I agree with what MamaSpice said, and don't feel you're butting in on our convo - the more the merrier... we're just yabbing away as it's pretty quiet in here atm plus it's great picking other ppl's brains!
I agree that it sounds unlikely you'd have it given your previous history. MamaSpice is the expert on fasting BSL's as for god-knows-what-reason my endo doesn't make me measure mine . I agree that if they think the bubba is large on the scan there could be more pressure for intervention... so saying, those scans are notoriously inaccurate for sizing! As my obs said to me last time, if I knew bubba was big, would I still try to birth vaginally - to which I said yes I would. Have a google around it, it's worth a read. If you do end up having GD and/or being on insulin then there are different reasons for induction (around placenta health). Just so you know, my endo did tell me that GD "can" develop later, it's just that 24-28 weeks is the time it's most likely to develop, and I still don't see why you'd get it after not getting it previously.
On the plus side, IF they find GD, well then you can control your BSL's with diet which reduces your risk of a big baby - and I think your body would well know what it's doing. My sis vag birthed a 10+lber with no problems (her second), so I think even if bub is a bit bigger, you'll be fine.
Back to your other question, what happens if you do have it? Ok as far as I know - first you get referred to an endocrinologist and typically you'd also see a diabetes educator (ED) and/or a dietician. Tbh the extra appts can be a nuisance. You'd get all the information about modifying your diet and monitoring your BSL's. Sometimes, even with the best dietary control in the world, your BSL's can still go high in which case you might be put on insulin. Once you're on insulin most hospitals tend to want to induce, and you also get extra CTG monitoring. I know my obs wants to induce earlier (38 wks) if the insulin is greater (60-70 units) and a bit later if insulin is less (I was on 18 units and induced at 39 weeks). I've not heard of anyone being induced before 38 weeks unless there was other stuff going on, and in most cases (that I've seen through here ) a C-S is not considered necessary (unless there's other factors too). I don't know what would happen if they were convinced it was a big baby, that could change things. But that's the typical run of the mill scenario.
Hope that helps, all the best! Crossing my fingers for you that you don't have it, and bubba is just making like I do in a big bed... arms & legs outspread taking up lotsa room!!
plus it's great picking other ppl's brains!
. I agree that if they think the bubba is large on the scan there could be more pressure for intervention... so saying, those scans are notoriously inaccurate for sizing! As my obs said to me last time, if I knew bubba was big, would I still try to birth vaginally - to which I said yes I would. Have a google around it, it's worth a read. If you do end up having GD and/or being on insulin then there are different reasons for induction (around placenta health). Just so you know, my endo did tell me that GD "can" develop later, it's just that 24-28 weeks is the time it's most likely to develop, and I still don't see why you'd get it after not getting it previously.
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