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CAH - I'm not sure why but they said if I'm treated with tablets or insulin for GD, they'll have to induce me. I had my last ultrasound at 34 weeks.
sloane - thanks! :)
snowchickie - Rich tea biscuits! yum!!
You know, my levels are not doing so good last week. It's all 7's sometimes lower sometimes higher. Some 6's. I emailed my endo the readings and told him I'm booked to be induced in 7 days. He replied asking me to make an appointment this Tuesday (I'd be induced in less than a week by then) to see him and start myself on insulin.
Now, doesn't this sound ridiculous?
I mean, at the risk of appearing ignorant, surely insulin won't be able to take effect well enough in less than a week! Could it? Will it make much difference? As far as I understand, I can stuff all my GD tablets after I deliver, right? Do I still have to do insulin after delivery too? Can't he just up my tablets intake (am doing 6 tablets atm and he said the max I can go up to is 8!) I really want to present this thought to my endo but afraid he might think I'm trying to get away with insulin (which I am really, but he doesn't have to know that!:P)
What do you lovely ladies think?
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Smudgy, I haven't been keeping up with your particular situation, but if you are only getting 7's and are due in a week or two then I would fight against starting on insulin injections. I had a limit of 7.5 for my post meal readings, but they weren't worried unless it was going over 8 (and even then it isn't a big panic).
Sounds like a bit of an overreaction by the endo, have a chat with the Ob and see what they say. Insulin does take effect immediately, but to me it doesn't seem like your levels are high enough that it would be of much benefit since you are already taking the tablets.
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Smudgy - I dont get it either. I cant see the point of taking insulin if you are due to be induced in a weeks time. What is the maximum reading allowed with your docs before insulin in considered? With my docs it is 8.0 and I am up and down all over that at the moment!
I have worked out that I can only eat low carb salad and vegies, and protein. Anything else for lunch or dinner and my readings jump to 8 or 9 or even 10!! I am scared because for me to be put on insulin means I can' deliver in my hospital of choice, and that I need to go to Adelaide, over 2 hours away. This weekend has beena real struggle for me. My dad is visiting so we've eaten out for most meals - and you guessed it, I am over my limit.
Ironically I think I probably do need the insulin because when I keep within my bsl limits, I am hungry. I am sooooo hungry and I figure this can't be good for my baby either.
After Dad leaves tomorrow, it will be easier to manage I tihnk. I have to really work hard at this. I'm going to try and eat earlier in the evening, say before 7pm, and then go to bed early to avoid the munchies. I'll also give up my morning coffee (boohoo!) and have tea instead because I have black tea but I have white coffee. Monday is a new week and I just gotta do this!!
Hope everyone has managed to get thorough Easter!!
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Blondedoctor, if you are restricting what you eat so much that you are always hungry then it is probably best to go on insulin. Apart from the obvious downside, it is a relief to actually eat enough so that you aren't constantly starving.
Don't skimp on a snack before bedtime, it actually helps to have a low G.I snack before bed or your body can pull glucose out of cells (or somewhere lol) and you can get higher readings from eating nothing. Also a bit of milk in your coffee shouldn't send you over, it is really hard isn't it.
I was on insulin with my last preg, just waiting waiting to see if I get GD this time but if I do then I have to travel 2 hours to hospital too.
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Hi Artechim,
Thanks for the advice! I didn't know that an evening snack can help to lower the bsl. I'll try that tonight and see what tomorow mornings reading is. Good look with your bsl this pregnancy :pray:
I am cooking hungarian goulash soup for tea. Dad and DH are getting spatzle (dumplings) with theirs, and I'll add chopped spinach to mine instead. It smells so good - can't wait to tuck in!
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hi girls
Artechim - thanks for the reply. it does sound like he's over acting, doesn't it? i think maybe he doesn't realize how close the date is to being induced by the time he starts me with insulin..? sighh.. i have one or two 8's around but mostly they're 7's and high 7's.
blondedoctor - i know! can't get around it either! what's going on with these endos! anyway my max is 7.0 and fasting level at 5.5.
I still don't see the point starting on insulin. Maybe I'll ask if he can just increase my tablets does instead.
I'm out of Diabex at the moment. I take 3 before bed and by this time next week I'd be induced. Think I should purchase another box, anyway? One box has like 100 tablets. Do I really need to take the tablets or be on insulin after delivery?
Getting SICK with tablets and GD!!
Agggghhhhhh!!!!:angry::wall:
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Afternoon girls :) How is everyone going?
Smudgy - I hope you are able to stay off the insulin before your induction. :pray: It really does seem like shutting the gate after the horse has run...... mmmm is that the saying? Well you know what I mean :)
AFM - my BSL have been very difficult to control so it looks as though I will be going onto insulin. The diabetes educator (whom I can't stand!) rang and made the doctors appointment for me for tomorrow morning to discuss it. I am really nervous about it but in a way going on insulin will end the uncertainty I've been feeling. I wont be able to birth at my chosen hospital so tomorrow I'll find out whether my doc will refer me to another hospital or whether I need to find a new doc and new hospital myself. I am really stressed about this but am starting to accept and deal with it.
As you say Artechim, I'm guessing that once on insulin I'll be able to eat a bit more and won't be so hungry. I'll also be less stressed which will be great for the baby too. Ahhhhh - I had really hoped for this simple birth at my local country hospital but, as long as I get to hold my beautiful baby at the end of all this, I'll be happy
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blondedoctor - how did you go at your doctor's appointment? did they end up recommending insulin? i'm sort of in the waiting pattern at the moment as well - i know my BSL will probably rise despite diet at some point and in some ways it would be easier to just go on insulin. did you end up trying a snack before bed?
smudgy - how are you going? did you manage to stay off the insulin?
CAH - how was your 3D scan?
i had a biometric/growth scan this week & apparently the baby is 'text book' in size at the moment. i know the u/s aren't always perfect, but the baby is measuring right on where it should be, which to be honest was a bit of a relief between the GD & the BP meds. i'm still controlling with diet - had a few higher readings over easter, not because of chocolate but i think because i wasn't eating regularly like i had been. back on track now :)
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Hi girls,
I just wanted to let you know that my little man arrived last Wednesday 8th April. Noah weighed 3.45kg (7lb9oz) which is pretty spot on what the growth scan at 36wks said he would be (which was a surprise - a growth scan that was actually right!!!) I was on insulin, so there goes the theory that GD means a big baby. I was so over people telling me I would have a gigantic baby, when really you cant get more average than 3.4kg.
While in hospital I had to do my BSL's for another 3 days as they wanted to keep any eye on it. They said they wouldn't be concerned with anything under a reading of 10. The highest I had was 8.2 which was the day after delivery. Since being home I have tested a couple of times and had nothing over 6.0.
Noah's BSL's were checked 5 times in the 12 hours after birth. His first was 3.0 which was fine but the next few dropped - 2.6, 2.4, 2.6 so we had to give him a little bit of formula as the colostrum they were getting from me wasn't enough to help his levels. A little bit of formula and his levels went up to 3.2 and they were happy with that.
Smudgy, I hope your induction goes smoothly this week :) Did you manage to avoid insulin?
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Congrats Megan on the arrival of your healthy little man! It is nice to see proof that we won't all be pushing out gigantor toddlers :)
Sloane - great that you avoided the temptation of chocolate last weekend. Wasn't difficult for me as we never buy easter eggs. I spose that'll change once bubs comes along.
I started insulin yesterday and so far its made no difference to my readings. I am on a very low dose, just 4 units twice a day so there is room to increase that if my bsl's dont reduce over the next few days. I take fairly high doses of asthma medication and I've just read on the packet that this medicine can interfere with the insulin, and will often require larger than normal doses. Great :cry:. Guess I'll just see how it all goes. I did try snacks before bed but it made little difference. My fasting reading in the morning is usually good anyway, it all goes haywire after breaky and again after lunch. After dinner is usually ok. I'm taking the insulin after breaky and lunch so I should see an improvement there. BTW, injecting with insulin is completely painless! Much much better than testing my bsl!
I presume that most of you are registered with the NDSS to get your testing strips and lancets etc? Well I was too, but I had to reregister when I went on insulin!! I'm quite frustrated by the whole set up of this organisation. I mean, my doc prescribed me the insulin which I got from my local chemist, but I had to drive 120km to a NDSS accredited chemist to pick up the needles! How stupid is that?? Why can't I just get them from my chemist? Would be so much easier.
I have an appointment with a new midwife at Lyell Mac hopsital, in the northern burbs of Adelaide. They are a much much bigger hospital than the one I had previously booked into, but they do sound nice and I've heard little else but praise for them. I am little worried about the two hour drive to get there but seeing as I'm 99% likely to get induced at 38 weeks I guess that wont be a problem.
Hope everyone is well :)
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