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Pregnancy

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

Gestational diabetes diagnosis

29 replies

thunderonlyhappenswhenits · 27/07/2022 14:08

Just been told I have this. Baby was weighing an estimated 3.8lbs at 29 weeks.
Don't know anything about it or what I can and can't eat anymore.

Any info would be great !

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Batbatbatty · 27/07/2022 14:10

They didn't give you any info at the hospital/clinic/Doc's?

Lovelycheesegromit · 27/07/2022 14:13

www.gestationaldiabetes.co.uk
and their accompanying Facebook support page. godsend. Please don’t worry, everything will be fine, key is to go low carb but high fat/protein, nhs dietary advice will have you on medication in no time, absolutely nothing wrong with going on medication but if you want to manage it yourself first go on the above website. I had it in my last pregnancy and I am pretty sure I will have it this time, not a problem just try your best to control it.

Lovelycheesegromit · 27/07/2022 14:14

Yes I’m surprised they haven’t given you any info. I attended a workshop which was mainly bad dietary advice but there was also information about the condition how to check your sugars etc.

Beees · 27/07/2022 14:16

www.gestationaldiabetes.co.uk
and their accompanying Facebook support page. godsend.

This this and this again.

Honestly even if they had given you some information 99% of the time it's outdated and incorrect.

(also waves hello again to Gromit)

thunderonlyhappenswhenits · 27/07/2022 14:17

No I haven't been yet I have to go this Tuesday. The lady who called just gave basic info about a low gi diet.
Why is the nhs diet advice no good ?
Worried about pricking my finger several times a day every day too
I'm worried the baby will be poorly from it too as did some reading about risks and scared myself

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schnix · 27/07/2022 14:23

I had GD with my son, I was so upset and worried a lot as it's quite scary when you read up on it. To be honest, I'm glad it did. It made me really take it seriously. Follow groups on Facebook which give really great meal and snack ideas to try and control your sugars. You'll get used to pricking your finger after a few times. I ended up on metformin because I just couldn't control my morning sugars and was induced 2 days before my due date. Just be sensible in what you eat/drink and you'll be grand.

Lovelycheesegromit · 27/07/2022 14:29

Because they will tell you porridge etc is fine when most women can’t tolerate it as it’s still quite high carb. Or they’ll tell you to eat low fat when the fat is not a problem for your glucose it’s the sugars from carbs. So then many women will follow their advice and feel shit because their numbers are still high. You need to pair carbs with fats and proteins to keep your sugars stable. Like I said the nhs advice won’t get you far, above website can be found on your pregnancy notes so it’s not random advice, everything on there is evidence based, I just wish the nhs would actually learn from it themselves and advise accordingly.

the risks are from unmanaged or undiagnosed diabetes not from managed. That’s what it’s important to control blood sugars whether diet or medication. Insulin may mean you just have more interventions but not always the case. Induction can be more common in case of placenta problems (babies can be too big or in my case low birth weight) but main thing is they keep a closer eye on you with more scans etc.

Lovelycheesegromit · 27/07/2022 14:31

@Beees hello! I think I remember you from the other thread!

Beees · 27/07/2022 14:32

thunderonlyhappenswhenits · 27/07/2022 14:17

No I haven't been yet I have to go this Tuesday. The lady who called just gave basic info about a low gi diet.
Why is the nhs diet advice no good ?
Worried about pricking my finger several times a day every day too
I'm worried the baby will be poorly from it too as did some reading about risks and scared myself

The advice they gave me directly contradicted the advice Jo on the gestational diabetes page gave. If I had followed the NHS advice my readings would have been sky high or I would have spiked before testing. They suggested foods which most people with GD cannot tolerate such as bread and cereal. I was also given a copy of the bloody eat well plate and told to use that to help inform my diet. Hmm

The finger pricks seem daunting but you get used to it quickly and it becomes second nature.

Take some time to read the posts on the Facebook page and digest the information. Remember there are lots of people going through similar and it's nothing you've done wrong, it's just something that happens.

Merryclaire · 27/07/2022 15:22

I’ve had the same news this week. Received my testing kit yesterday and already burned through loads of testing sticks and lancets after getting it wrong so many times! Tip - you need enough blood on the stick!

The changes to diet don’t bother me that much as I only have a few weeks left to go.

It’s definitely upsetting news to hear. But the important thing is to get it managed to minimise impact on the baby.

My LO is already huge and I’m don’t know if I can have a positive impact by managing the condition in just a few weeks but have to try.

From what I’ve read so far, there is a lot of conflicting advice but the main thing I’ve gleaned is to cut out sugar, reduce carbs and always balance the carbs you do eat with protein and fat.

So far my levels have been fine after meals, but had a high fasting blood sugar this morning, which as I understand is the hardest to control.

I’m going to try to follow the advice on the website mentioned above to hopefully reduce this and avoid going on medication, but if I have to take tables or insulin then I’ll just do it as all I care about now is my baby’s safety.

Don’t worry - you’ll be fine. Much better to have it detected, treated and monitored rather than missed.

Pandabuggle · 27/07/2022 16:12

thunderonlyhappenswhenits · 27/07/2022 14:08

Just been told I have this. Baby was weighing an estimated 3.8lbs at 29 weeks.
Don't know anything about it or what I can and can't eat anymore.

Any info would be great !

I'm in same boat Hun. Glucose test results yesterday, been in today for glucose test kit and was told to look on the gestationaldiabetes.co.uk website, which I did last night. However, the info I've come away from GD midwife with completely contradicts everything on the website she directed me to! So no clue what I'm supposed to eat and drink. Except water and non carby veg

Beees · 27/07/2022 16:17

However, the info I've come away from GD midwife with completely contradicts everything on the website she directed me to! So no clue what I'm supposed to eat and drink. Except water and non carby veg

As above. Please follow the website. The info that some trusts give out is so outdated and downright dangerous. Thankfully many have now started to recommend the website and FB page as you've found out yourself. Trust the website and those who have actually been through this not the contradictory info you've been given.

thunderonlyhappenswhenits · 27/07/2022 16:27

Can't believe they're telling ladies certain advice that is contradicted elsewhere, as if it isn't a confusing enough time being given a brand new diagnosis and not knowing where to start with it !

I already have a diabetes cookbook which I'll try and get some inspiration for meals from.
And will 100% check out the website.
Interested to hear what they say at the hospital Tuesday now after hearing this !

Can I not eat sugar at all now ?? It's going to be so hard I've really indulged this pregnancy Blush

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TickTockBaby · 27/07/2022 16:35

Congratulations on your pregnancy.

I was diagnosed with GDM during the third trimester when pregnant with my DC2.
I was overweight before getting pregnant and over indulged during pregnancy, I managed it with diet and activity, and didn't need any meds.
I cut down on my carbs, cut out snacks, looked out for hidden sugars and moved more- even just 20 minute walks after meals.

www.diabetes.org.uk/resources-s3/2017-08/0302A-gestational-diabetes-guide-0915.pdf

thunderonlyhappenswhenits · 27/07/2022 18:03

Thank you everybody.

My level was 8.1 - isn't this quite low ? I'm feeling confident because of this I hopefully can avoid any medication.

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Beees · 27/07/2022 18:16

thunderonlyhappenswhenits · 27/07/2022 18:03

Thank you everybody.

My level was 8.1 - isn't this quite low ? I'm feeling confident because of this I hopefully can avoid any medication.

8.1 is quite high. Was that post meal or your fasting level (testing before eating)?

I've just double checked what my targets were:

Below 5.3 for my fasting level
No higher than 7.8 post meal

Sime trusts vary but I think the above is average.

thunderonlyhappenswhenits · 27/07/2022 18:22

@Beees I have no idea, but the lady said the cut off was 7.7 so im only just over 🤷🏼‍♀️

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thunderonlyhappenswhenits · 27/07/2022 18:22

@Beees all I know is I had 2 blood tests. One in the morning after fasting from 10pm the night before and then had the glucose drink then waited two hours and had the second blood test

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minipie · 27/07/2022 18:29

As others have said the real key is low carb. Especially avoid high GI carbs like bread, baked goods, cereal, white rice, mashed potato. Very sweet fruit like pineapple is also a problem.

Some people find small amounts of low GI carbs are ok (like new potatoes, pulses, oatcakes). But it varies from person to person what causes a spike and what doesn’t. You might need to experiment a bit.

Tbh I found that cutting out carbs pretty much altogether (except the carbs in veg) was easier. So most meals for me were just protein plus veg. Snacks were nuts, avocado, cheese, hard boiled egg, salami. I found snacks between meals helped avoid spikes.

Glucose Goddess on instagram has loads of tips for avoiding blood sugar spikes - she wasn’t around when I had GD, but I imagine her tips would help here too. A few of her tips to help avoid spikes that I can remember: eat the veg/salad at the start of a meal rather than the end. If you do eat carbs, have them with some fat or protein, not on their own. Add vinegar or lemon juice (eg in salad dressing or pickled food) to a meal. Go for a short walk or do some other exercise after a meal.

Having said all this, some women just can’t control their levels with diet alone and need medication - and that’s ok! (Though does affect birth choices eg more likely to be induced).

The most important thing is monitoring your sugars and keeping them fairly well controlled. All the dangers you’ve read of are from uncontrolled GD.

Beees · 27/07/2022 18:33

thunderonlyhappenswhenits · 27/07/2022 18:22

@Beees all I know is I had 2 blood tests. One in the morning after fasting from 10pm the night before and then had the glucose drink then waited two hours and had the second blood test

Ah so the tests I refer to are for when you have the finger prick testing machine.

The results you have of 8.1 from your glucose test were what have determined you have the gestational diabetes as it is above the level expected for 2 hours post drink.

Hopefully by following the dietary advice and the recipes when you do eventually have the testing machine your levels will fall within the targets they set you. You should get these targets and be able to discuss them at the appointment where you get given the machine.

CaptainCarp · 27/07/2022 18:34

@thunderonlyhappenswhenits in terms of diabetes the levels are "low" but you kind of have to be stricter with GD than if you had type 1.
My test result was 7.9 so literally just over as the levels I had to stick to we the same as Beees.

Reading here I'm glad my trust (Dudley) gave good info!
Don't go for low fat products as these often contain extra sugar/carbs to make them taste better.
Keep carbs to 40-50g per meal & up protein, fat & veg. Try to eat your veg & protein 1st then you are likely to eat less carbs & feel fuller.
Try to fit a 10min walk in after every meal, or I found doing a fast 20 min walk before lunch also really helped my levels.

Don't be upset if you do need medication such as metformin as it's hormone driven & often you can't control it as you get extra hormones from the placenta at certain weeks of pregnancy.

I ended up on 2 doses of metformin a day (morning & night) otherwise diet/exercise controlled. Baby was induced a week early because they seemed desperate to get them out. Born a healthy 7lbs 1 & had no issues with blood sugar levels.

thunderonlyhappenswhenits · 27/07/2022 21:08

It all sounds so confusing but I'm sure I'll get the hang of it.
I feel abit gutted that I suddenly have to overhaul my very indulgent diet I've had Blush just don't know here to start !
I've had such a craving for oranges this pregnancy, you know the kids ones the easy peelers. Are they really high in sugar ?

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Beees · 27/07/2022 21:14

thunderonlyhappenswhenits · 27/07/2022 21:08

It all sounds so confusing but I'm sure I'll get the hang of it.
I feel abit gutted that I suddenly have to overhaul my very indulgent diet I've had Blush just don't know here to start !
I've had such a craving for oranges this pregnancy, you know the kids ones the easy peelers. Are they really high in sugar ?

It can feel very daunting but after reading and doing it for a while it does become second nature. I also found the subscription for recipes was a life saver especially at the beginning as it took all the guess work out of the situation.

Sadly oranges are very high in sugar and most people with GD cannot tolerate them even if they are paired with something like nuts.

Mycatsgoldtooth · 27/07/2022 21:15

Try not to fret too much. I controlled mine with diet until the last few weeks then took metformin. I’m not sure it made any difference tbh as my bloods remained the same as before I was taking it. I was induced at 37 weeks as the baby was so big.

Pandabuggle · 27/07/2022 21:44

thunderonlyhappenswhenits · 27/07/2022 21:08

It all sounds so confusing but I'm sure I'll get the hang of it.
I feel abit gutted that I suddenly have to overhaul my very indulgent diet I've had Blush just don't know here to start !
I've had such a craving for oranges this pregnancy, you know the kids ones the easy peelers. Are they really high in sugar ?

You're due October aren't you? I'm due 15th, think I recall seeing your name in that group.

I'm trying to get my head around it too. It's very new to us both so think once we've had a chance to process and some readings under our bumps we'll be alright. I think citrus fruits were on the ok list, I've had cravings for everything pineapple, not something I'll be able to have now, and apparently shouldn't have been anyway as I'm on aspirin and the bromaline in it isn't good when on 'blood thinning' meds.

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