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  1. #31
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    If bub hasn't already arrived by xmas I am going to allow myself to have a cheat day, the dietician said it's okay to have an occasional treat especially for special occasions like xmas, I am very much looking forward to it!

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    Miados2007  (07-11-2013)

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    Hi there!

    Its so nice to finally find some women in the same boat as me with gd.

    I was diagnosed at 18 weeks as i also have pcos so was at a higher risk.

    After two weeks trying diet control i am now on insulin 4 times a day. They have recently been upped again (3 times within a week) so i am now on 10-8-8-24. My fasting levels are a little hard to control.

    We're currently staying with family and i am finding it really hard to add variety into my diet as well.

    Sent from my GT-I9100T using The Bub Hub mobile app

  4. #33
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    There's a lot mentioned in here about growing a large baby as the result of GD but nothing about hypertension or infant hypoglaecemia. In addition, nothing has been mentioned about the high rates of diabetes type 2 after pregnancy which means that you really do have to watch yourself after you have bubs because the risk is staggeringly higher for those with GD than those without it and in a lot of women the diabetes does not resolve, it stays. For me, I am far more concerned about these factors than I am about bubs' growth.

    Miados, middies make that call all the time. In the antenatal clinics and middy managed birthing programmes they do anyway (I've had more than one pregnancy). They order the tests, they read them, they make the call and they act accordingly. In my last diagnosis, there was no referral, it was just being told I was taking insulin and that was that. I didn't want to take a serious substance like that without knowing why so I investigated further and it was only then I found out I didn't need it. It's up to the patient to say no, I'd rather see the OB or get a second opinion, etc. Many don't because, like me before I started educating myself about diabetes, I felt intimidated and compelled to go along with whatever they said. And often I have found they are flat out wrong. I would go so far as to recommend that people do get a second opinion and to not rely on a midwife as they just don't have the required training a specialist has.

    I was strongly advised against blow outs. Which is why for Christmas I have worked out a few meals that I can prepare and enjoy along with everyone else. I have found a lot of fantastic recipes online usually under vegan but they are easy to make, very tasty and appeal to everyone. I used to think vegan meals were rather one dimensional but I have found through GD watch that this isn't so.

    With regards to levels, this is another area I find varies depending on the woman and that charts are supposed to represent a guideline as opposed to a bible. The guideline I was given is 4.0 to 9.0 mmol/L. My cousin was freaking out because she registered an 8 and that was it, she had GD. My OB tells me the glucose tests are only 75% accurate and must be taken regularly in order to build up a picture of where you are at and that there is no one size fits all category. I'm learning a lot this time around and like the OP, I am really concerned that the information for gestational diabetes just isn't out there and myths abound.

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    Amiedoll  (08-11-2013)

  6. #34
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    Quote Originally Posted by Caviar View Post

    Miados, middies make that call all the time. In the antenatal clinics and middy managed birthing programmes they do anyway (I've had more than one pregnancy). They order the tests, they read them, they make the call and they act accordingly.
    I was in a middie based program. My midwife never did anything without Dr permission They dont have the authorization to sign scripts for meds, so i dont see how they could give you a med like insulin without a Drs ok.

    My level was 5.5 for fasting with my GTT. I was referred straight away to a Dietician and Diabetes Educator. Tested my BGLs by Glucometer for two weeks before i was Referred to an Endocrinologist who decided to put me on Insulin. I can no longer see my midwife. Im in Dr based care now.

    As for levels, my hospital (which is most likely Cairnsmummies hospital) the limits are 5.5 for fasting and 7.0 for 2hrs.

    For the GTT they were 5.5 for fasting. 8.0 for a normal pregnant womans 2hr and 7.0 for a woman who previously had GD.

    As for the info that isnt mentioned here, im not sure about anyone else, but i got all that info in my education pack, so im not sure what else there would be to talk about with it. We obviously have to get the GTT at 6-8wks after birth (i already have a referal from the drs), then again at 1yr and recommended at 2yrs with insulin dependant. Like you though im really worried about the possibility of having to do this for the rest of my life. It has been the most stressful month for me so far.

    A link for those in Qld.
    http://www.health.qld.gov.au/qcg/doc...hypogly5-0.pdf

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    Miados2007  (07-11-2013)

  8. #35
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    I was in a middie based program. My midwife never did anything without Dr permission They dont have the authorization to sign scripts for meds, so i dont see how they could give you a med like insulin without a Drs ok.
    Just to clarify, I didn't say I was prescribed with insulin but was told I'd be taking it. I didn't get as far as the prescription stage as I sought a second opinion at the time. I do know that there was no referral as I was advised by that midwife that there was no need for one.

    However, what I can say with certainty is that in my experiences during my pregnancies, when I've attended the antenatal clinic (two different hospitals), the midwife has acted autonomously with regards to examinations, tests, making a diagnosis and providing the advice. Some nursing staff do have the authority to prescribe but I am not able to determine if the midwife I saw at the time actually was.

    Guidelines do differ at varying hospitals according to policies which also includes the acceptable limits of blood levels which is what I referred to in my previous posts and this is of concern to me too.

  9. #36
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    Quote Originally Posted by Caviar View Post
    There's a lot mentioned in here about growing a large baby as the result of GD but nothing about hypertension or infant hypoglaecemia. In addition, nothing has been mentioned about the high rates of diabetes type 2 after pregnancy which means that you really do have to watch yourself after you have bubs because the risk is staggeringly higher for those with GD than those without it and in a lot of women the diabetes does not resolve, it stays. For me, I am far more concerned about these factors than I am about bubs' growth.

    Miados, middies make that call all the time. In the antenatal clinics and middy managed birthing programmes they do anyway (I've had more than one pregnancy). They order the tests, they read them, they make the call and they act accordingly. In my last diagnosis, there was no referral, it was just being told I was taking insulin and that was that. I didn't want to take a serious substance like that without knowing why so I investigated further and it was only then I found out I didn't need it. It's up to the patient to say no, I'd rather see the OB or get a second opinion, etc. Many don't because, like me before I started educating myself about diabetes, I felt intimidated and compelled to go along with whatever they said. And often I have found they are flat out wrong. I would go so far as to recommend that people do get a second opinion and to not rely on a midwife as they just don't have the required training a specialist has.

    I was strongly advised against blow outs. Which is why for Christmas I have worked out a few meals that I can prepare and enjoy along with everyone else. I have found a lot of fantastic recipes online usually under vegan but they are easy to make, very tasty and appeal to everyone. I used to think vegan meals were rather one dimensional but I have found through GD watch that this isn't so.

    With regards to levels, this is another area I find varies depending on the woman and that charts are supposed to represent a guideline as opposed to a bible. The guideline I was given is 4.0 to 9.0 mmol/L. My cousin was freaking out because she registered an 8 and that was it, she had GD. My OB tells me the glucose tests are only 75% accurate and must be taken regularly in order to build up a picture of where you are at and that there is no one size fits all category. I'm learning a lot this time around and like the OP, I am really concerned that the information for gestational diabetes just isn't out there and myths abound.
    Ive worked in 8 major hospitals and too many to count smaller rural ones and ive never known a middy to order insulin for a patient or even diagnose gd without a dr consult. Im not saying it doesnt happen but its not the standard. Perhaps the dr are swamped and the middy gets them to sign off which you dont see. I find the non referral to a specialist such as an endo or ob very strange too or at least an educator.

    In 15 years of being in the medical field clincally speaking I find alot of what you state to be inaccurate and a little misguided. This is my 3rd baby and 2nd time with idgd so i have my own expiriences to draw from as well. But im a huge believer in getting 2nd opinions and doing what's right for you. Your doing what you feel is right for you, your body and your baby.

    I trust the team I have around me to make those calls for me, im not going to 2nd guess them. I would strongly suggest others reading this thread to check with their teams prior to msking any desions on the gd management.

    Sent from my GT-I9505 using The Bub Hub mobile app

  10. #37
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    Yep, IndigoJ I was in middie based care then after my GTT I was sent to the educator and off to CBH, monitored 3xwk from 35wks then induced at 38+3. I've been told by my dr that I will have my GTT at 14wks this time around and will be seen at the high risk clinic at CBH from 12-13 wks onwards. I must say it is lovely to see so many mummies who take it seriously - I saw 3-4 regularly during my monitoring and at clinics and none of them remembered to keep a food diary or call in their levels and some didn't even remember to take their insulin! They made me feel like freak as I was being so strict with my diet! In other news I've got my 12 wk scan today yay!

  11. #38
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    I seem to be the only one told that the levels have been lowered to 5 for fasting and 6.7 for 2 hours. Oh well I suppose it's a good thing that I've been striving to keep under those levels. Yes I've had a few blow out but with 7 months of this I feel it's allowed.

    I have been told this time by my educator and last pregnancy (two different educators) you are allowed three highs a week.

  12. #39
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    Quote Originally Posted by cairnsmummy View Post
    Yep, IndigoJ I was in middie based care then after my GTT I was sent to the educator and off to CBH, monitored 3xwk from 35wks then induced at 38+3. I've been told by my dr that I will have my GTT at 14wks this time around and will be seen at the high risk clinic at CBH from 12-13 wks onwards. I must say it is lovely to see so many mummies who take it seriously - I saw 3-4 regularly during my monitoring and at clinics and none of them remembered to keep a food diary or call in their levels and some didn't even remember to take their insulin! They made me feel like freak as I was being so strict with my diet! In other news I've got my 12 wk scan today yay!
    I might see you at CBH then I was told the same thing, fnly appt with anc/diab, and fortnightly scans opposite that until 36wks, then 3x a week ctgs from 36wks, then induction at 38wks which I'm fighting. Good luck with your scan today I have my 34wk growth scan next wednesday. I'm interested to see how big she is.

    You aren't alone, I stress out when my levels are high, I have to ring every second day to report them.

    Quote Originally Posted by Kleep81 View Post
    I seem to be the only one told that the levels have been lowered to 5 for fasting and 6.7 for 2 hours. Oh well I suppose it's a good thing that I've been striving to keep under those levels. Yes I've had a few blow out but with 7 months of this I feel it's allowed.

    I have been told this time by my educator and last pregnancy (two different educators) you are allowed three highs a week.
    Those are the levels my hospital it's bringing in soon, which its why I was referred. I had a fasting of 5.5 and when deciding to diagnose me gd they did so because the level was soon to be changed to 5.0 and going by that I would be over.

    At the moment though, I'm not allowed any highs. If one is high they increase insulin straight away. Only two they ignored as a knew it was due to diet.

    Sent from my GT-I9100 using The Bub Hub mobile app

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    Fasting was 7.3 this morning. Wt actual f!!!!!

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