Gestational Diabetes Support Group - Page 2 - Mothering Forums

Forum Jump: 
 
Thread Tools
Old 08-14-2008, 10:50 PM
 
lifeguard's Avatar
 
Join Date: May 2008
Location: Coyote Rock Farm
Posts: 6,541
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
I found out today that I failed the 1-hr. I'm doing the 3-hr on Saturday. Actually I BOMBED the 1-hr. The doctor doesn't think there is much chance I could pass the 3-hr. I'm devastated by this & kind of angry.

I have pcos so I knew my risk was higher but I didn't know until I did more reading today that staying on the metformin throughout greatly reduces the risk. Why did they tell me to go off it then?

I'm angry at myself for not doing more research earlier & for not being stricter about my diet & exercise throughout. I find the eating every couple hours a major PIA - I always have & so I've been slipping. I'm just NOT hungry & it is SO much work.

It looks like the OB will want me to go right to insulin. But here's the MAJOR complication right now. I'm supposed to leave for a 3 week trip home 1.5 days after the earliest I can get the test results. There is no time to fit in any appointments (as if I could get them that fast) before the trip & I'm soooo stressed I'll have to cancel the trip. I've been looking forward to this for months (in fact it's been the only thing holding me together).

DH left yesterday for home & our phone is cut off (my goodness I hate this country some days) AGAIN. I feel so alone & overwelmed.

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

lifeguard is offline  
Sponsored Links
Advertisement
 
Old 08-15-2008, 01:55 AM
 
purplemama's Avatar
 
Join Date: Jun 2004
Location: SF Bay Area, CA
Posts: 693
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Katerz2u View Post
Hi everyone, guess I am joining you. This is my 3rd pregnancy and my first encounter with GD.
I failed my 1 hour glucose by 6 points and did the 3 hour yesterday. My results today showed my fasting and last (3rd hour) draw were excellent but my in between (1hr and 2hr) were off the charts.
I met with a dietitian/educator this afternoon, went over meal plans and got a meter. It looks like the meals will be easy its just quantity I need to watch. Im also HORRIBLE with eating at regular intervals, sometimes I skip breakfast or go 6 hours without eating..its affecting me badly. I am optimistic I can control this with diet, I hope, because if I don't get it under control Im going to have to go to insulin.
Im so worried but at the same time, Im motivated! Wishing you all luck on your journey too!
This sounds like me (except I failed my 1 hour by a lot more than 6 points). But my 1 and 2 hour were high. I also frequently go without a meal for long periods of time. I skip breakfast regularly and last eat dinner around 7-8 pm, then eat lunch the next day around noonish-1. Needless to say, it's done a number on my body, too. I need to start eating a night time snack (which I never do) and eat snacks between meals and eat breakfast at a regular time.

I just had my nutritionist appt today and learned how to use my meter today. Doesn't seem too hard, but doing it four times a day and exactly 1 hour after each meal will be difficult to do.

Hopefully, I will give birth in about 7 weeks, so I won't have to do this for a very long time.

Hope everyone is coping with their GD okay.

Lifeguard- Good luck with your 3-hour! I hope it goes well for you and your doctor is wrong! And sorry the timing sucks.
purplemama is offline  
Old 08-15-2008, 02:28 AM
 
avivaelona's Avatar
 
Join Date: Jun 2005
Location: Happy Vally MA
Posts: 3,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by lifeguard View Post

I have pcos so I knew my risk was higher but I didn't know until I did more reading today that staying on the metformin throughout greatly reduces the risk. Why did they tell me to go off it then?

DH left yesterday for home & our phone is cut off (my goodness I hate this country some days) AGAIN. I feel so alone & overwelmed.
I'm sorry your time is being so stressful. How far along are you? Can you talk to your doc about just going straight to monitoring rather than subjecting yourself to the three hour? If you get the monitor you can take it with you on your trip and just watch your diet, its unlikely to be so bad that you need immediate insulin if you are careful with your diet and a single day of monitoring should give you an idea if for some reason it actually is that severe.

You didn't eat or drink anything before the test did you?

The reason they didn't have you stay on the metformin for the whole pregnancy is that metformin is not proven safe for pregnancy in the second or third trimester, thus far there are no studies that prove its not safe but there are concerns it might not be. It is standard practice to take women with PCOS off of it after the first trimester. I took metformin throughout my last pregnancy and am doing it this time too, I have reasons to worry that my second trimester loss was caused by going off of it at 13 weeks in my first pregnancy and so I'm willing to take on the risks, my doctors feel the evidence on it goes both ways and left it up to me to make a decision about it, but they made it clear that I was accepting a certain level of risk by doing so.

If you think it would really benefit you, you could go back to your endocrinologist and talk to them about it, however there are other medications that are considered safe in pregnancy and some people try that before going on insulin (I think glyburide is the most common) you could ask your doc about trying that too before insulin.

Personally what I'd do is get that monitor and see what your blood sugar is doing on your NORMAL diet and skip the three hour GTT. The GTT tests are remarkably inaccurate since most of us rarely chug that much sugar at once on an empty stomach and if you have PCOS and failed the one hour that badly the three hour is likely to make you feel pretty ill.

Welcome too Katerz2u.
avivaelona is offline  
Old 08-15-2008, 06:03 AM
 
lifeguard's Avatar
 
Join Date: May 2008
Location: Coyote Rock Farm
Posts: 6,541
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
I didn't eat or drink anything before my test but I realize now I screwed a couple things up that could have made things look worse than they are. I fasted for 13 hours instead of 8 - I understand fasting for too long can make sugars rise as the body finds alternate sources of glucose. I also had not been eating or sleeping very much for a couple of days & was quite sick when I went in. I didn't know those things could also affect the sugars & make them higher.

My hands are tied as far as making any decisions between now & Monday as it is Mother's Day here & everything is closed tomorrow. I am going to do the 3 hour on Saturday as I will be able to get the results on Monday & then we can plan from there.

I'm 29 weeks on Saturday so I'm looking at about 11 weeks of this I guess. I know in theory we can just do diet & monitoring but the doctor right away was talking about insulin which I guess scared me. I don't actually have an endocrinologist (I haven't needed one since I moved here) & there is no way I can get in to see one before I'm supposed to leave on Wednesday.

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

lifeguard is offline  
Old 08-15-2008, 11:21 AM
 
mleigh23's Avatar
 
Join Date: Feb 2008
Location: NC
Posts: 79
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
I just took the 1 hour test this week. And they told me that my glucola was elevated enough to go ahead and diagnose me as having gestational diabetes instead of taking the 3 hour test. I'll be 28 weeks on MOnday. I know I don't have long to go but it's still very scary.
mleigh23 is offline  
Old 08-15-2008, 04:12 PM
 
lifeguard's Avatar
 
Join Date: May 2008
Location: Coyote Rock Farm
Posts: 6,541
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
I'm sorry mleigh. Sounds like we're close to same point.

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

lifeguard is offline  
Old 08-15-2008, 05:22 PM
 
kohlby's Avatar
 
Join Date: Dec 2005
Posts: 878
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by lifeguard View Post
I found out today that I failed the 1-hr. I'm doing the 3-hr on Saturday. Actually I BOMBED the 1-hr. The doctor doesn't think there is much chance I could pass the 3-hr. I'm devastated by this & kind of angry.

I have pcos so I knew my risk was higher but I didn't know until I did more reading today that staying on the metformin throughout greatly reduces the risk. Why did they tell me to go off it then?

.
There haven't been enough studies that make drs feel comfortable with keeping women on metformin during the entire pg. I have seen the research that shows that women are much, much less likely to develop GD while on metformin. But metformin use during pg is still a gray area. I don't have PCOS, but do have insulin resistance. My dr was initially against me doing met and staying on it while pg. But due to my losses, she agreed. I did have to go off of it when I got too sick during first trimester, but I still feel metformin benifited me.

I've also seen a study that showed strict diet can control insulin resistance better than metformin. I'm on a diabetic diet for the rest of my life - whether I have GD or not.

What did you get on your 1 hour? I had a 180 when pg with DD but managed to pass the three hour easily. (Though, if you read my post a ways back, my insulin resistance did cause problems then). I felt terrible during my one hour with DD and actually felt better during the three hour - if that makes any sense! My RE does wonder if my insulin resisance is auto-immune related, which could effect the tests way too much. Also, I wonder how much what you eat in the few days before effects it.
kohlby is offline  
Old 08-15-2008, 05:39 PM
 
Katerz2u's Avatar
 
Join Date: Jul 2006
Posts: 632
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Just updating..
So far my numbers on the meter have been good. Ive been well below the limit of 120 (101, 99, 81) so hopefully I am going to be okay with diet only.

Does anyone else have to do daily keytone strips for a few days? Doc wants me to test first morning for the next 5 days. I was negative this am, never had a positive dip at the clinic so hopefully that stays good too.
Katerz2u is offline  
Old 08-15-2008, 07:54 PM
 
avivaelona's Avatar
 
Join Date: Jun 2005
Location: Happy Vally MA
Posts: 3,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I had high ketones in my last pregnancy so they are having me monitor this time. So far they are fine. Sounds like your blood sugars are great!
avivaelona is offline  
Old 08-15-2008, 08:34 PM - Thread Starter
 
Mommy StormRaven's Avatar
 
Join Date: Jan 2002
Location: Nicholasville, KY
Posts: 966
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Well, Again - I ate exactly as I was "supposed" to per the diet and I spiked my glucose level big time.

I refuse toe take the glyburide again - she had me on it at dinner and right before bed. Takign it had my heart palpatating severely and I coudl barely catch my breath even sitting or lying down with NO activity - obviously NOT a good thing. My "nutritionist" is full of it I'm convinced and after talkginw th my old midwife and previous doctors and them knowing my medical history I'm thinking I was probably misdiagnosed at least a little since under "normal" circumstances my levels are fine, when I eat the diet they are not. The diet has me eatign more than double my daily intake of carbs - my body is simply NOT used to that much sugar in a day .

Needless to say I fired my OB practice and am goign to a more natural birth friendly practice that was recommended to me by several local doulas and I will go over everythign with him at my appointment on tuesday and will happily retake the test under what is a "normal" circumstance for me dietarily.

I dont' mind if this IS the problem but I'm not willign to accept this Dx when it was given under dubious circumstance and the result of doign what the meal plan says does nothign but elevate my levels. So I'm done with them. The nurse couldn't so much as use proper terminology and when DH and I brought up studies that long contradicted what she told us all she did was clam up and tell me that I was goign to do what I wanted anyhow soi she wasnt' goign to say anymore and got very belligerent with us both.

I'm sorry but a caregiver that isnt' willign to listen and adjust for the fact that I know my body and dietary intake better than she does is not a good caregiver IMO. She actually had the nerve to tell my I was eating a "high fat" diet when I told her I was frying boneless skinless chiken breat in a pan with nothign more than a garlic rub on it. She sat there looked me int he eye and said I was cookign with high fat oil - umm I had directly said I wasn't using oil - I never have. Clearly not a caregiver woth her own salt. So on to Dr. Barry Campbell at St. Joseph East - thsi hospital is actually building the first freestanding birthing facility in KY and he had provided backup for homebirth midwives too (which arent' even legal here!) so I feel much better about seeing him.
Mommy StormRaven is offline  
Old 08-15-2008, 10:26 PM
 
lifeguard's Avatar
 
Join Date: May 2008
Location: Coyote Rock Farm
Posts: 6,541
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Maybe it sounds careless but I would have rathered take the chances with the metformin throughout the pregnancy. My reason being that with pcos & a family history my chances of developing diabetes is already elevated. Through in a bout of gestational diabetes & it goes up even more. I may be irrationally terrified of diabetes - but it is what it is at this point. I have been working SO hard with diet & exercise the last several years & I'm finding this really hard to cope with that it just isn't enough.

My fasting was 140 & the one hour was 249. I'm really not looking positively to the outcome of the 3 hour.

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

lifeguard is offline  
Old 08-17-2008, 02:36 PM
 
Katerz2u's Avatar
 
Join Date: Jul 2006
Posts: 632
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Does anyone know if waterless hand sanitizer can throw a reading off? I was in a hurry after changing a diaper and just grabbed a squirt of Germ-X. My reading was 134! I washed with soap and water and redid the reading cause Ive never been that high..and it was 75. What the heck? Was it the hand sanitizer?
Katerz2u is offline  
Old 08-17-2008, 03:15 PM
 
avivaelona's Avatar
 
Join Date: Jun 2005
Location: Happy Vally MA
Posts: 3,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Yeah anything on there can mess up the reading, handsantizer usuallly had alcohol in it.

Lifeguard talk to your doctor about it, they may be willing to perscribe it to continue or perhaps Glyburide would work?
avivaelona is offline  
Old 08-17-2008, 06:02 PM
 
lifeguard's Avatar
 
Join Date: May 2008
Location: Coyote Rock Farm
Posts: 6,541
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
I already brought up metformin & said no. He did mention another drug but the spanish name is beyond my memory.

I did the 3 hour yesterday. Almost passed out about a half hour in but that passed fairly quickly & the rest of the time went ok.

I get my results tomorrow - so - fingers crossed!

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

lifeguard is offline  
Old 08-17-2008, 06:45 PM
 
Katerz2u's Avatar
 
Join Date: Jul 2006
Posts: 632
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by lifeguard View Post
I already brought up metformin & said no. He did mention another drug but the spanish name is beyond my memory.

I did the 3 hour yesterday. Almost passed out about a half hour in but that passed fairly quickly & the rest of the time went ok.

I get my results tomorrow - so - fingers crossed!
Yuck, I felt terrible for a while during my test also. I passed out for a few hours once I got home. Apparently this is quite normal even with people who dont have GD. They kept offering me a bed to lay down in, saying that lots of moms need to. Crossing my fingers for you!
Katerz2u is offline  
Old 08-18-2008, 06:24 PM
 
lifeguard's Avatar
 
Join Date: May 2008
Location: Coyote Rock Farm
Posts: 6,541
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 1 Post(s)
Got the results today. Abnormal for all 4 readings so I am GD. DARN!!! Anyway, he gave me a prescription for glyburide (sp?) & I am going to e-mail him my readings while I'm away. He said I can wait to see the endocrinologist until I get back in September (which is good since I hardly doubt I can get in to a specialist on one days notice & I leave Wednesday). I tried to get in to the dietician but they had no appointments - I'm just going to get a good book when I get back to Canada.

I'll go this aft to the pharmacy for the prescription & look into the blood glucose meters but I might wait until I get back to Canada to buy one. I'll just have to see if they come in English here or not - lol!

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

lifeguard is offline  
Old 08-18-2008, 08:48 PM - Thread Starter
 
Mommy StormRaven's Avatar
 
Join Date: Jan 2002
Location: Nicholasville, KY
Posts: 966
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Katerz2u View Post
Does anyone know if waterless hand sanitizer can throw a reading off? I was in a hurry after changing a diaper and just grabbed a squirt of Germ-X. My reading was 134! I washed with soap and water and redid the reading cause Ive never been that high..and it was 75. What the heck? Was it the hand sanitizer?
Look at the ingredient list. I looked at mine and it contains glycerine and propylene glycol - both of which are natural sugars - so I would not doubt at all if that gave you a high reading. Incidentally I didnt' think of this AT ALL until I saw your post and checked mine with the gel stuff vs soap and my numbers dropped equally as much as yours did jsut between the time I took it the first time with gel and washed with unscented soap and water. I never knew it could make a difference but obviously your bG levels arent' going to plumet that fast if it's not somethign on your hands that is causign the numbers.
Mommy StormRaven is offline  
Old 08-18-2008, 09:21 PM
 
Katerz2u's Avatar
 
Join Date: Jul 2006
Posts: 632
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Mommy StormRaven View Post
Look at the ingredient list. I looked at mine and it contains glycerine and propylene glycol - both of which are natural sugars - so I would not doubt at all if that gave you a high reading. Incidentally I didnt' think of this AT ALL until I saw your post and checked mine with the gel stuff vs soap and my numbers dropped equally as much as yours did jsut between the time I took it the first time with gel and washed with unscented soap and water. I never knew it could make a difference but obviously your bG levels arent' going to plumet that fast if it's not somethign on your hands that is causign the numbers.
Yep, I asked about this today at my appointment. My OB said it depends on the ingredients but yes, yes, yes it can mess with it. Phew lesson learned, use regular soap and water, lol.
Katerz2u is offline  
Old 08-18-2008, 09:51 PM
 
avivaelona's Avatar
 
Join Date: Jun 2005
Location: Happy Vally MA
Posts: 3,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Lifeguard, it will be fine! Simple dietary advice...always eat a carb with a protein and fiber. Eat frequent small meals rather than larger more spread out ones, try not to go more than four hours at most between eating. Carry almonds around as a snack food if you like them, they are good for blood sugar regulation. Don't eat added sugar if you can help it and avoid soda or fruit juice or most really "white" carbs (like white rice, mashed potatos, or white flour) If you start feeling symptomatic (peeing a lot, thirsty, fast pulse,) take a walk and get a little excercise and eat something that is just protein to get things more balanced. If you feel faint or dizzy or nauseous eat something a little carbier but also balance it with protein. That's really what most dieticians are going to tell you in a nutshell. Have fun on your vacation and don't worry too much.

Mommy storm raven did you get a chance to retest yet? I made an appointment to go see my endocrinolgist next week because I've had a high reading or two with stuff that didn't seem that carby. So far most of my readings are good but I want them to be up to date with what's going on in case we are going to need to step in with insulin at some point. I really hope that doesn't happen, i'd really really like to avoid insulin.
avivaelona is offline  
Old 08-18-2008, 10:16 PM - Thread Starter
 
Mommy StormRaven's Avatar
 
Join Date: Jan 2002
Location: Nicholasville, KY
Posts: 966
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I'm seeign my new doc tomorrow and goign over everythign with him then. See what he wants to do with it all. I know my "educator" told me santizer was fine with no restrictions, didnt' say anythign about scented soap and told me specificly NOT to use alcohol. THe monitoring I've done with sanitizer vs soap vs alcohol all mad teh world of difference (sometimes up to 50 points drop fromt eh sanitizer to the soap and then 10+ more points depending on whether it was scented or unscented with the alcohol wipe. With the alcohol wipe my numbers have consistently been below 105 on my regular diet (including my average daily carb intake returning to the pre-mealplan level which was lower per meal) and my eliminating artificial sweeteners has eliminated the worsened symptoms of RLS (in dopamine deficient patients - which I am and am on Requip because of it - artificial sweeteners are found to exacerbate tremors) so numbers are well within my normal pre pregancy range using standard alcohol wipes - so I'll be relayign everythign to the new doc tomorrow.
Mommy StormRaven is offline  
Old 08-19-2008, 03:35 AM
 
rhysmom's Avatar
 
Join Date: Aug 2008
Posts: 15
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
This is my 2nd GD pregnancy and my first on insulin... So far so good. It's a relief to eat what I should and finally get good numbers! I'm not saying it's fun, but it's what I have to do right now.

Anyone trying for a VBAC???? I'm hoping with a better controlled pregnancy, I'll have a smaller baby (not much, we have big babies in this family!) and will also gain a heck of a lot less weight. I'm 24 weeks and have gained 3 lbs. My jeans are looser now than they were when I got pregnant!

Hope all are well.....
rhysmom is offline  
Old 08-19-2008, 11:46 AM
 
avivaelona's Avatar
 
Join Date: Jun 2005
Location: Happy Vally MA
Posts: 3,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Welcome Rhysmom!
avivaelona is offline  
Old 08-20-2008, 01:11 PM
 
kohlby's Avatar
 
Join Date: Dec 2005
Posts: 878
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Welcome and good luck rhysmom! I didn't have official GD in either of my pg but did try for a VBAC with DD. It didn't work out. BUT, she was 11lb 4oz and had the chest pudge of a GD baby, so wide that she couldn't fit to come down. They had to put 6 month t-shirts on her in the hospital and those were stretched way out to fit her. But, if your GD is controlled, then I'd think your chances of a VBAC are quite good! I have no regrets that I got to try for a VBAC. It's so worth it to go through all that pain of trying just so I have no what-ifs.


Did anyone have a three hour GTT early? I figured I'd be given the one hour early and would likely skip the one hour one in later pg. But my dr wants me to skip the one hour even now! I have a three hour GTT scheduled for next week, when I'm only 13 weeks along! (A reminder that I don't have GD but have insulin resistance (IR), so I'm on a diabetic diet for life and have similar concerns of someone who has diabetes/GD but the standard medical care lines aren't really set up for IR).
kohlby is offline  
Old 08-20-2008, 11:21 PM - Thread Starter
 
Mommy StormRaven's Avatar
 
Join Date: Jan 2002
Location: Nicholasville, KY
Posts: 966
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Well, I saw my new doc and went over everythign with him. He said watch what you eat and eat what feels right - your not spillign anythign and yoru weight gain thus far gives me no indication of GD (and he is a High risk specialist) so I'm gonna jsut watch it a bit and eat my usual diet.
Mommy StormRaven is offline  
Old 08-22-2008, 01:46 PM
 
brandyk's Avatar
 
Join Date: Apr 2008
Posts: 259
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Hello all - I just got my numbers back and they don't look great! 101, 205, 184, 79.

I talked to another PG woman and found that the instructions we were given were different. She said that the nurses said if she was hungry the night before she could have a sandwich. My instructions nurse told me to eat a sandwich between 10:30-11:30 & drink a glass of milk. So I ate a PB&J (um, no lunchmeat, what else do you make a sandwich out of?) at 11:30. My first draw was at 8:20. I had a major sugar crash later after I got back from the test.

I had my 24 week appt last friday, doctor said I was measuring right on target. I have Kaiser where treatment is one size fits all, so I'd like any advice/insight on my numbers. I really really really don't want an induction/c-section.

ETA: I also fell asleep between the 1 hour blood draw and the 2 hour blood draw.
brandyk is offline  
Old 08-22-2008, 10:37 PM
 
purplemama's Avatar
 
Join Date: Jun 2004
Location: SF Bay Area, CA
Posts: 693
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by brandyk View Post
Hello all - I just got my numbers back and they don't look great! 101, 205, 184, 79.

I talked to another PG woman and found that the instructions we were given were different. She said that the nurses said if she was hungry the night before she could have a sandwich. My instructions nurse told me to eat a sandwich between 10:30-11:30 & drink a glass of milk. So I ate a PB&J (um, no lunchmeat, what else do you make a sandwich out of?) at 11:30. My first draw was at 8:20. I had a major sugar crash later after I got back from the test.

I had my 24 week appt last friday, doctor said I was measuring right on target. I have Kaiser where treatment is one size fits all, so I'd like any advice/insight on my numbers. I really really really don't want an induction/c-section.

ETA: I also fell asleep between the 1 hour blood draw and the 2 hour blood draw.
I have Kaiser, as well. My instructions were to fast for 8 hours, but no more than 10 hours, so to have a light snack around 10:30-11:00 pm. I did not pass, either.

These are the numbers they gave me:

Fasting <94- mg/DL
One hour <179- mg/DL
Two hour <154- mg/DL
Three hour <139- mg/DL

Looks like you passed the three hour one only.

I failed the one and two hour readings, passed the fasting and three hour, but if you have more than one high reading, they consider you to have GD. I had to see a nutritionist, and pick up a meter and go to a nurse to learn how to use the meter. I need to draw my blood four times a day: a fasting, and one hour after each meal. It's kind of a PITA, but you get used to it. I'm 32 weeks today, so about 6-8 weeks left for me. I can't wait until I have the baby and I can stop all this.

Did your docs say you needed an induction? I think if you're careful and stay monitored and on track, you should be fine. No one said anything to me about needing to be induced or having a C-section due to the GD.
purplemama is offline  
Old 08-22-2008, 11:50 PM
 
brandyk's Avatar
 
Join Date: Apr 2008
Posts: 259
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I have moved on to acceptance. I can't go to their silly group class (and I already told my doc after the first group class @ 12 weeks I would not attend any more - they are an utter waste of my time and take several more hours to accomplish what can be done in literally minutes). I am waiting for them to schedule me. I told my doctor I wouldn't consider routine induction/c-section and she said not to worry about the c-section but we'll see about the induction. Umm, no, not if *I* don't think it's necessary. I am perfectly capable of making a decision without delegating it entirely to a doctor.

I despise Kaiser. They almost killed me in December with their cost-saving measures (refusing to administer antibiotics). [Every time I go in I see their stupid signs about how YOU don't need antibiotics. Well I DID!] I ended up in the ER not able to breathe with a massive lung infection. I had to do over 3 weeks of antibiotics until it cleared up. This did not help with my distaste for doctors.

Did they give you an exchange diet or carb counting? I dislike exchanges. I feel like I am eating the same thing every day. I was doing WW before I got PG.
brandyk is offline  
Old 08-23-2008, 02:53 AM
 
avivaelona's Avatar
 
Join Date: Jun 2005
Location: Happy Vally MA
Posts: 3,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Those arent terrible numbers Brandy, if they give you a monitor use it and find out what works to eat, I wouldn't worry too much about a specific diet if exchanges or carb counting makes you nuts. Just balance any carbs you eat with protein and fiber at every meal and test your sugars, you'll quickly find out what makes you spike and what doesn't. Someone early on in this thread posted a sample diet if you want to see.

As far as induction, usually they just monitor you more closely and do growth US and NST's at the end. Watch out for them pulling the "big baby" card. If your GD can be controlled with diet they are much less likely to get picky about it, if you end up needing insulin expect more of a battle. I had NST's with my last pregnancy and they were fairly non-invasive and I was not required to induce. They were reluctant to let me go beyond 41 weeks they said, but I don't know what would have happened since I induced at 39 weeks for completely other reasons.

Avoiding being labled high risk is a really good reason to make the diet work for you.

I don't remember who asked about early GTT..in my first pregnancy I had the GTT at 17 weeks. Failed the 1 hour, passed the 3 hour, got horribly ill, I lost my baby a couple of weeks later. Of course there is no evidence to point to the GTT being at fault but there is no way on this planet you would convince me to do it again for any reason.

My second pregnancy I had sudden GD at 4 weeks pregnant. Found out by accident during a routine follow-up with my endocrinologist.

This one, I don't know if I technically have GD or not, I am already so careful with my diet and I take medication so there is no way to know for certain...officially I'm type II anyway though I probably do not actually have type II, I do have insulin resistance, so it doesn't really matter. I've been having a little more trouble though the last couple of weeks so I'm guessing right around now is when GD is kicking in this time.
avivaelona is offline  
Old 08-23-2008, 03:49 AM
 
brandyk's Avatar
 
Join Date: Apr 2008
Posts: 259
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Until I get my meter I am doing my best at exchanges, but they don't really work for a lot of things (fage 0% is totally not a milk even though it is yogurt. 1/2 cup is like 10 g protein & 4.5 g carb). I am 4'11" and my mom was 5'0". I know I weighed 8.5 lbs at birth. So they can go screw on the big baby card

I won't ever ever do that test again. I hated it. It is not healthy to subject your body to that. My arms still hurt and I still feel like I have a hangover. I am so sorry about your first pregnancy. That must have been excruciating.

I actually had a bunch of hormone & sugar testing done in november because I'd been having trouble losing weight. All normal, but I was eating really really healthy. Just a slow loser. I think I should have just stuck with counting my WW points. I have admittedly added some less healthy foods back into my eating but overall I am a healthy eater (just not really really like I was in Nov).

I am going to infant care class tomorrow (it was 12 bucks, figured why not, maybe we will learn infant CPR). So I have planned my food to take with. I have like oatmeal & pnut butter + boiled egg for breakfast. Who eats like this? It's like something out of the 50s. The sample plan they gave me via email was crazy. It was like 2-3 times the carbs I normally eat, but WAY less food eve than I was eating on WW before pregnancy & losing weight. And weird crap like 2 pc toast + 12 oysters. Ummm. You are not even supposed to eat oysters while PG.

I am also trying to work on my iron count. Which basically involves me trying to have 2 meals a day without dairy/calcium so I can take my iron. Maybe I can achieve that in morning & afternoon snacks. But I have been taking liquid iron, which needs refrigerated, which is hard at work.

Wah this is so frustrating. Thanks for listening guys. All I feel like doing is whining!!!! I am very interested in getting my meter so I can start figuring my diet out. At least I can check in at the pharmacy tomorrow while I am there to see if they put in the order for my meter.

Oh I emailed with a friend today who had GD. She had a scheduled-c on her DD (she asked for it!) because she thought baby was too big. they estimated 9,14 and baby was 8,8.
brandyk is offline  
Old 08-23-2008, 12:39 PM
 
avivaelona's Avatar
 
Join Date: Jun 2005
Location: Happy Vally MA
Posts: 3,214
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I would just ditch the diet they sent you and the exchanges, it sounds like you have a good handle on what is a carb and what is a protein. I love the diets they give you where you are eating more carbs and sugar than you normally eat, what the hell are they thinking? I think they must think everyone who gets this eats wonderbread and grape jelly sandwiches with a glass of soda normally.

What people on here say over and over seems to be that eating normally works best for them with just a few adjustments.

1) Don't go crazy with the carbs, avoid the most carby things you eat and most white carbs (sugar, white rice, white bread, potatos) No Soda or Fruit Juice.

2) Break meals down smaller and eat more frequently. 6 small meals a day rather than 3 large.

3) Never eat anything without a protein included. Make the protein item about equal to the carb item and if you can get some fiber in there it will work even better.

4) For most people you have to have a night time snack in order to keep your morning fasting sugar low. (though we discussed some exceptions a page or two back I think)

5) Don't eat more carbs than you normally eat!

I count greek yogurt as a protein too. If you really want a diet the one that works for most people is the carb balancing one where its like 15 grams of carbohydrate =1 carb and you can have 2 at breakfast 3 at lunch and 3-4 at dinner, 1 at each snack. I like that better than exchanges because you don't have to trade yogurt for milk.
avivaelona is offline  
 
User Tag List

Thread Tools


Forum Jump: 

Posting Rules  
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off