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Discussion Starter #1
I've been told than an enlarged uterus (without, say, twins) could be a symptom of GD. Are there other true symptoms to watch for in such cases? None of the sites I've searched for show any symptoms other than the glucose tests.<br><br>
Thanks for any insight!
 

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Well, there are symptoms of out-of-control GD that has been going on for a while. Mostly they are the same as the symptoms of uncontrolled diabetes, i.e. uncontrollable thirst, frequent urination, blurry vision, etc. However, in my humble opinion as a non-medical-professional, if you were having symptoms like that it would be a signal that you'd been having some kind of trouble with blood glucose control long before your pregnancy started, because even full-blown diabetics who have been running high numbers for months (sometimes years) don't always display those symptoms. The damage from diabetes is cumulative and takes a while to develop to the point that you see actual physical symptoms. Spilling glucose into the urine and scoring very high on the glucose tolerance test are two relatively reliable indicators, though. (I have my doubts about people who score borderline high on the GTT.)<br><br>
There are some pregnancy-related symptoms that you can sort of look after-the-fact, such as macrosomia and neonatal hypoglycemia, but those aren't sure indicators, because some people without diabetes can have babies with those issues as well.<br><br>
Basically, if you're concerned about running high blood sugars, rather than waiting for symptoms to develop (which might never happen), I'd get a home glucose meter and start checking my blood sugar from time to time to keep an eye on things.<br><br>
Good luck!
 

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Discussion Starter #3
Thanks so much for the quick reply! So far the only possible symptom is measuring large. Tomorrow we'll check for multiples. The most likely other case my MW mentioned was GD, hence my interest in it. I've had no glucose in urine or anything else odd, and no knowlege of pre-exisiting diabetes (I tend to be more hypoglycemic).<br><br>
Thanks for the info!
 

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Well... to say if there are symptoms would be to assume the condition could be identified and existed in the first place <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"><br><br>
-Angela
 

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Discussion Starter #5
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<div>Originally Posted by <strong>alegna</strong> <a href="/community/forum/post/8002954"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Well... to say if there are symptoms would be to assume the condition could be identified and existed in the first place <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"><br><br>
-Angela</div>
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Perhaps that should be my question, instead. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> I haven't read everything on the subject, but am certainly suspicious of it. Have a friend "diagnosed" after failing her first GTT by 5pts and one of the 3hr draws by 1pt!<br><br>
Anyhow, definitely interested in more info 'cause there's just not a lot out there about actual symptoms. Almost as if there aren't any, save those who were diabetic before pregnancy!
 

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These are both from Henci Goer-<br>
It's been a while since I read them so not sure which is best to start with.<br><br><br><a href="http://parenting.ivillage.com/pregnancy/pcomplications/0,,9z3m,00.html" target="_blank">Gestational Diabetes piece at ivillage</a><br><br><a href="http://www.gentlebirth.org/archives/gdhgoer.html" target="_blank">Uselessness of Standard Management of Gestational Diabetes</a>
 

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<div>Originally Posted by <strong>HeatherB</strong> <a href="/community/forum/post/8003049"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Anyhow, definitely interested in more info 'cause there's just not a lot out there about actual symptoms. Almost as if there aren't any, save those who were diabetic before pregnancy!</div>
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Well, I would say that in general if you're talking about clinical, physical symptoms, this is an accurate statement, although to be fair, this is also true of some actual diabetics, as I said earlier.<br><br>
I am not willing to go so far as to say that GD is totally a myth and a non-issue, but I do think it's vastly overdiagnosed. I mean, if you're seeing postprandial numbers of 160, 170, or higher, and your fasting numbers are regularly up in the 120s, okay, you have a genuine problem that needs to be addressed. But I see a lot of posts from people who have been diagnosed with GD and never see a single high number on their home meter, or who have the occasional postprandial 150 or whatever. To me, that is not indicative of an actual problem. So there is definitely a range.
 

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Discussion Starter #8
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<div>Originally Posted by <strong>JanB</strong> <a href="/community/forum/post/8003368"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Well, I would say that in general if you're talking about clinical, physical symptoms, this is an accurate statement, although to be fair, this is also true of some actual diabetics, as I said earlier.<br><br>
I am not willing to go so far as to say that GD is totally a myth and a non-issue, but I do think it's vastly overdiagnosed. I mean, if you're seeing postprandial numbers of 160, 170, or higher, and your fasting numbers are regularly up in the 120s, okay, you have a genuine problem that needs to be addressed. But I see a lot of posts from people who have been diagnosed with GD and never see a single high number on their home meter, or who have the occasional postprandial 150 or whatever. To me, that is not indicative of an actual problem. So there is definitely a range.</div>
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Thanks, Jan. I know there are a variety of "hidden" illnesses like diabetes, hypertension, etc., that may have no obvious symptoms. It does make it more difficult, doesn't it?!<br><br>
A friend recently tested with these numbers:<br>
Fasting 78 mg/dl<br>
One hour 175 mg/dl<br>
Two hours 155 mg/dl<br>
Three hours 138 mg/dl<br><br>
She was told she failed on the 2 hour test because it was to be "below 155." Her initial screening was 5pts over the threshold...145.<br><br>
Anyhow, I wish everyone could agree on this stuff! Thankfully my MW is very balanced in her views - she did a finger prick last time and that's it. So I know she'll not over-react; I just like to find out as much as I can as early as I can! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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I just had to jump in here. I was diagnosed with GD in both of my pregnancie sat 28 weeks. I was diet controlled and nearly starved to death! I lost 10 pounds the first week and a half with my first and a pound a week with my second. I was five days late with both and both were 7lbs 3 oz. I really doubt that I had GD. BUT my levels were high during the GT test.<br>
I am scared b/c I really don't want to go through all of this again this time around. I am going to ask my midwife if she will let me do a meal test instaed of a GT test. I just don't eat white flour and simple carbs/sugars so I am afraid that a GT test will be off the charts. Oh! I am not diabetic outside of pregnancy I have been tested. And I was under 25, no family history, and not at all overweight. Now I am 26.<br>
Don't mean to hijack the thread but I just had to jump on this topic!<br>
Thanks for reading my long-ish post
 

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Noel, I would definitely look at alternatives to the GD testing! Eep! Have you read the articles referenced above? I know Henci Goer has lots of great info. I hope your MW will be very supportive and work with you! Mine just did a finger prick once late in the pregnancy last time. I'd just eaten a decent meal, and all was good. I hope you can avoid all of the GD stuff this time!
 

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The levels used to diagnose GD are nonpregnant levels. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">: What is more, pregnancy itself causes our bodies to have higher blood glucose levels, something that is totally normal and healthy.<br><br>
What is more, the only real risk of "GD" is a baby in the upper 10th percentile of weight.......what is more, the solid research on GD has shown that interventions (diet, insulin, etc) do not seem to avoid the "risk" of a large baby.<br><br>
Now, if you happen to have undiagnosed Type 2 diabetes during pregnancy, that is something totally different.<br><br>
I can't remember who it was that said "GD is aset of symptoms still looking for a disease." <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">:<br><br>
Definitely, if you have concerns about your blood glucose, I would not recommend the OGTT, but simply monitoring your blood sugar throughout the day with a glucometer.
 

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I just wanted to jump in a say....I hate GD! When I was PG with DD I was diagnosed with it, and yelled at every week because my fasting number was between 95 and 100, which was over the 90 they wanted. Talk about getting stressed during pregnancy.<br><br>
Liz
 
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