New to the group with Gestational Diabetes, hello!!

Options
RoxyMoody
RoxyMoody Posts: 14 Member
Hello Ladies!

I'm Stephanie, 29 weeks pregnant with my first and was diagnosed with Gestational Diabetes yesterday. I stopped using MFP when I got pregnant, but have started up again to track everything i eat and share with my Dr and Nutritionist. While I wasn't at my goal weight when I got pregnant (15 lbs overweight) I have been right on track with gaining weight after a rough first trimester. I don't typically consume a lot of refined sugar or simple carbs and go for whole wheat breads and pastas when I do, so I'm a little confused and scared about what to do next.

Anywhoo - I saw this group and thought I'd introduce myself and see if anyone else has experienced GD.

Nice to meet you!

Replies

  • miranda_mom
    miranda_mom Posts: 873 Member
    Options
    I have GD and am 36 weeks pregnant. Been doing the GD diet and blood sugar testing since before Thanksgiving. Feel free to add me.
  • lisapr123
    lisapr123 Posts: 863 Member
    Options
    I had it as well, and was able to control it completely with food and exercise. Hopefully they have you meet with a GD nurse or nutritionist and give you a food plan of sorts. Mine was very easy to follow and I felt great on it! I also stopped gaining weight while following the GD plan, and lost all the baby weight--plus some--in the first 2 weeks post-partum. It's a "silver lining" of GD, as it seems somewhat common. Feel free to add me or PM me if you have any questions.

    My baby is 5 weeks, 2 days old now.
  • spunkychelsea
    spunkychelsea Posts: 316 Member
    Options
    Hello!

    First off, I'm sorry you have Gestational Diabetes. I know when I got my diagnosis of it with my first, my son, I was devastated! And what I learned was it was annoying, there were more appointments, but it wasn't too bad because I was able to manage it with diet and exercise (light walking after meals) alone.

    I think I was 20 lbs overweight with my son. I lost a few pounds early and at 20 weeks I was at prepregnancy weight and only ended up gaining 23lbs due to watching my diet so well.

    That being said. I had to check my blood fasting in the morning, and 1 hour after breakfast, lunch and dinner. I didn't eat great. I ate ok. I made sure to count my carbs - not calories. And after experimenting I found out I COULD eat ice cream, so that stopped the tears every night (I was pregnant and REALLY wanted ice cream), I could not eat any syrup - even the tiniest bit, cereal with milk was a HUGE no no - my blood sugar rocketed with it.

    What to do next? If you're already good with your eating then you just need to make sure to count carbs and test your sugar and hope that's enough. If it's not (DUE TO HORMONES, NOT YOU) you may need some help with either a pill or insulin (I have no experience with either). For me I was schooled on counting carbs then told to monitor for a while and come back with my numbers to see if it was working or not. Since it was I just had to keep checking in the with diabetes doctor with my log book every now and then to see if I needed intervention (it can get worse the more pregnant you get).

    What I was told to eat:
    Breakfast 15-30 g of carbs
    Snack 15-30 g of carbs
    Lunch 30-45 g of carbs
    Snack 15-30 g of carbs
    Dinner 30-45 g of carbs
    Snack 15-30 g of carbs

    Obviously follow whatever your doctor or nutritionist say, but that's what I was told. Also, to take a 15 min walk after meals before testing to try to lower it. I was also told not to cut out carbs completely - that I needed them.

    Since everything was fine I was NOT induced early (though I was told if I were medicated we would have been having that discussion). They actually let me go 11 days overdue (ELEVEN) before inducing me due to rising blood pressure. He was NOT huge - 13 days late and he was 7 lbs 12 oz.

    I lost 10 lbs after my son and got pregnant again when he was 9 months old. I did not have GD again! I thought I would though so I ate everything under the sun. Gained 46 lbs with her (STUPID STUPID of me).

    This pregnancy is not looking so good, I fear I will be joining the club with you again as my 9 week sugar readings were borderline - I will be retested in a month or two and will get the verdict then. I was annoyed, I tested the highest at my 9 week reading when I am 22 lbs below what I started with my son and 12 below my first daughter. Ugh! Oh well, comes down to hormones, NOT weight.

    I hope this helps some? Best of Luck!
  • RoxyMoody
    RoxyMoody Posts: 14 Member
    Options
    Thanks for the information and support! I wish they could have scheduled me with the nutritionist a little sooner as I spent most of the day looking up information online and feeling like I had done something wrong to cause this. I don't know anyone else with GD, so this has really helped!

    Steph
  • spunkychelsea
    spunkychelsea Posts: 316 Member
    Options
    feeling like I had done something wrong to cause this.

    I went through that too. And what didn't help was I met with a diabetes doctor (I had my choice of two and thought I would be more comfortable with a woman so I picked her). She basically told me I had been lying about my numbers because they were too good. So she ran an A1C test (it gives them an idea of what your blood sugar has been like over the last 3 months). She told me that I might have already done irreversible damage to my baby??!?! I left the appointment in tears! Who says that to a pregnant woman?? It's not like I knew about the GD and ignored guidelines, and I hadn't failed a test earlier. She was so rude. My A1C was 4.5, excellent, not even prediabetes. She had judged me the minute I walked in the door (not sure why still?). I did not go back to her, thank god I had the option of another doctor. It really does come down to your placenta and how your hormones are. It's NOT you. There are plenty of overweight people that don't get GD and there are plenty of "normal" weight women that get it. PLEASE do not blame yourself. With how much I gained with my daughter I think I weighed more when I took the GD test than I did with my son when I failed it. I had the same family history (riddled with diabetes). I just processed sugar poorly with my son and not with my daughter.
  • miranda_mom
    miranda_mom Posts: 873 Member
    Options
    I felt the same way as well.
    I have Polycystic Ovarian Syndrome and was taking Metformin, which is a diabetes drug, when I got pregnant. PCOS is somewhat related to diabetes in that there is an endocrine/hormone imbalance that can cause insulin resistance. I have always had a slight insulin resistance but nothing terrible. I was taking the Metformin because it helps with other PCOS symptoms.
    Anyway, my doctor told me to take the Metformin for the first trimester because women with PCOS have a 40% miscarriage risk and taking Metformin throughout the first trimester will reduce that to 8%. I took my first one hour glucose test while I was still on it and failed it. I took the three hour and passed it. About a month later, the doctor told me to go off of Metformin because the first trimester was over. I wanted to stay on as I know plenty of women who stayed on Metformin their whole pregnancy with no issues but I guess recently they have stopped doing that and it is now not recommended for the whole pregnancy.
    Anyway, even leading up to my second test I could tell I had it. If I ate certain meals or snacks I would feel really lightheaded and weird. I was not surprised when I got the results back.
    I started the GD diet right before Thanksgiving. The main thing is that from taking your blood sugar, you will find out what foods affect YOU. The dietician told us this and it really is true - what sends my blood sugar up really high might be fine for you. For me, I've found the main things I can't tolerate are white rice, sweets, and flour tortillas. But I've had pasta (I always do whole grain at home but I've had white pasta and other people's houses and I've been fine), pizza (now I only have one piece at a time with a big salad) and all kinds of bread with little to no effect. So you'll need to find out through testing what works for you.
    It's hard sometimes, especially for me being diagnosed around the holidays because people really socialize around food and I don't think you even realize it until you're trying to avoid those foods. Our vendors kept sending up cookies and candy at work in the weeks around Christmas and it was hard to block out everyone talking about them all day (Seriously! Just eat the cookie and shut up about it!). But I'm happy to say that I found Christmas to be easier than Thanksgiving was. I think now I am more used to not eating sweets and stuff. Last weekend my husband and I went to a party and I had a very small piece of angel food cake with berries (blood sugar was fine afterward BTW) and I was like "This is so sweet!" and my husband said it really wasn't. If I want chocolate or peanut butter or whatever, I eat granola bars, trail mix, or sugar free pudding or jello with sugar free whipped topping.
    I think the hardest thing is when you get a high reading it can be very stressful and I always feel guilty about it. The walking really does help and also my numbers have improved as I've figured out what I can and can't have.
    A month ago I went for the 32 week scan and they did tell me that my son is very big (85th percentile) and that in particular his abdomen is big (95th percentile). I have my next growth scan on 1/13. I've had to go for ultrasounds every week and two non stress tests every week. Also, I've been seeing the OB weekly since 32 weeks. My blood sugars have been good for the most part so we suspect that the growth happened prior to me being diagnosed - after I went off the Metformin but before I knew about the GD.
  • RoxyMoody
    RoxyMoody Posts: 14 Member
    Options
    She told me that I might have already done irreversible damage to my baby??!?! I left the appointment in tears! Who says that to a pregnant woman?? It's not like I knew about the GD and ignored guidelines, and I hadn't failed a test earlier. She was so rude.

    This sounds terrible! I'm so sorry to hear that! This is my fear exactly - being scolded for something you didn't even know you were doing wrong! My husband is in the Air Force and I was seeing a nurse midwife until this diagnosis. Now they have me classified as high risk and I am being assigned a new physician who I will meet in 3 weeks. It seems a little late in the game to be changing providers, so I hope I like him/her!
    The main thing is that from taking your blood sugar, you will find out what foods affect YOU. The dietician told us this and it really is true - what sends my blood sugar up really high might be fine for you.

    I'm really looking forward to testing my blood sugar levels to see what triggers them to go up and what works for me. It'll be nice to feel like I have some control back as I've just been doing my best to guess and spread out carbs evenly throughout the day.

    How much of a chance did you have to try and control your levels with diet and exercise alone? I take a nutrition class next week and will be monitoring my blood sugar daily for 2 weeks until meet my new Dr. who will decide if I need to be placed on medication or not. 2 weeks doesn't seem like a lot of time to figure my triggers out, but I'm assuming I will be given a meal plan or something to follow at the class.

    Thanks again for sharing your stories!!
  • miranda_mom
    miranda_mom Posts: 873 Member
    Options
    I took the test at 28 weeks, was diagnosed at 29 weeks and took a GD class at 30 weeks. At 32 weeks, I met with the nutritionist again. I fax my numbers to them every week and they call a few days later to let me know if I need to change anything. Honestly, I've been worried a couple of times that they're going to put me on meds, especially when they did the growth scan and said the baby is big. It's especially bad for me because I am allergic to the only oral medication that they give (Glyburide) so would have to go right to insulin. But at this point, I'm 37 weeks and they haven't even come close to talking about meds. They have had me do a few extra things like taking it at one hour after meals and then again at 2 hours to see if I was spiking later (I wasn't) and more recently, taking it before and after each meal to see if I was spiking then (I wasn't).
    I talked to another mom who had GD and went to the same specialist as me and she said the main thing they worry about is if your fasting is high as opposed to the post-meal ones. She said no matter what she ate, she could not get her fasting under 95 and so they did put her on meds. That just goes to show you that it's caused by hormones because her diet had no effect whatsoever. I think if they think your diet is causing the issue, they will continue to work with you but if no matter what you eat, your #s are still high, they will go with meds.
  • RoxyMoody
    RoxyMoody Posts: 14 Member
    Options
    Yea, my fasting was 104 so I'm thinking that I may end up on meds too. We'll see though and hopefully I can do alright with diet :)

    How does being on medication effect your birth plan? I was originally going to use a water birthing facility on base, but have already been told that's no longer an option. Will medication automatically mean induction or c-section at 38 weeks or do you think they'll let me give it a go all natural (if she doesn't naturally come a bit early)?
  • miranda_mom
    miranda_mom Posts: 873 Member
    Options
    They told me that if I had to go on meds, they would induce at 39-40 weeks, if not, they would let me go to 41, which is what they let everyone go to at my practice.
    Things are kind of up in the air right now because I had a growth scan and his abdominal circumference percentile went way down but his weight percentile went up a little. Last time the doctor told me that they are more concerned about a high abdominal circumference than a high weight but we'll see what they say on Thursday. They told me if the baby's big they might not put me on meds but they would still induce between 39 and 40 weeks. However, at my 36 week appointment, the doctor told me that since I am already dilated 2 cm and fully engaged, he's confident that I can go into labor on my own.
  • scienceteacherAK
    scienceteacherAK Posts: 94 Member
    Options
    Just wanted to say... welcome to the GD club! I just sent a friend request... I was also diagnosed at 29 weeks- I failed the stupid test on one draw by 2 points!

    It has been pretty easy to control by following the diet, albeit frustrating. Sometimes I just want a plate full of nothing but buttered noodles! I've already told anyone who wants to visit at the hospital that they must bring me carbs =)

    I can't emphasize exercise enough.. it really helps! Walking after meals has always given me a good number.

    I can't say much about meds, but there are plenty of ladies on this board who are very helpful and have experience with all sorts of aspects of GD: http://community.babycenter.com/groups/a6715863/gestational_diabetes_mamas

    No talk from my OB on induction (I was also seeing a midwife and was switched to a high-risk OB). Weekly NST's are textbook and baby girl is measuring 57th percentile.
  • RoxyMoody
    RoxyMoody Posts: 14 Member
    Options
    Good luck to both of you in the coming weeks!

    ScienceteacherAK, how far along are you now? I'll check out that board, thanks for the tip! :)

    Miranda_Mom - hang in there mama! He's measuring better than before and yo're dilating so I'm keeping my fingers crossed that you'll go into labor on your own. Almost there!
  • scienceteacherAK
    scienceteacherAK Posts: 94 Member
    Options
    I am 38 weeks tomorrow... and cannot wait to dig into the package of Oreos I packed in my hospital bag. Ha!
  • spunkychelsea
    spunkychelsea Posts: 316 Member
    Options
    I've already told anyone who wants to visit at the hospital that they must bring me carbs =)

    This made me laugh! I had a LIST of foods that people were to bring me in the hospital! Turns out I had a rough induction and didn't really want all the sweets I thought I would. BUT I remember my first hospital meal after giving birth (on the 3rd day in the hospital) I was so excited to get a cupcake! I was THRILLED. All of my meals before that had been diabetic ones and I wasn't allowed anything to drink besides water or crystal light. I was miserable, such bland terrible foods for 2-3 days while being poked and prodded. After I had my daughter (I had her at 5:30 so they didn't feed me dinner??? - also wasn't diabetic with her) I asked for food at like 11:30 pm. The nurse brought my husband and I some turkey sandwiches and some yogurt and chips. (easy foods they had laying around for hungry moms). That was such a feast and one of the best meals of my life. I still remember how great that sandwich tasted. That first meal (that you can stomach to eat) after birth is so wonderful.


    Oh, and one thing I found helpful if anyone reads this. I brought my own lancet (I think? The stabby thingy - it's been 2.5 years give me a break) to the hospital. The Dr's offices and hospital use a bigger needle that hurt way more. THey let me stab myself then they took my blood for my numbers. I was monitored after every meal, so to me it was much nicer than using their stuff and hurting more.

    Best of luck to those giving birth soon!
  • lisapr123
    lisapr123 Posts: 863 Member
    Options
    I am 38 weeks tomorrow... and cannot wait to dig into the package of Oreos I packed in my hospital bag. Ha!

    This reminds me....all I wanted was a piece of Portillo's (small Chicago chain) chocolate cake and I still haven't had it! You're wise to bring your treat food to the hospital!
  • MandyMason7
    MandyMason7 Posts: 185 Member
    Options
    This reminds me....all I wanted was a piece of Portillo's (small Chicago chain) chocolate cake and I still haven't had it! You're wise to bring your treat food to the hospital!

    Not just a Chicago chain, we've got a couple in California too and OMG their cheese fries and strawberry shortcake are to die for!
  • RoxyMoody
    RoxyMoody Posts: 14 Member
    Options
    Thanks for all of the support ladies! I went to my nutrition class and got my glucose meter this morning! So far so good on my numbers! I registered at 112 2 hours after lunch and 120 2 hours after dinner today. I feel SO much better knowing what's going on and being able to see what effect food has on my blood sugar throughout the day. I'm 30 weeks along and feeling MUCH better about the last stretch of this pregnancy!
  • scienceteacherAK
    scienceteacherAK Posts: 94 Member
    Options
    Wonderful! As much as I complain, it really is not that hard. I had my baby shower tonight and I was able to eat most of the food there. I waited for a teeny tiny piece of cake until after I took my two hour, at 99! I wish I would have eaten more now... oh well =)
  • kristilovescake
    kristilovescake Posts: 669 Member
    Options
    Hi! I just got the call that I failed my 1-hour Glucose test so I'm a little worried I might be joining the GD group with you :/ I really should be eating healthier anyway, but hoping I pass the 3-hour test (still need to schedule it, so not sure when it is).

    You gals have some great information though, and it makes me feel like maybe it's not the end of the world if I have GD (it's still a little terrifying but sounds manageable).
  • miranda_mom
    miranda_mom Posts: 873 Member
    Options
    I think it fairly common to fail the one hour and pass the three hour.