really remember how my numbers were with my first child but I'd say they were pretty steady my first arrived at 6lbs so I'm not necessarly assuming my diabetes will mean a large baby.

Deanna
post #1203 of 1308
Quote:
without ins the box of strips would cost $150, and the ketones and lancettes add another $30. i dont mind the $30 but i cant afford the $150. arrrgh.
Are you near a walmart and do you mind them? If not and the insurance jsut refuses to pay consider the walmarts Relion meter honestly I've probably tried out every darn meter on the market and this one is easily my favorite. The meter is like $9-$12 and 100 strips run just around $40. SOme other national brands will help if you call them dirrectly.

Deanna
post #1204 of 1308
I went to my 1st APPT at Humphryes diabetic clinic today.
They changed my meds back to novalog which IM extatic about,AND added NPH which I told my dr I needed but he didn't listen to me.

I learned some new things about what I can and cannot eat.Suprising facts too.My question is I have always taken well over 25units of novalog pregnant or non.She lowered me all the way to 6 units each meal and 21units NPH 2xs a day.

AND she said I had to eat at the most 45 grams carb per meal.THat is TOOOO much especially for only having me take 6 units novalog.Plus at 2hrs afetr eating my BSL is supposed to be 120 or less.

This all sounds so odd to me as it seems too much carbs plus too little meds and BSL goal for after eating seems really low.

Any insight on this?? I got in trouble for not eating even 45 carbs a day,forget a 45 per meal. I have always tried targeting 30carbs or less per meal but I figured because my BSL's have been higher than 130 I have been trying to eat as little carbs as possible.
post #1205 of 1308
Do you match carbs to insulin? as in do you know your carb to insulin ratio? That will help a TON. I here you on the amount of carbs though. I've always stuck to around 60 carbs a day total and felt totally full on that and now my doctor wants me to have no less than 180. Thats jsut seems unreal too me.
My goal is to be 120 or under at 2 hours I correct if above 180 because my correction factor is about 65.

Deanna

Quote:
Originally Posted by arabellalysette View Post
I went to my 1st APPT at Humphryes diabetic clinic today.
They changed my meds back to novalog which IM extatic about,AND added NPH which I told my dr I needed but he didn't listen to me.

I learned some new things about what I can and cannot eat.Suprising facts too.My question is I have always taken well over 25units of novalog pregnant or non.She lowered me all the way to 6 units each meal and 21units NPH 2xs a day.

AND she said I had to eat at the most 45 grams carb per meal.THat is TOOOO much especially for only having me take 6 units novalog.Plus at 2hrs afetr eating my BSL is supposed to be 120 or less.

This all sounds so odd to me as it seems too much carbs plus too little meds and BSL goal for after eating seems really low.

Any insight on this?? I got in trouble for not eating even 45 carbs a day,forget a 45 per meal. I have always tried targeting 30carbs or less per meal but I figured because my BSL's have been higher than 130 I have been trying to eat as little carbs as possible.
post #1206 of 1308
Quote:
Originally Posted by octobermom View Post
Do you match carbs to insulin? as in do you know your carb to insulin ratio? That will help a TON. I here you on the amount of carbs though. I've always stuck to around 60 carbs a day total and felt totally full on that and now my doctor wants me to have no less than 180. Thats jsut seems unreal too me.
My goal is to be 120 or under at 2 hours I correct if above 180 because my correction factor is about 65.

Deanna
No I have no clue how to match carbs to insulin.They did not say anything about that.They say the goal for 2hrs is 120 or below.At 1hr is 140 or below.

I would like to know how to match.When im high I never know how much to give so I try 10-20 depending on what the number is.Of its over 200 then I do 20 if its less then its between 10-15
post #1207 of 1308
arabellalysette, I'd say to give it a shot, especially since you're just starting with the NPH. I take 38 units of NPH per night, and its effects last well into the day. Since you're taking it twice a day, you probably will need less Novalog with your meals, and you never know, maybe it WILL allow you to eat more carbs.

It's going to take time to fine-tune your dose and your eating, of course.

As for the target blood sugar levels, 120 or under for 2-hour postprandial (140 or under for 1-hour) is what my practice was saying for gestational diabetes, though I understand that target numbers are different for regular diabetes.

Good luck with it all! GD was my first experience with diabetes, and it's been such a pain that I definitely don't want to develop diabetes after the baby is born.
post #1208 of 1308
Hi. I'm 24 weeks today and just got the news that I failed the 3 hour test. I have to call and make an appointment next week to talk to a specialist. I'm clueless about this, didn't have any problem passing the 1 hour test with dd and don't know what to expect. Is there a site with a good source of info? Should I go ahead and start some kind of GD diet this weekend since I don't know when I'll get an apt (military, so who knows)? I'm so confused and it's so unfair that I find this out like minutes before the OB clinic closes for the weekend!! :
post #1209 of 1308
Quote:
Originally Posted by Siennaflower View Post
Hi. I'm 24 weeks today and just got the news that I failed the 3 hour test. I have to call and make an appointment next week to talk to a specialist. I'm clueless about this, didn't have any problem passing the 1 hour test with dd and don't know what to expect. Is there a site with a good source of info? Should I go ahead and start some kind of GD diet this weekend since I don't know when I'll get an apt (military, so who knows)? I'm so confused and it's so unfair that I find this out like minutes before the OB clinic closes for the weekend!! :
Siennaflower, I really feel for you! I felt really alone and scared when I got my diagnosis, too. I really hope your appointment comes soon...luckily 24 weeks isn't too late to catch it and do some good. I wasn't diagnosed until 31/32 weeks just because of random timing of the labs and tests.

As far as good info, there is a lot of conflicting info out there. AFter I met with my dietitian I came back here and read through the last ten pages of posts or so (there are so many!) and learned a lot of things that the dietitian hadn't told me. For one, my diet is more flexible than the one my dietitian gave me -- as with many other women on this forum, I was told to eat WAY MORE carbs than I would normally eat at each meal. I found that I was simply unable to tolerate them at breakfast, so I stick with protein-heavy breakfasts and get my carbs in later in the day. I also wasn't really told about how much the evening snack can affect my fasting blood sugar in the morning...I assumed that my blood sugar would just continue to go down after I ate, but actually the liver will produce more blood sugar and spike my readings if I don't eat a good protein + carb snack before bed.

The biggest confusion out there seems to be about when to test, either one or two hours after meals. Many women are given differing advice. Your person will tell you what to do...I think some of the difference comes from whether they believe your GD is purely gestational (i.e. you didn't have undiagnosed diabetes or pre-diabetes prior to pregnancy) or if they think there may have been diabetes there all along. Also, I think not all dietitians are well trained in what is good for regular diabetes versus gestational diabetes -- they are not totally the same. So it may make a difference whether you see a dietitian who works within a prenatal/birth clinic, versus a dietitian who works with lots of different clients, not just mamas.

In terms of starting a diet, I would immediately try or start to try cutting out sugary foods, breakfast cereals, sodas, and treats, if they are in your diet. I was told to eat as much protein and vegetables as I want, and have 20-30grams whole grain carbs with each meal; for snacks (between each meal and one before bed) I can have a piece of fruit with some protein, like a nectarine and a cheese stick or almonds. Getting yourself onto a regular schedule of eating is really important (and sometimes really hard if you are already juggling meals for your a little one!), because regular eating will help your blood sugar regulate and not spike or dip too low during the day.

Edited to add: it's also important to add exercise if you aren't doing some already! I find my post-breakfast readings are way too high (even without carbs) unless I go for a 20 min walk right after I eat and before I test. So I've been doing that every day and now I love it. Walking is excellent for you in general (baby positioning, heart health, stamina, all that good stuff) but actually exercising right after you eat will help the glucose get converted by your muscles. I find the morning is best anyway since it's not hot outside yet! The most important thing is to keep excess glucose from spilling into your baby's bloodstream, and exercise after breakfast is really helpful if that's when your sugars are highest, like mine are. I dunno, might be different for you, just wanted to mention this because I think it is the one thing keeping me away from having to start medication to manage my bG!

Good luck and stay strong!
post #1210 of 1308
Quote:
Originally Posted by arabellalysette View Post
No I have no clue how to match carbs to insulin.They did not say anything about that.They say the goal for 2hrs is 120 or below.At 1hr is 140 or below.

I would like to know how to match.When im high I never know how much to give so I try 10-20 depending on what the number is.Of its over 200 then I do 20 if its less then its between 10-15
It sounds like your very insulin ressistant which is pretty commom in GD and in latter pregancy ( not sure how far along you are) As a starting point an "average" diabetic will use equal to around 1/4 there weight in insulin and 1/2 that of a base insulin..
So I'll take me and I'm not skinny at all I'm around 190 currently 1/4 of this is 47.5 say 47 1/2 of that is 23.5 (lets say 24) soo it would be expected that somone of my weight with normal insulin sensitivity would require about 24 units of a base insulin divided or not and around another 24 units a day of a bolus insulin to cover meals.. This though is just a very crude guide those more sensitive will use less (I use 18 units of base split into 2 shots) other require much more.
A simple starting method in discovering your carb to insulin is the 500 rule take you TDD of insulin (include all types) and divide my 500 so say your using 50 units a day.. 500/50 = 10 so if that works out you would need to take 1 unit of insulin for every 10 carbs you eat.
To find you correction factor do you TDD of insulin and divide into 1800 so say 1800/50 =36 meaning if your too high 1 unit of insulin will lower you about 36 points.
I know it sounds confusing as as a GD you may very well require more but those swings are not fun to have. This site may help explain it a little more http://www.fpnotebook.com/Endo/Pharm...nInslnDsng.htm NOT a doctor so don't go messing with your insulin with out your endos appoval but understanding insulin helps a lot.

Deanna
post #1211 of 1308
FWIW I asked my end why test at 1 hour when pregnant since I can often still be at my goal by the 2 hour. She just said that it was so I can gage the max sugars the baby was being exposed to.. So if I'm soaring at 300 at 1 hour even if I'm at 120 by two thats still not good. I have noticed that some foods that weren't issues before do cause a faster imedient rise these days but I'll often still have enough insulin to bring it down by two hours.. So I'm kinda doing both.. If its a new food/meal since becoming pregnant especially a higher carb then I'm testing the one hour and seeing how my body is doing with it if I know I wait...

Deanna
post #1212 of 1308
Ok, so I'm on my second day checking my numbers, and I've got a question. Yesterday my numbers were great but this morning I had a 144 after breakfast. Now, I ended up falling back asleep right after eating because dd wasn't up yet, would that inactivity cause a high number like that? I had a half a ww bagel (25 carbs) with cream cheese and a little less than 1/2 a cup of 2% milk (5 carbs) so I was right at 30 carbs which is my goal for breakfast.
post #1213 of 1308
Quote:
Originally Posted by Siennaflower View Post
Ok, so I'm on my second day checking my numbers, and I've got a question. Yesterday my numbers were great but this morning I had a 144 after breakfast. Now, I ended up falling back asleep right after eating because dd wasn't up yet, would that inactivity cause a high number like that? I had a half a ww bagel (25 carbs) with cream cheese and a little less than 1/2 a cup of 2% milk (5 carbs) so I was right at 30 carbs which is my goal for breakfast.
I would definitely try to move around a bit after eating. Just stuff like chores or laundry and it will make a difference.
post #1214 of 1308
Quote:
Originally Posted by Siennaflower View Post
Ok, so I'm on my second day checking my numbers, and I've got a question. Yesterday my numbers were great but this morning I had a 144 after breakfast. Now, I ended up falling back asleep right after eating because dd wasn't up yet, would that inactivity cause a high number like that? I had a half a ww bagel (25 carbs) with cream cheese and a little less than 1/2 a cup of 2% milk (5 carbs) so I was right at 30 carbs which is my goal for breakfast.
You may find that this is too many carbs for breakfast (many women find breakfast the hardest meal of the day), and you may also find that the bagel is the problem (I personally really can't eat bread at all, even nice homemade fiber-rich ww bread). Try getting some activity after breakfast but if your numbers stay high think about lowering your carbs and raising your protein (how about an egg or some nuts with yogurt?) and see if that helps.
post #1215 of 1308
The diabetes nutritionist has my meal plan set at 15g carbs for breakfast so that rules out pretty much any bread. Yogurt and sausage or sausage and egg and a cup of milk is usually what I do.
post #1216 of 1308
Quote:
Originally Posted by Pandme View Post
I would definitely try to move around a bit after eating. Just stuff like chores or laundry and it will make a difference.
Quote:
Originally Posted by ZoraP View Post
You may find that this is too many carbs for breakfast (many women find breakfast the hardest meal of the day), and you may also find that the bagel is the problem (I personally really can't eat bread at all, even nice homemade fiber-rich ww bread). Try getting some activity after breakfast but if your numbers stay high think about lowering your carbs and raising your protein (how about an egg or some nuts with yogurt?) and see if that helps.
Quote:
Originally Posted by TexasMum View Post
The diabetes nutritionist has my meal plan set at 15g carbs for breakfast so that rules out pretty much any bread. Yogurt and sausage or sausage and egg and a cup of milk is usually what I do.
Thank you for the feed back. I'm going to figure out something to replace the bagel tomorrow morning and see if it makes a difference.

Zora I totally get how most women see breakfast as the hardest meal of the day. I normally graze in the morning so this is a big change for me.
post #1217 of 1308
i totally hate eggs for breakfast. it seems wrong. lol. nauseating even. i want toast with suugar and cinnamon. i can have 2 slices with tea. then get up right away and do 20 min of housework and i test below 129. i think i am getting the hang of it now. as long as i eat reasinably then get up and move for 20 min (fold laundry, do dishes, etc) then i test fine with in the 1 hour mark. so i save all my housework for right after eating lol. then i rest before eating again. i am starting to feel better too. i have more energy and feel motivated more. i was getting stagnant with not wanting to do anything. i am sure that that didnt help. i also found that if i drink a small glass of milk in the middle of the night (when i get up to pee) i test fine in the morning AND have no ketones.
post #1218 of 1308
Hi, would anyone have any recommendations on how to help/support a friend who was just diagnosed with GD? Special meals I could make and freeze? Inviting her for walks? Please respond in this forum or PM me, I would appreciate any help you kind folks have to offer.

Dawn in WI
post #1219 of 1308
I'm 32 weeks and tested my blood glucose this morning. Fasting was 108 (I tested at 6:15 am and had last eaten around 6 pm the prior evening) and 2 hr after 50 grams of sugar was 97. Is it likely my fasting was high because it was so long in between meals? Should I eat a bedtime snack and retest tomorrow am?
post #1220 of 1308
i have to eat every 3 hours, once right before bed and then once between midnight and 3 am. then i am fine and all my tests come back right. i have to eat at least 3 carbs choices for meals and 2 for snacks including the midnight one.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: I'm Pregnant
Mothering › Mothering Forums › Pregnancy and Birth › I'm Pregnant › Gestational Diabetes Support Group