thread: Gestational Diabetes General Chatter #5

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  1. #1
    Registered User
    Add 1MOREPLZ on Facebook

    Jan 2008
    sydney
    2,678

    nope NOT nervous at all doing the injections.. had to do them with IVF prior to getting pregnant with this bub...

    i have a OB appointment tomorrow so will see what they say...

    this morning pre- breakfast was a doozy & 2hrs post breakkie was even HIGHER...

  2. #2
    Registered User

    Nov 2007
    295

    snowchickie79 - thanks for the info re Chloe and the first day or so. I'd initially read something like that but then felt reassured when no-one in here seemed to have it happen to them.

    At my breastfeeding class today, I was told that at my hospital, my baby WILL automatically be admitted to the nursery and assigned a paediatrician to keep an eye on him, due to the fact I'm on insulin. I was also told that it would be for 48 hours, but that I would definitely still be able to breastfeed. I was pretty rattled by this, as 48 hours sounds like a long time to me (even though I guess it will go quickly once I'm there). I plan to ask my obs more about this at my appt on Monday. I'm a bit peeved I had to find this out during the "break" at a breastfeeding class! And I wonder when they would have told me otherwise. Grrr. I realise that it's probably good for baby to have an extra careful eye on him, so I guess it's not all bad... I suppose it's more about being mentally prepared.

    How did you feel when she went to the nursery? Did you find it ok, or was it upsetting? And I have the same question in relation to the tube-feeding too.
    belfie - That is terrible to find that out at a breastfeeding class. We were told all these little bits and pieces during our antenatal classes which was run by the hospital and the teacher was the RN with neonatal quals who looks after the bubs in nursery. So she did let us know about the GD bubs and what "might" happen but there was no mention of automatic 48 hours.

    Initially when Chloe had her first BSL immediately after birth I was really happy as she got a 3.1 (had to be over 2.5) and then she BF straight afterwards for almost an hour. About 4 hours later I was going to try to BF her again so I had to call the nurse as they needed to do her BSL prior to eat meal until she got 3 readings over 2.5. The 2nd reading was 2.4 so only just under the min. They bought her back and the nursery nurse came (who was also our antenatal teacher and gave us great relief knowing she was looking after Chloe) and explained that they would take her to nursery and give her a formula feed to try to bring her level up. They would then keep her an hour and test her again. If her sugars had gone back up then she could come back to me but if not then she would need to stay in nursery overnight. Her next reading was 1.6!! The paedeatrician was then called and they came in and told us what would happen. They advised they would insert a feeding tube, down her nose into her belly so that they could easily feed her without her having to exert any energy. The process of BF'ing uses up blood sugars so instead of trying to BF her to get her levels up it could have used up more sugars than those she would get from BF'ing, hence the feeding tube to take away any energy she would otherwise have to use to feed and also to assist with her not getting used to a bottle. She was taken back to nursery and we were told to wait 15 minutes and then we could go up and see her, enough time to put in the tube without us getting upset. I heard her cry but they assured me it was an annoyance cry rather than a pain. A kind nurse explained to me that her 6yo son had to have a feeding tube put in and that he is capable of telling her when something hurts and he didn't complain about it at all. That made me feel better about it but I was still a little upset just because I had wanted her with us. Here I was with no belly anymore and no baby near me so that was difficult. They begun 1hour formula/colostrum feeds (I manually expressed and they mixed it with formula). They then tested each hour and would continue that until she got 3 x levels over 2.5. The midnight BSL test we were invited to come to so we went up there and they tested her while we stood with her. I rubbed her belly and crossed my fingers for a higher reading and she gave us a 4.8.. I was so happy. They kept her overnight to make sure she got 2 more high readings so we then went back to our room and tried to get some rest. I think I got an hour or two but each time I heard a baby cry I wondered if it was her, she hadn't cried with me so I had no idea what her cry sounded like. We were told we could go down to the nursery (only about 20m away) at any time to see her. I was told they would bring her back to me around 6am to feed if all was fine but if any problems they'd wake me. I still didn't sleep and each time I heard a trolley come down the hall I'd wake thinking it was them bringing her back. Sure enough though, 6.30am she came rolling back in and she stayed with us from then onwards. They took out the tube at 3pm that day and did some additional random BSLs in the day or two afterwards but all were fine and they then stopped testing her. Her poor little feet though had little pin ***** marks and band-aid spots on them. I felt really bad about that part and seeing her be tested but they generally took her to nursery to do that so I wasn't watching.

    Hope that helps and just my experience.

  3. #3
    Registered User
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    Oct 2007
    Melbourne
    2,362

    snowchickie79 - thank you SO much . I really appreciate hearing about it - I guess it's one of those things, sometimes it's easier to cope with if you have a chance to mentally prepare for what might happen. My heart went out to you when you said how you didn't know what her cry would sound like, it sounds like a difficult first night. But, it's really good to get an idea of what can happen. How is your gorgeous little bubba girl going now?
    For me, one suggestion a friend has made is that if I know that bubba boy will be in the nursery, I ask for a room as near to nursery as possible. I'm seeing my obs tomorrow morning, so I'll be asking him all about this!!

    katones - good luck with your appt and hopefully they can do something to ease that nausea, that's no fun at all. And doing IVF & GD, gosh you'd think you'd get an easy path by now wouldn't you! Very unfair.

    angelraelz - Good luck with your GTT on the 7th & congrats on the twins! With your previous PG, did your insulin get steadily higher or did you need to jump it up quite quickly? I'm only on 14 units of protaphane in the mornings, so i'm kinda hoping it'll stay relatively low. After a few dodgy BSL's, the last few days have been really good & steady - and I've been on 14 for 2 weeks now, so I guess I wonder if it's likely to need to go up or not... guess that'll depend on the pancreas & the hormones huh!

    Artechim - that's good that your bubba didn't have to go away. How high was your insulin in the end?

    kgb - I hope you've had a good weekend and those BSL's are going well.

    My obs also mentioned that we may need a sizing scan - did any of you have one? And did it seem to be accurate? I've heard some very mixed things about them! My fundal height isn't measuring particularly ahead (I think that's cos I've stopped gaining weight & lost a kilo or so - since about 28 weeks), but I was thinking if we're supposed to have one, I'd guess it would have to be fairly soon - there's not THAT long to go!

    Apart from that, I'm busy getting my nursery set up & washing baby clothes... lots of fun! Hope you're all going well. I've discovered that I can't get away with gluten free pizza (probably wise!) but I can manage a gluten free lasagne with minimal pasta layers - YUM!

    Belfie

  4. #4
    Registered User

    Nov 2007
    Off with the fairies.
    4,370

    Hey angelraelz.
    I hope your GTT goes well and the results are fine.
    Congrats on your twins. How exciting!
    Do you know the genders? Identical or fraternal?
    (sorry if I'm nosey, just tell me to stfu if I am too nosey.)
    I'm a fraternal twin.

    Belfie - I had an u/s at around 36wks. It was for sizing and all that jazz, I think. It didn't show that he was overly huge or anything. It was accurate for me, I guess. He was around the size we thought. My fundal height wasn't really written down or anything in the last couple months, so I have no idea if I was on target or not. No one said anything about it, so I must have been fine. Lol.
    Yay! for the pasta. I missed pasta when I was pg. It didn't agree with me. Lol.
    I hope you're doing great and relaxing aswell as looking after yourself.

    Katones - Good luck with your appointment tomorrow. I hope it all goes great!!

    Kgb - Great to hear your appointments went well the other day.
    xx

  5. #5
    BellyBelly Life Subscriber

    Nov 2005
    Langwarrin. Victoria
    1,654

    Belfie you might find that youare on the thome stretch with the insulin doses. Most people find that their insulin requirements tend to level out at around the 34 - 36 week mark and some even get a small decrease...if you get a big decrease however please let your dr know as this can mean the placenta is startign to break down, something that is also a little bit more common in GDs and Ds in general. All in all though I would say you are right on track...good stuff!!
    Sizing scan are usually done on D patients but just be aware that they can be out be out by as much as a pound and if you are prone to have to big baby it my be genetics not D and vice versa so a grain of salt is my advice with a sizing scan (unless of course they tell you you are having a 13 pounder or something!!) hehe......

  6. #6
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    Oct 2007
    Melbourne
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    Belfie you might find that youare on the thome stretch with the insulin doses.
    Oooh Melbel, that's music to my ears - fingers crossed hey! As for the scans, I've heard they can be out, which is why I'm so curious. With me, they're also worried cos DH is 6"4' and I'm only 5"2'. So I know my obs is concerned that bubba might be just genetically big so to speak.

    and Tennykins... SNAP! I'm a fraternal twin too! Are you the older or younger? I was younger by 10 mins (and a very healthy breech 7lb to boot! Bro was 8lb - what a lotta baby!)

    As for relaxing... did I mention that I LOVE mat leave! This is seriously the best... I am so enjoying it.

  7. #7
    Registered User

    Sep 2006
    37

    hiya

    wow ok a few twins here

    I was going to do individual names but thought i would do one post instead.

    With Isaac i was diganosed with GD at 24 weeks then two weeks later i was on Insulin. It climbed steady all the way through. I started of on prophane at night before bed. If i got a high level then i would increase it by 1 unit. A week later i had to have it morning and night.

    Here is an example of my levels
    18 units of prophane before bed
    5.7 before breakfast
    6.3 after breakfast
    6.2 after lunch
    6.6 after dinner

    then that night i had 20 units of prophane before bed and in the morning 10 units. A month later i was up to 54 units before breakfast and 48 before bed - at some stage i was told to start increasing by 2 units instead of 1. Thats when they changed me to novorapid. Starting level of 18 units before breakfast, lunch and dinner then 48 prophane before bed.

    They climbed until i was about 36 weeks where i was on 22 before breakfast, 20 before lunch and 26 before dinner of novorapid and 82 of prophane.

    I think it depends on your hospital though because mine was really strict. My fasting had to be below 5.5 and 2 hours after meals below 6.5 - Every body is different though and just because i went down this path doesn't mean you will. For this pregnancy i am a little concerned about it happening all over again but then i have found out that every pregnancy is different and my body might react better this time around. Who knows.

    After having Isaac the same thing happened where he got a good glucose reading and i breastfeeding him and then the next one went down lower etc. They said they had to take him to Special Care and he was put on a drip etc. My husband and my sister in law Chareen went with him. While my other sister in law Maryleen stayed with me while i showered etc. What kept me from worry to much was Maryleen as she chatted away with me through the shower door while i showered. She was there to keep an eye on me because i was still very dizzy but really needed a shower.

    They take the blood from the heel of the babies foot. I didn't know this when Isaac went into Special Care. He stayed in special care for 3 days and i think the hardest bit was me being in a room on my own without him. I went to Special Care often and just sat there with him. he never actually roomed in with me at all. When they realised him from Special Care we were sent home. Then he developed Jaundice and ended up back in special Care in a hospital closer to my house. He was on a feeding tube and under lights for 3 days. Today at 13mths he is doing great and you wouldn't even know he was in special care or anything.

    I am in no way trying to scare you or upset you with my story. This time around for me i am doing more reasearch and learning about different things because i want to be more prepared. I feel i have to be being as i am pregnant with twins.

    I would suggest that go down to Special Care - have a chat to the nurses and set up a time where you can be shown around Special Care. I was shown around and in the long run i think that helped.

    With the twins they say they are faternal but now days the research says that even thought they are in two seperate sacks and with seperate placentas there is a chance that they could be identical. I think the stats are 30% of identical twins are di/di (seperate sacks and placentas) which isn't really that much. So they are more likely to be faternal.

    I go for my 3 hour GTT this saturday and i have my u/s to see the sexes on the 12th i will be 17weeks. And my next ob appointment is the 16th of sept.

    With the GD any questions ask away. Sorry i didn't plan for this to be a novel. Sorry about that.

    Angel

  8. #8
    Registered User

    May 2008
    Victor Harbor
    139

    Belfie - I had a sizing scan at 36 weeks. My dr had warned me that they can be out by 20% which is huge! So like melbel said could be as much as a pound.

    For me my fundal height was measuring over 40cm at 36 weeks so they were concerned. They didn't seem to take into account that I am over weight. I was weight just over 100kg at the time, and I'm only 5'2".

    So my scan came back at 8lb 3oz at 36 weeks, which is the same weight Randall was full term! So they were even more keen for an induction.

    The dr explained that because the measurements (head circ, abdo circ and thigh circ) were all on the big side which led her to believe that he was going to be big anyway, not because of GD. Buthe had a good fat layer around his middle which was due to GD. SHe said that if his tummy was big but his head wasn't (for instance) then it was probably GD making him chubby.

    In the end Ethan was induced at 38 weeks and weighed only 7lb 10oz. Much better than the 9lber they were predicting for me.

    So if you have a sizing scan (and you more than likely will I think) don't stress if bubs mesures big.

    Good luck today.

  9. #9
    kgb Guest

    Hi ladies

    This is my first day of the working week so I can catch up with all the posts on the forum, I couldn?t get the comp to work over the weekend.

    I am happy to report my readings are in the 5?s I have not had even a 6. (I don?t want to jinks my self yet as I still have 50 days to go and anything can change).

    I have no energy, I am going to take Berocca, which says on the label no sugar (I assume it has fake sugar as it tastes sweet).

    It my birthday on Sat, we are having just immediate family and planning takeway as I have no energy to shop and cook, is it to risky to try 1 slice of pizza and one piece of KFC? I am also thinking maybe a slice of cheesecake (will one time really matter?)

    KGB

  10. #10
    Registered User

    Jul 2007
    Melbourne
    47

    At my breastfeeding class today, I was told that at my hospital, my baby WILL automatically be admitted to the nursery and assigned a paediatrician to keep an eye on him, due to the fact I'm on insulin. I was also told that it would be for 48 hours, but that I would definitely still be able to breastfeed. I was pretty rattled by this, as 48 hours sounds like a long time to me (even though I guess it will go quickly once I'm there). I plan to ask my obs more about this at my appt on Monday. I'm a bit peeved I had to find this out during the "break" at a breastfeeding class! And I wonder when they would have told me otherwise. Grrr. I realise that it's probably good for baby to have an extra careful eye on him, so I guess it's not all bad... I suppose it's more about being mentally prepared.
    .
    hi Belfie

    Are you going to a priviate hospital, not far from Doncaster that starts with M? If so, then their policy regarding special care can be flexed a bit. I was told the same thing one time I was there for monitoring. I let them know that I would prefer to room in. Thomas was born around 10pm at night, and they did his first BSL test while I was still holding him. I was exhausted, so he went to the nursary over night, and they brought him back for feeds and they did the tests also. After the morning feed, I asked if I could keep him for a while. As everything was going well they said yes, provided that I took him to the nursary before I fed so they could test his BSL's and I needed to feed there, rather then in the room - no biggie.

    The peaditration checked him in the room and after 3 BSL tests that were OK discharged him from special care around 3 the afternoon after he was born.

    Of course if there had been other problems then it would have been harder to talk them into it. However, as the mother of one of the premmie babies there said "what the heck is he doing here, he's huge!" (all 7 pound 8 ounces of him!)

    A few days later he got a temperature, jaundice and low BSL, so they did blood tests in the nursary and then told me to top up his feeds with expressed breastmilk or formula as he was a bit to sleepy to breastfeed properly. This didn't have much to do with the GD though, more the jaundice.

    kgb - if you need to go with fast food, then I could get away with the red rooster classic roast (1/4 chicken, spud, peas, pumpkin, carrot). If you are not doing fasting tests in the morning then anything eaten after the post dinner test has a long time to get out of your system before the next test...

    Hi everyone else!