GD moms, how is it going? - Page 9 - Mothering Forums

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#241 of 354 Old 09-08-2011, 04:56 PM
 
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Nica - that's awful. The endo I had last time brought up a c-section every. single. time. I saw him & every single time I left his office crying.

 

I have been doing a terrible job of monitoring. I'm eating just fine but I just haven't been able to bring myself to keep testing so frequently. I'm really get run down & having a tough time getting through the days.


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#242 of 354 Old 09-08-2011, 05:18 PM
 
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Nica, what a jerk! I am keeping everything crossable crossed that he won't be on call when you deliver. 

 

I had my 36 week appointment today. Since the diabetic center never bothered to call me for an appointment, doc had me do a random glucose draw and an A1C last week. Both came back absolutely normal. I have no idea was going on a few weeks ago, but it looks like it was a fluke, a hormone glitch, or maybe even a screw up at the lab. It doesn't look like my glucose tolerance is impaired right now. Isn't that odd?


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#243 of 354 Old 09-08-2011, 05:48 PM - Thread Starter
 
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NicaG, why do you need to keep your babies as small as possible?!? Those sound like great sizes! (mine were 8lbs6 and 9 even, DH is 6'2". Some people are just big! I was 9lbs at birth, my sister was close to 10lbs, my husband was 8lb8, his sister around the same.) Its not like you had a 12-pounder. And have you checked out the blood sugar 101 website? Lifeguard and I both have posted links here (I think) but here it is again: http://www.phlaunt.com/diabetes/index.php

This is really good information, and TOTALLY NON-JUDGMENTAL about how our bodies develop type II diabetes and what to do if you suspect you are developing it, if you have it, etc. I really appreciated this after my previous pregnancy and the panic I felt over developing diabetes as a result (also my mom has type II, as did her brother and her father.)

 

Make sure you don't see that doc again!

 

Snugglebugmom: could have been a mistake to begin with. Also, if you only had very mild insulin resistance, by now it could have already lessened on its own. the hormones that cause the increased glucose sensitively fluctuate during pregnancy and many people find that their blood sugar numbers stabilize at the end. By 36 weeks for sure.

 

AFM: saw one of the MWs today. She said don't worry about monitoring so much right now. Numbers have been so good all along that she thinks if I keep up what I am doing, its fine. (while I work out what happened with my insurance and why they refused it at the pharmacy). I'm 33 weeks but at this point I don't think the GD would be getting worse. She was a little surprised at my weight gain, but didn't hound me about it either. 

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#244 of 354 Old 09-08-2011, 06:28 PM
 
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emmaegbert - that's great news! Could they have actually cancelled your insurance without informing you? Wouldn't that alone make their decision null? I really hope you are able to clear it up quickly & easily.


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#245 of 354 Old 09-09-2011, 08:35 AM - Thread Starter
 
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well, I left a number to get a call back from human resources administration (state agency) regarding my health insurance. sigh. not holding my breath! But yes, at least its nice not to be stressing about the blood sugar monitoring at the same time. It was so nice and validating to have an appointment where everything looks great! Phew. If only the rest of my life would follow suit... I checked income levels again and I am definitely eligible.


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#246 of 354 Old 09-09-2011, 01:55 PM
 
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Sometimes on different diabetes support message boards, there are supply swap threads or you can find people with supply overages.  The county health department also can be a good resource.  Before this pregnancy, I often had overages of strips and would use the internet or the health department as a way to get them in the hands of those who didn't have them.  I have gone through my back supply this pregnancy, that's for sure!

 

On the weight loss: The weight loss has stopped, but I didn't gain.  I'm personally not that concerned.  Even though I was smack dab in the middle of health BMI before starting this pregnancy off, I don't think that only gaining the 12 pounds total this pregnancy is something to be alarmed by.  Baby is growing and measuring well, she's obviously getting the nourishment she needs.  I've worked hard to gain the weight I have and just really resented the implication that I was trying to loss weight or something.  That on top of all the comments from everyone under the sun that I barely look pregnant (despite very much feeling huge and having not been able to wear my normal clothes since first trimester!), it just was a really sore spot.  My iron level from Tuesday's blood draw was up (ha!) to 8, so I was able to avoid the much discussed transfusion that I would have had to get if it was still under 7.  Yay!  A1c was 4.8, which was down a little from last months, so that was good too.  Baby this weeks non stress test before dropping off the monitor and taking a minute or two to find again with doplper.  She decided to totally switch sides, that's all.  


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#247 of 354 Old 09-10-2011, 09:44 AM - Thread Starter
 
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livacreature, good news all around. OBs and MWs really can make us feel crazy about weight gain (too much or too little). I think it tends to be an area of a lot of emotion for many women already, and then during pregnancy our bodies are changing so much... well anyway. I am surprised at how poorly they deal with it so often. Thankfully the MWs I've had for this and my previous pregnancy were really, really low key about it, though I could tell at my appt the other day she was a little...well, she was asking, "what was your weight gain with your previous pregnancies", which I guess was a nice way of trying to ask if I am just balooning up unprecedentedly?!? I am active, eating well, feeling good, blood sugar is very good, baby exactly on track, and so I am just going to chalk this up to everyone being different...

 

my mom, who has type II, usually has oversupply of strips, so when she's in town- which will be intermittent the next month- I will just spot check with her meter. MW was fine with that. And I do think there has been some sort of mix-up and not a total cancellation of my insurance. B/c even though I've gotten no answers about it (haven't spoken to a human being yet) my HMO that handles most of my care (not prescriptions though) still has me on their rolls. PHEW.

 

Lets see... I'm planning to make roasted cauliflower and fresh pesto for dinner. maybe a salad with roasted tomatoes and feta cheese too... (I have a big supply of all those veggies from my CSA box...). All the apples and pears and pumpkins are coming to market here now and its sort of a bummer not to be able to eat much of it. Fall produce starts getting less low-carb friendly... I was thinking I could try to work on a stuffed cabbage-leaf recipe that replaces rice & meat with maybe quinoa, nuts & mushrooms?


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#248 of 354 Old 09-10-2011, 10:32 AM
 
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So, speaking of baby size...

 

What week are you ladies on and what is your babe measuring at??

 

At 35 weeks (last week) my little man was 5pds 3 oz....My OB said thats a bit on the big size but dont worry, as long as he stays under 9 pds and my blood pressure stays down she will let me go to 42 weeks.

 

However, my (asshole) specialist was actually a lot less of an asshole this week, came in joking with me and had a lot of positive things to say.

 

When I asked him about babies weight he said it was spot on, in the 30th percentile.

 

 

Heres hoping to no gigantic babies!!

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#249 of 354 Old 09-10-2011, 11:11 AM
 
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dragonfly mama - this past week my u/s said 5lbs 5oz which I was told was 59 percentile - I was 35 weeks. Weird.


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#250 of 354 Old 09-10-2011, 11:32 AM
 
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See...the in-consistancy between doctors and what Im being told told scares me...I have seen a lot of variance online as to what he should be weighing in at too..

 

Bah...Just have to keep telling myself "4 more weeks, 4 more weeks, at all going to be worth it"

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#251 of 354 Old 09-10-2011, 12:05 PM
 
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I've been measuring about 10 days behind the whole run. Biweekly ultrasounds have her in the 40-50%. The last 2 weeks they haven't measured and they didn't mention size which seems weird, but I also forgot to ask. I am getting nervous about labOr vs csection. The hospital I'm at is rather archaic, they don't have telemetry mOnitoring and have a no food/drink policy. I will be sneaky w water, but the whole thing freaks me out. I wish I didn't risk out of birth centers. And honestly, I would rather schedule a csection than be induced with pitocin. That is my big delivery fear.

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#252 of 354 Old 09-10-2011, 12:21 PM
 
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I've been measuring about 10 days behind the whole run. Biweekly ultrasounds have her in the 40-50%. The last 2 weeks they haven't measured and they didn't mention size which seems weird, but I also forgot to ask. I am getting nervous about labOr vs csection. The hospital I'm at is rather archaic, they don't have telemetry mOnitoring and have a no food/drink policy. I will be sneaky w water, but the whole thing freaks me out. I wish I didn't risk out of birth centers. And honestly, I would rather schedule a csection than be induced with pitocin. That is my big delivery fear.


Im hoping things go your way momma!
 

Im trying to stay positive, I had my strep b test yesterday and she did a cervical check while she was in there, said I was a bit over one finger dialated which means my body is gearing up on its own.

 

Im lucky to have a fairly laid back, natural birth positive OB...keeping my fingers crossed.

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#253 of 354 Old 09-13-2011, 05:02 AM
 
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I was so excited today.  Doritos, for whatever reasons, are one of the few snack foods that I can eat without blood sugar issues.  I mentioned that to my coworker, came in my office to find a bag witha  sweet note on it.  Made my day.  It is my last week at work.  Part of me is uber excited, the other is freaking out.  Ultimately, I know I'm at my limit right now.  I have a job that requires me to be on my toes, patient, empathetic, understanding, and on it.  Am I any of those things right now? 

 

Not so much, no.  So I might as well be at home in my oversized teeshirt scrubbing the cupboards...again. 

 

But today was made brighter by doritos. 


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#254 of 354 Old 09-13-2011, 05:12 AM - Thread Starter
 
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size: when they are doing those U/S "size checks" be sure to ask them what the error range is. Sometimes its up to a couple of pounds. The error ranges are so large that certainly *one* "size check" is hardly any information at all. Also, that would explain big differences between them, and big differences between wheat they predict and what the actual size of your baby is. I don't know why docs act like these are so accurate, they know full well that its an inexact estimate.


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#255 of 354 Old 09-13-2011, 05:26 AM - Thread Starter
 
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oh and I feel like a broken record on this, but my second was 9lbs at 40w4d, my total weight gain with that pregnancy was 17lbs (and I am over 30lbs up by now I think). My labor was under 3 hours, she was born with 3 pushes and no tears, etc. I get being worried about huge babies, but 9lbs is not "gigantic" if you take into account the size of the parents (DH is 6'2", I am 5'6" but a broad-shouldered, muscular build and while not particular large hips, obvious big enough!)... its not above the normal range. I think it was in the 90th percentiles? As in- NOT above the range of normal, just at the high end of normal. I think it used to be that 10 lbs and up was considered macrosomia and it kind of gets on my nerves that people now have started saying that 9lbs is macrosomic. Also- babies don't even grow that fast anymore in the last few weeks, and they are just putting on subcutaneous (mostly abdominal) fat. Let me tell you, after having birthed 2 large babies au natural, that the belly fat is NOT the issue. Once the head and shoulders are out (bone) the rest slips out like nothing. Anyway try not to let the panic over large babies get to you-- just like there are a range of sizes of adults, there are a range of sizes of babies. If your blood sugar is in good control, then your baby being large is not necessarily a sign of anything being wrong.


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#256 of 354 Old 09-13-2011, 05:27 AM
 
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Emma: You are absolutely right.  A good friend of mine was told consistently she was having a six-six and a half pounder, nope.  Almost nine pounds.  There are a lot of factors involved, both with belly measurement and ultrasounds.  My doctor told me not to be alarmed as long as she was showing bigger than the 10% and smaller than the 90%, though they were quick to point out that someone has to be there and those someones can be perfectly healthy.


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#257 of 354 Old 09-13-2011, 05:58 AM
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size: when they are doing those U/S "size checks" be sure to ask them what the error range is. Sometimes its up to a couple of pounds. The error ranges are so large that certainly *one* "size check" is hardly any information at all. Also, that would explain big differences between them, and big differences between wheat they predict and what the actual size of your baby is. I don't know why docs act like these are so accurate, they know full well that its an inexact estimate.


I think this must vary. My team is very clear on the fact that they are inexact estimates, especially when it's just one measurement.

 

However, when you have them done regularly throughout pregnancy and the babe keeps tracking on the same percentile, it's statistically unlikely that they are off by the same amount, in the same direction, every single time. (My little one has been 80-90th %tile all the way along. High-risk OB has at least been very reassuring. I quote: "Look. Your A1c is better than most humans. Maybe you just grow big babies. You're tall. Try not to worry about it.")

 

livacreature, in your case, as long as the baby isn't measuring incredibly tiny (which she isn't) and isn't measuring large either (also not) at this point, it's unlikely she's going to move much on the curve, so they may see little point to further size checks. The concern with type 1 is large babies.

 

Also, just my experience, but with my first birth, I had both pitocin (lots of it, and without pain meds) and a c-section. The pitocin was hard, but still way, way easier than surgery. I was induced by having my water broken, and if I could do it again, I would not do it that way. I would start right away with the pitocin and leave the bag of waters intact. Just my 2 cents.

 

 

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oh and I feel like a broken record on this, but my second was 9lbs at 40w4d, my total weight gain with that pregnancy was 17lbs (and I am over 30lbs up by now I think). My labor was under 3 hours, she was born with 3 pushes and no tears, etc. I get being worried about huge babies, but 9lbs is not "gigantic" if you take into account the size of the parents (DH is 6'2", I am 5'6" but a broad-shouldered, muscular build and while not particular large hips, obvious big enough!)... its not above the normal range. I think it was in the 90th percentiles? As in- NOT above the range of normal, just at the high end of normal. I think it used to be that 10 lbs and up was considered macrosomia and it kind of gets on my nerves that people now have started saying that 9lbs is macrosomic. Also- babies don't even grow that fast anymore in the last few weeks, and they are just putting on subcutaneous (mostly abdominal) fat. Let me tell you, after having birthed 2 large babies au natural, that the belly fat is NOT the issue. Once the head and shoulders are out (bone) the rest slips out like nothing. Anyway try not to let the panic over large babies get to you-- just like there are a range of sizes of adults, there are a range of sizes of babies. If your blood sugar is in good control, then your baby being large is not necessarily a sign of anything being wrong.


As I understand it, the issue with diabetes is that fetal abdominal fat is associated with fat on the shoulders as well. (One of my midwives refers to it as when the baby looks like a little linebacker.) This is thought to be a major factor in the significantly increased risk of shoulder dystocia among diabetics.

 

I don't know if this applies to GD in the same way as it does to type 1, but shoulder dystocia is one of the major, major issues in a type 1 birth. (I believe it is the same with GD, but I'm not 100% sure.)


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#258 of 354 Old 09-13-2011, 07:30 AM - Thread Starter
 
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~pi: you are also an uncommonly well-informed patient, and you speak the "language" that they do to. I guess what I should have said, is that even just asking what the error range in those size estimates is could begin a different convo with your HCP. I definitely noticed that with my more medicalized HCP in the past, when I started asking more technical questions, all of the sudden they told me a lot more (and more accurate) information. And I am not a natural scientist or medical professional, just could understand enough of the technical talk to ask questions about it.

 

Obviously multiple measurements are much more accurate. But many GD moms will have one "size check" around 36 weeks (along with their 20 week anatomy scan if they had that). At least in my experience that was the recommendation. Certainly if they were talking c-section after one size check, I would be asking for a confirmation, for more information, for a careful look at the error ranges, for a look at the shoulder size, not length, overall size, etc. And in my case I would be touting my history of two uncomplicated vaginal births of large babies, as well as my own and my husband's birth weights (both of us were large- I was over 9lbs, and I think DH was just under). I am working with HBMWs who are very relaxed about it and we all assume I will have a large baby and that this is to be expected and is healthy and normal for me and my baby.

 

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I think this must vary. My team is very clear on the fact that they are inexact estimates, especially when it's just one measurement.

 

However, when you have them done regularly throughout pregnancy and the babe keeps tracking on the same percentile, it's statistically unlikely that they are off by the same amount, in the same direction, every single time. (My little one has been 80-90th %tile all the way along. High-risk OB has at least been very reassuring. I quote: "Look. Your A1c is better than most humans. Maybe you just grow big babies. You're tall. Try not to worry about it.")

 

livacreature, in your case, as long as the baby isn't measuring incredibly tiny (which she isn't) and isn't measuring large either (also not) at this point, it's unlikely she's going to move much on the curve, so they may see little point to further size checks. The concern with type 1 is large babies.

 

(...)

 


As I understand it, the issue with diabetes is that fetal abdominal fat is associated with fat on the shoulders as well. (One of my midwives refers to it as when the baby looks like a little linebacker.) This is thought to be a major factor in the significantly increased risk of shoulder dystocia among diabetics.

 

I don't know if this applies to GD in the same way as it does to type 1, but shoulder dystocia is one of the major, major issues in a type 1 birth. (I believe it is the same with GD, but I'm not 100% sure.)

 

I have heard conflicting things about the shoulder size/subcutaneous fat but I am certainly not going to pretend to be an expert on this! And in my case, blood sugar has always been under very good control, so nobody has been concerned about hyperglycemia. Actually the high risk OB who did a consult with me last time looked at my birth history (first child, 8lbs6oz did have a mild SD but it was resolved by a change in my position), and he looked at my blood sugar logs and my "size check" and agreed with all the midwives that I would have a baby that was at the large end of the normal range, and that it would not likely be a problem. I do think he treated me very differently b/c I was just a tiny bit of a PITA. Not confrontational, but I engaged him with my own questions and information.

 

I still think there is a big difference between a 9lb baby (high end of normal range) born to a woman who is herself genetically large and has had good blood sugar control, and, say, an 11lb baby born to someone who has had uncontrolled GD and is of small stature.

 

Also various MWs and docs told me that there is also a higher risk of fetal death after 40w and they are not sure why, with GD. But I think many people do not like to discuss that at all, especially not with pregnant moms. So they talk about the shoulder dystocia a lot instead.

 

Also, mutiple times people asked me if I had GD with my first due to his size. I did not, and was screened three times for it, negative each time. I was really defensive about it at the time, "some people are just big!" My son is still a very large-for-age child (not fat AT ALL, just tall, lean, lots of musculature, also very coordinated. He looks to be a good year or two older than he is). I am not discounting that size can be a problem, but I think there is this hyper-focus on it as a risk factor, tied in part to a culture around a fear of fat.

 

 


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pi & emmaegbert - great posts! Ds was 8lbs 9oz which is larger but he didn't have any of the true macrosomia indicators of uncontrolled gd (ie. the barrel chest). I suspect we will see the same thing with dd. Dh is 6'3" & I am 5'9", neither with a small frame. It most certainly would be unusual for us to have small babies. I agree that our fat phobia society definitely plays into things.

 

I am very ready for dd to arrive! I'm finding it harder & harder to stay motivated to check my bs multiple times a day. The appt's are also going to start getting a lot more frequent (ob said yesterday probably twice a week soon) which is just frustrating. It takes at least 3 hours for every appt because of the drive & the waiting. Ugh!

 

 


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#260 of 354 Old 09-13-2011, 08:24 AM
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Oh, totally, Emma. I didn't mean that people should just take it all at face value. Only that there is an actual scientific basis for these issues. It isn't as if OBs are making it all up (though obviously there are thorny problems in terms of risk assessment, attitudes to uncertainty, dichotomization of continuous variables, differences in values for outcomes, etc.)

 

And I totally hear you about the attribution of baby size to diabetes. Yes, the curve moves up with D, but even within the general population, the upper end of the scale is there for a reason, people. Welcome to the concept of Gaussian distribution. (When really provoked, I have been tempted to recommend that a given HCP take a remedial stats class. Sometimes bioethics, too. I have never actually been quite that rude, but I have been tempted.)

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#261 of 354 Old 09-13-2011, 02:43 PM
 
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Just weighing in on pitocin induction vs c-section....I have had 2 pit inductions and I would take that any day over a scheduled c-section. Both were relatively straightforward births (though I did opt for epidural). My babies were under 9 lbs.

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#262 of 354 Old 09-13-2011, 07:59 PM
 
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nica - I'm with you. I would definitely choose an induction over an automatic c-section. Maybe I'm unreasonable but I am ridiculous fearful of a c-section - truly my biggest birth fear.


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#263 of 354 Old 09-14-2011, 08:11 AM
 
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Im having horrible guilt right now....

 

I gave into a really bad craving and while I only intended to have a sip I ended up drinking a little less then half a can of Monster...I was sooooo tired....I could not resist.

 

Anyway, an hour later and my blood sugar is sitting at 150...highest it has ever been (never been over 120-ish) so Im typing this from my eliptical while chugging water and balling my eyes out.

 

Husband walked in as I was getting on on eliptical and was like "Why are you crying this time"...so I screamed "IM A HORRIBLE MOTHER, I DRANK YOUR MONSTER!!"

 

He goes...."That does not make you a horrible mom..it makes you a horrible wife"

 

Im going to punch him.

 

Anyway, heres hoping a half hour or so on the machine brings it down, walking usually drops my sugars super duper fast.

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#264 of 354 Old 09-14-2011, 09:03 AM
 
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Quote:
Originally Posted by DragonflyMom View Post

He goes...."That does not make you a horrible mom..it makes you a horrible wife"

 



I feel your pain, but at the same time that answer made me biglaugh.gif. I love a man with perspective. 

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~Iris~ Catholic mama to DD1 11/15/05 * DD2 04/28/08 * brokenheart.gif06/23/2010 * and our little rainbow DS 10/07/11 love.gif
 

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#265 of 354 Old 09-14-2011, 09:45 AM
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Dragonfly, hopefully a GD mom will chime in here, but I just wanted to send hugs and say that at least from my POV, one high is not that big of a deal. (Also, for me, at least, 150 is not terrible. I mean, I definitely work to stay well below that, but there are much, much higher numbers.)

 

It was a mistake, you're doing the right thing to correct it, and I promise that you haven't hurt your baby with one mild high.

lol.gif to your DH.


professor & maman de DS1 (6) & DS2 (1)

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#266 of 354 Old 09-14-2011, 09:45 AM
 
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dragonfly - one sugar spike is not going to hurt the baby. It's ok. I did find your dh's response funny though - totally something my dh would say.


Surviving sleep deprivation one day at a time with dd (Oct '11) & ds (Oct '08).

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#267 of 354 Old 09-14-2011, 10:19 AM
 
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Quote:
Originally Posted by Snugglebugmom View Post





I feel your pain, but at the same time that answer made me biglaugh.gif. I love a man with perspective. 


We both have weird humor...it makes me laugh now, but at the time I was looking for something to throw at him.

 

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#268 of 354 Old 09-14-2011, 10:21 AM
 
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Quote:
Originally Posted by lifeguard View Post

dragonfly - one sugar spike is not going to hurt the baby. It's ok. I did find your dh's response funny though - totally something my dh would say.



Realistically I know...it was just scary to see it sitting at that high of a number.

 

After a half hour on the elipitical/ 1.5 hours after drinking it I was back at 85 so Im happy now....but no more energy drinks...at least until after the kids out of me lol.

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#269 of 354 Old 09-14-2011, 11:49 AM
 
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Okay, is it possible for a batch of strips to run high? I got new strips late last week. They tested at the high end with the control solution, but within range. All of my numbers ever since I started using this batch are 15 to 20 points higher than I would expect. Like, a meal that I very, very reliably would get a 100, I'm getting 120.

 

I'm 37 weeks, 4 days. My numbers have been coming down since around 35 weeks. I'm having a hard time accepting that my numbers are rising again at this point in the game while I'm keeping my diet in good check. But I guess its possible. Just frustrating. Like, everything I eat, even a  truly carb free meal is giving me one hour readings around 115. Its really weird.

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#270 of 354 Old 09-14-2011, 12:47 PM
 
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Hi everyone, I'm new to the boards and this thread. So has anyone been seeing higher numbers with their third trimester? For the past month or so, I have been getting high numbers almost every day at lunch and have to exercise. Normally 5 minutes of walking would bring my scores down 30-40 points but now it's taking 15 minutes and only dropping 10-20 points. My diet hasn't changed much except I was drinking milk and having greek yogurt and I have been carefully counting my carbs. My only splurge is a half cup of ice cream before bed with some nuts or a handful of chips for snack. Many meals I am still hungry and just waiting for the next snack to eat again. I'm sick of protein and never realized how much I like carbs although I don't eat a lot of sweets...its the other stuff like breads and nachos and crackers and cereals and potatoes that I would normally think is healthy. It's been frustrating and the doctor told me if I have more than 2 high numbers a week I may need insulin. I'm at 35 weeks and trying to hang in there. Sometimes I am pricking my fingers up to 8 times a day when I get a high score because I refuse to write it down and keep exercising till it drops however at times it won't drop below 140 or high 130s after 2 hours. The highest number I have seen is 163 prior to exercise. I don't think it's that high but the doctor is concerned. :(  I'm also having trouble gaining weight. ..gained 16 pounds so far.

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