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The All New And Shiny Gestational Diabetes Support Thread

(259 Posts)
midori1999 Mon 11-Mar-13 21:11:03

The old thread seems to have died a death, so thought of start a new one for anyone who wants some support or just to chat about GD.

I'm 9 weeks pregnant now, had GD in my last (5th) pregnancy and had my GTT today, expecting to be diagnosed tomorrow as my levels are already silly.

EllaBella220 Fri 25-Jul-14 23:37:56

I'm 32 weeks. They haven't mentioned anything about early induction to me yet. I don't mine being induced, I've done it twice already and it can be a good experience.

I am finding it REALLY hard to keep up with readings and diet this past few days, my book is lacking in entries!

gunwalloe Fri 25-Jul-14 19:18:56

I've already had 2 emcs so had to have a planned one this time at 39 weeks this was arranged before the GD

LittleMissRayofHope Fri 25-Jul-14 15:22:52

I'm hoping to go full term and birth as naturally as possible. I was super lucky with my first, had diamorphine as my contractions went on for 53 hours and only got to 3cm!! But once I had the diamorphine that was it, took an hour to get to 10 and had no intervention or stitches or anything! So I'm very hopeful to avoid intervention and induction.

I keep notes of what I eat and how active I am. I have been tweaking aswell.
I know a cheese roll (white baguette) will give me a higher reading so I have seeded brown bread instead and it's much lower. Also have upped the quantity of Veges or meat along jacket potato as I LOVE jacket pot, so my team can see I'm making the effort aswell.
I'm quite overweight, not sure that makes a difference. I know the exercise helps a lot. But I'm finding it relatively easy to control it through diet so far. Fingers crossed it continues!!

gunwalloe Fri 25-Jul-14 13:37:02

I wish I could be more active I've suddenly become really unfit we are in Cornwall on holiday and walking even on flat ground has me puffing I wonder if my iron level has taken a dive from my new salad and chicken diet.
Ella how many weeks are you?
Are you both having the baby's early?

EllaBella220 Thu 24-Jul-14 19:09:19

I have actually noticed a slight increase in my readings the past days so I think I'm not going to be diet controlled for much longer. I saw the diabetic team today who were happy to let me try the diet for another 3 weeks but they gave me the prescription for metformin just incase I ave more than 3 high readings in 1 week. She said just get the tablets if that happens and see how well I respond to those and if it causes too much stomach upset then they will go with insulin.

The doctor was very happy that any high readings I had were explained in the notes section. Any time I had a high reading I would note what I had just ate and what I could try instead.....then when I did try the alternative I would note that. It probably looked a bit like class suck up but it was purely for my own benefit so I could look back and see how bad/good certain foods are. She said it was obvious I was serious about tweaking the diet and that's why she is allowing the extra 3 weeks now as my other readings inbetween are very good.

LittleMissRayofHope Thu 24-Jul-14 18:57:37

My targets are below 5.5 for fasting and below 7.5 an hour after eating.
So far my fastings are all under 4.2 and I've only had one over 7.5 after eating and it was cos I forgot (the next day after starting testing and I just plain forgot!!) and I had a huge bottle of lucozade!! And got an 8.4!
I am fairly active though as love in London so walk a lot and have a 2 year old so run around after her constantly so I guess that helps.
Am only 32 weeks aswell, the nurse said as baby starts growing fast I may ntice it creep up.

gunwalloe Thu 24-Jul-14 13:18:50

Littlemiss 10 is high for there cut of my cut of was 7.8 and I was 7.9 I was to feeling like a fraud and thought they had got it wrong but the last couple of days my levels are creeping up and I'm now worrying about staying below the targets they've given me.

LittleMissRayofHope Thu 24-Jul-14 10:18:01

I was diagnosed about 10 days ago, on a total technicality! My glucose test was 10.1 and the cut off is 10! Anyway, they have had me monitoring my blood for a week now and have growth scanned baby - who is normal size.
Today is my DD's 2nd birthday so we had cake for breakfast. Accompanied by fruit juice.... My blood sugar was 6.3 afterwards.....
I find it frustrating but also fascinating! I could easily become obsessed with testing and I'm kind of playing around with what I eat, then testing to see how different foods affect me.

Good luck to anyone who has it more seriously then me. I feel like a slight fraud!! thanks

gunwalloe Mon 21-Jul-14 13:55:11

It was 7.9 and they said anything over 7.8 was GD I'm sure there's something funny about there test results.

EllaBella220 Mon 21-Jul-14 13:45:49

4.5 would have been normal at our clinic. Anything higher than 5.1 was what they considered 'GD'. I would be querying your diagnosis, Gun. Maybe they are monitoring you because of the lows but I don't see why they would even do that for a reading of 4.5.

SaltySeaBird Mon 21-Jul-14 13:07:53

Hmm I think 4.5 fasting would be normal anyway, what was your two hour result do you know?

gunwalloe Mon 21-Jul-14 09:43:06

Your thinking the same as me I'm sure something was funny with the result from the hospital they said my fasting was 4.5 and it's never that high which makes me think the other result was wrong to.
I'm eating pretty normal just not having fizzy drinks sweets etc last night I wanted to test out what was going on so had a magnum and it made no difference I really don't understand confused

SaltySeaBird Mon 21-Jul-14 00:23:36

Hmm dropping to less than 3.5 with no medication and no high readings? I can't see that they would give you medication and insulin would be dangerous IMO if you are that low. I'd ask for another GTT if I were you as that doesn't sound like diabetic readings to me (I'm not a medical expert although my consultant did say I was the best patient she had ever had and most knowledgable too!) unless you are eating no carbs and just salad to try and control it - which is bad and you'll get high ketones in your urine sample. I did the same when I was diagnosed and got told off for it - you have to eat a balanced diet.

gunwalloe Sun 20-Jul-14 23:08:34

Salty I'm not on medication yet they want me to try and control it with diet. Are the lows likely to make them want to medicate? When the midwife explained things she seemed more concerned about readings higher than 7.8. At the moment I don't get near that but I'm constantly dropping under 3.5 throughout the day. I've bought some boiled sweets today to keep in my bag for when I feel like it's gone to low.

SaltySeaBird Sun 20-Jul-14 22:23:52

gunwalloe are you insulin controlled? 3.4 is too low for a fasting level; you need to check your medication with your consultant in my opinion (I'm not a medical professional but I know a fair bit about GD and diabetes in general).

If it's dropping that low overnight you might need a snack before bedtime. If none of your readings are higher than 6.0 and you are getting a lot in the 3s and 4s that does sound a bit low, although you find that as pregnancy increases it gets harder to control and medication increases as you become more insulin resistant.

SaltySeaBird Sun 20-Jul-14 22:10:50

Not had a CS with GD but have had an ERPC under GA with diabetes. Generally it's not a problem, if you are diabetic they may have you on the ward overnight on an insulin sliding scale regime; rigging you up with a drip that includes a steady release of glucose and insulin together to get your blood sugar controlled and stable.

I did manage to have a hypo despite this which they said was unusual but I was in good hands and they gave me some sort of glucose to bring it back up while I was nil by mouth.

I can't say this is how they will manage it for you, this was just my experience. A CS is fairly common with GD so don't worry, they will manage it.

gunwalloe Sun 20-Jul-14 13:46:11

Has anyone had a cs with GD? I'm worried that if I don't eat from the night before I will end up hypo.

gunwalloe Sun 20-Jul-14 13:42:12

golden I'm having a planned caesarean at 39 weeks this had already been arranged before the GD though. I asked if it would be changed and they said no unless something goes wrong

Thanks for the food advice salty

I went to a wedding yesterday and managed to be good came back with feet like the elephant women though

EllaBella220 Sun 20-Jul-14 13:36:33

Thanks for the different views (and sorry for hijacking the thread lol). I will most definitely talk it through with the doctor on Thursday and see what she thinks of it all. I might be best trying the slow release metformin and if that causes havoc within a trial period then just ask for the insulin because as much as I hate needles.....I hate the stomach problems even more!

lotsofcheese Sat 19-Jul-14 22:31:04

You can ask for slow-release metformin, it's easier on the stomach than the standard version; it's generally better tolerated with fewer side effects.

SaltySeaBird Sat 19-Jul-14 22:26:16

You can probably request to go straight to insulin, it really is easy to do and far less painful than finger pricks.

The metformin just lowers the amount of insulin you need as it makes you more sensitive to it. I never had any aside effects and I have a sensitive stomach and went right on the full dose. Sometimes you can build it up slowly though if you are worried.

magichandles Sat 19-Jul-14 22:09:51

Ellabella - I had GD with both previous DC (currently 26 weeks with DC and expect to fail the GTT in a couple of weeks) and I have IBD (UC) as well - I went straight to insulin both times and didn't get prescribed metformin for that very reason.

I was really nervous about the insulin injections to start with and remember getting really annoyed with DH when I did my first one as he acted all squeamish so I did it more out of bravado, and then really surprised myself as it was absolutely fine and really didn't hurt at all - the needles are incredibly fine.

EllaBella220 Sat 19-Jul-14 20:38:32

Thank you Salty. I wanted to know about the insulin as I hear the Metformin can cause an upset stomach and I already have IBS-D and anxiety related to needing the loo when away from home (yes, I'm a nutter) so taking tablets which will cause more upset stomach is something I really don't want to deal with and I'm wondering if they will suggest insulin if I kick up a fuss about the metformin. I didn't think I'd be able to do the finger pricks at all because the first one hurt so much (I effed at the nurse by complete accident, it just came out of my mouth when she made me do the first prick) but got used to them so I am hoping I'd get used to the insulin injections pretty quick too if needed and hopefully it won't be for long (I am going to try my hardest to get them to give me another 2 weeks of diet tweaking when I see them this week...which will mean Il be 34 weeks next time I see them after that).

SaltySeaBird Sat 19-Jul-14 18:48:23

Oh and snack wise I found the following quite good:

- raw strips of pepper, carrot and celery with some hummus
- the low GI oat biscuits (just one or two)
- ham and cream cheese (rolled up to make cigars)
- boiled eggs (I'd keep a few ready in the fridge)
- strips of chicken breast cooked and ready to snack on
- apples, pears, blueberries, raspberries and strawberries (all other fruit pushed my blood sugar too high). Adding a splash of cream was also nice with the berries or having cheese with the apple and pear!
- twiglets
- Muller Light Yoghurts

Any of these worked well for me but I'd say that everyone is different so try out what you fancy and keep testing your blood sugar - what works for one person doesn't always work for another.

I did have to be a bit more organised in preparing snacks but to be honest it's good practice for when you have a toddler - I don't dare leave the house without my little tupperware boxes with finger food at the ready!

SaltySeaBird Sat 19-Jul-14 18:40:13

Hi Ella

It all gets easier! I had GD with my DD which stayed with me as full blown, insulin controlled diabetes after she was born (I was genetically pre-disposed to it, it runs in the family so despite being slim and active it's here to stay).

I had the biggest needle phobia you can imagine and initially I couldn't inject myself, I had to get other people to do it. Now I can do it easily.

The needles are teeny tiny things. It's actually so much easier doing yourself. I tend to just gently touch the skin until I find a spot where I can't feel it and pop it in and go - I promise you, often I can't even feel it at all (the finger pricks are more painful than the needles). Being able to inject insulin also gives you more freedom with your diet as you can up your insulin as required.

I was induced bang on 39 weeks and on an insulin sliding scale throughout labour. It was all fine!

Happy to answer any pregnancy diabetes related questions having been through it all and come out the other side! I'm also quite knowledgeable on diabetes as whole now as mine is very well controlled.

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