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Old 07-23-2013, 06:55 PM   #1
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Gestational Diabetes Question

I passed my glucose test over a week ago, but there's just some curiosity lingering in the back of my mind. My baby boy is measuring 3-4 weeks ahead and I have excess fluid. With a history of PCOS/insulin resistance, I know I'm at a greater risk. So this morning I checked my fasting blood sugar when I woke up. It was 103. Should I be concerned?

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Old 07-23-2013, 06:57 PM   #2
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Re: Gestational Diabetes Question

Yes, You should keep testing on occasion. It is possible it will continue to rise and you will still tip over the edge into diabetes. Fasting sugars should be under 90 and it is the first number to go out of whack.
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Old 07-23-2013, 08:30 PM   #3
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Re: Gestational Diabetes Question

I would be a little concerned with a fasting number that high. Did you pass the 1-hour, or the 3-hour test? I understand that using a threshold of 140 for the 1-hour, 80% of GD cases will be detected, while using a threshold of 130, 90% of cases will be detected. So even if your doctor used that lower threshold, it still seems there is a fair chance to have GD that is not detected because you passed the 1-hour test. I would consider asking the dr to order the 3-hour test for you so you can get a better idea of what is going on. You'd already be failing or close to it for 1 reading if your fasting is over 100.
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Old 07-24-2013, 07:03 AM   #4
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Re: Gestational Diabetes Question

It was actually a two hour test. I'm seeing a midwife, so it's a little different than the standard 1-hr test an OB would do. I'm going to keep checking my sugar periodically and record them. I'll take them to my midwife at my next appointment and see what she thinks. Thanks ladies!
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Old 07-24-2013, 11:54 AM   #5
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Re: Gestational Diabetes Question

I would continue recording your sugars and speak with the midwife about them. I know they want my fasting sugars under 90 but I haven't had a single one that low since my diagnosis. I'm on insulin now and am happy to see anything under 110 honestly. But my baby girl is only measuring about 6 days ahead and my fluid was right on. My fasting number was definitely my biggest problem. I could control the rest of my numbers with diet but there just isn't anything you can do to control that fasting number short of taking insulin.
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Old 07-24-2013, 05:03 PM   #6
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I have GD and my fasting numbers are supposed to be under 95.
I can control rest of the day by diet and usually they are good numbers.
I'm on insulin over night and I still can't get every morning be under 95
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Old 07-25-2013, 08:23 AM   #7
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Re: Gestational Diabetes Question

Since you have the tester, I'd go ahead and keep track of your blood sugars and bring them to the midwife just in case, but a normal fasting glucose level is anywhere from 70-100 mg/dl (according to MedLine Plus which is a website from the National Institute of Health). http://www.nlm.nih.gov/medlineplus/e...cle/003482.htm

It's actually normal for women to have at least some insulin resistance, meaning a slightly higher blood sugar level, because your baby needs a little extra. Since your number is so close to the normal target range (plus with your passing the 2-hour test), it's probably not going to be a cause for concern to your health provider, unless they are the nervous nellie type. There's actually a theory out there that it's not necessarily gestational diabetes that causes a big baby but that a big baby that causes gestational diabetes because they baby is bigger and needs more sugar, nutrients, etc. to grow properly.

Still, it's worth keeping track since you have the supplies and talking it over with your midwife.
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Old 07-26-2013, 11:11 PM   #8
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Re: Gestational Diabetes Question

Yes, fasting of 103 is concerning. There are lots of things you can try to control your fasting number BTW. Are you getting that number, eating a high protein snack within one hour of bedtime? Have you tried a small snack in the middle of the night to help prevent the morning sugar dump? I eat yogurt before bed or a small amount of ice cream, and a handful of trailmix (the nuts and berries and yogurt kind - no sweets or chocolate)at night when I get up to use the bathroom. I successfully keep my fasting under 90 this way. Any variation immediately throws me to 95-98. 103 is not considered a near miss for fasting numbers, that's considered a problem to be that far off. I'm in my fourth pregnancy with GD, none requiring any medication at all. For some people, diet and exercise are sufficient along with careful monitoring. One thing you can do, is try to glucose gorge a couple of times and see what happens with your two hour reading. I would drink a glass of orange juice for breakfast with a pancake or waffle or something and test at two hours. For dinner, have a plate of pasta and something for dessert. Test at two hours. Without GD, you should be able to sugar load and still be under 120. With GD, a sugarload meal quickly puts you in the 120+ category. The diabetic clinic I use finds this to be the truest test of whether you have GD or not.
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Old 07-27-2013, 06:44 AM   #9
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Re: Gestational Diabetes Question

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Originally Posted by bazil323 View Post
Since you have the tester, I'd go ahead and keep track of your blood sugars and bring them to the midwife just in case, but a normal fasting glucose level is anywhere from 70-100 mg/dl (according to MedLine Plus which is a website from the National Institute of Health). http://www.nlm.nih.gov/medlineplus/e...cle/003482.htm

It's actually normal for women to have at least some insulin resistance, meaning a slightly higher blood sugar level, because your baby needs a little extra. Since your number is so close to the normal target range (plus with your passing the 2-hour test), it's probably not going to be a cause for concern to your health provider, unless they are the nervous nellie type. There's actually a theory out there that it's not necessarily gestational diabetes that causes a big baby but that a big baby that causes gestational diabetes because they baby is bigger and needs more sugar, nutrients, etc. to grow properly.

Still, it's worth keeping track since you have the supplies and talking it over with your midwife.
That is not normal levels for pregnancy though. Pregnancy changes our body significantly and the average fasting #s are lower.
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Old 07-27-2013, 06:47 AM   #10
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Re: Gestational Diabetes Question

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Originally Posted by GEMQEMCABOOSE View Post
Yes, fasting of 103 is concerning. There are lots of things you can try to control your fasting number BTW. Are you getting that number, eating a high protein snack within one hour of bedtime? Have you tried a small snack in the middle of the night to help prevent the morning sugar dump? I eat yogurt before bed or a small amount of ice cream, and a handful of trailmix (the nuts and berries and yogurt kind - no sweets or chocolate)at night when I get up to use the bathroom. I successfully keep my fasting under 90 this way. Any variation immediately throws me to 95-98. 103 is not considered a near miss for fasting numbers, that's considered a problem to be that far off. I'm in my fourth pregnancy with GD, none requiring any medication at all. For some people, diet and exercise are sufficient along with careful monitoring. One thing you can do, is try to glucose gorge a couple of times and see what happens with your two hour reading. I would drink a glass of orange juice for breakfast with a pancake or waffle or something and test at two hours. For dinner, have a plate of pasta and something for dessert. Test at two hours. Without GD, you should be able to sugar load and still be under 120. With GD, a sugarload meal quickly puts you in the 120+ category. The diabetic clinic I use finds this to be the truest test of whether you have GD or not.
Good advice. I would also test at 1 hour. It should be under 140. I am often sky high at 1 hour and drop rapidly so I am normal or low at 2 hours. Makes me sooooo sick.
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