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Gestational Diabetes #65
142 replies to this topic
Posted 09 May 2012 - 01:03 PM
Chiara, congrats sounds like it all went fairly well for you! Well done!
I haven't really decided about expressing, for some reason just figured that feeding directly would be adequate. I realise now if I end up with a caesar it might be best to have some stored milk. I wish I'd thought to discuss with my Ob. I'd like to avoid formula, not sure I have enough time, only 2.5 weeks to go.
Preachers wife, I hope you can make it through the next couple of weeks, smooth sailing after that.
Well I've managed so far to stay off insulin, actually insulin isn't even an option any more, only 2.5 weeks left so chances are I'll be fine but if my levels go haywire for some reason I will be straight in for induction or Caesar.
My Ob has agreed to give me a few extra days so here's hoping I can get things going before 40+2. Ob was happy with my scans and fluid level, baby is big but 'normal' big I guess. Looking to be 4+ KGs at term. One more scan next week. Head down, not engaged. I am trying everything possible to get my cervix ripe so I can at least hope for an induction attempt.
Posted 09 May 2012 - 01:20 PM
Congratulations on your little boy Chiara!
Glad it went well (aside from unpleasant examination).
My OB told me expressing colostrum wouldn't be necessary, but maybe I should speak to the midwives instead and see what they say.
Posted 09 May 2012 - 01:46 PM
Thanks pleasebeadvised your info was heaps helpful. When I go to my dr appointment on Monday I think I will call up to the hospital and ask for some syringes to start. I think I will start at 37 weeks. I have lots there hopefully I won't need it but I would like to have it incase.
Preacheswife- I have had no problem breastfeeding my boys and fed for 2.5 and 18 months with them. What date is your c-section. Mine is either the 5th or 6th of June depending on what hopital I have to go to. I am hoping it is the 6th. So many babies around you congrats to your friends.
Chelara- Fingers crossed bub comes on his/her own. Goodluck!
AFM- readings are still really good. I have only had 1 high reading in the 2.5 weeks or recording. I have cut carbs out all together at tea as I was getting close to the high mark. I am so hoping it stays this way as my midwife asked me why I was going to the hospital 3 hours away and when I said don't I have to now? she said no as long as you are diet controlled it is fine to have bub here. She said it is my dr thing and leave it with her. I am sooooo hoping to stay at the hospital 1 hour away and where I had the boys instead. My next obs appointment is on Monday and that will be the first thing I ask her. Fingers crossed for me please.
Posted 09 May 2012 - 02:36 PM
Congrats Chiara! So glad to hear that everything went well and you and bub are both doing fine
Posted 09 May 2012 - 07:14 PM
Congratulations Chiara on the birth of your little boy!
I have cut carbs out all together at tea as I was getting close to the high mark.*Lena* be careful doing this - I also did this as a way of keeping my levels down, but it backfired badly I ended up having keytones in my urine sample and this is not a good thing! You do need to have some carbs, otherwise your body ends up burning up muscle to provide fuel. Maybe you can experiment with your diet to find something you can have at dinner time that will not put your levels up (for example, I can seem to eat lots of apple without it effecting my levels, while still providing my body with carbs). Good luck - hopefully you can keep it under control with diet so you can attend the hospital you want.
So far this week my levels have been really good - even when I had what my dh referred to as 'a pregnant lady tantrum' the other day (after my sons birthday party) and decided I was 'sick of missing out' and sat down and ate a bowl of ice-cream and a piece of chocolate cake My levels were only very slightly up after that episode which really surprised me...I did feel really sick (as well as guilty) later though and I think it was all that sugar when I am not used to it anymore.
I only have a few more days of insulin to go, as the hospital have decided to bring me in next week for a c-section...which is both exciting and scary! Exciting to meet the baby - but scary to think I will have a newborn in the house again!
Posted 10 May 2012 - 12:20 PM
Lena - my dietician advised NOT to cut out carbs from any meal, as it's dangerous to do so. I would experiment with types of carbs, and combining them with protein instead. At the moment, chickpeas, borlotti beans, kidney beans and lentils are working well for me. Sweet potato and pumpkin are good too. My levels are always best if I combine them with some meat or cheese. I'm also getting better levels with soy milk rather then normal milk.
Any kind of pasta, rice or baked goods I have to portion really carefully or I am over. Make sure you take into account the carbs in pasta sauce as well.
Posted 10 May 2012 - 04:28 PM
I agree cutting out carbs is a big no-no. You need the carbs to be able to see how your body is responding to them and to gauge whether or not insulin is needed and just how your body is coping with things overall. If carbs like pasta and rice set things off, then try plant based carbs like sweet potato instead. You could also try swapping from white based pasta to wholemeal pasta, brown rice, multigrain bread and make sure that the carbs you do eat are the lowest GI possible.
AFM I had my OB visit today and they have lowered my insulin dose from 22 overnight to 18, and from 6 before meals to 4, maybe even 2 depending on how many more hypos I get in the meantime. They have also booked my induction for Sunday afternoon, so I go in at 3pm to have the gel in and hopefully they can break my waters on Monday morning Getting excited now
Posted 10 May 2012 - 07:44 PM
I think I might belong in here. I did the 2 hour GTT yesterday and figured I would fail when the fasting finger prick was 7.2. Vein level was lower at 6.1, 2 hour level was 10. I don't know how bad that is (what's the range?), I'm supposed to make an appointment with a diabetes educator tomorrow. Any idea how long the wait will be?
Posted 10 May 2012 - 10:07 PM
Wow MickeyBoo, that's very exciting!
Your levels sound about the same as mine (and I obviously failed the GTT). I was 6.1, 12 and 10. Not a huge fail, but over. So far I've been able to control my levels with diet, although I needed insulin in my last pregnancy. The diabetes educator will give you all the ins and outs, but the ladies here are a great support for any questions. My DNE gave me a testing kit, all the instructions and then i met with a dietician to chat about the GD diet.
I had my results within 48hrs (which sucked because my OB rang me on Easter Thursday, which put a bit of a damper on my long weekend chocolate plans) so you should probably hear in the next day or two.
My OB also booked me in to see an endocrinologist so that may be another specialist you end up seeing!
Posted 11 May 2012 - 12:55 PM
Hoping to join this group, a bit nervous about what's ahead.
I literally just got off the phone from my midwife, my fasting and and one hour levels were fine, I had a 2hour glucose level reading of 8.7, above the 'ok' level of 8. No idea what that means except I now have to make appointments with endocrinologist & dietician and monitor myself.
This is my first bub, it was a loooong time coming and as you can see from my sig, I'm an older mum-to-be, all of which makes me very nervous.
I'm also a small build, although I've put on a bit of weight with all my IVF, started the pregnancy at 60kgs and am around 155cms. Now approx 69kgs.
Going back to read a bit more ...
Posted 11 May 2012 - 03:15 PM
Looks like I need to join in this group.
Found out this morning that I failed the 2 hour test at 26 weeks. Not incredibly surprised due to age and family history but a tad disapointed as I only just failed at the 2 hour point - (Lituss, I swear I am not stalking you!).
I have seen the midwife and have all the testing equipment, which I wil start today and will be seeing the endocrinologist and dietician next week. But in the meantime I will reading through all your posts for your experiences, so thanks in advance.
Posted 11 May 2012 - 03:37 PM
Domlachhlan- Yay not long now, not sure if you have hada c-section before but if not they are nothing to be to worried about, I have enjoyed my first two and will be having a third (first was an emergency). I was fine within the week and driving within 3 weeks. My advise is get up moving ASAP and don't say no to pain killers. Of course if this isn't your first ignore everything I just said.
Mickyboo- How exciting for you too you will have your little bub with you real soon. Good luck!
Turtle tamer- My levels were the same fine until after the 2 hours and they were 10.2 bugger.
hmmm in saying I have cut out carbs altogether maybe I didn't mean that exactly. I have just out potato, pasta or bread more like it. Things like 2 sausages, vegies (carrots, broccoli, cauli, beans and fried tomato and onion will have carbs in it won't it? Or am I getting it all wrong do I need some sweet potato or pumpkin or something like that in there or is what I am having ok? Tonight I will be having honey mustard chicken with vegies (as above) so the sauce will have carbs in it. Is that right???? This is so confusing.
Posted 11 May 2012 - 06:31 PM
*Lena* that dinner for me would not have enough carbs in it to keep my blood sugars where they should be, and stop me getting keytones. Did they give you a booklet that tells you what equates to 1 serve of carbs? That was my bible for the first few weeks - everything I ate I would look up to see how many carbs it contained so I could work it in with my allowance for that meal. If they didnt give you a booklet there are some websites that tell you (having a mind blank at the moment as to what they are though...calorieking is one though).
As others have said sometimes its the type of carb you are eating - I cant have much potato as I get really high levels eating that, but corn is ok. White bread is a complete no-no for me, as is wholemeal - but I can eat tiptop 9 grain bread with pretty much no problems...kinda weird really!
I have had a c-section before, but it was an emergency one. So its all very different knowing what day and time its going to happen, and meeting the doctors beforehand to discuss how it will all work. Glad to hear the recovery is pretty good for second c-sections though - I was hoping the recovery from my first was not just a fluke as I had hardly any pain the next day and like you said was fine after a week or so to do pretty much anything!
Turtle Tamer - I had a call that day about my results, started my 3 day diet 2 days later - and the day of my next test I was diagnosed with GD and started on insulin that day. It all seemed very quick really, but that was best for all involved (especially the baby). Good luck with everything - just remember even if you do go onto need insulin and things like that its not as bad as it sounds (and that is coming from a huge needle phobic person!). With the diet too it takes a little while to figure it all out, but its not too hard once you get the hang of it
Posted 12 May 2012 - 07:42 PM
Good luck tomorrow Mickeyboo!
Lena, that dinner probably wouldn't have enough carbs. Carrots have a little bit of carbs, so do tomatoes, and the sausages might have a little, but you should probably be having 2-3 serves. The dinner you described is probably only one serve.
You can look up the carbs on calorieking. It's really helpful. One serve of carbs is 15g. You'd need to add 1/2 a cup of potatoes or a piece of fruit afterward to bring it up to a couple of serves. My doctor has suggested about 40-45g at dinner time, so I'd have to add the potato AND the fruit to meet that.
To the new ladies, I found keeping a food diary on calorieking really helpful for the first few weeks. It helped me keep track of carbohydrate portions, especially in the mornings when you can easily go over.
Posted 12 May 2012 - 09:17 PM
Thanks for the welcome everyone though I'd sure noone want to need welcoming...
I called and was told to come to a diabetes group on Tues from 9am-midday. I will take the day off but it's a pain in the rear end to do it and I won't be going at that time again. I have an awful feeling that it will be a regular thing and if so I don't know how others working do it at that time. I'm likely to tell them to get stuffed if they push me too hard on it. That might sound terrible but I don't know what else I can do if I am put in that position. Hopefully that's not the case, I just have a bad feeling...
domlachhan - What were your 2 hour results? I'm guessing they were really bad to start insulin within the day.
I'm really confused about the levels and ranges and what not. Is the fasting level affected by food you have eaten? Will diet help this? I understand the keeping under for 2 hours after meals (don't like my chances given what I have read is the cut off and my numbers for the 1 and 2 hour tests), but how do I get the fasting level down?
Edited by TurtleTamer, 12 May 2012 - 09:23 PM.
Posted 12 May 2012 - 09:48 PM
TurtleTamer - I cant remember exactly what my first 2 hour reading was (the 'fizzy drink test) - I think it was something like 9.3? Then after the 3 day diet my fasting level was over 6.5 (I think it was around 7.0), which at my hospital means you are automatically diagnosed with GD and they don't worry about doing more blood tests.
At first I started off on a smaller amount of insulin, and it has progressively been put up higher and higher as the pregnancy went on - I think I started on something like 16 units in the morning and 10 at night; now I am on 40 units in the morning and 26 at night
My hospital also ran a diabeties group on a Tuesday morning - but it was a one off thing where you went and they talked about the diet, taking levels etc. After that it was just extra appointments at the ante-natal clinic that I had to attend (but I did have to take alot of time off work to attend them all...luckily I was doing release teaching this term and my principal was very understanding and helpful!).
but how do I get the fasting level down?with my fasting levels I actually found if I had a really low level before bed, my fasting level in the morning would be high...they explained this by saying your liver releases glucose? when your levels get too low and my liver was just a little too enthusiastic in doing it (releases too much glucose, and does it when my levels are not really low enough to bother anyway!). If I had something (like a glass of milk with a spoonfull of milo for eg) before bed it would raise my levels enough that my liver would not release glucose and my fasting level would be good. Hope that kinda makes sense! My fasting level is also very much effected by how I slept the night before - not a good sleep=high levels, great sleep=nice low levels
Posted 12 May 2012 - 10:09 PM
Wow welcome all of he newbies!
Turtle tamer I had to do a 3 hour group session thing at nepean hospital when I was diagnosed, it was a 1 off, after that I just call in weekly or if i have a high reading. I do now have to see an obstetrician at my hospital (not nepean) as I am high risk. There's no flexibility on this which is a bit of a pain seeing s I can't drive, it is weekly and I have to lug dd and myself on the train for a 5 min appointment. Hopefully you can work your appointments into your schedule, your hospital may allow you to phone or email in your readings rather than needing extra appointments.
I agree pp regarding too little carbs at dinner is no good. Dinner is my worst time too but some carbs are definitely more tolerable than others. The biggest factor for me is regardless o what I am eating to ensure protein makes up most of the meal. Ie a roast is fine, meat and veg fine, but a soup, veg heavy stirfry, wrap with mainly salad etc will give me high readings. Legumes are great for me as are potatoes baked in their jackets. I am fine with 2/3 cup cooked basmati or doongara rice. Asian noodles are no nos as are fresh pastas (Latina) but I can tolerate a side serve amount of regular dry pasta with meat or fish on the side.
I generally aim to have 30g or carbs at meal times and 15g for snacks, I can have more after dinner but I am allowed a fasting level of up to 5.5. Often get 5.4 but have never been higher.
Posted 12 May 2012 - 10:13 PM
Interesting. I don't think my levels would have been low the night before the 2 hour test, I ate a couple of slices of pizza at 9.30pm (finishing off my daily carbs before the fast started at 10pm....), it'll be interesting to see how it goes I guess.
It's promising to me that the Tuesday morning group at your hospital was a once off! I teach too but I'm temporary so have my own classes and just can't take the same ones off every fortnight. I hope my hospital is the same as yours!
Posted 12 May 2012 - 10:21 PM
Chelara - Thanks for your info too. I'm at Westmead so hopefully it's the same system. I already see the OB clinic (happens to be the high risk OB team because it was the only time I could manage) so I'm guessing that won't change. They switched me to fortnightly appointments already though. I finish work at 3 and they're generally pretty accommodating by giving the last appointment (3.50) so that I can make it so if I can call or email levels I will be happy enough with that.
Posted 12 May 2012 - 10:36 PM
I was told the fasting levels were pretty much the ones you had least control over- sleep makes a huge difference. I prefer to take them immediately before I get out of bed, I go to he loo a few times in the night so my hands are already washed. When I wake, before I get out of bed I take my reading. You might help your fasting levels by exercising in the evening too.
My fasting and 1 hour levels during the test were fine, I got 8 at the two hour mark, so on the cut off. My 1 hour test was over 10.
Posted 12 May 2012 - 10:51 PM
My fasting was 6.1 and 2 hour 10 so way over cut off (The finger prick was actually 7.2 fasting but the vein level was lower). I think I got 8.4 on the 1 hour challenge thingo.
Thanks for the tips everyone.
Posted 13 May 2012 - 12:44 AM
Sorry to be annoying but can you guys tell me what they did in that 3 hour session, is it primarily giving info?
Posted 13 May 2012 - 10:09 AM
They gave info on risks involved with gd, what is gd, hospital policy, dietary changes, a little about insulin but if you need insulin you will see an endo, we saw a dieticician who gave us individual carb limits based on our weight, exercise etc... These are just a rough idea, got info about portioning and reading labels, learned to use he bsl meter and record readings. Ask any questions.
Posted 13 May 2012 - 06:11 PM
My info session was pretty much the same as Chelara - we got told lots of info about diabeties, how it could/would effect the baby, how they may need to manage it during pregnancy/labour etc. We also got given our blood level meters and taught how to use them, they handed out our record books and explained how to record our results, when to ring in with our levels for adjustments, what to do if our levels got too low, gave out booklets and brochures about carb portions etc. Pretty much anything you needed to know was explained during the session! Straight after the session if you needed insulin you were taken to see an endo who prescribed the insulin and then an educator showed you how to do the injections etc.
I think with most people at my clinic (in Canberra) they were happy with people ringing in their levels each week - I just had to go and see them fortnightly at first, then weekly as my levels were really difficult to bring under control, also my blood pressure etc was doing 'weird' things so it was more they wanted to keep a very close eye on how my bub was growing etc. You may find they are happy with you just ringing for insulin adjustments when necessary rather than always traipsing in for an appointment.
Posted 13 May 2012 - 08:55 PM
My first info session was a little different, I had an appointment with the endo first, which was very quick check of BP and feel of thyroid. She then explained about the diabetes clinic at the local hospital and rang to make an appointment with a nurse educator for me. I went to see the DNE for an hour appointment where she explained everything as PP's have said, gave me my testing kit, walked me through the process, I did a keytone test and then I had a chat with a dietician about making sure to include carbs in meals etc.
That was my second pregnancy, first with GD. This is my third pregnancy, second with GD. This time I have just been seeing the endo every fortnight. She was happy that I knew how to test accurately, what to include in my diet and I just have to call if I have high levels for more than two consecutive days. She gave me a script for testing strips (cheaper than over the counter) and for insulin that I can fill after speaking with her. She also only charges Medicare for GD patients. I have the number for the diabetes clinic so can call there as well if I need to, but so far everything has been well controlled.
I was told the same as Chelara about fasting levels, which is why it's important to have 'supper' before bed. I agree that nights of bad/uncomfortable sleep and up and down give me higher readings. I think that you can get higher fasting readings if you do stuff after getting out of bed before you test, so I try to test as soon as possible to waking up, even if I go back to bed for a bit afterwards. I also wonder if that's why I had such high fasting levels with my GTT. Before the test I was up, got two kids ready for daycare, dropped off kids including slightly hysterical two year old, had to find a park where I wouldn't get booked during the test and so had to walk 5 mins just to get in the door. I started the test more than two hours since I woke up. If I could have rolled out of bed and started straight away it might not have been so high???
But best of all I've had a great mothers day and excellent levels, and that included having a piece of lemon meringue pie! It was the smallest piece you could image, but man it was good and my after lunch levels were a respectable 4.9! Hope you all had a lovely weekend too.
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