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Old 04-30-2013, 10:00 AM   #31
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Re: Looking for a GD support network

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I have always been told to take fasting immediately upon waking. Our bodies will start burning stored fat to make glucose once we are up and moving. That will make fasting numbers high.
Hmm. I didn't know that. I usually take my sweet time in the morning and blood testing is the last thing I do, but before I eat. Tomorrow I'll try doing it first thing and see if I get a lower reading!

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Old 05-09-2013, 04:58 PM   #32
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Update: At my 18 week appt today the midwife told me that my fasting sugars are all too high (only two have been below 95, the rest have all been 99-110's), so I'm being risked out to OB care with the diabetes clinic and was prescribed metformin to take once before dinner. I understand the reasoning behind it all, but I am super bummed that it means they'll ask me to induce at 39 weeks bc of the increased risk of stillbirth. As much as I'm intrigued by the novelty of having a smaller baby, in not stoked on having labor micro-managed.
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Old 05-09-2013, 05:25 PM   #33
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Re: Looking for a GD support network

Hi Mama, congrats on your pregnancy and sorry to hear about your GD diagnosis. I had GD with both of my pregnancies and needed insulin during both. I too am freaked about needles. It took me 45minutes in the nurse's offiecto give myself an ijection to prove I could do it (they made me but now I would heve said don't worry about me) and never did myself after that. I made DH do it and the few nights he worked late or had something going on, my BFF did it for me. I'd draw everything up and they would give me the shot while I looked away and held a pillow. I've even driven to DHs work to have him give me the injection.

With DD1 I needed 2 shots daily. One an hr before dinner (pm) and the other before bed. With DD2 I only needed it before bedtime to help my morning numbers.

My doctor had me on the Sweet Success program and the paperwork the diatician gave me, along with my daily journal and papers with meals and snack ideas made everything so much easier than I thought. eating out never worked- no matter how good I thought I did, my numbers were high. So I opted not to for those 3 months. I alternated weekly appts with my OB, endocrinologist, dietician and RN. So it was a pain but having weekly check ins to revie wmy daily journal helped. Planning is a HUGE part of it. Don't leave anything to the last minute- snacks, meals, etc. Plan ahead. Exercise is always important. Walk after meals and before you test. It helps. A LOT

Feel free to PM me if you have more questions. Non of my girls had issues upon birth and my numbers were always good once we got the insulin under control. So eating right for 3 months is worth your health and most of all, a healthy baby. My girls were not heavy even though I had GD but I was very good. Many nights having stir fry because it was easy and I always had good numbers. Have a few staple dinners ready for those crazy days.

FYI- with DD1 I was induced at 39wks because they scared me about stillbirth stats. I wish I had not but I knew I was lucky to not end up with a c-section. I had an epidural and had nerve issues for 2 weeks after delivery that affected my right leg. With DD2, I refused to be induced unless I went after my EDD (which is only an estimate anyways as babies can be up to 14 days past EDD as it can be inaccurate). She came naturally at 39wks (guess she knew better- lol). Daily NST in your OBs office are the best route if you want to avoid induction but still check on the baby.
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Old 05-09-2013, 05:33 PM   #34
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Thanks for sharing your experience. I had an induction with my first, which ended in a cesarean bc he was huge and asynclitic. My second was born vaginally and came a day after her due date. I'd really like to go into labor on my own.
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Old 05-09-2013, 09:41 PM   #35
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Have any of you been on metformin? They put me on it today, one 500mg pill at night before dinner, with the goal of prohibiting the liver from doing that late night/early AM glucose dump that it does in some people.

I'm wondering how long it will take for my body to respond and have lower sugars. The midwife practice I was with had to risk me out and send me to the OBs, and so they sent me home with metformin for the week to see how that goes before I go back in next week. I didn't know if one week would be enough to see the metformin take effect, since one forum I found said it takes 3-4 weeks for it to build up in your system and take effect. I guess I'll find out tomorrow morning.
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Old 05-09-2013, 09:48 PM   #36
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Re: Looking for a GD support network

I have not had to take any meds with my pregnancies, so I cannot speak to metformin. I know that I cheat my fasting numbers technically, with my OBs blessing. When I get up to pee at night, I eat one small handful of trail mix (mine is yogurt, nuts, and dried fruit from COSTCO) and a big drink of water. This prevents my body from burning stored fat to make glucose because it thinks its starving. Its this conversion of fat to glucose that results in my fasting numbers being too high since my body always makes too much. If I feed it a little something 2-4 am, I am 90-95 fasting every time. Without, I am 98-107.

I'm sorry to hear your fasting numbers were too high, but a healthy mom and baby are the most important things so if the meds help, then bring them on. Here's to hoping your numbers stabilize quickly and you adjust well to the meds.
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Old 05-09-2013, 09:49 PM   #37
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Quote:
Originally Posted by BeccaSueCongdon
Have any of you been on metformin? They put me on it today, one 500mg pill at night before dinner, with the goal of prohibiting the liver from doing that late night/early AM glucose dump that it does in some people.

I'm wondering how long it will take for my body to respond and have lower sugars. The midwife practice I was with had to risk me out and send me to the OBs, and so they sent me home with metformin for the week to see how that goes before I go back in next week. I didn't know if one week would be enough to see the metformin take effect, since one forum I found said it takes 3-4 weeks for it to build up in your system and take effect. I guess I'll find out tomorrow morning.
I just made the move from insulin back to metformin. I've been on it a couple nights and my fasting is better than it was while on insulin post baby.

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Old 05-09-2013, 10:01 PM   #38
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Originally Posted by bumminbeachbabe

I just made the move from insulin back to metformin. I've been on it a couple nights and my fasting is better than it was while on insulin post baby.

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That's great news!
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Old 05-10-2013, 10:06 AM   #39
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What kind of care provider did you each work with? My midwife practice referred me to their practice's Diabetes Clinic/Perinatologist/Maternal Fetal Specialist. Does this seem normal? I'm very wary of them blowing things out of proportion and getting lost in the "high risk" shuffle. I really do want what's best for me and baby, and if my actual numbers/situation warrants the "big guns" approach then I'll accept it. But theres so much I don't understand yet and I hate feeling like I'm in the dark and just trusting some random doctor to make these huge decisions about my care.
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Old 05-10-2013, 10:18 AM   #40
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Quote:
Originally Posted by BeccaSueCongdon
What kind of care provider did you each work with? My midwife practice referred me to their practice's Diabetes Clinic/Perinatologist/Maternal Fetal Specialist. Does this seem normal? I'm very wary of them blowing things out of proportion and getting lost in the "high risk" shuffle. I really do want what's best for me and baby, and if my actual numbers/situation warrants the "big guns" approach then I'll accept it. But theres so much I don't understand yet and I hate feeling like I'm in the dark and just trusting some random doctor to make these huge decisions about my care.
I saw a dietitian a few times, but my care was managed by my ob.

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