Hi guys, mind if i join you?
I'm just over 31 weeks pg and have been diagnosed with GD. My results from the 2hr GTT were 5.6 fasting, 11.2 1 hr and 9.4 2 hr. Haven't seen a diabetes educator yet, have an appt. on monday, but the lack of information that anyone can give me is killing me! My GP was not very helpful or forthgiving with any information(told me to google GD!), and apart from this,i have had no dramas what-so-ever with this pregnancy (my first), have been eating realtivly healthy (apart from the odd 'i have to have chocolate cake NOW' moments) and have put on just under 9kgs. I have just had to give up work early due to back and hip pain, which will make things easier in relation to keeping up a healthy diet, and getting some sort of exercise, but will probably send me mad not having something to do!
I guess i'll see how i go on Monday and hopefully i will be able to get some idea of whats going on and how i deal with it.
thanks for reading my mini rant, hope to be able to speak to you lovely ladies at another stage.
Hi ladies - I popped my head in here a few weeks back when first diagnosed, then got distracted .... it's pretty full on getting a handle on all of this!
Quick me update - controlling levels with diet alone wasn't as effective as hoped, so after about 10 days was put on metformin twice a day. They're a bit bleeeeurch but I think I'm getting used to them now. My after meals levels are fine the vast majority of the time - it's mostly my fasting levels that are misbehaving. I've only ever had it below 5 twice the whole time - most of the time they're 5.4/5.5 but this week had a couple of 5.8's (eek). I think my ob is opting for the stricter end of the glucose level maximums by the sounds of it - my post-meals maximum is 6.5, and I've noticed that lots of you are allowed up to 7? Funny, isn't it ....
Was also told by ob that as I'm now receiving treatment bub is now arriving no later than 38 weeks. Ob is pretty confident that induction will work, as my induction with ds was very successful. On Tuesday I have my first of 3 f/n growth and wellbeing scans, and on Monday I am off to see the endocrinologist - very likely that I will be put on insulin to address the fasting levels. Really seems like this pgcy went from zero to 100 in a very short space of time!! Keep remembering with amazement my pgcy with ds that I just sailed through!!!
I lost 3kg in the first 2.5 weeks which ob said was fine but I find a bit disconcerting - any other time I'd be cheering but just feels weird to be going backwards and be 7 months preg at the same time? At least it shows that I am doing everything else I can...
Anyway - sorry for rambling!
BD - just wanted to say that last night I too had the weird 3 completely different levels after dinner - 7.7, then 8.1 then 5.9 ???? I've got the accu-check performa. I had no idea about the food residue on fingers factor so will be super-vigilant about hand-washing. Don't normally test more than once by the way, only when I am in disbelief that a reading seems a tad too high!
CAH - sorry to hear that your scan has given them a little bit of cause to be concerned, but great news that the ctg went well. Fingers xd that the rest of the upcoming monitoring goes well also...
sloane - like the others have said, don't feel it is something you could have changed .... I know the amount of variance I get in readings after eating the same thing on different days just shows how much is outside of our control.
inov - welcome! Sorry to hear you've been fairly info-less so far - hope the appt on Monday goes well. I've found reading back through the old posts in the previous thread has been very helpful. Maybe also try the Diabetes Australia website?
hello to eternalbear, artechim, melbel and anyone else out there...
hi & welcome inov how did your appointment go on monday? hope it provided you with lots of useful info. are you managing with diet or straight onto insulin? (if you don't mind me being nosy!!)
jenushka - it is strange how diff states or drs have diff limits! my friend who has type 1 gasped at the thought of having to even be below 7
CAH - hope you're going okay this week.
hi to everyone else out there
i did end up going on insulin after my appt on tues. i'm on what i think is a very very low dose at the moment (12 units before breakfast & 8 before dinner). the endo said she didn't want to freak me out by sending the levels too low etc. i haven't seen much difference yet & have only been under my 'limits' twice out of 6 meals but i figure it might take a week or two for them to find the right dose - back to the endo next tues for a review. the needle is even more painless than i expected! i wish the BSL tester was the same
Hope everyone is doing well. Seems everyone has an endo but me! No one has suggested I see one, my insulin dose is set by the diabetes educators, or my doctor.
Sloane - if your dose is very very low, mine barely seems worth the effort! I am taking 8units before breaky, 6 b4 lunch and 4 b4 tea. I actually think i could do with a bit more and will mention that at my next appointment. For me the needle is sometimes painless but about 1 in 3 really stings. I have bruises all over my belly now! Wish I'd taken those sexy preggo belly shots already - now I'll have to cover the bruises with makeup!
I had a chat with an old friend who has been a midwife for twenty years and she told me that where she used to work it was a standard that any babe born from a diabetic mum was kept in neonatal ward for at least a week! Now noone has mentioned that to me at all, only that 'if there was a problem' they would take bubs to the neonatal ward. I'm quite worried about this now and will definitely be asking lts of questions at my appointment next week. Has anyone else been told what will happen to bubs after birth?
BD - are you seeing the dr re-the GD at hospital visits or are you doing shared care? i'm not sure how it all works but that i have to see a diabetes dr & an ob (or a 'baby dr' as the diabetes ppl call them ) and the diabetes dr is the one who set the dose or had the final say about whether i had to go on insulin. i hadn't seen a DE since i was diagnosed until they decided to go with insulin. i'm not sure if i'm making any sense here maybe your dr is just less specialised than these ones? (which would be a great thing imo - one less appt!!).
i haven't heard about babies going into neonatal care for a week, although there are ladies here whose babies have spent a couple of nights in the special care nurseries - i think it's something to do with the baby's blood sugar levels after birth - they need certain readings to be happy. but i'm not sure if this happens to everyone - it's actually on my list of questions as well my first was whether they would automatically induce me early no matter what...and this is the second question - i'll have to ask next week when i go back & we can compare notes!!
blondedoctor - GD baby is not an automatic entry into the nursery for baby. Baby generally only goes to nursery if their BSL's after birth are low and they therefore need to be monitored and possibly given some formula to bring up their levels. They will prob do about 3 BSL checks on bubba. One immediately after birth, and then before the next two feeds. I believe from memory their BSL needs to be over 2.5. My DD's first BSL was 3.1 (good) then before her next feed it was 2.4 (0.1 under the requirement). They took her and gave her some formula mixed with colostrum I expressed to try to get it back up but it just went lower to 1.6 at the next 1 hr interval. After the 3rd reading they started hourly formula/colostrum feeds via a tube in her nose (so I could still BF her) and kept her in nursery overnight for hourly BSL checks. She was fine from midnight onwards (went into nursery about 8.30pm) as we went in for her midnight BSL check and it was over 4.0. So they just kept monitoring her overnight and bought her back to me at 6am the next morning. She had the tube in her nose till 3pm that afternoon when they said her BSL's had stabilised and she could continue staying with me she was only in nursery for about 10 hours. Only myself & DH were allowed to handle her for the next 24 hours so as not to drop her levels again by too many visitors passing her around. She has been fine since.
sloane - Induction really depends on your OB/Dr. I was not induced and OB was happy to let me go naturally. I was 100% diet controlled though and only had 3 x levels over 7.0 the entire PG so he was happy to let me go naturally, and even go over EDD if I wanted to. As it was I went 11 days early and had normal delivery with no complications.
Sloane - Hi there I am in shared care which means I see my normal GP (who does obstetrics around here) one week and the next week I go to the hospital clinic. At the clinic so far I've seen a midwife, a diabetes educator, a diabetes physician (although he thought I wouldnt need to see him again), and I've seen an OB too. I am not sure who I'll be seeing next Wednesday! Its a tad confusing to me. Seems everyone I see is able to adjust my insulin dose!
Snowchickie - thanks for the the info. Thats quite a relief to hear that because after speaking with my friend I was quite worried. It sounds like a lot of procedures you ad with your bub, but I guess if you got her back within 24 hours thats pretty good. I'm quite worried about being separated from my baby, so its good to hear stories like yours so I have some idea of what to expect.
My BSL's have gone up the last 24 hours, I think I've eaten too many slices of bread! I find that GD has made me similtaneously not want to eat anything, yet also be a little careless about what I eat too. I knew that when I had two slices of bread for morning tea yesterday it would elevate my readings but I did it anyway. I really need to take this more seriously.
Anyhoo - time to go. I'm going out today and already I am worried about how to handle lunch in a shopping centre food court! I guess I'll nip out to the loo to inject and then come back and find some food??? Maybe I should get the food and then inject at the table - hopefully subtly so no one can see? Can't wait for this to be over...............
Hope everyone is feeling well and having a good day!
how did your appointment go on monday? hope it provided you with lots of useful info. are you managing with diet or straight onto insulin? (if you don't mind me being nosy!!)
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