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Gestational Diabetes #68
123 replies to this topic
Posted 08 October 2013 - 06:28 PM
Personally I've never been able to control fasting levels without insulin, nothing I ate before bed helped (this time or last time). I'm on 12 units before bed at the moment which isn't too bad but I'm only 26w and I know it will go up from here. I also have insulin at dinner (8u), my other meal levels are fine as I am active all day with 5 boys to run after, I am not committing myself to more exercise after dinner, it's my only chance to sit down all day! That said, at the moment we're moving and evenings are spent packing (when kids are in bed), very hard to remain scheduled right now.
I have my first growth scan next week so it will be interesting to see how the baby is going (last GD baby was average the whole way along). And see if the placenta has moved up at all while they're at it.
wildweeny -- They're likely to put you on insulin with those fasting numbers, just preparing you.
My goals are below 5.5 fasting (prefer under 5) and under 7 2 hours from start of meal. It's weird how they're all so different.
Posted 11 October 2013 - 12:04 PM
I eat two shredded wheat biscuits right before I go to bed, almost in bed even. My levels are now always under 5 where they were creeping up to 5.2-5.4. I average 4.7 for fasting now.
Maybe you could try this?
Posted 11 October 2013 - 01:12 PM
Man, my numbers are all over the place at the moment. We're moving next week (with less than 2 weeks notice). I'm getting about 3 hours of sleep every night while I'm packing and still don't think it will all get done (so more sleep is not an option!) The physical exertion has me all over the place, from hypos to high fasting levels because I'm not on a proper cycle, here there and everywhere. I'm going to get such a lecture but what do they really expect me to do!?
Posted 12 October 2013 - 05:01 AM
That sucks TurtleTamer I've been told that stress and lack of sleep do mess with your blood sugar levels, but sounds like there's not a lot you can do about reducing your stress and getting more sleep until the move is done and dusted!
Wildweenie I found nothing changed my fasting levels except insulin. Tried all kinds of supper combinations involving various amounts of protein/carbs/no supper, and lots of different exercise combos and nothing really made a lick of difference. Even on insulin it's still a bit unpredictable. With the tablet I'm on, not all doctors will prescribe it apparently as it's a category C drug for pregnancy, but my endocrinologist said there's been lots of positive studies in Aus/NZ and she's happy with the safety of it. I don't know if it's doing much though.
As for me, even keeping to my tight targets my baby is still tracking really big, he's now off the average growth charts and on track to be over 4kgs even though I'm being scheduled to deliver at 38 weeks. Bubs run big on both sides of our families, and DH and I are both a little taller than average so maybe bubs was always destined to be on the larger side, but it's still frustrating to be trying to do everything right and still being told at every appointment that baby is growing too much. Not too long to go now though.
Posted 14 October 2013 - 08:48 AM
Thanks for the replies ladies.... Fasting levels are still creeping up, although occasionally have one back in the low 6's? Guess it remains to be seen what obstet says. Might ring again today to let him know the change. Had only one high level during the day - which was an hour after a pork roast meal with the family (apparently a no no ) Maybe it will be insulin for me after all? Although obstet really wanted it to be the last resort. I'm a bit more of a concern also as I have a slight heart condition, and the medication I usually go on for that at about the 34th week could cause a few hiccups now I have GD. I also live 4.5 hrs away from my obstet (Townsville, QLD) so really am in a bit of a pickle!
Posted 29 October 2013 - 06:01 PM
I've recently been diagnosed with GD, and am having issues finding some carb friendly dinner and snack ideas. Particularly quick dinners, as I can't stand meat that hasn't been disguised in a sauce or something. Does anyone have any suggestions for me? They would be much appreciated
Also, what is everyone's experience of being put on insulin? I've got an appointment tomorrow with my diabetes educator, and she is fantastic, but I am honestly freaking out. It's not so much the needle as it it fear that I will keep having trouble managing my glucose and it will all be for nothing.
Posted 12 January 2014 - 05:28 AM
Hi, for those of you that have had GD with 2 or more pregnancies, how early were you diagnosed 2nd time around? I'm 15 weeks tomorrow and having the full GTT on Tuesday.
Has anyone not shown GD at this stage only to develop it later in pregnancy?
Posted 12 January 2014 - 06:19 AM
I've had three diabetic pregnancies. Your main problem with meat sauce will be the commercial ones can have lots of sugar.
Could you try crumbed chicken - crumbed with almond meal/parmesan/herb mix and maybe stuffed with camembert and prosciutto… baked. Yum.
Tomatoey/bacony/herby sauces should be fine, as should stock-based and creamy sauces. Make them yourself if possible as the commercial ones will have sugar.
So panfry some meat (chicken breast or steak)… sauté some onions and mushrooms, deglaze by adding a bit of white or red wine depending on the meat, stirring and boiling off, add some stock, simmer to reduce then stir in some cream, pour over, salt and pepper to taste.
Use heaps of veggies, less corn and potato, a bit of sweet potato and carrot, as many green veg as you like. Not much fruit and small pieces/half rather than a whole big piece. No juice. Less rice and basmati or brown basmati rather than white. Less pasta. Leave the bits with no sauce on your plate.
Carb-friendly snacks…try to reduce carb foods and include some protein.
Tuna on half a slice of wholegrain.
A handful of nuts.
2 dried apricots and a boiled egg.
Corn thin with cottage cheese.
A small piece of heavy (preferably sourdough) fruit toast.
Half an apple chopped and some cheese.
Wrap a piece of lettuce around a semidried tomato and a crispy rasher of bacon.
Avoid refined sugar.
BumpyX: I was diagnosed at 9 weeks with #2 and 18 weeks with #3.
Posted 12 January 2014 - 09:44 AM
Hi bumpyX. I was diagnosed with GD at 16 wks this time. I'm now 20 wks and am so far managed quite easily by diet. This is my 3rd pg, and 2nd with GD.
I'm a bit older (37), but fit and not overweight. It's not too bad for me - if anything, I look at it as a forced healthy eating regime! So far I haven't put on any weight thanks to the better diet.
Good luck with your test on Tuesday. Let us know how you get on...
Posted 13 January 2014 - 12:07 PM
We found it was really helpful to have a long walk right after any meal. Diet alone didn't help.
Posted 19 January 2014 - 08:36 PM
My OBs receptionist rang to tell me that my 15 week full GTT results were in and were normal. Fasting 4.9, 2 hrs 6.0. I'm assuming I'll need to repeat it at week 28?
Posted 04 February 2014 - 07:36 AM
Hi can I join? I've been diagnosed with GD at 20weeks. I asked for an early test. My mum had 2 big babies (lost the first 11pd 2days post birth, i was taken 2 weeks early at 8pds) and now has type 2 diabetes.
I failed my 2hr test at 18 weeks -fasting was 5.1 and 2hr was 9.
With diet and exercise my readings fluctuate with fasting 5.5-6.5.
After meals I'm under under 6.7
I was kind of expecting GD, but was still really upset to find out I have it. Like so many others I feel like a failure. I know it's not my normal diet- I've always been a low carb person ESP since losing 15kg leading up to my wedding last year, I just kept the healthy eating since then. In fact it's been hard having to eat a minimum of carbs to keep baby healthy. (Baby is normal size for now)
I'm being put on insulin today for my uncontrolled fasting numbers overnight.
I'm worried it will just get worse as I still have 15 - 20 weeks to go.
I don't know if there is anything else I can do on top of my diet and exercise.
I guess I just need support and to be told everything will be ok
Posted 26 February 2014 - 11:38 AM
Hello lovely ladies. I haven't been on here for what seems like ages. Hope you are all travelling well
After two previous GDM pregnancies I naively wondered if I would get away without it this time round lol. First bub was diet controlled and then insulin for fasting levels after being diagnosed at 14 weeks with my now 10 month old. Like some PP's I decided to get the old machine out to have a quick look at my fasting this morning and it was 6.0 Im only 4 weeks so a little unhappy. I know there are some early diagnosis' on here and just wondering what the outcome was and any info would be awesome.
Posted 26 February 2014 - 07:08 PM
I have just been diagnosed with gestational diabetes and don't have an info session till next week. I have googled but to be honest I don't eat anything bad so I am at a loss as to what to really eat at each meal. I don't usually have supper but it seems a milo before bed is the done thing? What do you all eat for breakfast, lunch and dinner? Also snacks? What do you eat? I don't snack so this is new too.
Sorry for all the questions. This is not my first pregnancy but its my first gestational diagnosis. I have also been exceedingly worried about listeria this pregnancy so this appears to be another food worry to add to the list
Posted 13 March 2014 - 12:05 PM
So glad to find this group!
I was diagnosed with GD around 6 weeks, ago and am on 6ml insulin before meals to try to control levels (tried to control with diet alone but got very high readings for little food).
Baby is measuring big 50-75 percentile and 60% fat around tummy. The OB (see a different one each time at public hospital) said if the baby is measuring more than 4kg they will want to book me in for a c-section.
I am terrified of a c-section (am very big and would have a 30% chance of infection) and want to avoid it if possible.
My first (and only other) child (no GD that pregnancy) was born 5 days early at 3.75kg, vaginal birth, vacusuction to help at the end. I weighed the same last pregnancy as I do now.
I have been working hard to make sure my levels don't go over, but if the baby is big then he is big and there's not heaps I can do about that.
I really want the chance to have a vaginal birth but am concerned about being bullied into a c-section when it is unnecessary (if it was medically necessary for some other reason I would of course have a s-section) instead of being given the chance to push out the baby vaginally. I feel like I'm in the pushed into something by public hospital doctors that just don't give a crap and want to do what is easiest and less risky for them rather than what is best for me and the baby (both as a way of giving birth and in terms of recovery and post natal time).
Any tips, suggestions, advice welcome!
Edited by AnnaJT79, 13 March 2014 - 12:12 PM.
Posted 27 March 2014 - 06:49 AM
Hi. I have just been diagnosed with GD. Well sort of! My fasting level was 4.5 and my level after 2 hours was 8.2. My OB said under the new guidelines the cut off is 8.5 so "technically" I passed, however I have a history of big bubs so he wants to diagnose me under the old system where the cut off was 8.0. Have my dietician appointment today. My question is if bub is big (will have scan at 36 weeks) and has to come early is it always by c-section or can you have an medication and vaginal birth?
Posted 27 March 2014 - 06:49 AM
Hi. I have just been diagnosed with GD. Well sort of! My fasting level was 4.5 and my level after 2 hours was 8.2. My OB said under the new guidelines the cut off is 8.5 so "technically" I passed, however I have a history of big bubs so he wants to diagnose me under the old system where the cut off was 8.0. Have my dietician appointment today. My question is if bub is big (will have scan at 36 weeks) and has to come early is it always by c-section or can you have an induction and vaginal birth?
Edited by alexxela, 27 March 2014 - 06:49 AM.
Posted 15 April 2014 - 08:40 PM
...and another one joining the club. My second pregnancy and second GD experience. I'm almost 16 weeks :-(. Hoping to control with diet as I did last time. I guess it's time to dust off the old testing kit and find a new lunchtime place to make my old favourite - crunchy munchy wholemeal salad roll (hold the mayo of course!)
Posted 15 April 2014 - 08:56 PM
Bondgal- try multigrain or soy and linseed bread rather than wholemeal. Whole meal is the same GI as white bread
Posted 15 April 2014 - 10:35 PM
Thanks for the tip Vfr Momma. Noted. Even second time around, there is so much to learn!!!
Posted 16 April 2014 - 03:08 PM
Back again. Off to meet with the Diabetes Educator tomorrow. In the meantime, has anyone found any good iPhone apps for tracking levels, diet and exercise? TIA
Posted 16 April 2014 - 03:30 PM
I used "my fitnesspal" app To lose weight a few years ago. It can help with working out number of carbs in meals. I haven't used it now though. I would suggest your educator should refer you to a dietitian. (If not ask for a referral)
I thought I knew what to eat or not eat, until I met with the dietitian and she really opened my eyes to how wrong I was.....ie I always avoided carbs, but in fact it's better to manage what carbs you eat (lowGI) and how much you should eat spread out throughout the day.
1-2 serves(snacks)or 2-3 serves (main meals) where each serve is 15g of carbs. This way baby gets what carbs are needed to grow without spiking your blood sugar.
My dietitian went through a meal plan for my whole day, and taught me what to look for if I wanted to substitute certain meals.
Hope that helps
Posted 14 May 2014 - 08:45 AM
I'm pregnant with my second GDM baby. Generally thing have been going well. But this morning I took by blood sugar levels, I had a reading of 5.4, I took it again straight away, from the same lancet jab even as it was bleeding still and it was 4.5. This isn't the first time it has happened, it's been a much more dramatic difference in the past, from something like 10 down to a normal level. Am I right in guessing that the lower level is the one to go by? Or should I be upping my insulin tonight? (I have been told to up it by 2 units if my fasting level is above 5) I'm not seeing my Diabetes specialist for another week and she's hard to get hold of in the mean time.
If in doubt I will up it, but as there is no reason for my levels to have jumped up like that I am inclined to believe the first was a false reading. I am also wondering how many other high readings when I have felt fine (usually if they are high I feel pretty off colour) have been false.
Posted 23 June 2014 - 10:08 AM
I'm hoping there are still some people following this thread. I was diagnosed with GD a few weeks ago.
Apparently I only 'just' made it into the diagnosis - from my GTT, fasting was 4.something, 1 hour was 8.1 but 2 hour was 8.3
I've been monitoring my levels for a few weeks and following some diet guidelines, and all was going well till several days ago when my numbers started to go up (just as the educator said they would).
I'm finding it completely demoralising...I'm eating the same things that were fine a week ago, but now they sent me over the dreaded line. I'm a really bad needle-phobe...it took me several days to work up to doing the prick tests, and I just can't imagine having to do insulin. I'm just feeling so distraught, I'm trying so hard to get this under control and nothing seems to be working
Posted 23 June 2014 - 05:23 PM
Don't fear the needle. I know it is easier said than done, but I put off the insulin and fought it as much as I could, staying on tablets that were only barely keeping my levels within range and giving me the runs 3-4 times a day until I couldn't deny it any more and gave in. The lancet is far worse than insulin. Seriously you barely feel the damn thing.
Good luck with it all, it's not you doing anything wrong with your food, it is simply the bigger your baby grown the more strain is being put on your pancreas and your sugar levels get higher. Don't beat yourself up about it. If you want have a look at Crio Bru, it's a cocoa bean drink that I found helped me a bit with sugar levels, it's also a bit of a treat drink for me.
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