Gestational Diabetes Support Group - Page 11 - Mothering Forums

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#301 of 1310 Old 10-25-2008, 01:12 AM
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Quote:
Originally Posted by brandyk View Post
most people can eat 2 carbs with lunch, dinner, 1 with breakfast, snacks. i can eat more at breakfast depending on what it is that i eat. just cutting back on carbs is usually not enough.
Wow, the dietitian put me on a diet that gives me 4 carbs with lunch and dinner, 3 with breakfast and 2 with each snack. 15 grams of carb is 1 carb for me, does that look crazy too much? Sometimes I do feel like I could skip a carb here and there but...

Anybody else have similar diets like mine?
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#302 of 1310 Old 10-25-2008, 09:51 AM
 
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Does anyone have to take medicine only in the morning? My numbers are great after meals and exercise, but in the 110s when I wake up. (I do an evening snack, and finally got my ketones down). I tried eating an apple and come ricotta cheese when I got up to pee at 1am last night, and my numbers were higher than ever!

I'm going to try some beef jerky tonight to see if that helps, but I'm not holding my breath.

Also, I'm finding that I need to eat basically the same things everyday. There can't be too much variation or my numbers go up. *Sigh* Only 10 more weeks.
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#303 of 1310 Old 10-25-2008, 10:27 AM
 
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Yogurt w/ fruit is not a good bedtime snack is it? I had that before bed last night and woke up hungry this morning w/ 104. I'm having a hard time getting myself to eat in the afternoon and I've been letting myself get hungry so I get low and it's taking a while to rebound from that. I was 96 an hr after dinner last night which I know is b/c I let myself get really hungry before dinner. Then I'm full and don't really want to eat a snack before bed, but I managed some yogurt, didn't help I guess.

Jennifer, LPN and nursing student, Doula, CPST, and VBAC mama x3 to
AJ (5/03), Evan (12/04), Ilana (11/06), Olivia (2/09), and Unity (8/2012)

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#304 of 1310 Old 10-25-2008, 01:07 PM
 
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Muj - most of us can't eat that many carbs, especially in the morning. Bless you if you can, be prepared to cut it back!

Ruth - I take glyburide am & pm. The PM meds are to keep the fasting #s down.

Peach - Yogurt has lots of sugar. Try getting greek style yogurt, unflavored. Low in carbs, high in protein.
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#305 of 1310 Old 10-25-2008, 03:57 PM
 
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Here's a question I haven't seen covered here, but maybe it was. I have major low milk supply, always have, we're now thinking maybe it's b/c of undx PCOS, but that's just a guess. I wanted to get really aggressive this time and start herbs while pg and as soon as baby was born and use a SNS maybe, all that jazz. The problem I'm finding is that most (if not all) herbs for low supply carry a warning for diabetics b/c it may lower blood sugar. That's good right. I think most of them say insulin dependent diabetics, so as of now, that's not me. Would it be o.k. to use them still? I'm wanting to start ASAP and I can't really ask my OB, he won't know I'm sure and will just say no. I'm not sure my bfing medicine specialist can help much either since she's not really my DR and was a ped before, not an OB. Thoughts?

Jennifer, LPN and nursing student, Doula, CPST, and VBAC mama x3 to
AJ (5/03), Evan (12/04), Ilana (11/06), Olivia (2/09), and Unity (8/2012)

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#306 of 1310 Old 10-26-2008, 12:40 AM
 
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I've had my numbers below 10 once today, and it was 8.9. Other than that I'm reading 10.3 to 10.8. All day. It doesn't matter what I eat. I don't know what to do.
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#307 of 1310 Old 10-26-2008, 01:07 AM
 
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sage, those numbers ARE high. what did you have to eat today? maybe you're eating some hidden carbs. tomorrow, try eating like you would on atkins or something (or like the 50s). eggs for breakfast, 1 slice toast w/ butter. have a snack in 2-3 hrs (15g carbs). no fruit or milk or pudding or yogurt until lunch. 30g carbs with lunch, 15 or so with snack, 30 with dinner, 15 with snack. eat as much protein and fat as you possibly want.

it's obviously not medical advice, and you should consult your doc, but i'm allowed to take some extra glyburide if my numbers pop too high. my gotta eat but BS is high is a HUGE salad (tons of lettuce), with a nice chunk of protein (meat, cottage cheese, cheese, bacon), and however much full fat salad dressing i want. my #s barely go up. other kinds of fiber don't work for me like lettuce does.

and stop stressing about it. the real problem with GD is the long term stuff. relax, because stress will raise your numbers. so will being sick. we have ALL had days that are "no matter what i eat." you'll get through it i promise.

p.s. peach - i'd be worried that you shouldn't be using those herbs during pregnancy, not about the blood sugar. try cinnamon for natural BS lowering properties. please research each herb in that blend for safety!
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#308 of 1310 Old 10-26-2008, 09:15 AM
 
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Hi all - I realized that everything I've posted has been negative, so I wanted to write something positive about having GD.

I'm eating better than I have the rest of my pregnancy - I'm getting a variety of fruits and vegetables while before I was subsisting mostly on carbs and dairy due to nausea and lack of appetite. I have more energy now that I'm following the diet, since my blood sugar levels have evened out (except for morning fasting levels). I'm exercising 3x a day to keep my BS level good during the day (not a lot of exercise, granted, but I'm no longer sitting on the couch all day). I am forced to focus on myself sometimes, instead of putting everyone else first.

So, I guess, in a VERY strange way, GD has made me healthier for the last part of my pregnancy.
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#309 of 1310 Old 10-26-2008, 02:36 PM
 
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I read online that diabetics (no mention of gestational diabetics) should "be careful" of raspberry leaf tea because it can "drastically" lower blood sugar in some people. This confused me - wouldn't lowering blood sugar be a good thing?? Then after reading that, I was not able to find ANYTHING at all about raspberry leaf tea and gestational diabetes.

Anybody have a doc or midwife who has given advice about raspberry leaf tea and gestational diabetes? I'm going to see my doc tomorrow, but he's a mainstream OB so I was just curious what other docs/midwives have to say about it.

I'm just finishing week 35.

Thanks!
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#310 of 1310 Old 10-26-2008, 03:14 PM
 
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Ruth - what a great attitude!

smirkin - if you use the RRL, use it when you would want your BS lowered (after eating), rather than before. also for diabetics that use insulin, that's usually pretty precisely calibrated. you wouldn't want to cause hypoglycemia. that's the concern.

SPEAKING OF WHICH, i woke up in the middle of the night with a bad case. I just sat there eating my way thru the kitchen. I didn't really eat dinner last night (I've been sick and haven't felt like eating) and didn't even think of cutting back my glyburide. So yeah, stuff like that totally can happen. be careful!
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#311 of 1310 Old 10-26-2008, 06:44 PM
 
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what is happening? I checked my blood sugar about 30 mins ago and it was 8.6. About 15 mins later I started shaking REALLY badly so I checked it again and it was 5.5. Within about 5 mins I started feeling like I was on fire, I checked again and it was 5.

I'm sweating, really badly. As in its pouring down my body. What is going on??
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#312 of 1310 Old 10-26-2008, 06:57 PM
 
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what is going on??? I ate a pb&j sandwich. Made with whole grain, low carb weight watchers bread, low carb peanut butter and splenda jam.

I'm at 11.3 now.
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#313 of 1310 Old 10-26-2008, 08:33 PM
 
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Sage --

Are you on insulin now? I've heard that insulin sometimes has an adjustment period while they're finding your dosage, and you wind up going from hypo to hyperglycemic. I'm sorry you're having a hard time.

In other news, I accidentally discovered today that plain water is like pure insulin to me. Since I crossed the 32-week line, my post-meal numbers have been creeping up into the 100s and even sometimes 110s, even at a 2-hour test. Not bad, I know, but I was a little concerned that if they went up much more I might have to take meds to control it and thus lose some birthing options that are currently still available to me. Then this morning, right before my test I was at Target, and I stood in the checkout line for a while and noticed I was a little thirsty and got myself a bottled water, instead of the diet soda or sugar-free iced tea I've been favoring lately. (Not sure what made me do it, but I'm glad!) I drank the whole 20 ounces of water on the way home, came in, tested my glucose, and it was 65! Finding that a little lower than is strictly necessary, I ate four carbs at lunch and drank a tall glass of water, and my test was 85 after that. Much better than the 100s, I think.

So maybe not enough water can increase your insulin resistance? Or maybe it's the lack of artificial sweeteners.

Nealy
mama to T, 5; L, 2; and EDD 12/20/08
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#314 of 1310 Old 10-26-2008, 09:19 PM
 
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Well artificial sweetners can really increase your insulin resistance so that's possible Nealy. Also diabetes can be worsened by dehydration.

Sage same for you, cut out the splenda. I know it sucks not to have anything sweet but really no aspertame, no splenda... it will help. I believe Stevia does NOT have the same affect. But really just use a tiny bit of regular unsweetned fruit spread (like polaners all fruit if you have that there) and skip the splenda jam.

Sage I don't know what's going on with you, honestly I wouldn't be surprised if your liver and pancrease are having a really horribly hard time keeping up with all the stresses you've had on your body the last few weeks. Eat quickly if your sugar gets that low, try an apple with peanut butter next time instead of the low carb stuff, low carb stuff isn't always that low carb, and obviously your body is not processing any carbs at all well right now. I hope the OB can help you tomorrow.
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#315 of 1310 Old 10-27-2008, 02:48 AM
 
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Sage - big hug!! I don't know how far back you read in this thread but you sound exactly like me. For e the glyburide did absolutely nothing & what I ate didn't seem to matter until we got very aggressive with the insulin. I know it is upsetting & frusrating but you will get it figured out.

I had my baby!!! Saturday morning at 5:20am. I will post more details later but we are both doing fine & despite the difficulties I had getting my blood glucose under control he didn't have any of the potential complications from GD.

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

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#316 of 1310 Old 10-27-2008, 08:26 AM
 
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whoo hoo! congrats lifeguard!
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#317 of 1310 Old 10-27-2008, 08:59 AM
 
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Congrats! I'm so happy that things turned out well! The next 15 wks can't go by fast enough I don't think...

Jennifer, LPN and nursing student, Doula, CPST, and VBAC mama x3 to
AJ (5/03), Evan (12/04), Ilana (11/06), Olivia (2/09), and Unity (8/2012)

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#318 of 1310 Old 10-27-2008, 10:42 AM
 
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Lifeguard - Congrats!! I'm so happy you both made it through safely. Hope you get to indulge in some yummy post partum treats!!

Sage - Have you calibrated you meter and double checked your testing methods? Often if I get a number I'm not expecting I take a few deep breaths, wash my hands, and retest. Usually my second result is much closer to normal. I hope things settle down for you!!

This morning is my first visit with the diabetic counselor (under and hour!) and I don't know why I'm so nervous! I know she really isn't going to tell me much I don't already know since I've been through all this before. I'm just anxious to make sure everything is going ok and I'm doing everything right. Update you when I get back!
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#319 of 1310 Old 10-27-2008, 02:56 PM
 
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Congratulations lifeguard!!! : I'm glad to hear you and your baby are doing well.

Muj, my diet recommendations are 30g for breakfast, 45g for lunch and dinner, and 15g for snacks. So, just a little less than yours. Actually, I've been going a little over for breakfast, closer to 40, but my numbers are still OK.

Sage, I hope everything settles down for you. It can be frustrating when your numbers are jumping around and you're not sure why.

I'd like to see what everyone else is eating for their snacks. I've recently learned that I shouldn't be eating edamame or tofu because it interferes with my thyroid meds, so I'm back to the old reliables.

15g (1 carb exchange) snacks:
- 1/2 an apple and a spoonful of peanut butter
- 1/2 c. plain yogurt with a teaspoon of agave nectar
- 1 slice whole wheat bread with peanut butter and cream cheese
- 2 oz. mixed nuts
- cheese slices on wheat crackers

0g or very low carb snacks:
- a hard boiled egg
- baby carrots with mayo+yogurt dip
- a cheese stick

Mom of 2 boys: D-Mac (Feb 06) and Ducky (Dec 08)
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#320 of 1310 Old 10-27-2008, 03:52 PM
 
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Susanna - Those are the carb counts I was given, so I hope it works out for me! She told me to go over (closer to 20g) for my bedtime snack to help prevent ketones.

I have a week to try the diet before they put me on insulin!! Thankfully my A1C was only 4.4 and my other tests came back normal. I'm on bi-weekly visits now until the baby comes in Feb!!
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#321 of 1310 Old 10-27-2008, 05:26 PM
 
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momtoxane-
best of luck!
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#322 of 1310 Old 10-27-2008, 06:57 PM
 
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congrats lifeguard on your baby!!! please post more details, not only wonderful birth story stuff, but also GD specific things if any!

sage - hoping you come back with some good news today!

my numbers seem back OK now that i'm recovering from this stupid cold.

for snack i will eat any old thing. but i do more than 15g for snacks (more like 25-30, and for last snack more than that. but that's me, YMMV! I am way more sensitive in the morning, and need lots of protein and fat to counteract my carbs then). except morning snack, where i have nuts or cheese. you could also nuke some lunchmeat & cheese and put it on your alloted amt of bread and use mustard & cream cheese as a spread. i think 1/2 can progresso chicken noodle soup would fit too. depends on your noodle sensitivity. i have been eating a lot because of the cold!
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#323 of 1310 Old 10-27-2008, 08:07 PM
 
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I will post a birth story on my blog sometime in the next couple days but I want to take time to write it up well.

So my baby boy is 20" & 8lb 9oz. I was induced on Friday evening because after my appt & ultrasound on Friday morning we had some concerns as the umbilical cord volume was less than ideal (& had been 2.5 weeks prior as well) & so he was concerned he was not getting optimal oxygen levels. He was also measuring about 8.5lbs (pretty close!).

Because I was already partially dilated & very effaced he felt that we would be successful with just the cervical gel & that was more than enough to get things going - I started contractions within 1/2 an hour.

The OB had warned me they may want to put me on an iv to control my blood glucose but we would be able to play it by ear on that one. I ate through the early part of labour & monitored my blood glucose on my own with no problems. Never went on an iv.

When he was born it was over an hour before I could try nursing because after the first little bit of cuddling they had to transfer me to a surgery room to stitch me up (I've got 3rd degree tears) & that took a full hour. But DH was able to stay with him the whole time. They didn't even check for hypoglycemia because he scored 9 & then 10 on his apgars. The ped told us she wasn't going to prick him unnecessarily when it was so obvious he was doing well.

He is pretty solid but does not have any signs of it being due to the GD - not a large chest or big belly. The doctor confirmed he looked like a normal sized baby for people our size (DH is 6'2" & I am 5'9").

So far no sign of jaundice.

Anything I've missed for GD concerns?

I'm soooo relieved to have him here & healthy & to have the GD concerns behind me. Makes me feel a little bit vindicated as throughout the stress of it all I had this gnawing at the back of my head telling me we were worrying too much.

Sage - I really feel for what you are going for. Please trust it is going to be ok. Just keep on going with the process & you'll find the balance you need.

I am amazed at how many carbs everyone is allowed! I couldn't have tolerated that much at all - lol!

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

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#324 of 1310 Old 10-27-2008, 10:48 PM
 
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lifeguard-

Congrats. Thanks for posting your story.
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#325 of 1310 Old 10-27-2008, 11:06 PM
 
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lifeguard - where are the baby pictures?? we will check your blog for the full shebang plus pics! you must be so thrilled with your healthy baby boy! did you keep on taking your insulin all the way through? i find it interesting that they let you eat.

oh i almost forgot my pregnancy update. DH & I actually picked out baby names last night! we ended up with 3 girls names and 1 boys name. we did the extra girls names because we did NOT want to ever have to revisit the horrible task of selecting names for a girl. we found it extremely difficult. the boy's first name i had picked out when we thought it was a boy and we added a middle name - just in case! i've had 3 "big" ultrasounds and only that first early one showed it was a girl, but i'm so iffy on that because i couldn't tell squat! anyways the whole ordeal took 6 very long hours (DH wanted to quit and I made him go on - he ended up actually putting together the names at the end). i pulled out my baby pictures so he could see how adorable our child will be and that did the trick!
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#326 of 1310 Old 10-27-2008, 11:27 PM
 
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Congratulations, Lifeguard!

lady.gif mama to H. 4/05 and A. 9/08 and baby C. 10/11

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#327 of 1310 Old 10-28-2008, 12:36 AM
 
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Congratulations lifeguard!!!


I went into the diabetes clinic today. The nurse/educator said clearly the glyburide isn't working for me, it works for some, not for others.
She said my numbers are too high to manage with diet, obviously as I was keeping a food journal as well. She said she was sad to tell me that I had to go on insulin and showed me how to use the pen and educated me about the different kinds of insulin and general knowledge about gestational diabetes. She said to have the nurses in the mat ward call my doc so that he can call in a prescription for insulin right away as my numbers have been well outside the safety range for over a week already.

Long story short my OB instructed me to take two glyburide a day and turned and walked out. GGRRRRRR..... two now. Because the one was working out so well?

Health Canada hasn't even conducted studies on glyburide and its safety during pregnancy. I spoke with the pharmacist when I was prescribed it on Friday and he said the section in his Pharmacuetical Encyclopedia was quite extensive. Its not a favored drug for use during pregnancy as it crosses the placenta. He assumed that my doc was only prescribing it to get me through the weekend until I could get the clear from the diabetes clinic on Monday to start the insulin.

I'm finding a new OB. This is the straw that has broken my back and confidence in his ability to properly care for me.
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#328 of 1310 Old 10-28-2008, 02:14 AM
 
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Sage - I went back & forth about the glyburide when I first went on it. the drug DOES cross the placenta, in minute amts. That issue is up to you. BUT a lot of pregnant women use it, and just like insulin, you need to increase the dose as the PG progresses. I take 1/2 pill in the morning and 2 at bedtime. All the crap I've said about Kaiser aside, they monitor my numbers very closely and we increase the dose as necessary (just upped it last week after about 3 weeks of no increases, didn't really take effect until today because I've been sick).

I chose this option in part because of reduced intervention during birth.
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#329 of 1310 Old 10-28-2008, 02:59 AM
 
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Sage - it is true that glyburide is not approved for use in pregnancy (I don't believe it is anywhere quite honestly) but what my OB explained to me is that because it is such a long complicated process for drugs to become approved in pregnancy that they often become an accepted practice unofficially long before they become officially approved. MANY OB's now feel glyburide is safe & prescribe it regularly.

That said - it did NOT work for me & although the insulin was NO fun at all it was so much more easily adjusted & the effects immediately evident that it was a somewhat welcome change (after the fear of the first injection).

I wrote up my birth story this evening if anyone is interested - it's on my blog (link in my signature). I had wanted a natural, intervention free birth. Although I did have a couple of interventions (namely a cervical gel induction & forceps delivery) I feel very good about the outcome & am happy I managed it without the use of any drugs.

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

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#330 of 1310 Old 10-28-2008, 07:05 AM
 
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Sage I'd have a hard time not agreeing with your desire to switch OB's he's been causing you grief since the beginning. I don't know if he was wrong about trying the doubled glyburide dose...its true that there isn't definite research that its safe, but there also isn't adequate research on taking insulin...no proof that it actually improves outcomes. Its all a bit of a crap shoot still and glyburide seems to be proving to be safe in the studies that have been done.

If it weren't for your other complications I'd say up the glyburide before trying insulin but it seems like you are really not going to get away with not having some medical management with your birth anyway and it might be worth it just to get those sugars down and let you eat. Can you switch to that doctor you liked when you went to the hospital that time?

I'm kind of in the same boat, I can't seem to keep my sugar levels down and the way I have to eat to do so might just be too restrictive to do this with diet and met anymore. I'm not sure if we will try switching to glyburide first or just go to insulin since I'm already on meds and it still isn't working anymore. Its so frustrating. Since its not "just" GD for me I'm really concerned that I haven't been able to control it with diet this time. I am worried about what it will do to me after and I'm kind of terrified of insulin as I really do not want to be in a higher risk group, I've had enough of high risk pregnancy.

ETA...Lifeguard its wonderful to read your birth story, Im glad your little guy is here safe and sound.
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