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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07-11-2013 21:11 #31Member
- Join Date
- Sep 2011
- South East QLD
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07-11-2013 21:55 #32
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.
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07-11-2013 22:32 #33
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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07-11-2013 22:49 #34
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.
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07-11-2013 23:14 #35I 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.
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.
07-11-2013 23:39 #36Senior Member
- Join Date
- Jun 2013
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.
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08-11-2013 06:18 #37Senior Member
- Join Date
- Jul 2010
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!
08-11-2013 07:11 #38Senior Member
- Join Date
- Jan 2011
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.
08-11-2013 07:24 #39
You aren't alone, I stress out when my levels are high, I have to ring every second day to report them.
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.
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08-11-2013 07:50 #40
Fasting was 7.3 this morning. Wt actual f!!!!!
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