gestational diabetes
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Category: Pregnant
Forum Name: Pregnancy
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URL: https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=21703
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Topic: gestational diabetes
Posted By: BeLoved
Subject: gestational diabetes
Date Posted: 16 October 2008 at 10:17am
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Hi
I am currently waiting on results for gestational diabetes. My first test came back with really high glucose levels and then a few days later the urine test thing I do each time I see my MW came back with really high glucose levels. I have been for the 2 hour fasting test and these are the results I am now waiting for. I was wondering if there is anyone else who has GD and what they are doing to keep it under control. I have done lots of research on the internet, but I wondering if there is specific advice re diet etc. that I should know about e,g, any particular foods thats I should avoid or foods that I should eat alot of??? Would really appreciate hearing from anyone who has /had had GD. Thanks! ------------- http://alterna-tickers.com"> 
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Replies:
Posted By: mummy_becks
Date Posted: 16 October 2008 at 10:55am
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Hi there if you do a search you will find heaps of topics on this. ------------- I was a puree feeder, forward facing, cot sleeping, pram pushing kind of Mum... and my kids survived! |
Posted By: Dani08
Date Posted: 16 October 2008 at 2:52pm
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Hi Aimstar1 I was diagnosed with GD a month back. My MW referred me to the diabetic clinic straight away, where you will be seen by a dietician, diabetic specialist MW, obstetrician and diabetes specialist physician (lots of people). There you'll get an information session on diabetes in general and about diet & exercise to keep your blood sugar levels under control. You'll also get a little machine to test your own blood sugar levels several times daily, so you can monitor your levels to see how you're doing. I was lucky and could control it through diet & exercise only, but if that doesn't work, you might need some medication or even insulin - depending on how you're doing.
With the diet you basically have to stick to a well balanced healty diet, no sugar, no chocolate or fatty junk food, less carbohydrates (you won't believe what's all counted as carbohydrates...) and lots of vegetables. It's hard at times (especially when the cravings kick in), but I was determined to control it without meds, as I was hoping for a waterbirth and if I needed meds, I would have to go to hospital to birth and they don't do waterbirths there, so I learnt to handle sitting around a table at family birthdays, while everyone was eating chocolate birthday cake - you just have to think about bubs' health, it works! (But I promised, as soon as this bubs is out, I'll have a piece though... yummmm!). Oh, and another hint - stress causes blood sugar levels to rise too, so relax and take it easy - took me a while to figure that out... Good luck with the results though, sorry for all the blurp, but I know exactly what you are going through and I was frantic for info at the time too, so I hope I could help a little... ------------- http://lilypie.com"> 
http://lilypie.com"> 
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Posted By: Leelee
Date Posted: 16 October 2008 at 3:06pm
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I found out today that my polycose test came back quite high so now have to have the 2hr GTT, so I'm keen to find out as much as I can aswell ------------- http://lilypie.com" rel="nofollow"> 
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Posted By: BeLoved
Date Posted: 16 October 2008 at 4:02pm
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Thanks Dani08
I have just got the results and I do have GD my MW has said I will be contacted by a specialist team from NSH probably next week and that I will most likely be induced between 37 - 38 weeks. Hopefully I hear from the spec team soon as I want to get onto sorting this ASAP. ------------- http://alterna-tickers.com">
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Posted By: AnnC
Date Posted: 16 October 2008 at 4:32pm
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aS BECKS HAS said there are lots of subjects on GD...
I got it with rhylz. As Dani08 you see alot of people and they let you know the things you should of shouldn't eat. Your fingers will look and feel like pin cushions after a while from all the testing. I controlled it with diet and exercise too. Don;t always beleive when they say you get induced as if everything is going ok and size of baby isn't too big (as alot of GD babies are big sizes) there is normally no reason why you can't wait till baby is ready to be born (there is always the exception though)- which is better for baby and a natural labor is alot better than an induced one. My midwife was very happy for me birth naturally and when baby was happy to come when he was ready.... rhyley had different ideas,,, he was born by ceasar cause he was breeched... he was 9lb 4oz a week early but i have big babies anyhow, You will most probably have a growth scan at 35 weeks (which they estimted Rhylz was 7lb then) ------------- Ann 
Also Mum to Josh (15) and Brooke (10) |
Posted By: AnnC
Date Posted: 16 October 2008 at 4:35pm
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as long as you are good and cut out all the bad foods your pregnancy should be fine. (theres always exceptions though)
And after having Rhylz - no more diabetes - I get checked everyyear now - its recommended and its free (is for me cause of GD history) My only worry is if I get it again if we decide to have another child... cross that bridge if it comes to it though. ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: joyceeeeeeeee
Date Posted: 17 October 2008 at 6:15pm
| My gtt test is confirmed positive, and my MW is still on her holiday, so I still have no idea, what is going on till I see her next Monday |
Posted By: BeLoved
Date Posted: 17 October 2008 at 7:20pm
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I have just heard from my midwife again and Auckland Hospital has contacted her to say that she cannot look after me anymore and I will be under the care of specialists at Auckland Hosp as my results were really bad/high???? No one from Auckland has contacted me so I guess I am waiting till Monday now. Also they have said due to my results diet alone will not help and I will have to inject myself each day with insulin. I have definitley had my moments of thinking what next? but at least I know I am in the best care..........when they contact me that is!!!! I so wanted to have my midwife there but I cant, she said she will do my post natal care though and if I need to have a cry and talk to someone that I can call her, which is really nice. I have also been told that I will be induced in about 7-8 weeks time, I really did not want to be induced early as when your body is not ready it can take days and be even more uncomfortable than labour is already!!!
Oh I so need a chocolate bar or an ice cream right now! ------------- http://alterna-tickers.com">
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Posted By: AnnC
Date Posted: 17 October 2008 at 8:52pm
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what was your result?(there should be levels that are over 7 or 8 to indicate GD) i am suprrised without doing further tests and monitoring your results that they are talking that you can not be looked after still by your midwife (I got looked after by my midwife with an ob overlooking it - then had to go OB way cause of breeched)
I am sorry but it seems a bit dramatic of your midwife and care to do this straight away to you - but then maybe they do things differently up there?! ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: BeLoved
Date Posted: 17 October 2008 at 9:05pm
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My first polycose test was 11.1 and then the 2nd test the GTT, with the 3 bloods taken were even higher. Once the results were sent onto the GD specialists they contacted my MW to say that it was so high that I am considered high risk and have to go to Auckland and she does not have access there plus I will be with a specialist team. My MW has had no control over it so i dont think she is being dramatic just doing as she is told. My MW will still do all post natal care. ------------- http://alterna-tickers.com">
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Posted By: AnnC
Date Posted: 17 October 2008 at 10:07pm
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oh don't think I was calling your midwife - sorry if came over that way.
I just thought you sounded rather disappointed that your midwife couldn't do the care thats all. ETA: just looked at my notes from Rhylz and said from the first glucose test I was 10.1 - didn't say the second one though... so you never know its not too far off your first test result you MAY control with diet alone- if you want to try make sure they let you - if you want to avoid insulin injects that is. ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: my2angels
Date Posted: 18 October 2008 at 11:18am
| if you do have to inject yourself make sure you ask for the needle that you cant actually see the needle go in, I used that one and it made it sooooo much easier. I was petrified of doing it but in the end the insulin injections were better than the finger prick testing! I was induced at 38 weeks and everything went perfect. you will probably have heaps of scans now, they do them every two weeks to see how big bubs is growing. Dont stress to much by what they say at this stage, I found you see a different doctor a different week and they have a different opinion.... there is no set in concrete plan when it comes to GD (and pregnancy in general i guess) and some doctors think its more serious than others so try not to worry |
Posted By: joyceeeeeeeee
Date Posted: 18 October 2008 at 11:29am
| I'd like to my mw refer me to some specialist, and I really hope so, because I am just not quite comfortable with my mw. because in my previous appointments, I though she should weigh my weight and test my urine everytime, but she didn't do so, the only thing I been examed is the blood pressure and the heartbeat of my baby. My sister got a baby boy, her midwife didn't take care of her like this. |
Posted By: AnnC
Date Posted: 18 October 2008 at 3:15pm
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My midwife never checked my weight but did take measurements of my belly (and I preferred this didn't want to be reminded how much weight I was gaining LOL) But midwife did do a urine test every time.
If your nt happy with your care jayceeeee then discuss it with your midwife and if still not happy ask to be referred ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: my2angels
Date Posted: 18 October 2008 at 3:33pm
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my first midwife did do the urine test everytime and measure me and even though I said i felt huge she said i was right in line with what I should be. i never had any glucose tests with her and it was only picked up when i had a show and went into hospital for a check up and he was prem and huge.
second time round, different midwife, she did the urine test everytime and nothing came up but we did an early GD test at 26 weeks and that showed GD so I dont think the measurements and urine test are really to accurate cos it sure wasnt for me. |
Posted By: joyceeeeeeeee
Date Posted: 18 October 2008 at 5:57pm
| Seems every mw have different routine, a little bit confused. |
Posted By: BeLoved
Date Posted: 21 October 2008 at 8:37pm
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Copy form my post in Dec thread, in case anyone is interested.
Well I went to Akl Hosp for appt today, luckily DH could come with me as we were there for 2.5 hours and there was so much info to take in, plus we had a scan. From now till next Wed I have to do the finger prick blood test 4 times a day, and really watch what i am eating, I am pretty much doing all the right things but need to make some minor changes. The scan was to check bubs growth and all measurements were normal right on average for dates so that was great. Next Wed I see the 3 different specialists and could be there most of the day, plus they will make the call as to wether I go on Insulin. I will not be going to Birth Care as they want me to stay there, but thats okay with me as I should have my own room plus dont have to pay for meals and can stay as long as I want. Just had to test my blood now and it was 9.2 had a little cry cause it is meant to be 6.5 or less and I ate such a healthy dinner. Heres hoping it gets better. ------------- http://alterna-tickers.com">
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Posted By: MelanieAndBree
Date Posted: 21 October 2008 at 8:46pm
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Oh i had GB. I had to see a special midwife too i saw her at the super clinic in manukau she was lovely. Also saw thje 3 dif specialist and the ob i saw ended up being the same one my sister had when she was pregnant with my neice (she had a twin sister but she died and when i saw the nutritionist lady she said what i was eating was great and i had thought i was eating bit too much! They realised i had it at like 36 weeks so didnt really do much cause i had Briahna at 38wks They told me at 36wks she was about 7lb 12oz
i never got weighed at all either. Not for my whole pregnancy.
i used to try keep my blood sugars down cause my mw would growl me lol. ------------- Melanie. Mum to Briahna Robyn, 3yrs |
)Posted By: AnnC
Date Posted: 21 October 2008 at 9:28pm
Its good you took someone with you - it can be alot of info inone go. As for your high level when being good - I was like that - I remember being so good - not having sugar etc... then testing after a chichen burger dinner and being 15 - it was the white bread I had no clue that woudl break down to sugar ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Aimstar1 wrote:Posted By: Dani08
Date Posted: 22 October 2008 at 8:55am
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Aimstar1, I know it's hard, but try not to stress about the levels too much. I was like that at each spike and whenever I got upset or stressed, the levels only got worse. To me stress was my worst enemy. As soon as I took a relaxed attitude towards the whole thing, things improved massively.
And another thing that helped me a lot is to really spread out your meals. Don't forget the snacking in between meals (healthy ones that is of course). Whenever I forgot a snack, my before level at the next meal was low, but the 2 hr after level was still high. And I don't know if anyone told you that apparently sometimes it can make a positive difference when you have some protein with every meal (i.e. egg in your salad sandwich, porridge with milk, etc.) and even sometimes apples and kiwis have a positive effect on blood sugar levels. But still I think stress is a major factor - so just try to take it easy. Thinking of you.  ------------- http://lilypie.com">
http://lilypie.com">
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Posted By: joyceeeeeeeee
Date Posted: 22 October 2008 at 10:38am
| I will be sent to a Manukau's Diabetics clinic too, still waiting for the mail from hospital, because I can not get their phone to my home, when I am working daylight . I already ate according to the menu hospital recommended, ( got from my sister). this two days before breakfast,the result is 4.6, after dinner is 7.7, still too high right, but two days ago the results are 4 and 6.2, I don't know why the results changed without the change of my menu |
Posted By: AnnC
Date Posted: 22 October 2008 at 8:26pm
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no 7.7 is ok for someone with GD - mine after meals were around the 8 mark and I was around 5 in morning before meals. what they told me was that they get you to do one hour after then two hour after (are they with you?) to make sure the levels are coming down (even slightly) ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: joyceeeeeeeee
Date Posted: 22 October 2008 at 8:39pm
| Oh, then I have to do twice after dinner. oh gosh, it's hurt! |
Posted By: BeLoved
Date Posted: 25 October 2008 at 8:51am
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Hi Again
Another update, diabetes MW called yesterday to get my results from last few days ovet the phone and we discussed what I had been eating etc. and it became clear that diet & excersice alone was not going to help, as they had already suspected. So MW spoke to physician and I am now taking Metformin, 1 tablet at night and 1 in the morning, it made a difference to my reading last night, was alot less than what it has been (5.2 instead of 9.7) and I am yet to do the one after breakfast but one this morning (before getting up) was better too, so that makes me feel really good. Plus I have not put any weight on in about a week or more, in fact have lost a bit, but bump is getting bigger. Hopefully looking on the brightside I will not have too much to lose after bub is born and my body will recover quicker from being so healthy and fit. Joyceeee - make sure you take your advice from your MW and doctors not from the internet as you need to be following their instructions so that they know what you are doing. I think it sounds like everyone gets different advice and courses of action but it is always best to follow the professionals advice that you have been given. ------------- http://alterna-tickers.com">
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Posted By: joyceeeeeeeee
Date Posted: 25 October 2008 at 8:21pm
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Thanks, Aimstar1,
I have an appoinment with specilist mw next week, Till now I just according to my sister's previous menu to arrange my daily diet. I measure myself twice a day, one before breakfast, always around4.7, and one two hours after dinner about 6.8, there's two day 7.7. But I found these two days I always feel dizzy, especially when I inclined. I don't know is that a side effect of my diet. |
Posted By: AnnC
Date Posted: 25 October 2008 at 10:04pm
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joyceeeee - those levels sound fine to me as they like you to be lower than 8.
Ainstar1 - glad the tablets seem to be working. And the wieght thing was the same for me (although i never weighed myself) After having Rhyley I was back down to 2 kgs off pre pregnancy weight ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: BeLoved
Date Posted: 25 October 2008 at 10:13pm
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Joyceee - I dont know about the dizziness mention this to your MW when you see her. I have been advised that levels should be under 5 in the morning and under 6 after each meal. Now that I am on the meds as well as eating well this has been easy. I have been advised to do tests first thing in morning and then once 2 hours after breakfast, lunch & dinner.
Just make sure that you always have breakfast lunch and dinner and a snack in between each. If you dont eat often enough you will get high levels and not eating often enough could be causing the dizziness??? ------------- http://alterna-tickers.com">
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Posted By: joyceeeeeeeee
Date Posted: 25 October 2008 at 10:31pm
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Sound I am still not eat often enough, I don't know what the snack should be taken and the amount I could intake.
And the 2 hours count after you finish the meal or scince u start your meal, I count from the start of my meal. |
Posted By: BeLoved
Date Posted: 26 October 2008 at 8:58am
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I have been told to count 2 hours from start of meal, and then have my snack after I have done the test (2 hours or more after main meal) I normally have a piece of fruit or a lite yoghurt and maybe some raw almonds or a couple of wholegrain crackers and a piece of cheese. I have been told I can space out 2 snacks if I feel like I get hungry which I do after lunch and before dinner. ------------- http://alterna-tickers.com">
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Posted By: joyceeeeeeeee
Date Posted: 26 October 2008 at 11:46am
| Do you feel the wholegrain crackers are so hard that the teeth is going to break. :P |
Posted By: AnnC
Date Posted: 26 October 2008 at 4:57pm
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I was told a Banana was good as it contains proteen (which will give yo umore energy) as a snack is good so thats what I would have as a morning and afternoon snack ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: AnnC
Date Posted: 26 October 2008 at 4:59pm
isn';t funny how different areas are different. i got told as long as I was under 6 first thing in the morning and around under 7-8 after meals that was good ------------- Ann
Also Mum to Josh (15) and Brooke (10) |
Posted By: joyceeeeeeeee
Date Posted: 26 October 2008 at 8:56pm
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I just found on the wikipedia about the Target ranges advised by the Australasian : that is
fasting capillary blood glucose levels <5.5 mmol/L 1 hour postprandial capillary blood glucose levels <8.0 mmol/L 2 hour postprandial blood glucose levels <6.7 mmol/L |
Posted By: joyceeeeeeeee
Date Posted: 29 October 2008 at 3:25pm
| I have visited the specialists, give me some knowledge about gestational diabetes. Quite good to know those things, and the team told me, I have to control my blood sugar between 3.5-6.5. |
Posted By: joyceeeeeeeee
Date Posted: 02 November 2008 at 10:39pm
| Just hope our thread not fall down so quickly, How about you mates? I have recorded my food menu for a week, see which kind of combination control better. Hope I don't need med, but if I need I think I will have to care about blood sugar too low again. |
Posted By: Shezamumof3
Date Posted: 03 November 2008 at 10:14am
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My mum was borderline GD, so she just had to watxh her diet.
I failed the first test(polycose) and then had to do the 3 hour fasting on, but thankfully I passed that one! ------------- |