thread: GD - what to expect (appts and monitoring)?

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  1. #1
    Registered User

    Jul 2008
    Melbourne
    3,244

    I've had gd twice now.

    you usually have an appt with an endo as well as your normal appts. I had an extra scan with both pg to check growth, cord function and fluid levels. the growth is obviously hit and miss but the other things are good to check.

    how many times per day you have to check bsl seems to depend on the doctor/hospital but I had to do it 4 times. as pp said, if the bsl can't be controlled through diet then you may need insulin. if you go on insulin they're cautious about letting you go past the 40 weeks. the hospital was more cautious with my first pg and I had ctg monitoring from about 36 weeks - once a week initially and then twice in the last week. this time they didn't worry. I was induced at 40 weeks with my ds but they were happy to let me go a bit longer this time and I went into labour spontaneously.

    I was on insulin both times but not huge doses. sometimes it doesn't matter how 'good' your diet is, your bsl still go up. I never found it to be a huge deal. sure, I had more appts than I would have preferred,but mine were always on the same day as my ob clinic (public hospital) so out just meant a bit more waiting. I think I was on fortnightly appts until 36 weeks and then weekly, although I think the endo appts stayed as fortnightly. the endo appts were really low key - they would just look over my levels since I'd last been in and,then either adjust my insulin or say I was fine. they told me when/how to adjust my doses this time because I was (in their words) 'an,old hand'.

    are you going public? I found that the younger obs/registrars were more cautious but the older ones were pretty relaxed. but that was at a tertiary hospital so nothing really throws them, itms?

    good luck



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    Last edited by sloane; August 30th, 2012 at 07:56 PM.