GD in PG - is it earlier with DC2

[HorridCold]

Hi there,

I'm not PG yet but hoping to start trying soon. DH has finally agreed but is not ready yet. After a horrific labour and birth it has taken him until DD is 2 years old to come around to the idea.

At 28 weeks with DD, I was diagnosed with GD, it was a shock as in relation to NHS stats, I was unlikely to get it so I had no thought about it.

Also, pretty much within the first couple of weeks they moved me from Diet-managed to Insulin controlled GD so I was having injections for times a day and by the end was up to over 30 units of Insulin before each meal.

Anyway, I want to get myself prepared for the next PG. So should I expect that GD will hit quicker next time around? When do they start to test for it? Will it be before the 28 week mark?

I just want to be armed with as much info as possible.

TIA

I'm just going through this now, although, as I've whinged about on other threads, I'm sure I don't have GD now and I'm not convinced I had it first time round... But I have a high BMI and a type 2 diabetic father so the decision has been made for me

Anyway, I was sent an appt for last week when I was 15 weeks. I've had to monitor my blood sugar 4 times a day and change my diet. Tomorrow I have a follow up appt with the diabetic consultant who will look at my readings, tell me I don't have it but ignore that little fact and set up a plan of action.

They told me last week that if I don't have it then they'll probably still get me to monitor once a day (why ffs?) but if I do then they'll try first with diet control. I also have a GTT booked for 28 weeks.

But, having said all that, a friend of mine is in the same situation and has just had her GTT at 12 weeks. So who knows. The point being, they'll be onto you from the word go...

Bugger bugger bugger!!! Oh well, thank you for the heads-up anyway.

I wish you luck!!

I did get used to it last time, but at least I only had to inject for 12 weeks - the thought of injecting throughout fills me with dread!!

It is awful how it affects your whole attitude to the pregnancy. I was 'diagnosed' (can you tell I haven't let this go yet? :o) at 38 weeks last time so only had 2 weeks of it. This time, as you say, it'll go on for months. I very much doubt that they'll look at my perfectly good readings this time and say "yes that's fine, off you go, have a good pregnancy"

Good luck. Hope it turns out ok for you.

I don't understand it with me. I don't drink, I don't smoke and at my heaviest in PG my BMI was only 24!!! My Mum does have type 2 though and I was 34 for my first PG. Even though I'm not PG, I didn't lose all my baby-weight so my BMI is around 22 I think. That coupled with the fact that I'm over a couple of years older, means it's even worse.

Will I at least be able to avoid the GTT and just do blood readings to get the diagnosis. That horrible GTT stuff just made me feel sick, not great when I've got a sickness phobia!

Oh well, look forward to your LO and keep in the back of your mind that at least you're further on down your GD journey than I am - I haven't even started yet!!

Just to let you know it might not happen at all. I was diagnosed with GD at 37 weeks with DS. This pregnancy I had GTTs at 22 and 28 weeks (was supposed to be at 18 weeks but someone (not me ) forgot. I was the same weight at the start of this preg as with DS with a BMI of 30 (and I'm 36 with a type 2 mum and PCOS). I think I count as a 'classic'...

No GD showed up and I was discharged from consultant-led care. I measured slightly large for dates at my last MW appointment (39 weeks) but have persuaded her that referring me for a growth scan is a waste of time. And hoping to get into labour before anyone else has other ideas...

That's interesting. You were discharged? Y'see, I'm going into my appt tomorrow absolutely confident that I don't have GD. But I have a horrible feeling that won't be the end of it. I'm happy to test randomly and obviously will still have the GTT and the mw will check urine but I just don't think they're going to let me off the hook that easily.

Sorry for hijack HorridCold.

It all seemed pretty easy, to be honest. I did watch what I was eating (up until a couple of weeks back) and MW has done the usual urine testing. I had trace glucose twice but at very low levels so no further action was required. TBH I've generally felt much better in this preg than in the last (apart from morning sickness in the first trimester) and have generally been less tired etc. So I think I definitely had GD last time and don't think that I've had even a borderline case this time...

It's really frustrating because I didn't once test positive for sugar on my urine even though I had GD.

But that is very interesting gruffalo maybe I will be lucky too.

Well I had my appt today. The diabetic witch nurse looked at my readings, said they were very good and they'll see me for the GTT in October, no more monitoring needed unless something crops up. Once I'd picked myself up off the floor I cartwheeled out of there!

Fingers crossed it's straightforward for you too HC.

I was diagnosed with GD at 28 weeks in my first pregnancy after consistent ++ (or more) glucose in urine at AN checks. GTT 2 hour result came back at 9.4. I was also considered not the typical 'type' of person to get it. We managed to control it with diet alone but I was so strict and felt constantly hungry for the rest of the pregnancy - I don't think I was eating enough. Anyway I was induced at 40 w, forceps delivery - baby only 6lb 8oz.

Second time round the consultant kept saying how likely it was to recur but it didn't. I had GTT's at 16, 24, 32 and 35 weeks with results varying from 7.1 to 8.6. My hospital count between 7.9 and 8.9 as impaired tolerance not GD so was left to get on with it. Again I had consistant glucose in urine but no-one worried about it. DS2 was born at 41+2, spontaneous labour - 7lb 13oz.

I'm now 20 weeks pg with no 3 and saw consultant at 12 weeks. He recommended GTT at 16 and 24 weeks and then to review if all is ok. I had the 16 week GTT and heard nothing back so presume all is fine so far.

So, GD in one pregnancy doesn't necessarily mean GD next time although I think it is more likely.

Good luck.