Would you like to be a member of our research panel? Join here - there's (nearly) always a great incentive offered for your views.

The All New And Shiny Gestational Diabetes Support Thread

(273 Posts)
midori1999 Mon 11-Mar-13 21:11:03

The old thread seems to have died a death, so thought of start a new one for anyone who wants some support or just to chat about GD.

I'm 9 weeks pregnant now, had GD in my last (5th) pregnancy and had my GTT today, expecting to be diagnosed tomorrow as my levels are already silly.

ExpatAl Mon 11-Mar-13 21:23:08

Showing my support for the inauguration of this shiny new thread. I expect to be joining it in the not too distant future. Good luck midori.

StiffyByng Mon 11-Mar-13 21:30:59

Hello. I'm refusing to label myself with GD so have got the clinic to agree to call it 'high blood sugar in pregnancy'. Hmm.

I'm 31+4, flunked the GTT fairly narrowly about a month ago, and am currently diet controlled. I have been told by the Obs consultant that if I remain that way, I can have my homebirth, although we're yet to discuss the dreaded induction regime. This is number 2 for me, with my first born at home, trouble-free at 42 weeks, with no blood sugar issues during pregnancy. Currently all levels but fasting comfortably where they should be, but fasting is looking a bit wobbly.

StiffyByng Mon 11-Mar-13 21:31:18

And why would you be joining in, expat?

midori1999 Mon 11-Mar-13 21:43:30

Thanks ExpatAl, have you had GD before or do you have risk factors etc? I'm not sure whether to say I hop eyou do or don't join us... grin

I hope you get your homebirth Stiffy. It's so frustrating to have high fasting levels, as there's not much you can do about it really. Well, not as much as if it were post meal readings anyway.

StiffyByng Mon 11-Mar-13 21:47:33

I am contemplating just lying if the readings are only slightly too high, to be honest. My clinic medicates well below NICE guidelines and I remain to be convinced that slightly high blood sugars are the disaster some doctors make them out to be in any case.

midori1999 Mon 11-Mar-13 21:53:30

I agree that slightly high probably aren't a problem. Like I've said before, my fasting levels were never within target as I just couldn't increase my insulin fast enough and my post breakfast were mostly in the 9's or 10's too. My diabetes clinic felt my levels were under good enough control and all was well at the delivery, average sized baby, no hypo etc.

Can you lie though? My clinic used to download readings from my monitor. grin

StiffyByng Mon 11-Mar-13 22:35:54

My lot seem to do self reporting. I keep a diary and I read out my levels over the phone to the diabetes nurse. My levels are under 6 still so not particularly scary and under the diagnostic level! Your story is reassuring. Looking at the old threads, no one with controlled levels had any problems at all, and my levels are lower than most of those.

mumbaisapphire Tue 12-Mar-13 00:26:53

I'm 33 weeks tomorrow and was diagnosed at 28 weeks. So far so good though. I have been keeping my levels under with diet and exercise. My dietician recommended eating protein alongside carbs, so weekend breakfasts are egg and cheese in a toasted English muffin - wholemeal of course. Weekdays I can mange to keep my sugars around 7.5 after brekafast with porridge but if I have a boiled egg on the side then it reduces it to around 6. It's an odd combo I grant you but seems to work. My lunches and dinners are usually between 4.( and 6.5. The other advice they gave me was to exercise after every meal for 15-20 mins. So at work I just go for a walk either in the gym or round the block a few times and in the evenings I have taken to doing some kind of on the spot aerobics/marching and that works too. I find the meals with lentils or chickpeas or any kind of beans, really do work well as you are getting all the carbs but high in protein too. I've taken to making a big salad with a large can of green lentils, a tin of tuna, red onion, fresh herbs and some crunchy green beans or mange tout, and dressing it with balsamic and olive oil. It's really tasty and lasts for about 3 lunches in the fridge. I get really low 4 or 5 readings after that, even without exercise. I'm also doing the three snacks a day, morning, afternoon and evening (after dinner). What does everyone else find works?
Ps: am eating no fruit since that sends my levels sky high. So overloading on veg instead.

CheapTarnishedGlitter Tue 12-Mar-13 04:31:56

Hi all... I'm 35 + 2 and was diagnosed at 28 weeks following GTT taken because there's history of type 1 diabetes in the family.

Controlling with diet at the moment and mostly fine - I get the odd slightly high reading but there's usually a reason (like a chippy tea...!)

Agree with combining carbs with protein or fat... I'm eating so much cheese now it's mad! Most brekky is half a bowl of bran flakes and a yogurt but sometimes swap cereal for peanut butter on toast or at the weekend a toasted roll split and topped with veggy sausage and poached egg.

I don't really mind testing my sugar and quite enjoy it in a geeky way but find liaising with hospital challenging. Supposed to speak to diabetic nurse each week which really means me phoning and only ever getting answer machine, leaving a long message with my readings, and never getting a call back. Also see consultant every fortnight but they have a bizarre practice of booking 2/3 appointments for each slot so are always running at least an hour behind by about half ten angry

No real idea still whether I'll be induced or not, and 38 weeks is fast approaching!!

StiffyByng Tue 12-Mar-13 08:59:06

Hello MumbaiSapphire and CheapTarnishedGlitter. All this diet-controlling is very encouraging.

I feel better this morning. My fasting this morning was lower, and below treatment guidelines (NICE) so hurray. Hopefully I can get it a bit lower still with continued exercise. Last night my post-dinner reading was 5.0. We ate quite late but I had cheese and biscuits as a snack an hour later. I also took my cinnamon and physillium husk supplements. No pre-bed exercise so hopefully once my exercise DVD arrives I will be an evening exercise demon and being the level down just a tiny bit more to where I really want it.

Of course if this is going to get worse it will get more challenging. I'm telling myself that lots of people find it levels off at 36 weeks so I only have four more weeks to get through, and the consultant was happy to sign the homebirth off then too.

StiffyByng Tue 12-Mar-13 09:01:24

Sorry, CTG, I meant to say that I'd love that level of involvement with my clinic! I was chuffed that I got away with an answer phone yesterday (I hope). But I can imagine by your stage you want a PLAN. Can you make an Obs appointment? They are presumably the people who decide on the birth plan side of things. If you're diet-controlled then there should be no need to induce?

StuckOnARollercoaster Tue 12-Mar-13 09:49:57

Hello - had a GTT test yesterday as there is a history of (I think type 2 - the one you get in old age) diabetes in my mum and dads family.
The old thread was a bit long to get into and my initial dip into it was confusing - I may be able to keep up with this one!
Not sure if this is a valid opinion but I am expecting the result to be that I have GD as I'm not normally a sweet/carb lover but over the last few weeks I have had real cravings for sweet food. I try not to indulge each time but life is too short and I've definitely had a few more biscuits and lovely sweet brioche than I can remember before!

rumtumtugger Tue 12-Mar-13 11:17:15

Hi all, marking my place...good luck in the battle against sugar!

midori1999 Tue 12-Mar-13 16:04:31

Thanks rumtum.

Hello Mumbaisapphire and CTG. Glad to hear you are managing to diet control. Exercise does help, I used to walk up and down the stairs loads of times if I couldn't get out late in the evening.

Stuckonarollercoaster, how long before you get your results back? I find if anything I crave more savoury food at the moment, but that might have nothing to do with the GD.

I was officially diagnosed today. The diabetic nurse rang me about an hour after the midwife did, so can't fault that for service. I have an appointment next week. She said to keep monitoring my sugars, but here they want me to check 4 times a day, fasting, pre lunch, pre dinner and at bedtime. No post meal readings at all, which seems really odd to me and is certainly different to how my last unit did things. confused

CheapTarnishedGlitter Tue 12-Mar-13 18:33:12

Hi all!

Midori oh dear sad that's interesting about the reading timings! Have they said why?

Stiffy a plan would be lovely... when you get to see them you see them all - diabetic midwife, diabetic obstetric consultant, dietician and usually someone else thrown in for good measure. It's like facing the firing squad except all you get is "hmm, let's have another look in two weeks". Even those not managing it well get that!

Exercise does help. I know it's not everyone's cup of tea during pregnancy but I've found the best exercise for low readings is a spot of DTD blush ! DH thinks this is great...!

NewChoos Tue 12-Mar-13 19:15:55

Hello,
I had GD with DC1 diagnosed at 24 weeks as big baby. Managed with diet until about week 32 and then started Metformin. Was due to be induced at 38 weeks but had a C section as he was breech (also had too much fluid). Now 22 weeks with DC2, started monitoring sugars at 12 weeks and had some highs with breakfast so have just started Metformin in the mornings only. Feel very guilty but have not been as good with diet as I could be (I was very strict in 1st pregnancy). I need to be better. Am still indulging in chocolate and crisps sometimes although sugars post have been fine confused
Have been told my diabetic midwife I will be induced at 38-39 weeks. I want a section though, last baby and found the to induce or not drama which went on for 5 days while I was an inpatient just too much......

StiffyByng Wed 13-Mar-13 08:09:48

Midori, commiserations, although not a shock of course. Those reading times do sound strange. Are they forever or just till your next appointment?

Hi, NewChoos. I can understand wanting to avoid induction faff. Under NICE guidelines you should be able to request a section. Did they seem awkward about it?

CTG, I do hope you get your plan. We did try DTD the other day but I'm not sure at this stage it involves a huge amount of exercise for me! grin

Yesterday my blood sugars all day were brilliant, going down to 3.7 before dinner even, which is my first reading in the 3s. After dinner out at a restaurant I had a 5.2. So then I came back and did my exercise DVD for the first time. Imagine my annoyance when my level afterwards was 6.4! I ended up having a snack on that and going to bed. I barely slept because of a horrible sore throat and so my reward for everything was a fasting level just above where it should be this morning. At least it went down overnight, which doesn't usually appear to be the case but I'm cursing myself for hiking it up before bed. I feel pretty doomed today. Tonight no DVD!

curiousgeorgie Wed 13-Mar-13 09:24:23

Hi everyone smile

I had GD in my first pregnancy so not having a GTT this time around, just been monitoring since 14 weeks, and so far okay.

(Except I had an Easter egg last night so didn't check after... But this mornings before breakfast 4.5 so can't be that bad surely? blush)

My DD was really big despite being well managed on diet only last time so just hoping I don't have that again...

Hello All. I'd like to ask a silly question. I'm half way through my GTT so please humour me! Before you were diagnosed with GD, did you suspect that you had it? I'm not thinking about symptoms exactly, but more of a gut feeling IYSWIM.

I have several symptoms (but they seem normal for pregnancy), I've had multiple incidences of glucose in my urine (again, I understand this can be normal for pregnancy) and I have a lot of family members with type 2 diabetes plus a history myself of having two large for gestational age babies. I can see why I'm having the GTT but my gut feeling is that I'm fine! Either I'm in denial or I'm going through hell having a GTT while I suffer from HG for no reason smile

midori1999 Wed 13-Mar-13 10:32:29

Thanks CTG and Stiffy. They didn't say why I have to test before meald on the phone and I couldn't really discuss it in detail as DD was in need of my attention and we were also trying to get out the door. It is for the full pregnancy though, so I am going to discuss it with them next week. I asked on the Type 1 thread about it too and no one there seems to think this is normal. Odd, as I think our diabetes unit is meant to be very good. confused

NewChoos, I think most people aren't that strict diet wise in pregnancy tbh. I know my friend said she would see people eating chocolate and drinking full sugar drinks in the waiting room in her first pregnancy. I was also super strict last time and although this time I wouldn't dream of eating a bar of chocolate, I've been having crisps as snacks and not been super strict. The same friend also told me she was eating her normal (goodness knows how she is so thin!) 4 bars of chocolate a day in her second GD pregnancy and openly told the diabetes team about it. She kept her levels down with brisk walks frequently throughout the day and a glass of red if they got a bit too high. She said the diabetes team were bemused to say the least, but appreciated her honesty. grin

curiousgeorgie, my first two children were biggish and I was checked for GD in my second pregnancy as I had glucose in my urine several times. They said I didn't have it, but DS was born at 38 weeks exactly weighing spot on 10lb. Then, when I did have GD with DD and was insulin controlled, she was born at 37+6, so almost the same gestation as my DS, ut weighing 6lb 15oz, so a whole 3lbs less than DS! I think some babies are just destined to be big regardless.

roomforalittleone, I didn't have a clue with DD. I had already had 4 pregnancies without GD, no glucose in my urine, ever and just had the test as my BMI was 30 blush and DS2 had been 10lb. I didn't give it a second thought after having it, until my next appointment when I found i had it. I was borderline at diagnosis (24 weeks) but by 26 weeks I was on insulin as it was obvious I couldn't diet control and by the end I was on whacking amounts of insulin.

StiffyByng Wed 13-Mar-13 14:46:20

Hi Room and Curious.

Room, I had a weird inkling when my random blood test was done, despite not having had any problems in my first pregnancy.

Curious, I am being ridiculously strict based on my desire to stay diet-controlled and also The Fear of it not going away. But it's been so long since I had anything particularly sweet that I'm not really craving it anyway.

StiffyByng Wed 13-Mar-13 21:44:02

I'm getting very concerned about how stressed I'm getting from this constant monitoring. The clinic did say I could do checks every other day if I wanted but I've felt too nervous to do that. But maybe it would do my sanity good? To have at least one day in two when my first thought isn't what my blood sugar will be. I called the diabetes nurse today about how upset I am about the whole thing and she said I needed to try to think about other things, so maybe it would bring my stress levels, and even my fasting numbers, down a bit?

curiousgeorgie Wed 13-Mar-13 22:00:03

They do say that stress makes it higher. To be honest, i felt horrible in my first pregnancy and absolutely hated every second of diabetic clinic, monitoring and all of it. I wiuld cry and cry. But with this pregnancy I'm choosing to be the one in control of it and not let it upset me.

They told me to come back to clinic in two weeks, but I said, no, I'll come monthly unless I have a problem. And I'm not waiting around all morning to see nurse, midwife and then consultant, I'll just see one of you and then go because it's not fair on my DD.

Maybe monitoring every other day would actually make you think about it more?

StiffyByng Wed 13-Mar-13 23:07:46

I also said I was only coming monthly, curious. And in fact, I cocked up the dates and it will be 5 whole weeks and I'll be 35 weeks by then.

I'm not sure monitoring every other day would do that but I suppose trying it out is the only way to know. It's my fasting result that's doing my head in. The other results are all fine.

I am so resentful of the whole system. My diagnosis was borderline and I am sceptical that feeding me into this clinic system, with the threat of insulin hanging over me if things go even a bit awry and therefore no sense that I can ask for constructive help, isn't causing more harm than good. I feel absolutely fine and I could be enjoying my pregnancy and looking forward to a lovely natural birth. I would happily have agreed to checking my sugars every now and then and contacting them if things were going very wrong. They can monitor the baby all they want. But as it stands, I am under constant pressure.

I'm so pleased you feel better about it all this time round. I've always wanted three children but thinking I can't go through this again.

CheapTarnishedGlitter Thu 14-Mar-13 04:34:37

Curious can I ask how big was big? This is number one for me so the idea of a big baby feels a bit abstract!

room - do you get your results today? Fingers crossed for you... I sort of suspected I'd have it - my brother's diabetes plus my gran constantly telling me how her babies were all whoppers made me wonder if as a family we generally have insulin issues! I was only just over the limit on my test though...

I don't tend to mind the readings so much - it's fascinating in a funny kind if way! It's the appointments that stress me out... partly the constant running late and knowing I'll be late back to work and will have to pay more than I should to leave the car park, partly the knowledge that I won't actually get anything out of the appt, and partly the suspicion that when I've had a high reading that is explainable they'll take it is a sign that I need insulin rather than read my notes and see it was an occasion where for one reason or another I simply ate "bad" food!

And of course the other thing I dislike is the cupboard full of Christmas chocs that ordinarily would gave been long scoffed by now but which are having to wait wink

curiousgeorgie Thu 14-Mar-13 08:26:37

She was 10.5 lbs. But both her bloods and mine were fine straight away and all readings or the next 48 hours stayed fine.

She lost 2lbs straight away though which was scary in the first couple of weeks and the health visitor was really unhelpful. At her six month check she hadn't doubled her birthweight and they again, were really unhelpful and rude.

She's not a big eater at all, never as been, and out of all my friends children is the smallest and has always been in or under the right age clothes... So maybe birthweights don't matter but if I'm honest it made me feel like a bit of a freak and I was embarrassed telling people her birthweight.

With the exception of when the dog jumped on my stomach from the back of the sofa, and I couldn't feel her move for ages and had 2 glasses of full fat come and a crunchie to get her moving, after beig diagnosed I never had high bloods, and they never put me on metformin or insulin. So part of me thinks no matter what I do I can't win.

curiousgeorgie Thu 14-Mar-13 08:26:57

Coke!

curiousgeorgie Thu 14-Mar-13 08:27:21

That was an unortunate typo hmm

midori1999 Thu 14-Mar-13 09:14:25

grin curiousgeorgie... That's odd about your baby losing 2lbs straight away. Could they have made a mistake with the birthweight? I know someone whose baby was 12lb when born and then the next morning in SCBU was weighed again and only 10lbs. hmm They felt there must have been some mistake.

Stiffy, I am so sorry you're feeling like this. Fasting are the hardest levels to change, it must be so incredibly difficult for you.

I have to admit, I get quite a lot of comfort from taking my blood sugars, I feel it gives me some sort of control, even if I need insulin to keep levels down. I get very anxious when pregnant after the loss of my twin girls and anything I can do to help things go smoothly I have to see as a good thing.

StiffyByng Thu 14-Mar-13 10:42:35

Midori, I can absolutely understand why you feel like that. I am lucky to have had one trouble free pregnancy apart from horrid SPD, and to be resenting madly this level of intervention when I feel perfectly healthy.

I think if my clinic's attitude had been less severe (very patronising doctor who was determined to make me 'see reason') I would be happier. I don't massively mind the blood monitoring through the day. In fact, seeing that it's well within normal makes me feel more confident in ignoring the morning readings a bit, but their approach was that 80% of their patients are on insulin, I had almost no chance of controlling by diet (bearing in mind I was borderline) and that it would just get harder and harder, and so I feel that I've been set up to fail. That's where the pressure lies and why I'm getting so upset at the constant reminders of it all.

I think I've said before, if there is a next time, I will refuse a GTT and keep an eye on things myself. That way I have control of when I ask for medical intervention.

Hmm, how long did you ladies have to wait for GTT results? I've rung the surgery and my results aren't back yet. I'm very frustrated. I just want to know so that I can either carry on as normal or get on top of things. Having said that, from what you are all experiencing maybe not knowing isn't do bad after all!

StiffyByng Thu 14-Mar-13 14:36:34

I got mine the same day but was told a few people had to wait a day. Hopefully no news is good news!

curiousgeorgie Thu 14-Mar-13 14:40:15

I didn't have one this time but my test with DD was on a Friday and I got a call on the Tuesday... So quite a while. That was Epsom.

StuckOnARollercoaster Thu 14-Mar-13 15:20:25

I'm in Manchester - had GTT on Monday and was told I would get results by end of week, but only if I have GD. So far no news, so fingers crossed that I get through tomorrow without getting a call.

I've been told it could take anything before 3 hours and a week for the results to get back to my GP (who requested the test and where I had the test) hmm

mumbaisapphire Thu 14-Mar-13 23:04:47

Hi everyone. Had to have a fetal weight and growth scan on Tuesday and saw my midwife today. She said the results were good and baby weight at the moment is normal. Weighs just under 4.5lbs which is right on track for me at 33 weeks apparently. She also measured my belly which is bang on at 33cm for 33 weeks. At my last midwife appointment two weeks ago I was measuring about a week ahead so not sure what's happened to slow down the growth but she didn't seem concerned. I asked her what it meant in terms if induction and I didn't really get a clear answer. From the googling I have done it seems like they won't let you go over your due date if you have GD, and that they will induce at 38 weeks if the baby is measuring large. But if the baby is measuring normal then you are more likely to be allowed to go up to and maybe a little beyond the due date. I have an appointment tmrw with the consultant who apparently ultimately makes the decision so I shall find out then what the deal is and report back.

StiffyByng Fri 15-Mar-13 08:34:14

Good luck with those results, Mumbai. Remember it's actually YOU that makes the final decision, not the consultant. A larger baby (on scan predictions) is not necessarily an indication for induction if you don't agree. My last baby was predicted to be 'at least' 10lbs on a scan four days before she was born. She turned out to be just 9lbs1oz and looked a pound smaller.

I also have a scan this morning so please keep fingers crossed for me too!

And I am on a bit of a high. My fasting level was well within guidelines this morning. I had a small bit of cheese at 2am and that seems to have made all the difference. I know that means it wasn't quite a 'fasting' level but if the aim is to keep the BG levels down, it works. Better cheese than insulin!

mamabrownbear Fri 15-Mar-13 12:00:38

I've just been told I may have GD and posted about it in another thread too. Off to the hospital next week for further tests but I'm 32 weeks so wondering how long I've had it and what damage has been done. Feel awful. Radical diet overhaul needed...any advice really welcomed, better food and exercise? Oh and I've been diagnosed with anaemia too so I feel totally broken and useless!!

mumbaisapphire Fri 15-Mar-13 12:57:02

Hi Mamabrownbear. Thought I would share a typical days food with you for ideas.
Breakfast: porridge with sweetener and a slice of cheese or boiled egg on the side. Sometimes I'll have a slice of wholemeal toast and peanut butter or on a weekend I make breakfast sandwiches with egg, cheese and tomato and ham all in a wholemeal muffin. That's always the lowest reading I get.
Morning snack- raw undated almonds
Lunch: lentil salad with tuna or feta cheese or today I'm having a small wholemeal pitta and hummus with Greek salad.
Afternoon snack: oatcakes or whole grain crackers and cheese
Dinner: pretty much same as normal and I limit the carbs to a quarter of my plate. Last night was sausage pasta made with wholemeal pasta and a huge salad.
Evening snack: no added sugar cherry yoghurt.
What does everyone else eat?

midori1999 Fri 15-Mar-13 13:37:27

Stiffy I'm glad your fasting was good this morning. I think you're right the attitude of your team makes a difference. Mine last time were pretty relaxed about seeing how things went, no real 'rules' for induction even though I was on insulin, although they wouldn't have liked me to go past due date.

mumbai i eat similar things actually...

Breakfast: porridge with a small omlette or two slices of seeded toast with two poached eggs.

Lunch: oatcakes with cheese and veg sticks or pitta filled with greek salad or toasted with cheese and salami and a side salad or veg sticks

Dinner: wholewheat pasta dish, small jacket potato, something with wholegrain basmati rice but half the plate piled with salad or a roast/meat and two veg type dinner, but with a few boiled new potatoes or a baked sweet potato as my the carb. I do avoid veg like sweetcorn as it affects me. Sometimes I am naughty and skip any carbs with dinner in favour of a scoop of Ben and Jerrys after, which keeps my sugars in line.

Snacks: piece of fruit (not banana) packet of quavers (10g of carbs per pack) oatcake with cheese, small packet of unsalted nuts, veg sticks and humous, low fat/sugar yoghurt.

StiffyByng Fri 15-Mar-13 13:44:57

Please don't worry about damage, bear. The only real problem caused by GD is a bigger baby and that doesn't happen to everyone. Even if your baby is a bit on the big side now, it could still move closer to 'average' over the next few weeks. Things will be fine.

Scan was fine. Baby average, fluid normal, walked the four mile round trip so feeling very virtuous. The only annoyance was the doctor who gave the usual (for my hospital) pessimistic spiel about how I'd almost certainly need insulin, but also added that it 'might well not go away'. Would it kill them to be just a bit encouraging and supportive?

In a normal day I eat:

Breakfast - bacon and sodding eggs. I can add a bit of (Burgen's) toast but it sends me to 6.5 and over, so I usually leave it out.

Lunch - Staffordshire oatcake (like a pancake and really lovely) with protein filling eg smoked salmon and cream cheese, ham and cheese

Snack - rough oatcake and cheese. Can also get away with flapjack by mid-afternoon

Dinner - meat or fish with pulses, green veg and/or salad and pretty small amount of complex carbs. I find celeriac a good potato substitute. I can get away with small amounts of potatoes and wholemeal pasta but my body isn't keen on rice full stop at the moment. My worst reading ever was after some Turkish flatbread.

Before bed I have another cheese based snack.

mamabrownbear Fri 15-Mar-13 13:55:57

Thanks everyone, menus are really really useful! Especially breakfast as I find I eat loads then! I'll stock up on wholemeal goodies at the weekend, up the proteins and veg. Must be able to help the anaemia too! Sigh x

curiousgeorgie Fri 15-Mar-13 17:51:23

I can tell you mine for some variation? smile

Small bowl of Cheerios with skim milk.

Carrot sticks with Philadelphia or some cheese for a snack.

Tuna in wholemeal pita or carrot soup or broccoli / cauliflower cheese for lunch with salad if I can be bothered.

An apple or a tangerine or some cheese for afternoon snack.

Aubergine and mushroom chilli with a massive ple of broccoli on the side ( no rice) Fajita wraps and sauces seem to be just fine atm, so vegetable fajitas 2/3 of them, a tuna / vegetable pasta sauce with the tiniest amount of pasta ever and a huge salad on the side.

I never have a before bed snack but might introduce some cheese!

So far all good... smile

curiousgeorgie Fri 15-Mar-13 17:52:21

What's swede like? Is it as carby as potato? Or could it be an alternative?

StiffyByng Fri 15-Mar-13 18:41:16

I know that sweet potato is OK but squash isn't. I'm not sure where swede sits!

rumtumtugger Fri 15-Mar-13 21:30:15

Cauliflower is good - you can cook it for longer than you might normally and mash it to replace potato mash, or you can cook cook it til it's al dente and mash it and it resembles rice! Goes great with a curry...

CheapTarnishedGlitter Fri 15-Mar-13 21:49:51

Good to hear scans have gone well! Mama try not to worry too much - better to know you have GD and manage it now than go full term having been clueless. If you'd done anything "bad" up until now it would have been picked up through urine tests and the like I'd have thought!

Brekky for me depends on day - weekdays is half a bowl of bran flakes and sultanas, soya milk (don't like taste of cows) and a raspberry activia (lowest sugar yogurt I could find); Saturday is wholemeal roll, split and toasted, each half topped with a veggy sausage and hard poached egg; then Sundays is
a full one - egg, beans, roasted tomato, hash brown, veggy sausage and veggy bacon.

Lunch is quite boring - oatcakes or crackers with cheese and a couple of easy peelers.

Tea varies but often pasta and sauce or curry and rice type meals with less carb and more sauce than usual. If I want pudding then frozen banana and cream works well.

Snacks are biscuits - a digestive or a reduced sugar Rusk - or snack cheese.

I do eat so much cheese now... I've even smothered pasta sauce in it with the sole aim of getting away with having some garlic bread with it blush

CheapTarnishedGlitter Fri 15-Mar-13 21:55:34

Oh and I've managed a nice bit of puppetry this work... went to NCT class from seven 'til nine, was ten pm by time finally got home and had tea, waited an hour for testing and only then realised I'd left my bloody meter at work angry

CheapTarnishedGlitter Fri 15-Mar-13 21:56:43

Uh... muppetry this week, not puppetry this work!!

Think it must be time for bed...!

mumbaisapphire Sat 16-Mar-13 01:39:06

Had my appointment today with the obstetrician who was really very refreshing and relaxed. She basically said that coming to see her was a formality purely because my diabetes is well under control with diet and also that the scan showed a normal sized baby. I asked her about induction and she said that she would happily let me go a week over my due date. Interestingly enough she said that doctors are often divided in how to proceed with women who are not on insulin or other medication and managing to control it with diet. She said some of her colleagues would insist on an induction at 39 weeks or on the due date. In her opinion though if all is fine she sees no evidence to suggest it is necessary to induce early. Having said all that though my baby is currently breech at 33+3 so unless it turns the I could be facing a c-section in any case. So for now I'm concentrating all my efforts in turning this baby! It would be Sod's law to have a relaxed obstetrician only to have a breech baby.

mamabrownbear Sat 16-Mar-13 09:20:43

I'm trying the healthy diet and I'll update on Wednesday after my appointment, fingers crossed x

CheapTarnishedGlitter Sun 17-Mar-13 13:43:25

Mumbai your obstetrician sounds fab!! How nice to be allowed to go over if needed... shame about the positioning though. What's been agreed about that? Have they offered to try and turn the baby? Will cross fingers that it just giggles round on its own...

Mama good luck with the diet, and the appointment! I've got mine on Weds too complete with scan so hoping he's still a good size.

I know gd isn't the worst complication by any means, but we had our last NCT session yesterday and one of the couples had bought everyone a creme egg for the coffee break - oh my goodness, the smell of 15 other people chomping chocolate!!! I know we need to be quite good after birth to reduce risk of developing type 2 later on but my list of "must-haves" is getting longer and longer!!

StiffyByng Sun 17-Mar-13 16:58:33

Obstretician sounds lovely, Mumbai. How reassuring.

Good luck Mama and CTG. The Creme Egg incident sounds testing! I think a few treats are fine in a post-birth diet.

Does anyone know if there's any way to predict who might 'keep' diabetes? I have convinced myself I'll be one of them and am depressing the hell out of myself.

Fasting bloods are back at borderline despite middle of night cheese munching. But well below NICE borderline I guess. Worry, worry, worry. sad

midori1999 Sun 17-Mar-13 21:24:34

I would have broken and eaten the cream egg.... just gone for a brisk walk afterwards and I'm super strict about what I eat...

I've found some museli type cereal which I was suprised to find didn't make my readings go crazy. It's an Eat Natural nuts and seeds thing, which is quite low carb and was delicious and a change from eggs. I didn't have any protein with it, but presumably the nuts and seeds were protein enough.

mumbaisapphire Sun 17-Mar-13 22:58:27

Yup me too I would have cracked for a creme egg. I was naughty last night or so I thought and we had Wendy's burgers and fries for dinner (am outside the UK) and I allowed myself a small chocolate frosty. Did 15 minutes walking on the spot afterwards convinced my blood sugars would be double figures and they were 6.4! Maybe it was the protein in the burger, plus the cheese and bacon that helped. Who knows?

Am pleased with the obstetrician's guidance. Re: the breech birth she said I have two options; book straight in for a c-section, book in for an ECV (or is it EVC?) or go ahead with natural birth. She then went onto explain the pros and cons of the ECV - apparently they book you in for this procedure and they give you an epidural. It is carried out in theatre so that should the baby not react well or show signs of distress- heart rate drops etc. then they immediately do a c-section there and then, hence why they give you the epidural for the procedure. If baby turns and isn't distressed then they induce you there and then and you can go ahead and have a natural birth albeit with an epidural. So to be honest if that's what I'm facing then i think I'll skip the ECV choice and just go for a c section,as I always envisioned I would give birth without an epidural. Not sure i want to be induced with an epidural. The other option of giving birth to a breech baby is also not appealing and she said that it will entirely depend on who is on staff that night, as the midwife isn't trained to deliver a breech baby and neither are some obstetricians because they did their schooling when it was deemed unsafe so she said there is a whole bunch of obs who trained 15 years ago or so who have no experience and would refuse.

Mummysaysno Mon 18-Mar-13 14:04:14

Hi...I was diagnosed with GD today and feel completely gutted. Been reading this thread which is nice to read about other people but feels daunting to have to think so closely about what I eat as I don't usually plan breakfast or lunch, would typically eat cereal for breakfast (crunchy nut cornflakes a favourite at the moment) and something like portion of last night's dinner or pitta and dips for lunch (I've never seen whole meal pitta for sale where we live) and live outside UK where there isn't the same choice of food (or maybe that's me just being half-empty about it).
I see an endocrinologist tomorrow, very cynical about expectations as where I live it's v intervention so I feel like he'll just be talking about controlling through medication. But I'd love to be proved wrong.
This is baby number 4. Numbers two and three were big babies, but never had the GTT before.
I was a size 12 before pregnancy, usually a size 10, so was a bit heavier than I like, but not dramatically so.
Feel like I've caused this through bad diet and not enough exercise, feel like I'm a crap Mum to my three kids for allowing this to happen. Now worried they'll all get Type 2 diabetes, as I clearly have no idea what a healthy normal diet is. Just feel like a big failure right now!

curiousgeorgie Mon 18-Mar-13 14:10:46

Don't feel bad, it can happen to anyone, I am a size 14/16 so a bit bigger but my size 8 friend with no risk factors also had it!

It sounds so daunting but it's not so bad.. I hate meal planning too but have found it okay to eat cereal for breakfast, I have Cheerios because that's what I had pre pregnancy but I'm sure you could experiment with different ones?

For lunch I buy a bunch of soups, the covent garden ones or sainsburys own fresh soups that aren't potato based, like broccoli and Stilton or carrot & coriander amd also microwaveable cauliflower cheese or broccoli cheese... It's harder for me because I'm vegetarian but my friend used to eat a bacon sandwich on 50/50 bread (or sometimes normal bread!!) And be absolutely fine because of the protein.

By evening a 'normal' dinner with a slightly smaller portion of carbs seems to be okay for most people x

midori1999 Mon 18-Mar-13 14:26:00

Oh no, mummysaysno. sad

You haven't caused this, GD is hormonal and many slim, fit women get it too. You haven't done anything to cause this and you couldn't have prevented it.

I'm not sure about where you are, but you'll likely be given the chance to diet control before any meds as aside from anything else, if you can diet control them meds would cause your sugars to go too low.

It can be a shock when you're first diagnosed. I actually burst into tears with my last pregnancy when they diagnosed me. In the end I just decided that as long as my baby came out alive and ok, then it didn't matter how we got to that stage. I think that was made easier for me though as I already knew id need a consultant led birth and had had one with my previous children and they all went well.

Mummysaysno Mon 18-Mar-13 14:39:23

Thanks ladies...I just feel guilty having another baby and feel like I should have been content with the three (loud, naughty, demanding but I love them so much!!) children I have and now feel like I've put me at risk and as their Mum that's selfish as they need a healthy Mum. DD (age 8) knows and saw me upset and of course she gets really worried if she thinks I'm sad, and I hate to think i'm going to create anxiety for her. In the meantime I can feel this dear baby pushing and kicking away (28 weeks) and feel guilty for thinking that as it's not the baby's fault, and this baby is just as precious and miraculous as the other three are.
Really appreciate the replies...I should read up on GD but equally don't want to read rubbish on the Internet so purposefully only read on nhs website which I found quite depressing.
Sorry I know you're all going through it, and I know people go through so much much worse. But it really helps knowing others are managing and not wallowing in self pity!!!
I'm also veggie, although I did decide if it helps to find suitable food I would eat meat/fish.
Sorry again for being so blooming miserable...hopefully I'll get information on diet tomorrow and not just medication, but if need be I'll be picking your brains!!!!

mumbaisapphire Mon 18-Mar-13 15:30:57

It's not your fault. That's the one thing I remember from the diabetes class I had to attend when I was diagnosed. The nurse explained that there are certain people who have higher risks such as women over 35 or people from certain ethnic backgrounds, but essentially it is up to your pancreas. We have to produce something like 3 times the amount of insulin we would in pregnancy and sometimes our pancreas' just can't keep up with the demand. As the baby grows so does the demand and this is why they don't test until later on but also why you might cope fine at say 32 weeks and then you can eat the same things in week 38 but your blood sugars go way higher. So don't feel guilty. It's not your fault. On the positive side you know about it now, so you CAN do something about it with regard to your diet and exercise. Good luck and share here with any food questions or recipes. I had beef stew yesterday and mashed potato - just a tiny amount and then did 20 mins walking on the spot and blood sugar was 5.2!!!
Today's menu is: porridge with sweetener for breakfast. Almonds for snack, half a can of baked beans and one slice wholemeal toast with veggie crudités and spinach dip for lunch. Cheese and 2 oatcakes for afternoon snack and small jacket potato with homemade coleslaw and cheese and salad for dinner. Most likely will have either a sugar free yoghurt or sugar free choc mousse for my evening snack. What's everyone else eating?

StiffyByng Mon 18-Mar-13 15:34:49

Nothing very exciting for me! Your food sounds lovely.

I know it's hard but please don't blame yourself, Mummysays. I am overweight and am furious with myself for it, but it is random really.

I am very worried today. I had the same breakfast as ever and got a reading of 5.9 after 90 minutes and a 40 minute walk. I had a fairly standard lunch and got a PP reading of 6.2 after 20 minutes marching on the spot. I tested again an hour later and my reading was 6.6. What on earth? I have a cold which has been lurking for days but seems a bit worse today. Could this be what's behind this or has my pancreas just given up today?

curiousgeorgie Mon 18-Mar-13 15:39:13

If you're ill it makes your readings higher... I had eaten nothing for hours and went to hospital with some bleeding and they checked my blood and it was 6.5 which was my highest ever on nothing! They told me its normal wink

StiffyByng Mon 18-Mar-13 15:41:43

Thanks. I do hope so. I'd seen references to it online but wasn't sure it counted for GD. I keep thinking of my clinic's dire warnings of it getting harder and harder but would that really happen in one day?! And my sugars rising after a meal and exercise was just bizarre, so your 6.5 reassures me a bit.

Mummysaysno Mon 18-Mar-13 15:51:14

Thanks all...it's night time where I am...will post with an update after appt tomorrow. Some really sensible advice...which is v v helpful so thank you xx

CheapTarnishedGlitter Mon 18-Mar-13 18:03:33

Mumbai can't say I blame you about wanting to go straight for section. Each to their own but a bad experience in my family of trying to turn baby has put me off - I know the surgery is no walk in the park but at least it's tough on me rather than the baby!

Mummy - hi! Echo what everyone else says - not your fault! We do seem to react differently to different foods on here so this is by no means gospel but I'd advise watching out for the crunchy nut cornflakes... that was my breakfast of choice until I started testing. Sadly a tentative half bowl sent my sugars rocketing!

On the plus side I chanced an areo caramel mousse after tea yesterday and my reading was still under 7. Woooo!!

Stiffy were your drinking patterns any different? Mw said to always drink lots to keep everything flushing through so perhaps if you drank less than usual that might explain it?

midori1999 Mon 18-Mar-13 18:11:06

Stiffy, yes, you're levels do go up if you're ill. I have found also, that if I test fasting levels at say, 6 am, they are lower than if I go back to sleep and test again at 8 or 9am, which is obviously the opposite to what you expect, so could you maybe test your fasting earlier and try that? Hopefully you'll be back to normal tomorrow.

I had my first appointment with the diabetic/obstetric team today. It went well actually, they were really lovely and the obsterician too all my (many!) complications into account and I feel like I will get good, allround care. They want me to test pre meals only for now, but that might change later on. They've started me on metformin as targets are under 5.5 fasting then under 6.0 pre meals/pre bed and my fastings have been between 5.9 and 6.5 all week. They are seeing me next week to decide whether to up the metformin to two tablets twice daily or what to do from there, but they think insulin is likely as I was on so much last time. They are also treating me as having existing type 2 prior to pregnancy, despite having been tested for it quite recently and will therefore do the anomoly scan at 18 weeks and a detailed cardia scan on the baby at 22 weeks. I'll have two weekly appointments until 30 weeks, then weekly appointments with fetal monitoring at each appointment and also doppler scans to check placental function and growth scans 4 weekly. So, all in all, they are on top of it all.... In spite of all the appointments it seems they are happy to just keep an eye on how it goes re delivery, but they won't let me go overdue, which is unlikely for me anyway, as only one of my 5 (natural) labours has occurred after 38 weeks.

StiffyByng Mon 18-Mar-13 18:11:56

I usually drink plenty of water but I'll maybe boost it!

I do have great jealousy of you lot eating some of this stuff and not going over 7! I think I definitely have a worse case than you!

StiffyByng Mon 18-Mar-13 18:12:49

I don't always punctuate with exclamation marks. blush

midori1999 Mon 18-Mar-13 18:37:43

Stiffy, you'd be suprised what does and doesn't affect your sugar levels. I get a blood sugar of 12 something after two slices of seeded toast, but if I eat a scoop of Ben and Jerrys after my dinner, as long as I didn't have much carbs with my actual dinner, my levels aren't too bad. I couldn't even contemplate eating a bowl of cheerios for breakfast. Different foods affect different people differently. Have your diabetic team discussed not cutting too many carbs out though, as this can actually be quite dangerous?

StiffyByng Mon 18-Mar-13 19:11:05

I had a big lecture about it. I eat carbs at every meal but breakfast but they are very complex indeed-lots of pulses, carby veg and oat-based stuff. I can get away with small amounts of fatty potatoes with lots of protein, a slice of toast with lots of protein and a small amount of wholemeal pasta. I haven't actually tried anything that sounds scary and I suppose I'm nervous that they're right and my body is getting worse and worse. I did experiment a while back with a Double Decker and only got 7.1. I suppose I shall have to wait till this cold is better and then find out the gruesome truth.

MorganLeFey Mon 18-Mar-13 19:38:12

Another one (probably) signing up! Turns out I was high on the mini-GTT that everyone gets at my hospital - so booked for the proper GTT on Friday & feeling a bit pessimistic.
No particular age/ethnic/strong FH risk factors so it would mostly be my rubbish diet +/- slight tendency to being PCOS-y, whoops.

That said - obviously in denial still tonight looking at what I've got for pudding... blush

mamabrownbear Mon 18-Mar-13 19:38:53

Have to admit after feeling much better all weekend I had a horrible day today. I was ok until after lunch when my head just got so cloudy I couldn't think straight and felt awful all afternoon, foggy head and starving! I actually think it's more stress related than food because as soon as I finish work and start to relax I feel much better, like I did at the weekend. Poor DH had to feed me most of the afternoon because I couldn't think straight. Not sure how I will cope when he is back to work tomorrow!

StiffyByng Mon 18-Mar-13 19:42:33

Poor you, mama. I think a lot of it is psychological. I hope tomorrow isn't as bad as you think it might be.

Morgan, loads of people who 'fail' the first test have no trouble with the GTT so you never know. Diet has nothing to do with it either, although PCOSyness can do of course. Enjoy your pudding!

mumbaisapphire Mon 18-Mar-13 21:18:21

Yes agreed it is a common misconception that women cause this by what they have eaten. That's not true. I immediately thought that my chocolate consumption at Christmas (that didn't seem to stop after Christmas) was somehow to blame. It wasn't. Diet is however the solution to controlling it, but not directly the root cause.

Mummysaysno Tue 19-Mar-13 01:34:41

Just enjoying a 'last breakfast' of banana and custard...figure it may be my last treat for a while!!wink

curiousgeorgie Tue 19-Mar-13 08:01:41

Does anyone know if it means anything if your eye has been twitching for about a week?

Anytime anything happens in my pregnancy I automatically assume its because of the GD!

Mummysaysno Tue 19-Mar-13 15:11:29

Sorry no answer about eye twitching...although sounds like you said...one of those things you wouldn't think about unless you had GD!
Update...saw endocrinologist today...testing 4 times a day for a week, after lots of error messages tonight managed me first post dinner test and was normal range. So going to go at this positively and remember the new eating plan is actually good for me...although will miss Friday night chocolates!!!
Thanks again for support last night when I felt so low about it all!!!!

greyrabbit81 Tue 19-Mar-13 16:31:04

Hi everyone

I was diagnosed last week and started monitoring my blood glucose over the weekend. I was absolutely devastated to be diagnosed - it just seems like nothing is straightforward being pregnant. But then after four days of ok ish readings I thought it wouldn't be so bad, just had two readings at 7.8 for breakfasts that clearly didn't work (multigrain bread and wheaten crackers... ready brek seems better for me), fasting numbers no higher than 5.4 and everything else just above or below 6

Then I had to ring in my numbers this morning and the diabetes nurse basically said that they'd probably put me on tablets as I clearly couldn't manage on diet alone... does this sound normal? I'm now terrified of going to see the consultant on Friday and bursting into tears every few hours, I just want to be able to enjoy being pregnant.

cookie90 Tue 19-Mar-13 16:46:40

Hi there, I've actually posted a separate message about going for an OGTT but haven't had any replies yet....I am going for the test at the end of the week and I'm 33 weeks pregnant. Feeling quite anxious about being diagnosed with gestational diabetes.....I had sugar in my urine last week at a routine appt but I had eaten a bowl of cornflakes with sugar on it about an hour before. They asked me to check my urine over the next few days and once again I had sugar in my urine after eating toast and jam. First thing in the morning it's clear and if I avoid anything overtly sugary it remains clear. I'm hoping that they are just being cautious by organising an OGTT.

Anyway how were you diagnosed with GD? I am quite nervous about the test and am worried about long term health implications for me and baby....

mumbaisapphire Tue 19-Mar-13 18:42:26

@greyrabbit. Nurse sounds mean! If you haven't already I would keep a food diary of everything you are eating so that when you see them you can explain what the high readings were for. They should allow you a few blips as you get used to it. I would argue my cause if I were you. What targets were you set? I was told fasting should be no higher than 6 - I'm managing an average of 4.5, and 1 hour post meal should be no higher than 7.8. I had a few blips in weeks one and two on my post meal readings but it was just me learning an they made allowances for that because they could see I wasn't repeating the mistakes. Please fight your corner! Sounds like they are being unnecessarily cautious.

CheapTarnishedGlitter Wed 20-Mar-13 05:19:43

greyrabbit totally agree with Mumbai - my readings chart has space for notes each day so when I got some high readings in the early days I could jot down what I'd eaten. I guess if I'd then eaten the some thing again they could be miffed, but they understood that I was just trying to work out which foods were safe and which weren't. And I don't think they dared pull me up the time my notes were a massive rant about the fact that I had a high reading because their clinic was running so bloody late that I missed the lunch meeting at work I was supposed to go to afterwards, so had to buy something in hospital canteen afterwards and all they had were big white baguettes... angry

I'd question it if they try to put you on medication if most of your readings are ok, and those that aren't have clear reasons!

All of that said, I'm feeling a bit nervous about my appointment today. My readings since last time have been fine but the scan's worrying me. Can't shake the thought that baby will have ballooned into a whopper that they'll want to pull out asap...

StiffyByng Wed 20-Mar-13 10:26:52

CTG, it'll be fine. And don't forget, it's down to you whether you are induced or not. They can't make you. A large baby is not in itself a reason to induce if you don't want it to be. (Of course that might depend on its size!). I personally wouldn't be happy with lots of fluid but am pretty much happy to have a baby that's on the big side.

Greyrabbit, that does sound over the top. It makes me wonder whether you're at my clinic, as they said to me two fasting readings over 5.5 would mean insulin. Stand your ground.

I was in a complete state so had a long chat with my midwife yesterday and she was brilliant. She said I should just tell the clinic what they want to hear if most of my readings were fine, and the ones that weren't were only just not, if that makes sense? She said that as long as I was healthy and the baby was healthy and my sugars were still within the 'normal' range (and as far as she's concerned, and the majority of the medical profession, fasting bloods of up to 6.0 are pretty much normal and below diagnostic level) then she was happy and that I'd be much better off relaxing and seeing if that brought the numbers down a bit. She felt that for me the psychological impact of a very medicalised birth when I don't really trust the reasons for it would be very damaging. It really brought that home to me when we had a brief discussion about hospital birth if the baby stays breech - I don't feel distressed at all, it seems like the sensible option. But the mere idea of one because of my borderline blood sugars makes me cry. So I now feel more relaxed, am not waking up dreading my fasting levels and although a bit high, they're not rising and rising, so I'm going to stick with my plan for now.

CheapTarnishedGlitter Wed 20-Mar-13 11:31:46

Good news about the mw stiffy.

Just had my scan and he's just below the 50th percentile - wooooo! Now settled in for the inevitable wait in diabetes clinic. Already running half an hour late - let's see how far we can go today!

midori1999 Wed 20-Mar-13 13:02:43

Greyrabbit, I agree they should be more flexible about letting you diet control. Always tell them if you think you've eaten something that made your levels go up.

CTG, glad your scan went well. My GD baby was one of my smallest.

I started the metformin yesterday and spent all yesterday evening/last night/today feeling dreadfully nauseous and throwing up whenever I move. Obviously as a result I am having to literally force myself to eat, so I think I'm going to have to ring the clinic and ask for alternate meds as I can't function like this. I am supposed to increase the dose tomorrow too and I don't think I'll tolerate it. sad

StiffyByng Wed 20-Mar-13 16:26:20

That sounds horrible, Midori. I've heard metformin can cause stomach upsets but that sounds extreme. Would you mind if insulin was their alternative?

Just had nice appointment with obstetric consultant. He was very pleased with my numbers, wondered if I actually have GD (sadly I think I do!) and told me that if the 36 week scan is normal, I can basically be released back into the general pregnant population. No doommongering about things getting worse and worse either. Obviously I now need no disasters and the baby to turn cephalic.

CheapTarnishedGlitter Wed 20-Mar-13 20:03:16

Midori oh dear, doesn't sound like it's doing you any good... fingers crossed it'll be changed.

My appointment was just shy of two hours late in the end but the good news is they're happy for me to go full term! ! Less keen on going over which I can live with. And no more scans/consultant appointments grin

NewChoos Wed 20-Mar-13 21:12:40

You are all being so good with diet. My clinic seems much more laidback and midwife says I can eat chocolate as long as sugars are fine (they have been). Carbs send my sugars soaring unless as others are said are eaten with protein and a smaller portion. My targets are 5.8 pre meals and 7.8 1 hour post. My pre's are ok, generally between 4.8-5.8 and posts have been up to 7.4 (if I have had bread/cereal). I have been given Metformin to take with breakfast but don't always have it if having something protein/dairy based. I have had some GI symptoms but didn't when I took with first pregnancy.

NewChoos Wed 20-Mar-13 21:13:58

Seems to be so many regional differences, I have been told I can't go over 39 weeks.

mamabrownbear Thu 21-Mar-13 07:41:46

Hi everyone, had my morning appointment yesterday at the hospital. Up nice and early, starving! Took a banana and some nuts with me for immediately after the test! They took my blood, gave me a 400ml bottle of luzacade to drink (at 8:15am! :s) then I read Bella and Ok for two hours. Then they took my blood again and sent me on my way. 2 hours later I get a call telling me I'm completely fine! According to my blood I don't have GD or anaemia! So all clear (no, put the celebratory cake down) so I'm sticking to the healthy diet until DD comes along. I may have had a blip on Friday but my sugar level were high so I'm sticking with it, thankfully through choice now rather than being told to and without the worry hanging over me. It's awful to have to spend 5 days worrying about the what if's at this stage. I hope everyone else waiting for test results gets good news. I think the diet worked for me, blip or no, it's a good start for baby smile

StiffyByng Thu 21-Mar-13 11:42:54

Hurray, mama! Enjoy your pregnancy.

And a hearty hurray too to CTG - no more scans or appointments. It's like being normal.

My fasting blood this morning was right down to almost fine, with no interventions at all on my part. My cold is hopefully disappearing and the relief of thinking in three more weeks I can be one of the crowd again has maybe relaxed me.

mamabrownbear Thu 21-Mar-13 12:11:22

Fingers crossed for you stiffy x

BabyHMummy Thu 21-Mar-13 12:13:42

not sure if i am posting on the correct thread so apologies if not!

Does anyone else ahve hyperinsulinemia as a result of PCOS?? If so how did you cope with the GTT. I am terrified that it will make me ill and potentially harm the baby. i have spoken to the diabetic clinic at the hospital and they were very helpful but i am concerned about how to tackle the issue with my consultant when i go for my abnormality scan appt.

StiffyByng Thu 21-Mar-13 13:58:31

Hi

I know nothing at all about your condition but have since googled and now consider myself expert.

There's no need to have a GTT - it's an optional test. Particularly if you think you will need to monitor blood sugars and diet in pregnancy anyway, which I'd have thought you might want to. The GTT just identifies people who have a problem, and you already know you do. What did the diabetic clinic say?

greyrabbit81 Thu 21-Mar-13 19:39:00

Thanks everyone! Had a growth scan yesterday and she's measuring a bit bit, but still within normal range. We've always expected her to be a bit bigger as both me and OH were larger babies (he was over 12lbs).

Readings are meant to be under 6 fasting and 7.8 after meals. No more blips since avoiding wheat, so fingers crossed when I go to clinic in the morning!

BabyHMummy Thu 21-Mar-13 20:53:04

Diabetic clinic said decision is up to my consultant but i can ask them to confer with senior diabetic consultant. No one has said i don't have to have it though. Has all very much been "you are fat so you have to have it"

The locum i say at my 12 week scan refused to even discuss it although she did make a note that i had queried the need for it.

StiffyByng Thu 21-Mar-13 23:24:08

Nice generous levels, greyrabbit! Mine are under 5.5 before meals and 7 afterwards.

No one can MAKE you have the GTT, BHM. Especially if what you're saying is that your insulin levels are out of whack and you're concerned already. They can do other diagnostics if they want.

BabyHMummy Fri 22-Mar-13 21:57:52

thanks for the info Stiffybyng. I will at least be armed with the right info for my 20 wk appt.

My insulin levels are perfectly normal as long as i am careful with my diet. I monitor them daily and are around 5.8 before meals and 6.5 within an hour of eating so i can't see that there is any issue. The problem i have is that my blood is resistant to insulin so if i eat/drink anything that is high in sugar my body over produces the insulin and my sugar levels plummet through the floor and i can end up with a hypo which is why i don't want the GTT cos they give you lucozade which is the worst thing in the world for me!

Mummysaysno Sat 23-Mar-13 09:49:58

Sorry BabyHMummy, I have no advice to offer...but hope that you are able to explain your concerns and are listened to!!!

Newbie question here...one week I'm doing fine, although fed up of so much vegetable soup! But right now I I'm only either drinking water or black tea...what else can I drink? Used to love the odd hot chocolate or chai tea latte, or hot ribena... What else is there that's ok to drink...and what do people order when they go to Starbucks etc? Are those frappucinos ok or too much of a sugar burst?

Thanks wise ladies!!

BabyHMummy Sat 23-Mar-13 12:09:19

Mummysayssno - thanks hun, you and me both!! On your point, if you go to the 'free from' ailses in the supermarket they do diabetic approved things like hot chocolate etc - I can't imagine that the odd latte or frappucino would do that much harm. think there is a lot of scaremongering - have they said you are type 1 or 2?

Mummysaysno Sat 23-Mar-13 13:17:20

It's gestational diabetes...so I think that's categorized separately but could be wrong!!
Unfortunately we don't live in the UK and supermarkets here are rubbish!! Oh how I miss British supermarkets!!!!

midori1999 Sat 23-Mar-13 13:42:03

Thanks guys. I didn't ring the clinic in the end, I'm seeing them again on Monday anyway. The sickness seems to have worn off in that I'm no longer actually vomiting, although feel nauseous on and off and my appetite seems to have disappeared, but that I can cope with, although I'm having to force myself to eat. stiffy it seems like insulin is going to be unavoidable for me anyway at some point and I don't mind if I have to have it again.

newchoos, I think in most places meds do change things as opposed to being diet controlled. Certainly at my current hospital they don't like you to go over 39 weeks if on metformin and not over 38 weeks if on insulin, although I haven't really discussed the birth or their reasoning for that yet. I'm not sure it will affect me anyway since only one of my 5 labours has happened after 38 weeks, so hopefully this one will be the same.

mummysaysno you can eat normal foods if you're getting fed up with the same thing all the time, just use wholewheat/seeded versions where possible. Or if you like soup, lentil and bacon is good as lentils are very slow release carbs. You can also have milk in your tea if you want to and drink no added sugar squash, including ribena and flavoured water etc. The dietician told me this time it was Ok to have a small glass of fruit juice each day, but I know that will make my levels go high, so I don't. Can you get 'Options' hot chocolate where you are? That is only around 10g of carbs a cup I think and fine to have. Or, if milk doesn't make your levels go mad then you could just use a bit of cocoa in hot milk. I'm totally off coffee a the moment, but in my last pregnancy I would just have a plain black coffee and a bit of milk when out if I was going to Starbucks etc. I agree that the odd high reading isn't likely to make too much difference, but I found I got enough of those even with strict diet control and insulin.

midori1999 Sat 23-Mar-13 13:43:07

And yes, you're right, GD is classed seperately to type 1 and 2, although any diabetes discovered in pregnancy is classed as gestational and then they may find out afterwards it is actually type 1 or 2.

Mummysaysno Sat 23-Mar-13 14:27:13

Thanks midori... good that your vomiting has stopped, although nausea and lack of appetite must be pretty awful.
I will look out for options hot chocolate...maybe I'll find it! And can get sugar free drinks, so will get some just for variety!!

CheapTarnishedGlitter Mon 25-Mar-13 13:14:49

Is milk affecting peoples levels?? I was told to have plenty! I've had at least one decaffeinated latte everyday from the work canteen and readings are fine. Starbucks also do sugar free syrups so apart from feeling a bit awkward having to ask for such a fussy drink you can still go for it (thank goodness!)

Didn't know about the options drinks though... I think I'll have to check those out!

StiffyByng Mon 25-Mar-13 13:40:53

I think it's like everything-varies between people. Capuccinos don't affect me at all but when I had a chowder that was milk based, I got a high reading.

What are we all looking forward to having post-delivery? I can't wait for marmite toast for breakfast again (No More Eggs), an almond croissant, a big plate of pasta and a dark chocolate cornflake cake from my local cafe. And just to be able to eat a simple sandwich for lunch again.

Mummysaysno Mon 25-Mar-13 14:30:07

Oh my I daren't think about what I'll eat...normally after having a baby I'm so happy to have runny egg..this time it'll be chocolate...and to be able to bake with the kids from Mary Berry!
I will ask about sugar free syrups at Starbucks...wasn't aware of that!
I must admit though I do feel very 'worthy' now when doing the supermarket shop...unloading so much fruit and unsalted nuts etc...I do feel better about myself with the ridiculously healthy diet, and think after a couple of weeks post baby just enjoying chocolate and so on, I may go back again for six weeks or so to help shed the baby weight.

CheapTarnishedGlitter Mon 25-Mar-13 16:02:31

Ooh many things!! Main one is millionaires shortbread but also looking forward to a carb fest tea of pizza, garlic bread and potato wedges with a nice glass of white wine... drool!

I'd like to hope I'll carry on being "better" but we'll see how I cope with temptation!

StiffyByng Wed 27-Mar-13 09:20:07

Yuck. Morning sickness is back and having to eat protein breakfasts is very hard work. I just need a slice of dry toast. I have also been unable to monitor my levels for almost a week as the suppliers of my test strips are not delivering any to the chemists I've tried. I'm due at the clinic next Tuesday and really worried they'll tell me off although hopefully if I can get hold of some today I will at least have a few recent days on the record. Fingers crossed I don't find my levels have rocketed-weather plus sick toddler means I've done very little exercise.

How is everyone else?

midori1999 Wed 27-Mar-13 10:30:40

Stiffy, oh no, that sounds awful, what a nightmare for you. Good luck with your readings once you can test again.

Instead of changing my meds at the clinic on Monday, they doubled the dose. I have to admit, I wasn't very adamant as they had also found I had an infection, which I was much more worried about die to my history. The sickness has worn off a lot though, so I think maybe I'm getting used to the tablets now and since yesterday all my levels have been within target.

As for foods, I'm not really missing much tbh. Chocolate a bit, although I don't usually eat chocolate, do I think thats more as I can't eat it. I do miss cake though. I make them for family and friends so it's awful having home made cakes around and not being able to eat them. (there are some pics on my profile if anyone wants to have a look)

NewChoos Thu 28-Mar-13 14:37:28

I am feeling dreadful as I just can't stay away from the bad food. I don't know where my willpower has gone and I am feeling very guilty. Luckily my reading have been ok up unit today. So I have had a reality shock.
Will I have harmed the baby with my cake eating...? My scan at 20 weeks was fine, next scan 28 weeks (am 24 weeks now).
I am going to be strict from now on.
Hope everyone else is ok and sorry for me me me post - feeling a bit low!
midori I dare not look at the cakes on your profile.

Mummysaysno Thu 28-Mar-13 14:46:59

Hi NewChoos...sorry to hear you're feeling rubbish...I'm new to this GD business and it is tough. My advice is to make sure you're having you're 'safe' snacks between meals so you don't cave in due to hunger. It is a very restrictive diet and not easy...the best thing is the GD is diagnosed so you and baby are being monitored, so you are in good hands. Don't linger on the guilt...break the day in to hours and get through it a bit at a time when the craves start!!!!

Oh and I just ate some yoghurt raisins...not taking my advice...totally starving, and so over eating fruit ...and yes now feel completely guilty...not helped as baby jumping around in tummy obviously so excited at the sugar rush...

NewChoos Thu 28-Mar-13 15:37:14

oh thanks for message mummysaysno I have noticed that baby jumps around after food too!

I think you are right - healthy snacks to hand are the key.

CheapTarnishedGlitter Tue 02-Apr-13 07:40:16

Morning all! How was Easter for everyone? I managed a couple of hot cross buns but haven't dared open any eggs - too tempting to just scoff the lot!

I had a bit of a cold last week so a few readings at the higher end, and now finding the cold weather to be a pain - using so much more hand cream than usual and so really having so scrub before testing otherwise the meter just picks up the cream and goes bonkers!

midori1999 Tue 02-Apr-13 10:05:48

Haha Choos they're decorated cakes, not the sort that look nice to eat. grin The odd high reading won't matter too much, it's when they are consistently high there's a problem. Although they do have to be quite a bit over. In my last pregnancy even with insulin they were hardly ever within range, but my diabetic team were happy. castings were usually around 6-6.5 and after breakfast often in the 10's, despite very strict diet control, I just couldn't increase the insulin fast enough.

Hi CTG I have managed to avoid all chocolate over Easter, except for eating one tunnocks tea cake after dinner last night. Oddly, that was the only pre bed (as I test pre meals and bed, not post meals) that has been within target this week. confused Typical! I think I messed up and took two extra Metformin last night at bedtime instead of my antibiotics (what an idiot) although my blood sugars were ok this morning. I think I'm going to skip this mornings's meteor in though. They don't do much anyway, so I'm going to ring the diabetic nurse to discuss today as my next appointment isn't until next Monday.

boardingschoolbaby Tue 02-Apr-13 11:51:48

Hello ladies, really interesting to read all of your experiences. I had my GTT last weds and got a phone call back yesterday saying I was positive for GT. I have my first appointment at the hospital tomorrow. The nurse on the phone really didn't reassure me though- she asked what my risk factors for the initial referral were so I told her that I had had 2 consecutive urine tests that had shown positive for sugar with the midwife. She went through a load of other stuff- bmi in normal range, no family history, no other medical problems, and I walk the dogs twice a day (we live very rurally) plus swim 3 times a week for about 30-40 mins. My mum was a food technology teacher so have always had a very healthy diet. My main concern is that after reading through the leaflet from the midwife, I really can't see what changes to anything I am supposed to make to control this. I really don't want medical intervention if at all possible ( have never even had to go to a hospital until I started trying to have a baby) so it's all freaking me out a bit really as I feel very much not in control of what is going on.

CheapTarnishedGlitter Wed 03-Apr-13 08:43:31

Hi Boarding - I hope today's appointment goes well. Hopefully you'll get a chance to have a go at controlling through diet first - and oddly enough, what we might think of as a "good" diet isn't necessarily one that's GD friendly. It still amazes me that shoving shed loads of cheese onto a meal actually makes it "better" - not better generally, but means the carbs are slowed down in turning to sugars so for now a win!

Midori I wad hopeful for a minute you'd discovered that tea cakes had magic sugar reducing properties grin

I repacked my hospital bag yesterday... knowing you'll be kept in for a couple of days so will definitely need a few changes of clothes and other bits and bobs certainly makes it a challenge...!

boardingschoolbaby Wed 03-Apr-13 17:13:26

Up until today I have always defended the NHS when others have slagged it. However this morning was such an utter waste of time that I am still furious 6 hours later. I was called on monday to say go to hospital weds to see consultant, dietitian and nurse. Arrived this morning through rush hour traffic to be in a "group" with 2 other women where we then had to arrange plastic food into food groups, and play a game where you follow a "road map" of the hospital which takes you through diagnosis to birth and beyond. I have never been so patronised in my entire life. I was kept there for over 2 hours in order to receive 5 mins of useful instruction as to how to use the blood monitor, and the rest required me to sit and listen to one of the other women having to have it explained to her that drinking 2 litres of full sugar coke everyday wasn't going to do her much good, or the other lady being told that 4 calippo lollies does not Equate to a meal. This took 4 members of staff almost 2 and a half hours. Hardly an efficient use of time and knowledge of what we no doubt highly trained staff who were speaking to us at a primary school level. I have refused to go back next week, and said that I will phone in my results. Not impressed at all. hmm I'm really not normally a stroppy cow......... I promise.

StiffyByng Fri 05-Apr-13 09:00:46

Haha, Boardingschoolbaby. My commiserations. I also found the diabetes clinic very patronising and refused to go every week. I was very stroppy and made a formal PALS complaint too. My only return visit so far, five weeks later, was slightly better with the diabetes consultant, and a return to form with my first meeting with the diabetes midwife, who was a complete cow, who tried to tell me i couldn't have a homebirth and positively crowed when I said the baby is currently breech. It certainly doesn't make it easy to engage with them.

I second the advice on diet control. You really never know, and quite a bit of the diet is counter-intuitive for healthy eating - loads of butter on toast, loads of cheese on pasta, chips rather than jacket potato etc.

My levels remain fine apart from fasting - which are sometimes fine and other times just over borderline. I remain a big fat liar about them though, particularly now I'm getting periods where they are within range. I got a mild ticking off at my clinic appointment for having +4 ketones so have upped my carbs and found that I can eat more than I thought I could, particularly potato. I had salmon, green beans and potato salad for lunch the other day and got 5.8 afterwards. I feel a bit more normal. Last night I went out for a really lovely dinner and ate exactly what I wanted. My two hour reading (didn't get home earlier) was 6.9 but I know that's down to a caramel dessert so I just don't care! I've found the chocolate cake barely raises my sugar at all, so am now in a constant battle with myself not to eat it every day.

I hope everyone else is doing OK. CTG, since my cold went my readings have been far better. Midori, it all sounds stressful. I hope you get good advice over the phone.

Mummysaysno Fri 05-Apr-13 09:55:11

Found it so odd to read about the diet talk boardingschool...I'm not in the UK but in private health care system which comes with it's own issues. Depressing to think there are adults out there who need that level of education, but a pity if can't be targeted more.
I think I need to be a bit better at trying new foods...I've not dared eat anything sweet since diagnosis, and now eat the same breakfast every day (two weetabix with fruit on top) which is boooooooring.
Chips? We can eat chips? grin Really? But I bet tomato ketchup is a no because of the sugar level...watched DH eat chips and ketchup yesterday lunch while I ate my home made lunch.... wishing he'd join me out of sympathy as he tells me all the time how many things I can eat, then has Pringles and dips or jam on toast...

NewChoos Fri 05-Apr-13 14:24:10

Hope everyone had a good Easter - managed to avoid eggs so far although did make a cheesecake, had a slice and BM was fine post... however, did have a small amount of jam on toast and it went sky high. Need to adjust my breakfasts, had yogurt this am which was fine. Sent DH shopping to get my lots of protein based foods and so I have been snacking on cheese/chicken and ham. Still craving sweet food though.
boarding sounds dreadful and what a waste of resources, perhaps you should feedback to them. Having said that it may have been the correct level for the 2litre woman....
That's interesting midori I was started on Metformin (1 tablet with breakfast only) because I had some BM's of 8 post breakfast.

What are you feeling about birth choices? I am leaning more towards C section but worried may have a battle to get one. I feel a bit negative about induction and feel a planned section preferable to a possible emergency but not sure this is grounds enough?

StiffyByng Fri 05-Apr-13 14:38:11

Mummy, I find a small quantity of chips is fine for me! But only with plenty of protein. The fattier the cooking method, the better with potatoes for me. The other night I had three fairly substantial roast potatoes with roast pork and green veg, and got 5.8. Bread on the other hand is just no good at all.

Mummysaysno Fri 05-Apr-13 15:24:25

Breakfast fasting readings puzzle me too...I can get a really low read (below 4) if I'm really hungry before lunch/dinner but even if I wake up starving it's never that low.

Ah the torture of just three roast potatoes!!! But yes, I can see the fat aspect and adding protein makes it more balanced.

Is anyone else worried about the 6 week post birth check? I'm getting through this thinking it's not forever...but what if?

StiffyByng Fri 05-Apr-13 15:50:51

My fasting readings are my highest of the day, dropping quickly after breakfast. I am now having a 'carb' breakfast after my ketone incident, but it is a single slice of WW bread (9g carbs) with lots of protein still, and that raises me to the high 6s.

I worried and worried about the post birth 'not going away' but have had reassurances from the diabetic consultant and the obstetrician that it's very unlikely with low levels. Doesn't stop me fretting a bit though. Interestingly the diabetic consultant said that it's more like 1% than 10% who still have elevated levels, which sounded far better.

Mummysaysno Fri 05-Apr-13 15:54:11

Stiffy...what is the problem with ketones? Ignorant me thinks it means you're losing weight, but I'm guessing it's not that simple?

StiffyByng Fri 05-Apr-13 16:05:49

It means you're using your body fat instead of your blood sugar, and yes, I don't think it's particularly bad normally. Some doctors think baby development can be harmed by exposure to ketones. My doctor views it as a sign that you're controlling your sugars by eating too few carbs, and says you need to eat carbs, presumably for foetal development. So if the ketones stay, she won't see me as controlling with an appropriate diet. Ketones, like blood sugar, most often are highest in the morning and, while this isn't a disaster, should be removed, or reduced asap, and this means eating carbs at breakfast.

Yet another bloody stick to test my fluids with!

Mummysaysno Fri 05-Apr-13 16:12:13

Wow...no pressure then! Although you sound like you're getting good, measured, advice.

StiffyByng Fri 05-Apr-13 16:16:27

I am almost past caring, Mummy. The good thing about it is that it forced me to experiment with carbs and find that I can actually eat more than I'd assumed. The doctor said better to have readings in the high 6s and eat more carbs than readings in the 5s and eat fewer. I've gone in two days from +4 carbs (should have been hospitalised to be 'flushed' on an IV but wasn't thanks to doctor reckoning it was my carb-free breakfast) to trace (entirely normal) so upping the carbs was fairly straightforward.

Today my levels have been very high within range but I think my blow out dinner last night, including not only more carbs than advisable but also salted caramel chocolate things, was bad enough to affect my fasting level. Fingers crossed that they subside a bit tomorrow!

StiffyByng Fri 05-Apr-13 16:16:56

+4 ketones, that should say. Not carbs.

Mummysaysno Fri 05-Apr-13 16:22:40

I hope tomorrow is a better day for you. How many weeks are you? Hopefully not too long to go?

StiffyByng Fri 05-Apr-13 16:26:30

Thanks! 35 weeks now. Scan in a week and if all well, consultant will send me back to the low-risk population. So one more clinic visit, fingers crossed. Frankly though, there is no buggering way I'm going on insulin at this point, whatever happens!

Mummysaysno Fri 05-Apr-13 17:02:39

35 weeks...there's light at the end of the tunnel!!!

CheapTarnishedGlitter Fri 05-Apr-13 17:52:41

Boarding - sounds horrific!! But I don't know whether the hospital staff or eejits drinking all that coke would have got my wrath... was it specifically a gd session? Never mind the sugar, what about the caffeine?? Mine wasn't like that at all - I was asked what I knew, which was a fair bit as my brother's been type 1 for as long as I remember - and so she just showed me how to use the meter.

Stiffly - yep, mine seem to be getting lower again. What a relief! !

I'm 38+5 now and at the last meeting with consultant they booked me in for induction on my due date. I'd love it if he came along before then but as I don't have any occasion the "bowling ball between my legs" feelings that seem to occur when baby's engaged I'm not holding my breath... Will have section if necessary (of course) but if I can avoid the six weeks of no driving I'd be happier!

smiler389 Mon 08-Apr-13 06:25:09

Hi, I am due to have GTT test in thurs after a urine sample tested 3+ for glucose. .mw really didn't say a lot and I've been left feeling guilty and worried. Where's the best place to get info?

Mummysaysno Mon 08-Apr-13 09:10:12

Well NHS online is a good start, however, you may want to wait till you've had your GTT as it could be clear?
I found this thread very helpful...real people dealing with GD. So you could post any specific questions here.

midori1999 Mon 08-Apr-13 11:29:35

Just popping in quickly, I'm exhausted today and have a hospital appointment this afternoon which I have to take my toddler to and my house to sort out as my Grandmother is coming tomorrow. Stupidly yesterday we decided to swap all the children's rooms around, so everything we didn't know where to put was chucked in our room, where my Gran is going to sleep! Oops...

Stiffy, in my last pregnancy my dietician (who was fab and very realistic) told me that carbs were really important for foetal development (I got a serious bollocking for dropping too many in an effort to diet control when first diagnosed) but if someone had managed to diet control throughout the pregnancy they would see dropping carbs as acceptable in the last few weeks to avoid resorting to meds. So maybe see what they say? It really is surprising what you can eat, different things seem to affect people differently too.

Mummysaysno Mon 08-Apr-13 16:43:26

Midori...I was googling something about GD last night and came across an old thread from your previous pregnancy I guess...so thanks for that as it was very very useful!
I've booked in to see a dietician tomorrow as think I am controlling the GD by not eating enough, as I am losing weight which doesn't feel right at this stage of pregnancy. Just need some sensible advice as endocrinologist told me I could eat all the fruit I wanted, but I don't think that's true...as it does make sugar levels high. Also need advice about what I can take for a packed lunch as still not sure about that!
Anyway have to say this thread (and old ones) are so helpful!!!

StiffyByng Mon 08-Apr-13 19:05:06

I've completely avoided fruit!

Midori, thanks. I've eaten carbs all the way through but not huge amounts. I'm now eating way more! My readings are more in the 6s than 5s but they said that was fine. To be honest I feel more relaxed about the whole thing now, have had a couple of lapses without stressing too much, and I seem to be able to eat more stuff with less drastic results. So I hope it's OK from here.

Mummysaysno Tue 09-Apr-13 01:12:43

Stiffy...yes I think the fruit has been not great...will see what dietician says. I've been avoiding carbs and filling myself on fruit after an insubstantial meal...which having read this thread now realise is not controlling through diet correctly!! Last night for dinner at a pasta/courgette/cheese/egg bake with a potato casserole, no fruit after and had a low post meal reading! In the afternoon are watermelon and strawberries as a snack, and then tested myself after to see and it was higher than the carby dinner!!!

midori1999 Tue 09-Apr-13 02:19:18

Grr... Fell asleep on sofa after dreadful day and awful hospital appointment as I had to take my tired toddler and was kept waiting 3 hours!!! Just woke up here.... I've got to start insulin now as well as the blasted metformin, but I couldn't wait to see the diabetic nurse as DD was having a meltdown by then, so I've got to go back later in the week. Annoying!

Mummysaysno, fruit is ok. My previous dietician said 3 pieces a day, this one hasn't limited it. However, it's about the amount you eat as well as what. An apple or pear has 10-15g of carbs, which is fine for a snack, whereas even a small banana will have around 20, a large banana up to 50, which is about a meals worth of carbs. Strawberries are low GI from what I remember, but again, of you eat too many it'll make your levels go up. I usually stick to apples and pears fruit wise. Veg is better for filling up, either half of your plate at mealtimes or sticks of veg with or after meals. For lunch I often have a whole meal Pitta filled with Greek salad or chicken and avocado and then sticks of celery and cucumber and some radishes and beet root.

Advice for diabetics, including GD diabetics generally these days is to eat a low fat, low sugar, low GI/high fibre diet with lots of fresh fruit and veg, but obviously stick to what suits you within that.

smiler389 Tue 09-Apr-13 10:38:33

Still waiting for GTT test but just wondered if being hungry all the time is a sign of .gd? Or just pregnancy? I'm 26 weeks.

StiffyByng Tue 09-Apr-13 17:06:16

Most people have no symptoms of GD, Smiler. So just pregnancy!

I should venture into fruit. To be honest, I don't have a very sweet tooth and far prefer vegetables, so was eating very little fruit on my pre-preg low GI diet anyway. So it isn't something I miss.

Midori, I can just imagine! Sounds like a grim morning. Do you think you'll feel more relaxed on the insulin again?

Mummysaysno Wed 10-Apr-13 08:12:42

Just to share the fruit advice I got...to watch portion size with fruit, so no more than one serving of fruit (one apple as a size guide) and to eat fruit either with a meal (at the end) or with cheese etc as a snack. For me this was helpful as I was filling myself on fruit.
Also, I asked about could I eat a slice of birthday cake...response again was yes...either with (at the end of) a meal, or if mid afternoon to top it with whipped cream etc to up the fat!!!
Anyway I know we're all different but thought I'd share that!

StiffyByng Fri 12-Apr-13 14:30:19

My 36 week scan shows a completely average sized baby (also a head down one - grin) so unless the consultant does a complete u-turn next week, I'm on for my home birth. No more scans. I'm rather hoping I won't have to go to the diabetes clinic again after my next visit too. Neither the diabetic or obstetric consultant seem remotely bothered about my numbers, and I'll be 36+4 by then. If I offer to keep phoning in and stick to my diet then hopefully I can be FREEEEE.

Mummysaysno Fri 12-Apr-13 15:22:03

That is wonderful news!!

NewChoos Sat 13-Apr-13 19:45:07

Good news StiffyByng

My sugars have been better, saw consultant this week and have had my scans booked for 28/32/36 weeks. No mention of birth plans - I now feel a bit more open minded towards options.

Have found Ciabatta doesn't raise my BM's like other bread. I might have some toasted now!

Mummysaysno Tue 16-Apr-13 10:02:18

Really interested to hear what 'treats' people have? I bought some chocolate coated nuts today...thinking the combination of sweet with the nuts could prevent the sugar spike. Not sure if I will eat them but they can at least be in stock for after!!
I'll be induced at 38 weeks so it's suddenly less time to deal with this so feels a bit more manageable. Hope to stay diet controlled if I can. So far so good.
Has anyone discovered little treats they can get away with?

slipshodsibyl Tue 16-Apr-13 10:07:11

Ice cream was my guilty treat. The high fat content slows the absorption of sugar. Where I lived at the time I could buy a scoop of high quality sugar free dairy ice cream too. It didn't occur to me to make my own with low sugar/ sweetener but I expect you could.

Mummysaysno Tue 16-Apr-13 10:15:19

Ice cream...good idea!

StiffyByng Tue 16-Apr-13 13:46:44

Ditto to ice cream, a small amount before bed. Roast potatoes are fine too. Chocolate cake doesn't do much to my BG pleasingly.

My visit to the clinic today was splendid. Discharged at 36+4 with 'perfect control', HBA1c 5.3. I won't be recalled for a post birth GTT as they are sure it will disappear. Signed off as ideal candidate for home birth, no induction, hospital note for insulin should my level go above 7 in labour but 'that won't happen and anyway, you'll be at home'. Slightly reeling actually. But very pleased.

CheapTarnishedGlitter Tue 16-Apr-13 21:13:25

My guilty treats: aero mousse or bananasand cream! Ooh, and a Costa or Starbucks sugar free decaf iced caramel latte!! Even if I did feel like such a pratt asking for a super-faffy drink...

However, all that's in the past (I hope...) since LITTLE ONE'S HERE!!!! grin

I went in for induction at nine am on Sunday, having been given the go ahead from the consultant to go up to my due date, and was holding him by 10.06 that evening. I was asked throughout the day to keep checking my sugars - thankfully they stayed ok - and I had to have a clip on his head throughout delivery so they could check his heartrate - also ok. The only negative impact I'd say the gd had was that at about six pm they brought through the evening meals. I really didn't want any but the mw advised to have some to keep my sugars up - a waste of time as it was all thrown back up not long after! To be honest though, GD or no GD, the real lesson there was that some midwives are incredible and others really not, and if you're not confident with one it's ok to stand up to them! I was pleading with this same mw for pain relief and she was really reluctant, saying that we needed to save it for later on when labour was more established - and then about five minutes after she finally relented and let me have two paracetamol (woo!) the shift change, her replacement gave me an examination straightaway (this mw hadn't done one for about three and a half hours) and told me I was 8-9 cm!!! Thankfully she moved me into a delivery room nice and quickly - but I wish I'd been more insistent and had trusted my body's signals a bit more.

Post labour and all seems well. My little boy's blood sugars were a bit low but midwives and doctors had the common sense to see that that was because he's struggled to latch on so didn't take in much milk in his first day rather than anything sinister and diabetesey. And I'm loving the chocs again grin

Mummysaysno Wed 17-Apr-13 01:05:46

Congratulations!!! And really interesting to read your experience! Can think of nothing worse than having to eat a meal during labour!!!
Enjoy your new son!!

StiffyByng Wed 17-Apr-13 15:49:27

That's fantastic, CTG! Congratulations! So pleased for you. Enjoy that chocolate too.

StiffyByng Sat 20-Apr-13 10:14:19

Just bumping this up for Jo to find.

I've been keeping an eye on my fasting bloods as they were always the problem ones and they are shooting between the 4s and 6.1 this morning. I am ignoring them, as they are not getting higher, but there is no rhyme or reason to them at all.

Jojo3737 Sat 20-Apr-13 10:44:39

Thanks for bumping this for me!

Hi everyone, I'm new to this forum. Had a GTT test and didn't think for one minute I would fail it. Midwife phoned a few hours after the test to say that I had been referred to the diabetic clinic.

Fasting bloods were 5.6 cut off 5.1
2 hour test bloods were 8.0 cut off 7.8

I started straight onto a low GI diet (my dad is an insulin dependant type 2 so have a good idea about what I can and can't eat). I'm at the diabetic clinic on Wednesday, now sure what to expect?

I have a phobia of blood tests but not needles - I'm fine with injections! - so not sure how I am going to react to the blood monitoring :-(

I am now 29 +4 weeks, I had a growth scan at 28 +3 for other medical reasons and I've already had a letter through for a growth scan at 31 +1.

Was totally overwhelmed by the diagnosis but getting my head around it and can't wait for clinic to find out exactly what I'm supposed to be doing. Any hints/tips would be greatly appreciated. Also are there any questions that I need to remember to ask the hospital?

Sorry for long post!

Mummysaysno Sat 20-Apr-13 12:47:12

Welcome!! I was also gutted when I found out. I'm not in UK so my experience will be quite different, so can't add too much there.

Start trying that diabetic diet now, then you've had a few days to practice before clinic.

My dietitian said to me with adult onset diabetics it can take months to get it right with diet, yet with GD we have sometimes 4-8 weeks to manage it, so the pressure can feel huge. This has made me feel better when I've tried something different and had a disappointing read.

Plus side...no weight gain in 5 weeks. Which I am loving! (33 weeks now)

StiffyByng Sat 20-Apr-13 14:33:04

Hi Jo

Questions I would ask at the hospital. What are their protocols for medication, ie what triggers metformin/insulin? Will you see a dietician? What are their protocols for delivery? Remember that you are the ultimate decision maker so can question things and not necessarily accept them without discussion.

As soon as you get a blood sugar monitor (and the needle is invisible and virtually painless so hopefully not as scary as you think) they'll give you a short period to see how well you are diet controlling. Your GTT levels are pretty low on the high side so they shouldn't want to put you straight on to meds. If you're low-GI, you should find your levels are within their desired ranges at the moment. If you are still working out what sends them high, they should understand that and accept the odd high reading at this stage. If they don't, I personally would fight back on any medication at the outset if you think you can adjust what you eat to control levels, but I am an old hippy!

Mummysaysno Mon 22-Apr-13 05:39:41

Just wondering what levels people are allowed...

Mine is 5.6 and below fasting...either before breakfast, lunch or dinner.
Two hours after meals, has to be below 7.

Also, when you test post meals, when do you consider two hours? From the start or the end of the meal? And how punctual are you?

Sometimes I forget then realise half an hour later that I should have tested...is everyone accurate on testing time?

Thanks!!

StiffyByng Mon 22-Apr-13 08:17:27

Mine is 5.5 or below fasting, and below 7 one hour after meals. I've got into quite a good habit of time checking but do occasionally forget or find it impossible to check right on the hour. Most of the readings are when they should be though. To be honest, my post-meal readings became so predictable that I got a bit slapdash as I went along. Unless I'd eaten something new or likely to raise my readings, I didn't see much variation in them so stressed less about making sure I could test after an hour. (Am jealous of two hour testers as I could have got away with so much more!)

My fastings did go over sometimes but as they were not very much over, I didn't tell the clinic. Now they are down in the 4s. In fact, all my levels have fallen and my body is now tolerating most food far better. The Internet reckons this is fairly normal-that insulin demand peaks at 36 weeks and then often starts decreasing. Others mention dire things about placental failure but the consensus seems to be there's nothing to worry about, and I certainly wasn't told to watch out for it. I assume I was discharged from the clinic at 36 weeks because they didn't think it would get worse from then! Am keeping up the diet, with a few more carbs than before, and testing a few times a week rather than every day.

Mummysaysno Mon 22-Apr-13 11:07:59

One hour after eating....ouch that's tough!!!

Interesting to hear about the 36 week change...I'll be interested to see if I follow the same pattern!!

Jojo3737 Wed 24-Apr-13 08:24:55

Thanks everyone. I've read through all the post now, hope everyone is doing ok!

Stiffy thanks for that I will write the questions down. I'm hoping that as my numbers are not really high that ill be able to control it through diet and light exercise. I won't be happy if they try and put me straight on medication, I'm bad enough taking paracetamol!

I'm trying to be brave about the blood monitoring thanks for the reassurance. I just keep thinking to myself well no one likes it so I'm just the same as everyone else!

I have my first appointment with the diabetes nurse today, followed by a 1.5 hour group session (oh the joys!). Luckily I phoned up the clinic yesterday and asked if the small blood test they mention on the letter is just a finger test or a blood test as I have a phobia of blood tests!! It's a proper blood test for the Hb1ac so I'm going armed with my anesthetic cream!

In a weird way I'm kind of looking forward to going today so I can make sure what I am eating is right etc I've been sticking to low GI keeping an eye on carb intake - I've been having about 150g per day. Not sure if this is enough? And I've had the odd treat. I've been recording everything in my fitness pal so I can show the nurse today.

Have a good day everyone x

Mummysaysno Thu 25-Apr-13 05:53:50

How did it go at the clinic Jojo?

Jojo3737 Sun 28-Apr-13 19:50:45

Oh dear where do I start?!

It was a 2 hour talk on nutrition - like how many portions of fruit and vegetables are you supposed to eat in a day? We went through all the nutritional guidelines, which obviously are important but it felt very patronising!! It didn't seem geared towards gestional diabetes at all, more just a general presentation.

She told us to reduce our carb intake - I asked her how many carbs we should be eating in a day and she replied just a normal amount (?!) I pressed her for more of a guide but she said there are no guidelines just to have a portion of carbs with every meal.

She said we should follow a low GI diet - which I mainly do anyway for the carbs that I eat. She didn't really elaborate on it though and by this time I was a bit fed up! I said to her chocolate is low GI does that mean we can eat it? (ha ha ha cheeky I know) and she said yes you can eat chocolate just not a family size bar (cheeky cow!). I asked if we have to cut out refined sugar and she said no, it is not a restrictive diet - to which I replied well of course it is, that's the whole point isn't it??

My Dad is an insulin dependent diabetic so I was bought up eating complex carbs, I know about cutting out refined sugar etc I phoned my Dad on the way home from the hospital and he was astounded at what we had been told!

We had to exercises like - how could you change this breakfast to something healthier? Honey shreddies, full fat milk, cup of tea with two sugars. Erm!! Felt like a bit of an idiot to be honest.

She told us the treatment is:
Diet
Exercise
Metformin
Insulin

I asked her what the clinical criteria is for the hospital putting us onto Metformin/Insulin and she couldn't answer me. She then talked of the risk of having a CS and I asked her at what point the hospital makes the decision on whether to deliver the baby by CS and again she couldn't answer.

She couldn't seem to answer any questions of importance and it just seemed like a total waste of time.

She put up a slide with the words low fat, low sugar, diet etc on and said these are the words that you need to look for on food packets. To which I said but that is not always the case is it? She said what do you mean? To which I replied well if it is low fat for example then they may have replaced the fat content with sugar, so you would be better having a smaller portion of the food with the original fat content. She said well yes, that is why you have to check the food labels! Just really felt like she was making out that all our diets were appalling and that's why we have GD!!! Luckily the other 3 women all thought it was a complete waste of time too!!

She did give us a blood monitor though and although I was so scared on day 1 of doing my bloods, to the extent my DH and my colleague in work had to prick my finger! I am now absolutely fine doing the test and it really doesn't hurt. We have to monitor our bloods 4 times a day - pre breakfast, pre lunch, pre dinner and before bed. I questioned her quite a bit on this as I thought we would taste in the morning then after meals but she seemed to think I was talking nonsense! I asked her how we would know what foods spiked our bloods if we didn't test after eating. She couldn't give me a straight reply. She just said well you will know if your bloods are ok before the next meal - I tried to explain that wasn't the point! She said to adjust the carb content of the meal depending on the BG reading that you have before eating. We have to stay under 5.9

This is what I have had so far (4 days)
Pre Breakfast between 5.0-5.8 (I got a 5.0 reading today and I had muesli right before bed to see if it would bring the reading down, all other days have been 5.8)
Pre Lunch 4.7-5.2
Pre Dinner 4.1-5.2
Before Bed 4.8-5.8

I know I am under 5.9 but the 5.8 is very close! Any tips on bringing it down a bit? I am still eating quite a lot of carbs so I could cut back if needed?

I also had a blood test for Hb1ac and I go to the diabetic clinic every week. I assume I will get the results when I go back on Thursday.

Oh and I am struggling to eat a good amount of calories a day, my bump is definitely getting bigger and he is growing nicely but I have only put on 7lb and I am now 31 weeks. I haven't put any weight on in April.

Any tips would be much appreciated! Sorry for the essay!! Hope you are all getting on ok.

midori1999 Sun 28-Apr-13 21:40:35

Sorry to hear your appointment didn't go well jojo, these group things seem rather patronising. I'm lucky that the two clinics I've been in don't do the group sessions and both the dieticians I have seen have been non patronising and sensible.

Oddly enough, I only have to test pre meals too. I asked why and the reasoning was that they don't feel it matters too much if your blood glucose spikes after eating (and it will do) as long as it has come down enough by your next meal. They said when they used post meal testing a lot of women were panicking, trying to correct with insulin and ending up with hypos. That certainly wasn't my own experience in my last pregnancy when I was on insulin and post meal testing, but apparently my clinic are known for being good in this area and have good outcomes, so I'm just going with it. They did say they might ask me to test post meals at some point, but that's not the norm for them.

Mummysaysno Mon 29-Apr-13 14:37:22

Wow - so interesting the different approaches, and the idea of not testing post meal.

Jojo...at least you're well informed having a diabetic in the family.

midori1999 Mon 29-Apr-13 15:50:17

Well I'm sat in the diabetic clinic listening (yes, I'm nosey! And bored....) to two ladies having a conversation about having pancakes with maple syrup every day, because you just need sugar in the morning apparently, and regular portions of cheesecake.... I'm not suprised I never get moaned at if my readings go high.... Not suprised they get frustrated.... confused

NewChoos Mon 29-Apr-13 16:55:59

Oh I would have hated to have had to sat through that class. I have been told that I should got to a vaginal birth after c section class to help me make my decision re childbirth but I really just can't face it - I know the risks with both already.
At 28 week scan baby was measuring large for dates, but consultant was not too worried as my sugars are fine and I don't have excess fluid.
I will be delivered between 38-39 weeks and the person I saw last week said I could choose a C section and if I did plump for induction, I wouldn''t get the drip anyway and I would have a narrow window to deliver the baby. So think I am heading for another section.
I am so hungry though and finding it hard to reduce carbs.

StiffyByng Mon 29-Apr-13 19:59:33

Midori, that is a good explanation for the pre-meal readings and makes a lot of sense. After all, spikes will hopefully be brief. But at the same time those scary spike numbers might be useful in helping people moderate diet I suppose. My consultant told me she gets very frustrated by patients' inability to 'get' the diet, which is one reason why she came on so heavy with me in my first appointment. Her example was someone she'd seen just before me with whom she'd been discussing the week before the possibility of eating the occasional cake. She'd just found out that they had interpreted that as a cake a day.

JoJo, these classes sound a total pain. I've been part of a research study for women with a BMI over 30 and they have been unbelievably patronising. Hours of sitting with a health trainer (fatter than me, ironically) and being asked how many teaspoons of sugar I think are in a bar of Dairy Milk and a banana respectively for example.

I have fallen off the wagon a bit recently but realise I am now in a frame of mind where I think of a minor incident as a big issue. For example, I went up to 7.8 the other day after giving in to a slice of cake, and then remembered that before I was diagnosed I was eating an ostensibly healthy fruit and cereal breakfast that took me way over 10 every morning!

Mummysaysno Tue 30-Apr-13 06:11:16

Laughing at the cake a day and pancakes with maple syrup for breakfast...honestly if we could do that GD would be a breeze!!!!

midori1999 Tue 30-Apr-13 17:48:00

Stiffy, I do agree about numbers spiking helping people control what they eat, certainly for me having regularly got numbers over 10 last time, seeing a 7.5 or something doesn't panic me, although I pretty much always do stick to the diet. I think maybe though for those that have never tested post meals, going over is probably still as scary as they've no comparison, of that makes sense?

I feel like crap today. It's the anniversary of my twin girls' birth/day one of the died and they would be 3 today if they'd lived. I've spent most of the day crying and have hardly eaten and now am craving a bit, fat pizza. I can't help but feel eating a whole (or any!) pizza is stupid though. Has anyone had a slice or two? I'm wondering if all the fat will help keep my reading down and thought if I had it them walked the dogs after it might be ok? I'm kidding myself, arent I?! sad

NewChoos Tue 30-Apr-13 18:21:19

So sorry for you loss midori

I have had pizza express and bulked it up with a salad with grated cheese and my sugars were about 7.4 afterwards.

midori1999 Tue 30-Apr-13 19:05:46

Thankyou.

I've ordered a pizza with extra cheese, which will hopefully help and two portions of salad to fill me up so I don't eat too much pizza. It's a one off, so I'm sure it'll be OK if I don't eat too much.

NewChoos Tue 30-Apr-13 19:15:46

I agree. Hoping for brighter days for you x

StiffyByng Tue 30-Apr-13 21:33:06

So sorry, Midori. I think just sod it and eat the pizza. One high reading won't matter.

Wishing more to empathise than

midori1999 Tue 30-Apr-13 23:01:56

Thankyou. I managed 3 small slices before it made me feel sick. Took my blood sugars after about an hour, even though I'm not meant to and it was 7.6, which is FAR less than I expected and would have been within my one hour target from my previous clinic, so I'll just take it again before bed and record it then. Still feeling sick now, so not entirely sure I fancied it as much as I thought I did.... smile

I've booked a private scan for tomorrow as my DH won't be here for my anomaly scan in a couple of weeks, so I'm hoping to feel reassured there's a heartbeat there and as I will be 16+2 they will hopefully be able to tell us the gender. (I don't mind, just hate waiting!) So hopefully tomorrow will be a better day.

Mummysaysno Tue 30-Apr-13 23:21:42

Hi Midori, so so sorry about your loss. Cannot imagine it, or don't dare to. I really think one day won't do any harm...and I bet most medical professionals, if they were aware of the reasons why you're feeling that way, would agree. It's clear the rest of the time (ie 99%!!!!!) you're very educated and disciplined about the eating regime.

Hope scan goes well!

midori1999 Fri 03-May-13 23:03:32

Thanks everyone. We had the scan and we're having a boy. grin got my anomaly scan in a week and a half, so hopefully all will be well then. I'm feeling him move now too, not all the time, but he's a wriggler for sure.

How has everyone been sugars etc wise? Mine were fine after the pizza oddly, but since then they've been creeping up, mornings have been over 3 out of the last four days and some of my pre lunch, pre dinner have been over and my pre bed has been over the last four days. I'm going to ring the clinic Monday to see if I should up my insulin.

StiffyByng Sun 05-May-13 13:14:25

Congratulations on your happy scan and your boy, Midori!

I am only checking sugars intermittently now (39+2) and pre-meal ones are nice and low. Low 5s/high 4s for fasting and mid 4s in the day. I've had a tricky time with food as I've been spending lots of time at the hospital with my stepdaughter so had to eat wholemeal sandwiches - 50g of sodding carbs. Hopefully my other meals are 'good' enough to minimise the effects. I've also found that pork pies are only 24g of carbs so are actually better for me right now than any other option.

Mummysaysno Tue 07-May-13 03:32:58

Hi Midori...what did clinic say?

Stiffy...great to hear your numbers are good!!!

I'm 35 weeks and now discharged from endocrinologist - woohoo!!!! So pleased, still to test four times a day etc, but so happy to have one less doctor to see...even though I had developed a little crush on him!shock

EmCMaidstone Wed 08-May-13 12:46:13

I'm 36 weeks with LO #2, and have been diagnosed with GD since 28 - baby's size is thankfully now being controlled by combination of diet, metformin and insulin (the full works!)

However, baby is still breech. Yesterday my midwife was insistent that I had to have a consultant appointment same day to discuss ECV as a matter of urgency to get it booked in over the next few days - but when I got there, the consultant said they wouldn't do ECV in my case because of the medication/insulin. Just wondering if anyone knew why?

Obviously I'll have a section if it's medically necessary (although I wanted to try everything possible to avoid it), but couldn't quite understand the confusion or why being on insulin is a contraindication for ECV...

StiffyByng Thu 09-May-13 18:04:23

I have no idea why that might be other than the fact that ECV carries a small risk of placental abruption, and doesn't insulin create potential problems with placental function? Could there be a link?

I am 39+6. Spent last night in the bath with contractions that died down at dawn. Spent today in bed eating Heroes. I suspect a blood sugar reading would be poor, so I haven't done one. NOT an exemplary patient today!

StiffyByng Thu 09-May-13 18:05:15

And hurray, Mummy! Discharges are good. Are you still going to a clinic or are you free?

weakestlink Thu 09-May-13 22:09:32

Hi everyone!

Had GTT today and although official results not in until tomorrow it seems likely I have failed.
Fasting fingerprick was 8.6 and 2 hour was 7.2.
I was already referrerd urgently for another growth scan and consultant appt for tomo by my midwife as measuring 35 at 29 weeks. I had a scan a little over a week ago and all measurements over 97th percentile.
Slightly worried how big the baby has got with so many weeks to go!!!

StiffyByng Thu 09-May-13 22:40:24

Hi, WL. I can see how that would be a bit scary! Sugar control can help stop lots more growth so you can bring those percentiles down a bit. You're still fairly early on. Did they measure your amniotic fluid at all? I assume they did. Polyhydramnios is fairly common in GD (lots of fluid) and that can make your tummy huge! Also can be reversed with good sugar control.

weakestlink Thu 09-May-13 22:58:29

Hello smile
According to printout from 1/5 scan Fluid: Normal...
At that scan they didn't seem too worried though despite being off the chart. It's this week with fundal measurement of 35 that has got them worried. And now GTT today! sad

StiffyByng Thu 09-May-13 23:08:56

Lots of babies are big naturally so it's not necessarily something to worry about. Sugar control will hopefully really help. Being big right now isn't doing your baby any harm.

weakestlink Fri 10-May-13 14:40:15

So my GD has been confirmed. I have had to change consultant and am waiting to hear from the diabetes team. They said they were quite concerned about the baby's abdominal circumference but fluid was fine and other measurements big but ok. The sonographer went off for ages to chat with consultant so I feel reassured they are keeping a close eye on me/baby.
Any diet tips welcome for the weekend!!!

StiffyByng Fri 10-May-13 15:43:35

Low carb is what you need. Not no carb but keep to small amounts (much smaller than you might think - think 20-30g in a meal, 15g for a snack) and make them complex carbs like wholewheat pasta or multigrain bread. Most people find that they tolerate carbs better through the day so maybe try no more than 20g at breakfast. You'll get a better idea of what your body responds to once you've got your glucometer - eg bread has been a killer for me, even low carb, whereas potatoes aren't too bad as long as they're cooked in lots of fat. And of course keep off the sugar. So base your meals around protein and lots of veg. There are lots of tips out there on the internet.

If there's lots of concern about the size of your baby, they'll want to induce you at 37/38 weeks but I'm sure there'll be lots of monitoring between now and then.

Good luck! This time will pass quickly and you'll have your baby before you know it.

weakestlink Tue 14-May-13 19:20:05

Hi again!
I have started monitoring my blood sugars today - I have been given targets 3.5-5.9 fasting / before meal and under 7.8 1 hour after meal.

So far for lunch I have 7.9 (almost 2 hours as was faffing about) then 7.5 before dinner and 7.0 1hr after dinner.

So lower after dinner than before?!! Surely not?

Sunflower1985 Tue 14-May-13 20:52:24

I'm now at 28 weeks. First pregnancy. Feeling the pressure. I've been monitoring my bloods 3/4 days a week for 6 weeks now. So far all my numbers have been within normal (testing before each meal and two hours later). Then tonight I get a 12.4!
I had a pretty high calorie tea, sure, but I've not been above a 7 before now, despite some less than ideal eating habits. I'm back to the clinic on Friday and I don't know what to do. I want this to be done and dusted, but with a high reading I fear they're going to make me keep testing. It's really stressing me out.

weakestlink Wed 15-May-13 08:11:48

12.4 does seem very high! But in my very limited experience, one rouge reading doesn't get them worried so they are more likely to conclude that as all your other readings are low that you have it under control. Hopefully someone more knowledgable will be along soon!

Mummysaysno Wed 15-May-13 08:35:39

I posted to say the same, but realised reply must have got lost in cyberspace!!!!

Mummysaysno Wed 15-May-13 08:41:17

Also weakestlink to say the same to you...so far I've not experienced high fasting readings, so can't share any experience, but hoping someone else can for you!

StiffyByng Wed 15-May-13 20:33:35

Weakestlink, my fasting was often higher than my post-breakfast level! But nit through the day. Are you sure about all the readings? Ie clean fingers for all?

12.4 is a bit bonkers. When you say high calorie, do you mean high carb/sugar?

I am now no longer gestationally diabetic. Baby born at home in birth pool on Monday, at 40+3, weighing 7lbs 10oz. He is gorgeous and my sugars after a huge plate of fish, chips and mushy peas last night were 6.4. So I'm hoping things are OK now and I need to keep on with the weight loss to stop it ever coming back.

Mummysaysno Thu 16-May-13 08:55:53

Congratulations Stiffy!!!!

weakestlink Thu 16-May-13 18:48:12

Congratulations Stiffy!!!

I have been put on Metformin after I read my results over the phone today. Have only been testing since Tuesday night so hardly any time to experiment but as my baby is already huge (apparently) I think they are being cautious.

Sprite21 Fri 14-Jun-13 10:53:03

Hello all, thought I would join in anticipation (or rather dread). I'm only 6 weeks pg but I had GD last time so it seems likely I will get it this time.
I am dreading the diet restrictions and constant testing and want to wait as long as possible before doing so.
Is it totally irresponsible to just eat whatever I want until someone tells me otherwise? I haven't even had my booking in appointment, let alone a consultation with a dietician.
Midori,I think I remember you from the 2011 GD thread. I had my DD in September and you were just before that. Can you believe we're going through this again?
When did they test you second time around?

rumtumtugger Sun 14-Jul-13 16:05:08

Hi all, I'd like to resurrect this thread! My 28 week GTT came back fine on fasting but 8.1 post-2hrs, so IGT. I'm seeing the midwife on Tuesday so I'll know more about which diet protocols they want me to follow but until then I'm finding it very hard to stay away from icecream in this heat!
I had GD in my last pregnancy and luckily managed to control it with a strict diet and exercise regime so I'm hopeful that'll be the case again.
Sprite, NICE guidelines say that if you had previous GD you should be offered a GTT at 16-18 weeks (which I had to request!) and if that's ok then another at 28 weeks.

TinyCC Sun 14-Jul-13 19:20:08

Ooooh thanks for resurrecting the thread. I'm near 28 weeks and just diagnosed with GD after my GTT last week. Am currently testing 4 times one day (before meals) and three times the next day (2 hours after meals) and have a scan and consultant appointment on Thursday. Pretty much all my results so far are within the guidelines they've given me so far.
The worst thing is all the people at work who keep trying to feed me chocolate/chippy because "you can eat what you want when you're pregnant". angry

rumtumtugger Mon 15-Jul-13 15:31:58

Hi Tiny. It's a pain isn't it? But they're well-meaning and sound like nice colleagues! Ask them to save it for after the birth, you'll need all the calories you can get then!

rumtumtugger Mon 15-Jul-13 15:35:06

Hi Tiny. It's a pain isn't it? But they're well-meaning and sound like nice colleagues! Ask them to save it for after the birth, you'll need all the calories you can get then!

TinyCC Mon 15-Jul-13 22:48:50

Yep rumtum, they are lovely and well meaning. Still hard though.
Am experimenting with making my own subway style brekkie as I've found that a Subway egg and cheese on wheat works well for me in terms of readings, so if I can make my own that will be better.

starfish12 Tue 16-Jul-13 20:28:35

Im 30 weeks and had my first Lucozade test yesterday (drink 275ml then have bloods done one hour later) and the hops rang today say my sugar level was measuring 8.3 so I have to in for the proper 2 hour GTT test on Friday.

Kicking myself as I've totally been giving in to eating loads of sugary snacks all pregnancy even joking that I've prob given myself GD. Now I feel like a fool....

Oh we'll nothing I can do now except cut back on sugar until Friday and hope that makes a difference.... Is that likely or am I just kidding myself?!

rumtumtugger Thu 18-Jul-13 07:09:10

Hi starfish. Good luck for your GTT tomorrow and do take a good book to read as it's such a long time to be sitting in one place! Tiny, how have your readings been?

I had my hospital appointment yesterday and was eventually seen at 5pm despite having been given a 3.30pm appointment time! shock Poor dd was so very bored but did very well waiting. I was worried that they would try and convince me out of my planned homebirth but they seem to be quite sanguine about it, and have asked me to come back in 2 weeks after home-testing 4x daily. I will also have additional growth scans at 32 and 36 weeks, always nice to see the baby!

I find it interesting how the protocol changes from one PCT to the next - we have just moved a mile down the road into a new area and I was surprised by how my GD would be consultant-managed - in my last area it was totally midwife- and GP-led and I wasn't offered any extra scans nor extra blood tests! <shudder>

Right, off for the first finger-prick of the day!

Fetacat Thu 18-Jul-13 09:17:45

Sorry to hijack your thread but I am in need of some advice and wonder if any of you ladies could help! I had my 20 week scan this week and baby was healthy but measuring in the 95th percentile. They told me this could be an indicator of GD but I am not booked in to have my GTT until 28 weeks. I was always going to have one anyway as I have a BMI of 31 and am ethnically prone as well as having a grandmother who had type 1.

These factors are making me sure it must be likely. But 8 weeks seems like a long time to wait and see. I am wondering if I should start changing my diet now. I do tend to eat a lot of fruit and do eat carbs (though not that excessively and only wholegrain. Also I don’t have a sweet tooth at all).

I am not sure what to do! Should I request to have the test earlier or should I start limiting my diet now and wait and see or should I just hope for the best and forget it for the next 8 weeks?

Does anyone know if exercising would help at this point?

Anyone been in a similar situation? Would love some advice. Thank you!

TinyCC Thu 18-Jul-13 17:55:04

Had my first appointment with the specialist midwife and dietician today. Dietician wasn't particularly useful, apart from on portion control. Midwife was quite rushed. Have been mostly managing to keep things under control readings wise - where they have been over I know what it was. Also really seeing the impact of exercise, even a brisk walk after eating, or a bit of ironing.
Growth scan was ok, on the top end of normal size but nothing worrying apparently.

rumtumtugger Thu 18-Jul-13 22:50:54

Great news tiny. Yes, I also found the dietary advice to be really generic and not that helpful - the best advice I received last time was actually here on mumsnet! It was to eat 5 small meals a day, to make sure that I have some protein with every serving of carbs I ate, and to try and broadly follow a low GI diet.

Today is my first day of testing and I have been deliberately eating naughty foods (white bread baguette for lunch, sugary drinks, cake as a snack) to see what effect it has on my readings (for research purposes only, honest! smile) , and it's fairly obvious what I need to do, diet-wise. I totally agree that exercise has a massively beneficial effect - I remember in my last pregnancy gorging on forbidden roast tatties and a mince pie during my Christmas dinner and then having to walk up and down the stairs waving tins of beans around in my hands in order to get my readings down to an acceptable level! It was worth it though!

Fetacat, no need to worry about 'crashing' the thread! I haven't had your experience but I would recommend speaking to your midwife and/or your GP about your concerns. They will be able to advise you on your next steps, I'm sure they would be happy to schedule you an earlier GTT if you exhibit a number of risk factors. Perhaps just up your exercise routine in any case - even just walking a bit more helps, and doing 10 minutes of exercise (vigorous housework included) targeted for half an hour after each big meal worked really well for me last time. It'll also help you to have greater stamina for childbirth and whilst caring for a newborn. Good luck!

maryemarif Thu 01-Aug-13 16:39:08

Hello,

I haven't read all the posts before this but had a skim through and am hoping this is the right place to get some support. I am 31 weeks today with our first baby and although she has been fine in there, the pregnancy has been fraught with issues from day 1, the latest being the diagnosis of GD. I am currently monitoring my blood sugar for the first week with an assessment next week at hospital. I have been very careful with food since the first indication I might have it. I also have 4 x 10 minute walks in my commute every day and I do a good exercise DVD 2 - 3 times per week. Anyway, as I continue to monitor my levels every day, it is becoming apparent that I can't keep the sugar level below the level they have indicated it should be - particularly in the after-meal test. It's making me feel really out of control especially as I am trying so hard with the food. Anyone had this? What came of it? I'm scared about short and long term impact on the baby. We've had to go through a lot to get to this point so although I'm ordinarily a pragmatic and reasoned person, I'm finding this pretty difficult to deal with. Any helpful advice would be much appreciated.

TarkaTheOtter Thu 01-Aug-13 16:55:52

Hi mary about 10% of women with gd (me included) aren't able to diet control. It doesnt mean you weren't dieting well enough. They'll probably put you on metformin tablets at first and hopefully that should help your readings come down.

Pollaidh Fri 02-Aug-13 11:16:32

Hello
I'm hoping someone can advise. I am 33 weeks pregnant and have just been diagnosed with 'mild' GD, following a GTT, although all my urine tests have been coming back clear. I've also got polyhydramnios according to the scan, and a very large baby, although my bump is 'on target', even quite compact, which I don't understand.

My problem is managing the GD as I have (1) hyperemesis, which is certainly better controlled now (through medication) but means I have an extremely limited range of foods I can tolerate without triggering vomiting and ending up in hospital on a drip with heart issues due to the dehydration. I was advised to 'live on lucozade'... Obviously with GD I've now been advised no fizzy sweet drinks. I also have severe SPD to the point I am in a wheelchair, and although I go to my physio appointments and do pilates, I can't walk more than a couple of steps (on crutches), so I guess managing through exercise is out.

I'm not too worried about the baby's size in itself as I am booked a c-sec anyway due to a number of other complications with this and previous pregnancy, but obviously I want to keep my sugar levels down, but how?

I am usually (when not pregnant) extremely healthy (good vegetarian diet), and do lots of exercise, and am pretty slim. I am even skinnier at the moment due to 5 months + of vomiting, dehydrations and starvation. I'm getting pretty miserable with this pregnancy and just don't know what to do next.

If anyone else has had a similar jumble of pregnancy complications, or has some suggestions, I'd be glad to hear them. Thanks x

TarkaTheOtter Fri 02-Aug-13 12:47:53

Oh you poor thing, i really sympathise. what a shit bunch of pregnancy complications!

Have you seen a dietician yet? They should be able to help you with what foods you can eat. What can you tolerate without being sick?
Sadly having a large baby isn't the only possible consequence of gd so you do need to keep your sugars down. It might be that you'll need insulin to do this which should enable you to be a bit less strict on the diet.

zahrahsmart Fri 24-Jan-14 17:18:14

Hi everyone! I have only just joined mumsnet..I am 28 weeks and have just been told I have GD so very new to it all! Was so nervous and have been given a glucose home monitoring Kit.
I did the lucozade test and after my reading was 12!!

However, have been doing the test twice a day for the past 3 days and my before readings seem to be ranging from 5.5-6.6 and after eating (1 hour) they seem to be between 5.9-8.3 All over the place!!

I have been eating a lot of green vegetables and cutting out wholegrain bread....I have also tried to eat 5 times a day which can be quite difficult fitting it all in!!

Do you think they might leave me to control it by diet and exercise or give me tablets? Any advice? I do find that when I exercise in between meals just for about 15 min, it does reduce the readings a lot which is a good thing so hoping I will just have to continue this way...

Just quite nervous really, waiting for a scan so they can check baby is growing ok...first baby for me so very worried! As the anomaly scan I had showed she was a week or so ahead and was quite big...

Madasabox Fri 24-Jan-14 22:30:32

Hi Zahrah In my last pregnancy I was diagnosed with GD at 28 wks too. Because my bloods were ok and v. similar to yours they let me control it on diet alone. Exercise does reduce the readings and lower carb diets are the way to go. It depends on your growth scan really. Good luck

zahrahsmart Sun 26-Jan-14 22:05:14

Hi Madsabox!

Ahh thanks...yea I mean I understand a certain times it will spike higher because of something I have eaten..but gosh...I have never eaten so many green vegetables in my life....getting a bit sick of it already!! lol

Yea my scan isn't for another 4 weeks so will just have to continue and make sure my readings aren't too over the limit. Before eating it can be 6.something but always under 6.8 and after it is usually less...but yea you are right, whenever I do 15min exercise after it does help A lot! lol

Thanks for posting smile Any GD recipes?!
x

stopgap Mon 27-Jan-14 01:31:35

I wasn't able to control mine with diet--and I'm an organic-eating, Paleo-worshopping, skinny health nut--so I was put on insulin injections at week 30. Paleo recipes are usually pretty good, as they are moderate carb. I would just be careful with any recipes that contain dates, oranges etc.

MarthasHarbour Mon 03-Feb-14 11:08:28

<waves>

Marking my place until later on - i have just had 'the call' from the hospital confirming my GD. I am 27+1.

Still in a bit of shock but was half expecting it as DS1 was a 10lber. I have also had continuing thrush for the last couple of months (all urine tests came back clear).

Anyway - will read this thread later for diet ideas and chat to you all. I am seeing the MW at the hospital on Wednesday.

stopgap Mon 10-Feb-14 02:47:18

I thought it was about time I posted my birth story smile DS2 is twelve days old and doing great. Most importantly, he suffered no hypoglycemia after birth, and my blood sugars were really well controlled during labour.

I was induced at 39+5, after a failed sweep at 39+1. Midwife broke my waters at 10am, we walked the corridors, I bounced on the ball, but nada, not even a slight cramp. So at 4pm we talked options, and by 4.30pm I was on the drip. At first the contractions were akin to mild period pains, so midwife raised the dose one time, and they quickly progressed to my second experience with back labour. To handle the contractions, I found standing up and holding onto the pole part of the drip oddly comforting. My husband (the swine) took a photo, and I look like an appallingly bad pole dancer :D

Labour was only 4.5 hours start to finish, culminating in a nice, easy delivery of one petite 6 pound 7 ounce boy.

Being induced wasn't so terrible, and I hope at least one other person can take heart in this story, and know that, even though GD can be a depressing, soul-destroying experience, the outcome can be positive for all concerned (even in my case, having to take insulin for poorly controlled fasting sugars).

SaggyOldClothCatPuss Mon 10-Feb-14 23:10:44

Can I join please? 36 weeks on thursday and found out I had GD last week. It's a sharp learning curve but I think I'm getting the idea though. One question I have is, does anyone else turn 'stabby" if their sugar levels are high? I was stupid earlier and ate some chocolate and they're right up now. I'm seriously considering murdering dp and I know I'm being irrational and overreacting but I just can't help it!!

zahrahsmart Tue 11-Feb-14 17:54:21

Hi!!

Glad to know everything went well stopgap! I am 30 weeks now, have a scan at 32 weeks....they said at my 20 week scan that it looks like I will be having a big baby but that was before I knew about GD and so since about 22 weeks I have been cutting right down on sugar, even cutting it out a lot of the time and at 27 weeks I was diagnosed and have kept it REALLY under control so I am hoping it has stopped the fast growth and she will be growing as normal, does that sound possible?! I am just really worried that even though I am keeping sugars down as am on Metformin twice a day and exercising that she still might grow to be like 10lbs!! lol

Hi SaggyOldCloth!! I find that instead of chocolate I am great with sugar free jelly pots, they are a life saver for me and dont get me as cranky !! Haha not sure if my husband agrees lol but I find it better than chocolate, maybe try that?
I also find having a high protein snack, like a mini pepperami just before bed keeps my sugars low at night and when I wake up which is great!

SaggyOldClothCatPuss Tue 11-Feb-14 20:47:16

Thanks for the advice. I like the idea of a pepperami at bedtime! Thatll keep dp on his own side of the bed! grin

AmsterdamT Tue 11-Feb-14 22:31:58

Did everyone have GD symptoms before being diagnosed? I had my 20 week scan at 18.5 weeks and they said my baby is reading a week and a half ahead of his age so would test me for GD at 24 weeks - but I'm a little impatient to know now!

I don't think I am particularly thirsty (although I always drink a lot of water) nor am I peeing a lot but I do (always have had) a very sweet tooth. I am also 39 but no history of diabetes in the family. My reading at my first appointment was 5.8 which I think suggests a risk. Does anyone know if there is any way I can find out now without having to wait 4 weeks?

I did the Lucozade challenge at 29 weeks and passed. However due to having a BMI of 30 at booking, I was also asked to do the GTT which I ended up doing at 30 weeks due to confusion over whether I actually needed it.

I failed the GTT, my fasting glucose was 5.5, my one hour result was 11, and my two hour result was 7.1.

I then tried one week of diet control but my fasting glucose was always just over target, and my after breakfast readings were often over as well (never over 8 though).

I was then put on metformin 500mg 2 x daily, and after 2 weeks they wanted to increase my dose to 3 x because I had 2 readings over target during the two weeks.

I didn't increase the dose as I felt these readings were flukes and I have stayed under target since then with the 2x daily dose so I am happy with that.

I have been told I will be induced at 38 weeks but I do have concerns about induction which are making me feel that I want a C section instead.

Basically everything I have read has said that induction leads to a greater incidence of intervention and EMCS. My previous birth was traumatic - I avoided an EMCS by a whisker and the babies heart beat was dropping and at one point they couldn't detect it. Due to another health condition my babies are unable to have the head clip monitoring thing and we would be relying on the belly strap thing.

I had terrible anxiety with my first after the birth, and couldn't leave them with anyone (even DH) in case something happened and various other stuff which a therapist diagnosed as PTSD. This all put me off going for number 2 for over 5 years.

Eventually I worked through it and decided I could manage another birth if it was a home birth or at least on the MLBU with plenty of relaxation, no epidural etc. but I am now considered high risk and have to give birth on the delivery unit.

I am concerned that the induction will feel out of control and plunge me back into the dark place I experienced with the anxiety etc.

Sorry for the mammoth essay but I guess I would like any input about the experience of induction versus ELCS with GD or what labour is like with GD.

Last baby was 8lb 2oz, but this one will be larger and has been measuring on the 90th centile so far.

I'm not afraid of the pain of labour, it's the lack of control and lack of the best type of monitoring and the threat of the debilitating anxiety coming back. I know that ELCS isn't the ideal solution but more and more I feel it is the only one I can get my head around.

I am 36 weeks tomorrow and will see the Obstetric consultant on Monday to discuss a birth plan.

Any advice gratefully received smile

sofpp83 Thu 13-Mar-14 11:06:31

Hey guys, don't know if this has been previously written? I have gd and am 33 weeks nearly. I have had type 2 in the past but lost a significant amount of Wight and was we eventually taken off medication. My levels are high, usually ranging between 8 and 20. My medication has been doubled this week now on 4x500mg metformin a day. My levels aren't really changing. I have been told at my next appointment in 2 weeks that I will probably go on insulin as well as tablets. My question is, if anyone has been on insulin, how has it affected them? Any side affects? Any feedback would be brilliant. Thanks peoplesmile

weebigmamma Thu 13-Mar-14 13:58:56

I am new to GD. Have been self monitoring for just a day. Here's what I don't understand: is the point of self monitoring to find out which foods affect sugar rises in the blood, or is the point of it to find out what my average blood sugar level is? I've read here about people eating sugary things and then exercising to get their readings down but does this mean that the excess sugar then doesn't pass on to the baby? Sorry I'm confused about it, this is all new to me. Only a day and already I'm wondering what on earth we can have for dinner lol

weebigmamma

A normal pregnant woman without GD has sugars about 20% lower than an average nonpregnant nondiabetic woman. This explains why the targets we have to meet are often stricter than for type 2 diabetes patients.

In some women, being pregnant increases insulin resistance too much, meaning you have excess sugars in your blood. This crosses to the baby, and is the equivalent of overfeeding the baby.

The aim of self monitoring is to try to keep yourself within the tight targets so that the medics know that as far as possible the baby is not receiving too much sugar and getting too big, or producing too insulin itself to deal with the excess sugars both of which can lead to problems during and after birth.

The point of self monitoring is also for the diabetic team to see how much if any medication you need.

You should be aiming for 15g low GI carbs (plus protein and fat) at breakfast, 30g at lunch and 50g at dinner. About 15g for snacks, best if tempered with protein/fat.

If you measure one hour after eating, and have controlled your blood sugar not to spike above your limit (7.8 usually or mine was 7 due to BMI of 30) then no, the thinking is that the sugar won't be excessive that passes to your baby.

gunwalloe Wed 16-Jul-14 22:21:17

Any other ladies currently pregnant with GD? I was diagnosed today and am going in tomorrow to get a testing kit and all the information.

gunwalloe Fri 18-Jul-14 14:09:41

Anyone? it would be nice to swap info with other ladies who had GD

EllaBella220 Fri 18-Jul-14 16:44:10

Yes gun, I have GD and was diagnosed 3 weeks ago. I've been finger pricking up to 7 times a day (seriously, my fingers are getting sore now!) and have random readings which are within target and then the odd 8 and even a 10! Last visit to the clinic last week they said they'd give me 2 more weeks to try to get the diet under control but then it would be metformin if I couldn't. I'm due in next Thursday and my numbers again have the odd spike....never lows.

The finger pricks don't hurt after the first day or so, I've just been doing so many that mine are a bit sensitive some days and only 4 of my fingers produce enough blood to test so they are overused. I am dreading going on metforim as I already have IBS-D and have heard diarhea is a side effect of the tablets so I won't be happy with that.

Has anyone any experience of metformin or insulin? I'm not sure which would be better for me. I hate injecting so insulin sounds terrible to me but the thought of not being able to leave the house because of the runs sounds even worse.

gunwalloe Fri 18-Jul-14 19:24:28

Hi Ella im only 2 days in and my fingers hurt im such a wimp! Im really confused my my readings they never get above 6 which I believe is good but they keep slipping into the 3s and early 4s I don't know if this is good or not?
Part of me is in denial that I actually have GD.

EllaBella220 Sat 19-Jul-14 00:11:25

Have you been given a book with your targets in it? Mine are between 3.8 and 5.9 before meals and less than 7.8 after it. I had 5 highs in the first 2 weeks and they wanted to put me on metformin but they agreed to give me another 2 weeks to get the numbers right and so far this week I've already been above target 4 times so it's not looking good sad

The pricks really do get easier.....I promise. My ring fingers are the least sensitive and I don't feel it at all on them but then there is the odd prick that gives me a pinch but generally it isn't as bad as I thought (I was in tears the first 2 days because I am scared of needles).

I am wondering where you inject insulin to and is it tiny needles or considerable sized one? Anyone know?

gunwalloe Sat 19-Jul-14 08:10:44

I've been told to do my blood 4 times a day first thing in the morning and a hour after breakfast lunch and dinner.
The before breakfast target is 3.5 - 5.8 and after meals below 7.8. I was 3.4 this morning I don't know how I'm supposed to stop it dropping low over night? The highest I've had so far is 6.0 so hopefully they will just leave me to it.

It's good to know the pricks get easier. I don't know anything about injecting insulin sorry

I found out I had it 3 weeks ago and I promise the finger pricks get easier. Occasionally I feel some soreness but on the whole it's been fine. I'm lucky that I've managed to control it through diet so far, I haven't had a reading above 6.8 even if I eat a small portion of rice or 2 slices of granary toast.

I'm finding the diet quite boring through and on two occasions I've cheated and eaten a cup cake. Both times I've felt immensely guilty afterwards but I've got such a sweet tooth the intense craving just got the better of me.

Have you both been told you'll be having an induction at 38/39 weeks?

EllaBella220 Sat 19-Jul-14 18:31:07

Not yet Golden. I'll be happy to be induced early as I know how hard the last few weeks can get and how uncomfortable it all is but they haven't mentioned it so far.

The diet is quite stressful when you are busy and trying to find something to keep you going whilst on the run. That's where I sometimes fail. I do have a craving for mixed salad with ceaser sauce though so I am finding main meals a little easier at the minute.....salad with chicken and a slice of wheaten bread for cards, delish!

SaltySeaBird Sat 19-Jul-14 18:40:13

Hi Ella

It all gets easier! I had GD with my DD which stayed with me as full blown, insulin controlled diabetes after she was born (I was genetically pre-disposed to it, it runs in the family so despite being slim and active it's here to stay).

I had the biggest needle phobia you can imagine and initially I couldn't inject myself, I had to get other people to do it. Now I can do it easily.

The needles are teeny tiny things. It's actually so much easier doing yourself. I tend to just gently touch the skin until I find a spot where I can't feel it and pop it in and go - I promise you, often I can't even feel it at all (the finger pricks are more painful than the needles). Being able to inject insulin also gives you more freedom with your diet as you can up your insulin as required.

I was induced bang on 39 weeks and on an insulin sliding scale throughout labour. It was all fine!

Happy to answer any pregnancy diabetes related questions having been through it all and come out the other side! I'm also quite knowledgeable on diabetes as whole now as mine is very well controlled.

SaltySeaBird Sat 19-Jul-14 18:48:23

Oh and snack wise I found the following quite good:

- raw strips of pepper, carrot and celery with some hummus
- the low GI oat biscuits (just one or two)
- ham and cream cheese (rolled up to make cigars)
- boiled eggs (I'd keep a few ready in the fridge)
- strips of chicken breast cooked and ready to snack on
- apples, pears, blueberries, raspberries and strawberries (all other fruit pushed my blood sugar too high). Adding a splash of cream was also nice with the berries or having cheese with the apple and pear!
- twiglets
- Muller Light Yoghurts

Any of these worked well for me but I'd say that everyone is different so try out what you fancy and keep testing your blood sugar - what works for one person doesn't always work for another.

I did have to be a bit more organised in preparing snacks but to be honest it's good practice for when you have a toddler - I don't dare leave the house without my little tupperware boxes with finger food at the ready!

EllaBella220 Sat 19-Jul-14 20:38:32

Thank you Salty. I wanted to know about the insulin as I hear the Metformin can cause an upset stomach and I already have IBS-D and anxiety related to needing the loo when away from home (yes, I'm a nutter) so taking tablets which will cause more upset stomach is something I really don't want to deal with and I'm wondering if they will suggest insulin if I kick up a fuss about the metformin. I didn't think I'd be able to do the finger pricks at all because the first one hurt so much (I effed at the nurse by complete accident, it just came out of my mouth when she made me do the first prick) but got used to them so I am hoping I'd get used to the insulin injections pretty quick too if needed and hopefully it won't be for long (I am going to try my hardest to get them to give me another 2 weeks of diet tweaking when I see them this week...which will mean Il be 34 weeks next time I see them after that).

magichandles Sat 19-Jul-14 22:09:51

Ellabella - I had GD with both previous DC (currently 26 weeks with DC and expect to fail the GTT in a couple of weeks) and I have IBD (UC) as well - I went straight to insulin both times and didn't get prescribed metformin for that very reason.

I was really nervous about the insulin injections to start with and remember getting really annoyed with DH when I did my first one as he acted all squeamish so I did it more out of bravado, and then really surprised myself as it was absolutely fine and really didn't hurt at all - the needles are incredibly fine.

SaltySeaBird Sat 19-Jul-14 22:26:16

You can probably request to go straight to insulin, it really is easy to do and far less painful than finger pricks.

The metformin just lowers the amount of insulin you need as it makes you more sensitive to it. I never had any aside effects and I have a sensitive stomach and went right on the full dose. Sometimes you can build it up slowly though if you are worried.

lotsofcheese Sat 19-Jul-14 22:31:04

You can ask for slow-release metformin, it's easier on the stomach than the standard version; it's generally better tolerated with fewer side effects.

EllaBella220 Sun 20-Jul-14 13:36:33

Thanks for the different views (and sorry for hijacking the thread lol). I will most definitely talk it through with the doctor on Thursday and see what she thinks of it all. I might be best trying the slow release metformin and if that causes havoc within a trial period then just ask for the insulin because as much as I hate needles.....I hate the stomach problems even more!

gunwalloe Sun 20-Jul-14 13:42:12

golden I'm having a planned caesarean at 39 weeks this had already been arranged before the GD though. I asked if it would be changed and they said no unless something goes wrong

Thanks for the food advice salty

I went to a wedding yesterday and managed to be good came back with feet like the elephant women though

gunwalloe Sun 20-Jul-14 13:46:11

Has anyone had a cs with GD? I'm worried that if I don't eat from the night before I will end up hypo.

SaltySeaBird Sun 20-Jul-14 22:10:50

Not had a CS with GD but have had an ERPC under GA with diabetes. Generally it's not a problem, if you are diabetic they may have you on the ward overnight on an insulin sliding scale regime; rigging you up with a drip that includes a steady release of glucose and insulin together to get your blood sugar controlled and stable.

I did manage to have a hypo despite this which they said was unusual but I was in good hands and they gave me some sort of glucose to bring it back up while I was nil by mouth.

I can't say this is how they will manage it for you, this was just my experience. A CS is fairly common with GD so don't worry, they will manage it.

SaltySeaBird Sun 20-Jul-14 22:23:52

gunwalloe are you insulin controlled? 3.4 is too low for a fasting level; you need to check your medication with your consultant in my opinion (I'm not a medical professional but I know a fair bit about GD and diabetes in general).

If it's dropping that low overnight you might need a snack before bedtime. If none of your readings are higher than 6.0 and you are getting a lot in the 3s and 4s that does sound a bit low, although you find that as pregnancy increases it gets harder to control and medication increases as you become more insulin resistant.

gunwalloe Sun 20-Jul-14 23:08:34

Salty I'm not on medication yet they want me to try and control it with diet. Are the lows likely to make them want to medicate? When the midwife explained things she seemed more concerned about readings higher than 7.8. At the moment I don't get near that but I'm constantly dropping under 3.5 throughout the day. I've bought some boiled sweets today to keep in my bag for when I feel like it's gone to low.

SaltySeaBird Mon 21-Jul-14 00:23:36

Hmm dropping to less than 3.5 with no medication and no high readings? I can't see that they would give you medication and insulin would be dangerous IMO if you are that low. I'd ask for another GTT if I were you as that doesn't sound like diabetic readings to me (I'm not a medical expert although my consultant did say I was the best patient she had ever had and most knowledgable too!) unless you are eating no carbs and just salad to try and control it - which is bad and you'll get high ketones in your urine sample. I did the same when I was diagnosed and got told off for it - you have to eat a balanced diet.

gunwalloe Mon 21-Jul-14 09:43:06

Your thinking the same as me I'm sure something was funny with the result from the hospital they said my fasting was 4.5 and it's never that high which makes me think the other result was wrong to.
I'm eating pretty normal just not having fizzy drinks sweets etc last night I wanted to test out what was going on so had a magnum and it made no difference I really don't understand confused

SaltySeaBird Mon 21-Jul-14 13:07:53

Hmm I think 4.5 fasting would be normal anyway, what was your two hour result do you know?

EllaBella220 Mon 21-Jul-14 13:45:49

4.5 would have been normal at our clinic. Anything higher than 5.1 was what they considered 'GD'. I would be querying your diagnosis, Gun. Maybe they are monitoring you because of the lows but I don't see why they would even do that for a reading of 4.5.

gunwalloe Mon 21-Jul-14 13:55:11

It was 7.9 and they said anything over 7.8 was GD I'm sure there's something funny about there test results.

LittleMissRayofHope Thu 24-Jul-14 10:18:01

I was diagnosed about 10 days ago, on a total technicality! My glucose test was 10.1 and the cut off is 10! Anyway, they have had me monitoring my blood for a week now and have growth scanned baby - who is normal size.
Today is my DD's 2nd birthday so we had cake for breakfast. Accompanied by fruit juice.... My blood sugar was 6.3 afterwards.....
I find it frustrating but also fascinating! I could easily become obsessed with testing and I'm kind of playing around with what I eat, then testing to see how different foods affect me.

Good luck to anyone who has it more seriously then me. I feel like a slight fraud!! thanks

gunwalloe Thu 24-Jul-14 13:18:50

Littlemiss 10 is high for there cut of my cut of was 7.8 and I was 7.9 I was to feeling like a fraud and thought they had got it wrong but the last couple of days my levels are creeping up and I'm now worrying about staying below the targets they've given me.

LittleMissRayofHope Thu 24-Jul-14 18:57:37

My targets are below 5.5 for fasting and below 7.5 an hour after eating.
So far my fastings are all under 4.2 and I've only had one over 7.5 after eating and it was cos I forgot (the next day after starting testing and I just plain forgot!!) and I had a huge bottle of lucozade!! And got an 8.4!
I am fairly active though as love in London so walk a lot and have a 2 year old so run around after her constantly so I guess that helps.
Am only 32 weeks aswell, the nurse said as baby starts growing fast I may ntice it creep up.

EllaBella220 Thu 24-Jul-14 19:09:19

I have actually noticed a slight increase in my readings the past days so I think I'm not going to be diet controlled for much longer. I saw the diabetic team today who were happy to let me try the diet for another 3 weeks but they gave me the prescription for metformin just incase I ave more than 3 high readings in 1 week. She said just get the tablets if that happens and see how well I respond to those and if it causes too much stomach upset then they will go with insulin.

The doctor was very happy that any high readings I had were explained in the notes section. Any time I had a high reading I would note what I had just ate and what I could try instead.....then when I did try the alternative I would note that. It probably looked a bit like class suck up but it was purely for my own benefit so I could look back and see how bad/good certain foods are. She said it was obvious I was serious about tweaking the diet and that's why she is allowing the extra 3 weeks now as my other readings inbetween are very good.

gunwalloe Fri 25-Jul-14 13:37:02

I wish I could be more active I've suddenly become really unfit we are in Cornwall on holiday and walking even on flat ground has me puffing I wonder if my iron level has taken a dive from my new salad and chicken diet.
Ella how many weeks are you?
Are you both having the baby's early?

LittleMissRayofHope Fri 25-Jul-14 15:22:52

I'm hoping to go full term and birth as naturally as possible. I was super lucky with my first, had diamorphine as my contractions went on for 53 hours and only got to 3cm!! But once I had the diamorphine that was it, took an hour to get to 10 and had no intervention or stitches or anything! So I'm very hopeful to avoid intervention and induction.

I keep notes of what I eat and how active I am. I have been tweaking aswell.
I know a cheese roll (white baguette) will give me a higher reading so I have seeded brown bread instead and it's much lower. Also have upped the quantity of Veges or meat along jacket potato as I LOVE jacket pot, so my team can see I'm making the effort aswell.
I'm quite overweight, not sure that makes a difference. I know the exercise helps a lot. But I'm finding it relatively easy to control it through diet so far. Fingers crossed it continues!!

gunwalloe Fri 25-Jul-14 19:18:56

I've already had 2 emcs so had to have a planned one this time at 39 weeks this was arranged before the GD

EllaBella220 Fri 25-Jul-14 23:37:56

I'm 32 weeks. They haven't mentioned anything about early induction to me yet. I don't mine being induced, I've done it twice already and it can be a good experience.

I am finding it REALLY hard to keep up with readings and diet this past few days, my book is lacking in entries!

gunwalloe Mon 28-Jul-14 21:29:50

Stupidly had a Chinese tonight as its our anniversary blood sugar was 4.1 before so I thought I would be ok to have half a portion but no blood sugar a hr after 9.5 the highest its ever been im hoping there not going to put me on metformin or insulin on Wednesday now sad

LittleMissRayofHope Mon 28-Jul-14 22:19:51

I successfully shut my test kit in my DD's room for both her naptime and bedtime so haven't tested all day.., I expect to be told off!

I had Chinese the other night and my reading came out quite low. Most of mine are low. I really feel like a fraud most of the time with regards to GD!

gunwalloe Tue 29-Jul-14 12:56:13

Littlemiss I've just run out of strips so I'm in for a moan tomorrow to. I was going to buy some from the chemist until I found out how expensive they are shock
How are your levels at the mo ladies?

magichandles Sat 02-Aug-14 14:06:28

Hello ladies, I'm officially joining you now, although I have been self-monitoring occasionally before my 28 week GTT because I had GD with both previous pregnancies.

GTT result was actually within range, but my fasting reading was high, so I've been put on diet control for the time being. So far not so good - my post-prandial readings are supposed to be less than 7.0 and so far today I've had an 8.6 and an 8.4.

I have my first GD clinic on Tuesday, which appears to be some sort of group session which I've never had before, and sounds like it's going to be some sort of AA meeting for sugar!

gunwalloe Wed 17-Sep-14 21:09:37

Giving the thread a bump for anyone newly diagnosed.

Also wanted to ask any former GD sufferers if your GD suddenly improved at the end of pregnancy? My readings today are that of a "normal" person I even ate bad things to test it out and had no rise in my sugars. Its got my slightly worried that my placenta may be failing as I was led to believe it was the placenta that caused the GD.

TipseyTorvey Mon 27-Oct-14 17:07:15

Not sure if this thread is still live but recently diagnosed after a blood glucose reading of 15.6 and put straight onto insulin. This is all very new and a little bit stressful to be honest so great to know there's others out there. Biggest challenge now is what to eat, I'm really hungry but worried about raising levels so trying to cut back on carbs and only eat main meals.

Any advice on what to drink aside from water would be great! After only 4 days I'm craving something else, but not sure what will set me off.

Daisycakes9 Tue 04-Nov-14 10:20:59

Hi all

First time poster on Mumsnet so do forgive any faux pas! I was diagnosed yesterday with GD at 28+6 days. I wasn't too surprised as i have a family history of diabetes on my Mothers side but obviously not ideal. I had a fasting result of 4.5 and 2 hours after the Lucozade was 10.8. Saw the diabetic nurse and the dietician and was in hospital for hours!

So far my readings (all 3 of them!) are in range, though tried my Bran Flakes for breakfast went for a walk and was still at 7 (my results need to be below 7) 2 hours later so thinking they might be off the menu going forward.

Also we're in the process of moving house and were supposed to exchange on Friday and just been advised by our solicitor that our buyer has pulled out!! My go to emergency food of Ben and Jerry's is out so guess I'll have to sit with it - my husband is currently away with work and won't be awake for a while, so while I was feeling pretty stoic about the GD diagnosis, am now very frustrated!!

I have read some of the previous threads on here re GD and they seemed v supportive so wanted to see if anyone else was out there! It would be great to swap some food ideas, am v into falafel and halloumi at the moment and have a lot of soups ordered in my supermarket delivery today, so guess I'll just have to see how I get on as would rather control through diet if possible.

cheshirem2b Tue 04-Nov-14 10:45:44

I'm a GD sufferer Daisy!!!

I'm finding it strange how different areas have different ranges of "normal/acceptable" readings.

I was diagnosed with GD 2 weeks ago - fasting reading of 5.4 and 2 hour glucose reading of 6.8 - so my fasting reading was slightly raised.
I was the diabetes nurse last week and got a self-test kit and diet advice. I'm sticking to low GI etc etc and my readings are for example:
pre-breakfast 5.4 - then I have porridge and banana
pre-lunch 5.3 then I have soup and some nuts
pre-dinner 4.8 then a healthy dinner - e.g. salmon & loads of veg
pre-bed 5.6 and then nothing to eat until breakfast
If I'm peckish between meals I've snacked on low carb, low sugar foods
So basically all my readings are around 5 - 6 and I'm being told they want them under 5!

I've got an appointment on Thursday to see the diabetes nurse to review my results and see if they are happy with them or if they are going to try any medications...

I've also been referred for growth scans etc as well - What I'm finding frustrating is the not knowing... Will they leave me to 40 weeks or induce at 38 weeks? I'm due 1/1/15 so an induction date will affect our plans with family over Christmas which is obviously fine but I'm a bit of a control freak and just want to know!

I've got an appointment with the nurse on Thursday and then a scan and clinic appointment so I'm hoping for some answers then!

Daisycakes9 Tue 04-Nov-14 11:41:18

Hi chershirem2b nice to see you on here and like the name!

From other's posts, different areas do have different criteria and unlike you I am testing 2 hours post meal. The uncertainty is the frustrating part and I hope you get some answers on Thursday. I'm back at the Diabetic clinic tomorrow and plan to ask about growth scans and inductions as neither were mentioned yesterday. Keep us posted!

Alyx80 Tue 04-Nov-14 13:43:44

Hi, I'm 29 weeks tomorrow and was diagnosed at 19 weeks after having GD in my last pregnancy. I have to test upon waking (below 5.8) and they are always fine and then one hour after each meal (below7.8). I started diet controlled but it's steadily got worse and I'm now on 1mg metformin at breakfast and evening meal. I'm ok most lunch times which is how it was last pregnancy too.
My evening meal readings are slowly creeping up this last week, I have a scan and clinic appointment tomorrow and have been told I'll be going onto insulin if baby is measuring at all big.
I really struggle with breakfast, can't have any cereal or toast and the only thing I've found that is ok is Greek yoghurt and tinned fruit which I'd expect to not be good but my reading is about 6.7 after that. It does leave me hungry though and I need to snack mid morning on cheese/eggs etc.

TarkaTheOtter Tue 04-Nov-14 17:06:49

Aylx have you tried having some protein with your toast in the morning. The protein will stop the sugars spiking so much from the carb. I could eat peanut butter on toast but not butter on toast for example.

I'm not currently pregnant but TTC dc3. Was diagnosed at 28 weeks with dc1 and managed to diet control for a bit then onto metformin. At my 6 week postnatal GTT I was diagnosed with pre-diabetes. With dc2 I was diagnosed with GD at 14 weeks and on insulin from 16 weeks (that felt like a looong pregnancy). Funnily enough I passed my postnatal GTT fine. I have a lot of diabetes in the family but no other risk factors. Trying to decide whether I should lose a bit of weight whilst TTC. My bmi is low 20s but I'm 0.5 stone heavier than when I passed the postnatal GTT.

Daisycakes9 Tue 04-Nov-14 22:51:57

Quick post before bed, good point you make TarkaTheOtter, I had one piece of granary bread and spinach soup for dinner, tested after 1.5hrs as was starving and was at 8! Did marching on the spot for 15mins and tested again at 2 hours and was at 6.4. So two lessons learnt, don't do just butter on toast and marching on the spot really brings down your levels!

Daisycakes9 Thu 06-Nov-14 16:32:27

Had my appointment at the diabetic clinic yesterday. It was helpful and I found out a few things. One thing I checked was that I should be taking my bloods 2 hours after the end of my meal - it sometimes takes me a while to chomp through everything so wanted to make sure I wasn't cheating the testing!

The other thing that was really helpful was understanding that it is v important to have adequate carbs at each meal in whatever form - grains, legumes, fruit, milk egg and that I shouldn't see it a failure if when eating properly my sugar couldn't be managed. The most important thing is that the baby is getting the nutrition he needs. She also pointed out that pregnancy hormones increase as the pregnancy develops and that it may well become impossible to control by diet and exercise alone.

The third thing was that carrots have carbs!! So am am now checking what veg are 'free' - this website was helpful:

gestationaldiabetesrecipes.com/about/

Will find out at 34 weeks if I am likely to be induced but was told I would be on insulin during the delivery. I have a growth scan tomorrow 29+ 4 days and meet the new specialist midwife team who are taking over my care.

All in all am feeling confident about how efficiently everything has been handled so far.

Cereal is out for breakfast but been having a snap pot of reduced sugar and salt baked beans, a slice of linseed bread with no sugar peanut butter and an apple. A snack I like is fat free natural yoghurt with a few prunes and a few spoons of flaxseed and sunflower mix, it doesn't spike my sugars and I can have as a snack - I really like prunes! Going to try a bit of banana on linseed bread with no sugar peanut butter tomorrow... !Walking after a meal really helps too. Hope everyone is doing well.

cheshirem2b Fri 07-Nov-14 11:59:08

Hi ladies!
Well I went for my clinic appointments yesterday...

The Diabetes team are very pleased with my readings from the week. Apparently if I was at the Trust 20 miles away I wouldn't be classed as having GD but our Trust uses a lower cut off of 5.1 & my readings are usually 5.3-5.9. based on my readings they plan no intervention at this stage & I'll keep monitoring my levels and watching what I eat and go back in 10d to see them again.

Then went to see baby on the scan. weighing 4lb10oz (estimated birth weight of 7 to 8lb) around 90th percentile for abdomen but all fine. baby was relaxing with their hands behind their head lounging away! Baby is doing v well and is head down.

Then to consultant appointment and if I keep my GD levels under control and baby follows it's growth pattern they won't induce until 40weeks to give baby a chance to do it on their own. I have another consultant appointment in 4 weeks so that will be reviewed then as well.

Weirdly I'm a bit disappointed I'm not being induced before Christmas but whatever is best for baby is fine with me!

Join the discussion

Join the discussion

Registering is free, easy, and means you can join in the discussion, get discounts, win prizes and lots more.

Register now