Hi

Just had results of my GTT come back high and have an appointment to see two doctors next week. I think one might be a consultant and the other a dietician. Has anyone had any experience of GD in pregnancy? If so what's likely to happen at my appointment?

I'm a bit concerned that I'll be 31 weeks when I have my appointment which seems a bit late.

hi, i was diagnosed with GD at 31 weeks too and my appointment didnt conme through til i was about 34 weeks, i only saw a consultant because my bloody sugars are all under control despite not being advised to change my diet (i think i was having a bad day when i had my GTT), all i have to do now is see the consultant every two weeks and the diabetes nurse who just looks over my results and thats it really, my consultant apoointments are pretty much the same as seeing the midwife. Im 38+1 and have been told im being induced at 39+4 because 'its common practice to induce women with GD around their due date'

I haven't seen a dietician so cant help you there but good luck with everything! Be prepared for them to mention induction though. Also are yuo measuring big? Im measuring two weeks ahead of what i am but i had a growth scan and baby and fluid are perfect size so they r stumped as to why im measuring big (i think its a fat layer as i was 3 stone heavier before 21 weeks, i havent gained any weight in this pregnancy just lost it which is why i was sent for a GTT in the first place)

anyway i will stop rambling now, good luck with everything

haha meant blood sugars not bloody sugars!

I think bloody sugars is a much more appropriate name!

You lost three stone?!

Do they grill you on your weight and weigh you etc each time? I'm paranoid they're going to have a go at me for being fat. I was sent for GTT due to 'raised BMI' and have tried to stick to a fairly healthy diet but have gained about 16lbs so far.

Do you have to see midwife as well as or instead of consultant? All measurements have been fine so far as I know but haven't been for a few weeks. Keeping everything crossed.

Do they induce rather than offer a c section then?

so many questions!

No, they shouldn't grill you or have a go at you about your weight, but if a raised BMI is an issue they may address it (hopefully sensitively!) as it is the 'big thing' in the NHS and maternity at the moment. It is (as you will be aware) linked to poor health and poor obstetric outcomes but those are statistics, they are not you personally.
You may be able to control the diabetes with diet alone or they may prescribe tablets or insulin injections. GD does put you at greater risk of diabetes in later life, as does a raised BMI so it might be as well to try to make those changes now anyway.
With regard to c section, a vaginal birth is always the preferred option because of the potential problems of major surgery both for you and baby. Particularly if this is your first it can have a significant impact on future pregnancies.
In our trust the consultant and midwife do a joint clinic and that is generally seen as good practice to minimise the amount of time you spend schlepping to the hospital.

they didnt grill me on my weight and i have a high bmi, well its not as high now! yeah i lost 3 stone which is apparently down to the GD which is one reason i got sent for a GTT! They did mention my weight but it wasn't nasty or anything infact my diabetes nurse said 'ppl with high bmi's which yours isnt really' so that didnt bother me.

I dont see the midwife at all now just the consultant bvut there was a midwife present at my last appointment who did all the fundal height etc (appointment before was just consultant and she didnt do my fundal height which i think is pretty bad considering they r supposed to be keeping an eye on babys growth)

A c-section hasn't been offered unless im not in established labour after 24 hours after im induced (dc1 was induced and it took 12 hours from drip to birth) so i dont think i will be needing one, quite glad cos i would much prefer a normal birth than a cs. although im quite disappointed im being induced because i wanted to start naturally this time and not be induced again!

I developed Gestational diabetes at 26 weeks.

I saw a dietician and consultant. Had to check my blood sugars after every meal and watch my diet. Bloods were still high so had to start injecting insulin 3 times a day.

I have had a growth scan every 4 weeks and have been told baby is measuring big for dates. Thye said they will prob induce me at 38 weeks although baby has now turned breech so might be CS.

I have also got a lot of fluid around the baby which is common with GD. This means that waters may rupture early or might go into early labour.

The consultant has also said that when in labour my bloods will be checked at regular intervals and glucose or insulin given as neccessary.

There is also a chance that the baby may have high blood sugars after being born and so there is a small chance she will have to spend a short time in scbu to be monitored.

I was diagnosed at 28 weeks in my first pregnancy and then had it again in my second. There was a weekly diabetic clinic but I only needed to go every two or three weeks as my blood sugars were well controlled through diet - we just decided at each session when they would need to see me next. At each session they weighed me, took my bp, sometimes took bloods and I had a consultation with a diabetic specialist and the midwife, sometimes my consultant looked in too. The consultation was usually just a quick look at my blood sugar levels diary and sometimes the midwife would have a wee feel of my bump. I had a couple of growth scans at 32 and 36 weeks I think and so we would discuss those too but they were mostly normal (both dcs were 7lb-ers so not huge).

On my first clinic I also had to have a chat with a dietician who did not nag me about my weight (BMI of 30 I think? - me not the dietician!) but just talked me through good nutrition etc.

Finally, I was induced at term both times and it was fine. Obviously I have no 'normal' birth to compare them to, but it was not terrible, it was completely manageable. I live quite a way away from the hospital so to be honest, I was happy for it all to be started as I had been dreading a late night (or, even worse, rush hour) dash along the motorway whilst in labour. I know I would not have handled that well!

If there's anything else you want to know, just ask.

Thanks very much for replies. I'm starting to feel a bit better! Can I ask those of you with GD how you found out. Was it the results of the GTT or was there anything else like did anything show up in your urine samples? I only ask because other than a urine infection in very early pregnancy all my tests and measurements have been spot on.

I'm worried about the BMI thing as had actually been trying very hard to eat a healthy, balanced diet and do lots of exercise. I was going to the gym up until about 25 weeks but then I just started to find it too much. I didn't gain much weight for a while but then got married and went on an all inclusive honeymoon so it went a bit pear shaped!

DH wants to come to appointment so I don't want to be embarrassed if they're going to have a go at me about my weight. Silly I know!

I was sent for a GTT because of a previous large baby, DD was 9lb5. I never had glucose in my urine or any other indicators, In fact I was really stunned when the results came back positive for GD.

I have put on over 3 stone, i'm 36 weeks, but nobody has ever had a go at me about my weight