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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

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Original poster

Gestational Diabetes: Does one usually get induced?

35 replies

apelsinnka · 05/05/2011 07:47

Girls, who has GD, were you also told that you are likely to be induced? My 37w scan is on Monday and it probably will be discussed. I understand that the main reason for induction is that babies are getting too big. My little one was very average on all the charts so far. Are the any other pros and contras? Right now I am reluctant. The babies must have a reason to stay there 40 weeks, right?

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Original poster

apelsinnka · 05/05/2011 14:49

thank you for sharing trixie123

OP posts:

midori1999 · 05/05/2011 15:45

Problems with the placenta can occur at any time during pregnancy, but are most common after 36 weeks apparently. Placental function can be impaired, leading to IUGR (restricted growth of the baby) or other problems, (lack of oxygen to baby being one I remember offhand) some meaning they need to get baby out ASAP. For this reason my hospital monitor weekly, twice weekly or more after 36 weeks, which includes scans and doppler scans to check the blood flow between placenta and baby.

My HbA1c was 5.9. I also thought it was an average, but although it indicates how good your sugar control has been over several months, it is the level of glycated haemoglobin in your blood. They took bloods from me yesterday to measure it again. Less than 6 is normal, less than 7 is desirable for diabetics. If it is over 7 that means your sugar control is not as good as they'd like. I'm hoping mine has come down, but I'm doubting it will have done, since it has been extremely hard to get my levels under control even with strict diet control, exercise and insulin. I think we're getting there now though.

Original poster

apelsinnka · 05/05/2011 17:05

midori1999 are you private or with NHS? I guess one thing I should ask for is this hba1s test again. what are doppler scans?

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prolificwillybreeder · 05/05/2011 20:16

Are we at higher risk of a still birth?
Oh Blimey as if I was petrified and rather hormonal as it is!

midori1999 · 05/05/2011 20:28

There is quite a list of potential complications with GD, some of which can cause stillbirth. That is why blood sugar control is so important and they keep a very close eye on you. The majority of ladies with GD have healthy babies that are just fine.

apelsinnka, I am with the NHS. I am currently living in Northern Ireland and I have to say, the standard of maternity care here is very, very good, I am pleased with it, which is good for a number of reasons. A doppler scan is the same as anormal scan, but they can switch the machine to a different setting which checks the blood flow via the placenta.

MooMooFarm · 05/05/2011 20:31

Prolific yes but according to my consultant, the risk only becomes significant from week 38 as long as the diabetes is reasonably well controlled. So I know it's easy to say, but try not to panic.

I was really worried myself at the time, and talked at length about this to my consultant. He told me that I had nothing to worry about as long as I was induced at 38 weeks, as the risk was negligible up until that point. That was enough to convince me to go along with it - and it did put my mind at rest (a bit). You will be fine

Original poster

apelsinnka · 06/05/2011 11:34

midori1999 thanks a lot for your advise!! sorry to bother again. but did you have to fight with high keytones? did they also give you stix to measure them at home? mine are usually there at night but then disappear during the day. dunno if it's normal. but thanks god they never went up to 4+ (the level when they kept me in the hospital) two weeks ago

OP posts:

midori1999 · 06/05/2011 12:35

It's not a bother at all, why would it be?

I haven't had any problem with keytones. I have been told to test if I feel ill or get a reading of over 10mmol. They also said that trace or 1+ is normal, but if I get 3+ or more to go to the hospital as a matter of emergency.

They were quite specific when I first started at the GD clinic that I must eat 180g of carbs per day, a few more if I needed it and include carbs at every meals and they would adjust my insulin accordingly to cope with that.

Original poster

apelsinnka · 06/05/2011 13:27

my morning measures were between 1+ and 2+ but I now eat banana at night and drink a lot and it got better. I wish I had as much advise as you :(

OP posts:

Campbell2019 · 09/12/2020 10:24

Hi lovely lot i am on 5 tablets of metformin for gestational daibetes what are chances of being induced early i have growth scan tuesday and asking for 37weeks been getting alot of back pain last few days aswell

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