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Thread: Gestational Diabetes Chatter #6

  1. #37

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    Congratulations BD!

    so happy for you, and fantastic to hear that the GD has gone


  2. #38

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    Just a quick question - sneaking back in here. I had GD in my PG, and monitored my BSL's following the birth, and they were all fine. I never got around to having the 2 hour fasting test... my GP didn't seem to reealise, no-one referred me for it, and um... well I never reminded them either .

    I just felt a bit crappy today, so was curious and did a BSL tonight 2 hours after thai takeaway (stirfry with rice & noodles) plus a hot choc - so a pretty carby meal. I got a 10 . From reading up I suspect I may have impaired glucose tolerance... it sounds stupid but I really don't want to go do the test and have on my permanent medical record... I've already lost about 6kg, and I need to lose a few more to have a healthy BMI and waistline, so i think these things could hopefully make a difference and reduce my BSL's. My question is - does this BSL of 10 mean what I think it means? Or am I just being foolish and I should go do the proper test? I just think some people end up with diabetes in their file and then keep it under control for years with diet & exercise, yet are still tagged with it.

    Oh and no, I haven't noticed many typical diabetes symptoms (i.e. thirst etc... maybe a bit of tiredness but that could be from having a 9m.o.!).

    Thanks in anticipation.

  3. #39

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    To me a 10 at anytime rings alarm bells.......I would be getting it checked out...a 10 suggests more than just impaired glucose tolerance.........

  4. #40

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    thanks melbel. Went to the doc today, turns out they never got told I had GD!!! Go figure huh. I also checked my fasting glucose this morning, 6.3. At lunchtime was 5.7 so that was nice. I'm doing a blood test tomorrow on fasting glucose and if that's "grey" then the doc will do the 2 hour glucose challenge. I've read something on the net that says that fasting glucose can miss some people and the 2 hr should be done also. Anyone else heard that as well? (not that I want to do the 2 hr particularly, but I wanna know if I'm clear i'm REALLY clear IYKWIM!).

  5. #41

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    Hi Everyone

    I got a positive test result from my GTT two days ago so I guess I have gestational diabetes. I had it in my last pg as well so not a total shock but still really disappointing. I was diet controlled last time and hoped that by being really good and sticking to my diet from the beginning I would avoid it. Unfortunately, not the case and in fact my results came back worse this time than they did in my last pg even though I weigh less, have eaten better and excercised regularly

    I have an appointment with the list of specialists that I have to see next Tuesday so I will find out if I need to be diet controlled or have to go on insulin this time.

    There are a few things that I am already a bit worried about - last time they induced me at 38 weeks because my baby was 'huge'. It took 3 days for labour to establish and DS was born at 38 weeks, 3 days weighing a whooping 8 pound 4 ounces (that is said very tongue in cheek - I don't think he is that huge - DD was born at 39 weeks 1 day after a spontaneous labour and only weighed 8 pound 5 ounces but she was 3cm shorter than DS). I really don't want to be induced this time - especially because I think their measurements are entirely incorrect.

    I was also hoping to leave the hospital very soon after giving birth. Hospital policy here is that once I have even one shot of insulin in my pg, my baby has to go straight to special care and stays there for a few days. I really want to avoid insulin if possible. Even if the baby doesn't go to special care, both me and the baby have to be monitored for 24 hours after birth with regular blood glucose tests to ensure that everything is normal. It breaks my heart when they take blood from the baby

    Anyway, that's me and where I am up to. I am so disappointed to be doing all this again (my specialist clinic appointment experiences were less than pleasant last time as well) but at least this time I have BB, so I am hoping it gets me through a bit better.

  6. #42

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    Townsvillegirl, sorry about your test results. I guess on the plus side, you've been there done that, so you know what you have ahead of you. I can completely understand your concern regarding having bub taken to special care. I had GD and was on insulin. I was on it 3 times per day for a total of 18 units at the end from memory. I was also told that the baby would be in special care for 24 hours for monitoring of blood sugar. At the last minute, before I had my c/s (he was breech so was booked in at 39wks) I was told he wouldn't be going to special care as they were full. They just as easily took his levels on the ward. His numbers were fine. They got a bit low by the 4th test, but I had next to no colostrum so we had to give him a bit of formula to get the levels up. Had he needed to, they obviously would have found a place for him in special care, but obviously it wasn't a medical necessity to have him in there (even though it is generally their policy). As for size, my DS was 7lb9oz so there goes the GD babies are huge theory out the window!
    Although I was on insulin, my GD was controlled which would have contributed to DS having no problems as well. I think to have them in special care for a few days is a bit over the top to be honest. If I were you, I would really push the issue if you want bub with you and she's perfectly fine. Hopefully you wont end up on insulin though, so you wont have to worry about it.

  7. #43

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    Default Induction

    I was wondering if anyone knows if induction on or before due date due to GD is REALLY necessary?

  8. #44

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    edaj84 - i'm not sure that it's a case of being absolutely necessary, but could possibly be necessary. there are a couple of good threads re-GD stickied at the top of this forum.

    i was induced on my due date - the dr asked me if i wanted to be induced at 38 weeks & i refused & mananged to hold out till the EDD. i was having weekly CTG monitoring & a check on fluid around the baby. the results were always fine. i didn't feel equipped/strong enough to push things further than my due date even though i didn't think it was necessary - i allowed myself to be overwhelmed by a medical professional who was telling me it was what i should do. part of me wishes i'd pushed for even another week but hindsight is a wonderful thing & the most important thing is that i have a healthy baby.

  9. #45

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    Hi there everyone!!!

    I was here about a year ago with GD. Ethan in nearly 1 now! and I am nearly 30 weeks with another. Belfie I remember you from last time!

    Anyway I had my GTT yesterday, haven't got results yet, but they did take my bsl and they are a little on the high side so I'm expecting THE CALL. Fasting was 6.3 and two hour (asked them to do that for me for my own curiosity) was 8.2.

    Just been reading a few posts and wanted to add my 2c worth.
    Induction - From what I understand there are a couple of factors for dr preferring inductions. One being a higher chance of bigger babies (growth scans can be 20% out too, that can be on the higher side, or like me on the lower side). PLus there is also a chance of the placenta failing if you go on insulin. I was on insulin for about 8 weeks (low amounts about 11's I think) and my placenta looked great.

    Special Care - I know that each hospital is different but nothing was mentioned to me about it being policy to go there at my hospital. I was induced with gels at 8pm, waters broke at 12.30am and Ethan was born without complications at 1.47am. The nurses asked me to check my levels during labor, rather difficult to do wiht contractions coming one on top of the other and it was 6.5 so they were happy.
    Ethan stayed with us for most of the night. He did go withthe nurses to have his bsls done and for a couple of hours as he was a little unsettled and I needed sleep. Other than that we were all set th bath him the next morning and be home by lunchtime. Nurses check Ethan's temp before his bath and it was a little low, so checked bsl and yep down a little so they suggested that we stay in one more night and monitor them, and all being well could go home the next morning. He stayed with us the entire time except for having his bsls done (which one of us went with them for anyway), and yep we were home around lunch on day 2. Just my little story.

    My question is - Has anyone had to have an insulin drip during labor? I knew nothing of this my entire pg. No one mentioned anything to me about it until I actually arrived at the hospital for my induction. Apparently they were meant to organise it at my last app, which I had cancelled (was going to a big hositpal an hour away and as far as they told be was just going to have a look at my levels,adjust insulin if needed and on my way. Levels were fine so I cancelled).
    No one has mentioned anything again this time so far either. I will try to remember to ask about it next time, but just wanted to know if anyone had had it and why do we need it.

    Take Care

  10. #46

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    Hi Becci - sorry don't know much about the insulin drip during labour but I was reading about it as a general way of managing diabetes yesterday (I received my NDSS new member package and they had info about insulin in there). Apparently a drip is a common way to administer insulin. Sorry don't know much more about it than that.

    Thanks for your response Megan. It's nice to not feel so alone with all of this.

    As far as induction goes - I don't think it is always necessary. It needs to be assessed on each individual level. I was induced at 38 weeks in my last pg because I had a 'large' baby (DS was born weighing 3.8kg) and they are already trying to get me prepared for having an induction this time as well. I don't believe it was necessary for me last time. I had the gel inserted on Tuesday night and started having contractions straight away. When they did an internal on Wednesday morning, they concluded that my uterus was irritated by teh gel and therefore contracting but they weren't the type that caused dialation. They inserted more gel. They allowed me to go on like that for another day before finally breaking my waters. That got labour started and DS was born 48 hours after I had the first gel inserted. I would really like to avoid going through all that again. Especially since i don't think DS was unusually large. I haven't made any decisions this time as far as induction goes because I want to wait and see the baby's measurements and see how my GD goes, but I don't trust my endocrinologist and I have no other choice but him so I am just waiting to see what happens.

    Well, my sugars have been fairly unmanageable so far this time. I have only been monitoring BSL so far (I had my first appointment a week ago and have my next one in a weeks time). They are not hugely sky rocketed, but I am getting readings around 8 one and a half to two hours after eating. I have been really careful with my diet and nothing seems to be helping. I am a bit worried that I am going to end up on insulin. I weigh about 5kg less than I did this time last pg and was hoping that being a lower weight would mean that my BSL was a bit better. Unfortunately, it is higher and diet is not doing the trick. I think it must just be the hormones. Damn!

    I am also getting a bit sick of people feeling sorry for me. I even got a big sympathetic speech from the midwife at the hospital that told me I was GD again. I felt like I was consoling her in the end. My family (not DH and the kids but extended family) have also been too sympathetic. They keep reminding me of all the things I can't eat. Seriously, it doesn't bother me. I think about all the things I can have and how I can enjoy them and I really don't mind. I do mind having to constantly convince people that I am ok with it all. I am going on holidays in a couple of weeks and they keep telling me it is so hard to eat really healthily on holidays. I don't agree. I think it just takes planning and I wish they would stop being so discouraging. I don't have a choice. This is what I have to do to have a healthy baby, it is not a big deal. Anyway, that is my vent for the moment.

  11. #47

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    Becci, I had the insulin drip during labour. They took BSL's every hour and once they got over 7.5 they put in the drip. Even without eating apparently the body can metabolise the sugar out of your cells. So they use an insulin drip to keep the levels lower so the baby isn't overloaded with sugar, overproduces insulin and ends up with really low bsl's/coma. I think the majority of people are o.k without it, it is mostly high insulin users that end up needing it. By the end of pregnancy I was on 124 units of insulin per day which is apparently quite high.

    Townsvillegirl, I agreed to induction last time at 39+3 weeks after holding out as long as I could. The pressure they put on you is horrible. I was already 3cm dialated when they inserted the gels, started contractions straight away, had them 3 minutes apart all night and by morning was still only 3cm. I think my labour would have been waaay shorter if I had been allowed to go into labour naturally which I am certain would have happened within a couple of days anyway.

    Can't remember who asked about bub being taken to special care, but I would fight fight fight. It is not standard for every hospital. Negotioate to have bub with you and to only have him/her taken to special care if the blood sugars get near the danger levels. They are only taking bub to save themselves having to walk to your room to monitor baby. They will take a reading at birth, then every 3 hours until 3 normal results are recorded (from memory).

    AFM, I am feeling quite optimistic that I might be free of GD this pregnancy. I am now just over 33 weeks, passed a GTT at 24 weeks and have been monitoring fasting and 2 hours after dinner since then. I have had a couple of just over results but 99% of the time my BSL's have been fine and I haven't even been eating a particularly low GI diet. I soooo hope I don't get it. I was assured by every medical professional that I would after being on such a high dose of insulin last time. It is the difference between travelling two hours to the nearest hospital to birth and DH not being there (has to look after DS) or having bub at the local birth centre/home with DH there. Fingers crossed.

  12. #48

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    Thanks for your responses guys. I guess after having such a quick labour they wouldn't have had time anyways lol.
    No phone call yet, so fingers crossed

  13. #49

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    that's really interesting about the insulin drip. I was on only 18 units of insulin and was advised to stop my insulin on the day of my induction. Now I think about it, I had the insulin that day... then gels later that day. Then the next day more gel, broke waters, synto drip (all with no insulin - hmm interesting). During labour I ate & drank as I wanted (until the middie spotted it and wouldn't let me - too worried about a potential CS I guess ). Anyway, they made me check my BSL once during labour... and I hadn't had any insulin for about 30+ hours by that stage. I can't remember but I think it was ok.

    edaj84 - In regard to induction, we did a fair bit of questioning becauses I think the methods of estimating size are total crap (and my obs agreed with me - didn't think it was worth doing). My endo said that placenta function can be compromised in GD patients, and they used to see more stillbirths in GD moms who had gone OVER term than the "normal" population. So their mantra is very much a ... get bub out while we KNOW your placenta is functioning fine. In the end, we weren't prepared to risk that, so were happy to agree with the induction - but it was a very considered opinion and we checked with a number of different medical professionals, plus did our own research. There was also size concerns... but my bub was only 7lb 7oz (3.4kg) so not that big... but I'm pretty little too). Interestingly no-one assessed my placenta (I didn't even know they could), but i did have CTG monitoring during the last week. I pushed my induction out to 38+5. Hossie was flat chat, so ended up being on on 39 weeks which I was happy enough with. My obs said he would have wanted it to be 38 weeks if my insulin was high (70-80 upwards were his words).

    Regarding special care, my bub was "admitted" but mostly roomed with me. I would talk to your scn BEFORE the birth and find out what they will want to do - i.e. let bub room with you but just back to SCN for feeding? give comp feeds if BSL's of bub low?

    Becci - good luck, I hope you don't get it! And congrats on the PG!

    Townsvillegirl - lol that kinda made me giggle, too much sympathy. It's great that you're feeling fine about it all. Bummer re being lighter and still getting it - I'm hoping that being lighter will save me next time too.

    Artechim - I have my fingers crossed for you too! Sounds like you're doing great

    Well after my little scare, seems like my levels are ok, but my GP and I agreed that I'll just monitor my BSL's occasionally. As she said, I'm doing everything I'd do if I was pre-diabetic anyway... losing weight, eating low GI, exercising. I've got another 7.5kg to lose to try get my waistline below the 80cm mark... so hoping to do that before getting PG again. I figure every little bit helps... and if i still get GD next time... well so be it.

  14. #50

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    Hi all... just testing the waters... I had the 50g GCT on Wednesday and it came back at 8.2 so I have to have the 75g GTT next week and am a strong candidate for GD - father and paternal father have type 2 which predisposes me as a high chance of GD and I have insulin resistant PCOS which apparently gives me even more predisposition!

    So might see you all in here more frequently after next week!

  15. #51

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    Hi all - well seems I may be the only one in here at present

    I have been confirmed as having GD... my GTT was in the 8's after the 2 hour mark. Went to GD Clinic today and am testing my BSL in AM before breakfast and then 2 hours after each meal. Hoping to keep this diet controlled!

  16. #52

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    Good luck with everything TK. I hope that you get to keep being diet controlled. If you do have to go on insulin, I started yesterday and I am finding it not anywhere near as bad as I thought. It is actually quite bearable. Diet controlled it better though

    How are you going with your finger *****ing? Are you finding it okay? It takes a bit of psyching up to sometimes if you don't like needles normally. I test differently on alternate days - I always do a fasting test first thing in the morning and every second day I test 1-2 hours after meals and every other day I test before lunch, dinner and bedtime. It is a bit of a pain that it changes every second day because I forget where I am up to and get distracted with the kids and forget to test.

    If you need help with meal ideas and thing, let me know and I can give you some info. There are also guides for things that you can eat and when on some of the diabetes websites on the internet. Try to look up info for eating with GD though because you probably should be eating more regularly than someone who has type 2 diabetes. I also bought a copy of diabetic living magazine and it is just about my bible at the moment. Also because it seems to use seasonal foods, I found my grocery bill was quite cheap all things considered.

    Anyway, good luck with everything. for diet controlled GD.

  17. #53

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    TG, sorry for taking so long... but we have discussed most of this in our buddies thread LOL... I am finding the testing ok - yesterday was interesting because we were on the road driving to Cowra and then back to Sydney so it was an interesting experience to say the least - remembering times, finding somewhere to stop etc etc!

    Meal idea info would be great - I am at a bit of a loss - I do have info from the hospital and I am just eating things off the list but am finding that sometimes I am hungry but am not sure if I can eat more because I don't want my level to be too high.

    I will check out sites on the net - just need some time to do that LOL - think I might have to make some time tonight!

    Does anyone know if fluid retention (in feet & hands) is bad along with GD? I am the only one if the office today and was hoping to hold off calling my Obs until later but I have had swollen feet since saturday - the do go down but it doesn't take much for them to be swollen again - I am drinking so much water I feel like a fish!

  18. #54

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    Hi guys.
    Thought I'd pop in here to let you all know that it looks like I do have to start on some insulin. Drs not overly concerned so took his time getting back to me. My fasting level is up a tad (5.9 no where near the 9.8 of last time) and my 2 hour is fine. Although it's only just over it's not so great as no matter what you do in your diet it has very little effect on your fasting levels. So I have to monitor my levels over the weeken, then call the hossy on monday. They'll then decide if and how much insulin I'll need.
    Levels haven't been so bad today.
    Fasting 5.8 - high
    Brekky 5.4
    Lunch 6.9 - a little high but I was naughty and had two sangas (m/grain bread) both with cheese in them so a little too much carbs
    Dinner - 4.7

    TG - we are due around the same time.

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