Fed up gestational diabetes

[strawberryswizzler]

33 weeks and can’t cope anymore. I’m on metformin and slow release insulin and no matter what I do I seem to get it wrong. If I eat too little I have a hypo, if I have even a bite too much I have a high reading. MW keeps telling me it must be xyz, e.g. i had 1/4 a packet of micro rice with a meal last week and it sent me to 13.1 and she said this was too much. Next day I had a full McDonald’s meal and had a perfect reading. I can’t get it right. I can’t stay on insulin like this I keep having hypos that seem to happen rapidly - was 5.2 before driving yesterday. Had to pull over half an hour later as felt unwell and was 3.8 within half an hour ?? So had a hypo on the side of the road with 2 kids screaming in the car and dh had to run out and find a shop to get haribos to treat it because I’d forgotten my sugary snacks. I don’t even know what I would’ve done if I’d been out on my own as my eyes were so blurry I couldn’t even get out of the car and I threw up all over myself and the car. I’m fed up. Feel like nobody is listening to me or if they are it’s just ohh diddums well let’s try this insulin let’s try xyz but none of it seems to work 100%. 1 mw made a comment about how they’re so all over are they genuine as if I have any reason to bullshit - I don’t my gd to come across as uncontrolled, I’m desperate for steroids for my asthma but my gp won’t prescribe them because of the gd so why would I lie. I honestly feel like stopping the insulin so I atleast don’t have hypos and blocking their number so they leave mw alone. I feel so flat

Please speak to either an endocrinologist or diabetes educator, definitely not a midwife. You aren’t using fast acting insulin with meals? Long acting shouldn’t cause hypos - you may need to talk to them about perhaps lowering your dose. 3.8 is not ideal but not that low so your reaction sounds potentially extreme. You need to ask a doctor.

It sounds like perhaps you also need to speak to a dietician. The rice resulted in immediate high blood sugars because the meal was lower in fat. It was absorbed quicker. Did you test 3,4 hrs after the McDonald’s? You may have had a delayed high due to higher fat and protein content.

Can you buy a Libre 2 over the counter there? It would be worth the investment so you and your doctor can see what’s going on.

At the end of the day, the easiest way to have better readings and lower insulin needs is to eat less carbs and eat more protein /fibre. Ie 1 slice bread with avocado and egg will give a much better result than 2 slices with jam. It’s hard but it’s only for a few more weeks - some of us don’t get to stop once the baby is out…