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  1. #1
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    Default Borderline Gestational Diabetes - Stressed out to the max!

    I'm not sure if I should have created a new post or what but I'm new to all of this and thought maybe this would be a the best place to start.

    First I'm 34wks (little boy on the way) and I'm a FTM.

    Being predisposition to type 2 diabetes in my family (all late life), despite being young, healthy and active, my doctor decided testing for GD would be wise.
    I've had a GTT twice, once at 24wks (all clear, no early signs) second at the usual 28wks.. this was where it all got interesting. Based on the two lots of diagnosing results, one I did have GD (the older outdated one that my doctor still seems to go by) but the other (being ADIPS which all diabetes nurses go by) I was not close to have GD. SO hence forth, the local health centre diabetes nurse said she didn't want to bother with me essentially (she put it in a much nicer way). She discussed this with my doctor (which i should say is my family dr so I go to a private clinic) and he agreed.
    At an appointment a few weeks later with him, he test my BGL, it came back as 8.3 - but to put it all into perspective, I'd eaten sultana bran about 45 mins before that (hello sugar), had been up for an hour and suffered a terrible nights sleep due to acid reflux and heart burn. He essentially freaked out, found a glucose monitor for me to borrow from the clinic and told me to track my BGL for a week, because we wouldnt want baby to be born expecting all this sugar.
    At that point I was offended, not once has he ever asked about my diet, so to essentially state I only consume sugar and my son would hence suffer when he comes out, made me really angry and upset.
    But in the person I am, I smiled, walked out of his office and proceeded to tell DH that I was going to show him.
    So I created a spread sheet, tested four times a day and wrote down exactly what I ate. With a few hiccups of course because in the end I didn't really understand how carbs and sugars effect each other (due to the fact he just gave me a glucose monitor and like 10 test strips, I didn't get a chance to even see the clinics diabetes nurse because 'she's on family leave currently' and nor was I given a chance to talk to a dietitian about what does what in terms of BGLs. Not to mention having to fork out $60 for more test strips because I'm not considered GD so I wasn't signed up to Diabetes Australia to receive cheaper prices). So over my week I had maybe two high numbers but otherwise I stayed below the recommended numbers for GD.
    Returned to the dr a week later, to which his response was, 'they look good did doing this change your diet? To which my response was 'no, I've not changed anything'. He gave me a look of surprise. Glancing over my spreadsheet again he's like 'there is a few high numbers (to which I had written little notes stating why that would be so), hmm maybe you should keep testing and if you get ones over 7 after two hours you should be coming back to see me straight away'. So I was less than impressed.
    We proceeded with the usual appointment, weighing me, measuring my fundal height etc. To which he then looks back over the last few weeks and states i haven't put on any weight and my fundal isnt really reading what it should. So he tells me to book an ultrasound straight away because there may be lack of growth.
    My thoughts to my lack of weight gain was well, maybe if I didn't have to essentially give up everything besides protein and vegetables then maybe I'd have put some weight on over the last 3 weeks. Because most of what I've given up in my diet that I know effects my BGL is natural sugar, ie fruit. Despite how much exercise I do (with the limited time I have still being at work and trying to walk 30 mins a day when pregnant and lacking in energy when you don't sleep well), it still made my numbers go crazy.
    So back on track from my rambling.
    We had the ultrasound and everything is measuring perfectly normal for his gestational age, roughly weighing 2.3kg, the sonographer said it's most likely him putting his head down which cause my fundal height to be off and the fact I do have a longer torso, so he's just hiding (because my bump is not really that big compared to most ladies at 34wks). Also during the ultrasound, the sonographer said that he couldn't even see any of the signs that GD might be or might have affected the baby, that he is essentially perfectly healthy.

    The thought that my baby is fine, that he's growing perfectly takes that stress/concern off me.

    But I'm really struggling with the fact of the monitoring my dr is making me do. I'm worried the days when I can't get out and exercise because I'm exhausted that I'm doing something wrong. I'm constantly worried about everything I eat, how it will effect my BGL, that if I have that tub of yogurt it will blow my numbers out. What if I get over 7 and I have to go back to my dr, what if my numbers get higher (because the last few morning ones have been a bit higher than normal, which yes is probably due to stress and lack of sleep), I'm freaking out to the fact of what if he wants to put me on insulin, which means I'm considered a high risk pregnancy and have to change hospitals because the one in my town is only for low risk and the next two possible ones I'd have to go to are 40mins away. (yes I'm a major worrier).
    On top of it all my birthday is coming up and my DH usually takes me out for a nice dinner, but this year I don't even want to because whats the point if it's going to send my BGL through the roof. What is the point of celebrating when I can't even have what I want.
    I've had two family birthdays over the last two weeks and I just had to sit there whilst everyone ate cake and enjoyed the party. Even my diabete dad could enjoy some cake.
    My friend is making all this nice food for my baby shower in a few weeks and I can't even get excited because I'll just have to stare at it.
    I feel like a toddler saying this but it all just isn't fair.
    I just want to turn around to the dr and ask why do I have to keep doing this, why when it's causing me so much stress that I feel sick to the stomach and make me just want to burst into tears all the time.
    I'd be fine if I had the information from the dietitian, the support from the diabetes nurse, that if I actually had GD but I've got none of that because I'm not classified GD.

    I'm not sure what I wanted to achieve from this post, I guess I just wanted somewhere to vent, somewhere to have someone else maybe even be in the same boat. As much as DH is supportive, I know it's hard for him to deal with me ranting and being upset about it so often but he's not the one going through it, even though he's stopped eating as much sugar himself, he still has the option where as I don't.

    Well, thanks to who ever took the time to read my long rant post. Hope I didn't waste too much of your time haha.

  2. #2
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    Big hugs xx that sounds very confusing for you. Either you have gd or not right?

    Now I assume you got a positive for GD on the screening test but the diagnositc (therefore more accurate test) was negative for GD? In that case I would go by what the nurses said.

    I would recommend a book called "Gentle Birth, Gentle Mothering" by Sarah Buckley. It goes through the research behind GD testing and other pregnany/birth related tests etc and helps you make decision rather than just going along with whatever your dr tells you to do.
    Last edited by AdornedWithCats; 20-10-2015 at 12:11.

  3. #3
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    OK I'm not a professional so I can only say what I would do in your circumstances.

    I'd ask for the 2 hour test again and be done with it.
    Guessing isn't going to help and if you have GD, you need to getting the proper care now and for the birth.
    I've had it twice.
    Both diet controlled until the last 10 weeks on DS2 when my waking numbers were beginning to climb so I needed insulin at night.
    When DS2 was born his glucose levels were a little unsteady for a few hours but he was OK. More importantly, we were in the right hospital had he not stabilsed/

    Good luck, those tests are boring~!

  4. #4
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    Thanks for your replies ladies.

    I've had two Glucose Tolerance Test (one at 24wks, then at 28wks), Fast from the night befroe, they take blood, do a finger prick. You drink the drink, then have another blood test each hour.
    As far as I know my first one I passed.
    Second one my results were
    fast - 4.6
    1hr - 9.7
    2hr - 8.1

    Now according to the diagnostic criteria (I still have the referral my doctor gave me to give to the diabetes nurse that had all the results and criteria)
    Gestational Diabetes; fast > 5.4 or 2 hr > 7.9
    ADIPS Gest. Diabetes; Fasting >5.0 or 1hr >9.9 or 2hr >8.4

    Now when the diabetes nurse rang me about it, she stated that they use the ADIPS (the first criteria is old and they don't use it) so my numbers were not relevant to that, so she saw no need for me to monitor my BGL or even see her.
    She said she'd discussed it with my dr and he'd agreed to her decision. But he may want to do another GTT.
    And then I had him freak me out and now make me monitor my BGL.
    I don't know if I should just ask for another GTT so we can all be certain I either have it or not, like I don't really care about having to do another one, survived the first two. I just want an answer on what is going on, because I want to be doing what's right for bubs not what's wrong.

    He sent me for a HbA1c blood test this week, which I know checks the blood glucose level over the last 10-12 weeks (something my dad has often to keep an eye on his diabetes). So I was thinking maybe if that comes back normal then he'll tell me to stop monitoring. I should hear back for those results tomorrow.
    It's just really stressing and frustrating because I don't have any answers.

  5. #5
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    Is this family doctor your GP or Obstetrician??

    If he/she is your GP then perhaps ask for a referral or run it by your obstetrician/ midwife (depending on the model of care you have chosen).

    From what you are saying, I'd be inclined to go along with the advice of the diabetic nurse, however I do not have access to all of your medical history and I am not qualified to give that advice.

    If you can find the strength within yourself, I'd strongly urge you to voice your concerns with this Dr. You seem to be leaving his/her office more stressed than when you arrive. It's no use biting your tongue as you will soon find, when you are the sole carer for your little boy, you are going to rely upon your voice and have to challenge decisions on your sons behalf. Practice now.

    I am so sorry you are feeling this way. This is your first pregnancy.. you'll never get to experience this again. You really ought to enjoy your last birthday with your husband as a couple before bub comes along. All this stress isn't good for you and it's spoiling what should be a very special time for you. Look forward to your baby shower, you've already suffered enough. Make an appointment and face this head on, put it behind you and enjoy the rest of your pregnancy.

    I have a feeling everything will just fine, but stand up for yourself now. Good luck x

  6. #6
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    The thing with GPs, as amazing as they are for a myriad of health concerns, is that they generally aren't that amazing with pregnancy (in my experience anyway). I would be trying to make an appointment with your hospital (mid or OB), show them the results from the GTT and go from there. They specialise in this sort of stuff and you need a diagnosis one way or the other. If you have it, you need support, if you don't there's no reason to be taking BSLs all the time. Good luck!

  7. #7
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    What a pain in the ***. You can develop GD right up till you give birth but they generally don't test after 28 weeks.

    I have GD now for the second time. You do not and should not give up all carbs, in fact you need to eat carbs 6 times daily.
    Breakfast 2-3 serves (1 serve is 15g carbs)
    Lunch and dinner the same
    Mud morning afternoon and evening snack 1-2 serves

    This hopefully keeps your blood sugars at a healthy level and not spiking or dropping significantly. GD is not the end of the world, diagnosis is beneficial for baby as you don't want them exposed to too much sugar.

    Wish you and your little boy well

  8. #8
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    If you are this stressed and anxious about it, I'd ask for another GTT and be done with it.

    My last pregnancy my fasting and 1 hour bloods were way under but my 2 hour bloods were 8.0 - borderline on what you say is the old test and not GD by the new test. My OB considered that I had GD and I followed the diet strictly. I figured even if I was borderline, it was the best for me and baby. The diet is not that hard to follow - maybe you can ask to see the dietician anyway and get all the facts. This is a good booklet I was given (2 years ago) which might help to explain it
    http://kemh.health.wa.gov.au/brochur...s/wnhs0560.pdf

    I know it's annoying having to follow the diet but you only have a few weeks to go and you don't want to spend that time being stressed.

  9. #9
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    Ask for another test. I was borderline diagnosed at 10 weeks, in my last pregnancy. I refused to believe it and did another test later on in the pregnancy and i was still borderline. Even if you are borderline it is best for you to follow the diet - just in case. I know its bloody hard but its a sacrifice you have to make for a short period. Enjoy the food at your baby shower. One blow out will not harm your baby.

  10. #10
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    Honestly I'm overwhelmed by the support of people on here, so seriously thank you to everyone that has replied to me.

    I should state that my Dr does obstetrics and has for over 25+ years (he's the baby doctor of the town I live in, had many friends/family see him for all there pregnancy, he's always come highly recommended)
    Besides the GD I've had no problem with him what so ever.

    I think as one of you ladies said I need to bit the bullet and ask him exactly if I can stop monitor/have another GTT to get a answer.
    Because I have no issue following a diet etc, it's just hard to follow one when no one has told you what you should be doing. Sure my sister had GD with her second and type 2 diabetes run in my family but from what I gather things are different for each person. My sister was overweight and ate like crap when she was diagnosed with GD, her diet was based on eating better and getting exercise (where as me, I eat healthy and exercise regularly).

    I'm trying to do what is best for my boy and I know stress isn't going to help.
    Maybe my Dr is just too old and out of touch with the current criteria because he seemed to be bit taken back when the diabetes nurse told him I didn't have GD.
    Then again I think he might just being pre-cautious because as I'm sure all you ladies have seen/read the news about Bacchus Marsh Hospital in Victoria.
    That where I am from and STILL plan to have my baby.


 

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