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Gestational Diabetes - First Timer


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#1 BrisbaneGal

Posted 02 March 2016 - 10:32 AM

Hey guys, my doctor has diagnosed me with gestational diabetes (had to do the GTT test at 6 weeks with morning sickness and no food in my stomach - a nightmare) but I'm a bit dubious - I've always had hypoglycaemia when I get hungry, and I've been tested for diabetes before (negative). The only abnormal reading was when I was hungry, which fits with my normal hangry state - low blood sugar.

Could I have been mis-diagnosed? I guess I will chat with a midwife when I get my hospital appointment in a few weeks and get a second opinion.

Edited by BrisbaneGal, 02 March 2016 - 10:34 AM.


#2 Yeahidunno2or3

Posted 02 March 2016 - 11:15 AM

Isn't it always done as a fasting test? Did you do the glucose drink test?

#3 VCH

Posted 02 March 2016 - 11:24 AM

Edited to add - I came in from the "We are discussing" - I just feel very passionate about GD having now experienced it! I still feel a lot of anxiety about the harm GD might have done to my baby if it wasn't caught so early!



I was diagnosed at 12 weeks and had been experiencing HG from 7 weeks.

In the days leading up to the test I was eating only toast, because it was all I could stomach - I thought that this might have been why I was diagnosed with it.

However, as I started daily testing, and the HG started to ease around 18 weeks, I could see that my levels were still really high - especially my fasting levels which can be difficult to control with diet and exercise. At 20 weeks I started on Insulin before bed.

I am now 33 weeks and I'm on insulin 4 times a day.

I'm now glad I found out early because it means I've had the best diet for GD though the majority of my pregnancy, and I was able to catch the hormonal increases early - meaning I could start insulin at the best time for my body.

I've been lucky and at all my growth scans, bub's has been measuring on target, and her stomach is in proportion (meaning her sugars seem to be under control). But I think this is because I have been so strict and caught it early.

Don't discount it just yet, and seriously, testing 4 times a day is nothing, and the easiest way to see how your levels are going... even if you are controlling with diet and exercise - at least you know!

Edited by VCH, 02 March 2016 - 11:27 AM.


#4 AlmondButter

Posted 03 March 2016 - 07:27 AM

I've had GD in a previous pregnancy & it really wasn't that bad in my case. The finger prick tests aren't that fun but you get used to them. The risks to you & the baby from uncontrolled high blood sugar levels mean that it's something that should be taken seriously.
Mine was diet controlled & I believe that healthy eating and exercise until delivery was why I felt so energised during pregnancy. So it's not all bad!
All the best with the rest of your pregnancy :)

#5 Naimed

Posted 03 March 2016 - 03:30 PM

Hi BrisbaneGal (FYI: I'm from Brisbane too)

Mis-diagnosis is always a possibility, but from my experience being pregnant really impacts my ability to digest food and control my Blood Glucose. I was originally diagnosed with Diabetes in 2012, and the only times that I have had to rely on insulin to control how I feel has been during pregnancy. It is amazing how much the pregnancy hormones negatively affected my BG levels.

My point being that even if your results have been impacted by your toast diet in the days leading up to the test, I’m sure more focus on your diet until a second test couldn’t hurt. Pregnancy can push someone with pre-diabetes into GB or diabetes because of the big impact the hormones have on your system.

My pregnancy is being monitored by an Endocrinologist, Dietitian & OBGYN specialising in diabetes …….which is expensive & exhausting – so I’ll give you their advice for free J

In very simple terms……
·         Try to eat low GI carbs, small protein servings, lots of fresh leafy veggies, lots of water & the less processed food the better (kind of like the Mediterranean diet with a focus on making sure you get enough iron).
·         Eat regularly throughout the day (I eat 6 times a day).
·         Keep snacks around 10g – 20g carbs total.
·         Check BG first thing in the morning, before each meal & 2 hours after each meal.
·         Trick your mind into thinking that “approved” foods are treats (this one’s hard – I still have an occasional black tea with mint as a treat & sometimes I’ll take a sip of my husband’s coffee).

Stay away from L-  processed food, white bread, rice, pasta, high GI fruit, fruit juice, full strength cordial, soft drinks or milk, pastry & sweets.

Related to your diet… make breakfast a priority (this has been CRITICAL for me being able to reduce my BG spikes).

Diet ideas:
Breakfast:
An egg with veggies or salad (e.g. spinach, asparagus etc.)
& a slice of cheese
& 1 piece of rye Burgen toast, spread toast with tahini or natural peanut butter & sprinkle with some seeds.
Water.

Snack & Supper ideas:
·         Veggies & dip (if below carb requirement add a Rye or Wholegrain Ryvita)
·         20g carb nuts.
·         Low GI fruit (pear, apple, med banana).
·         Low GI crackers and cheese dip 20g carb.
·         Lettuce sandwich.
·         Low GI, low cab protein bar.

Lunch & Dinner:
Protein (palm sized serving only) & with veggies or salad (if below carb requirement add a Rye or Wholegrain Ryvita or 1 piece of rye Burgen toast).

I know the above sounds kind of strict, but it’s just for a while & after a while you’ll be used to it.

#6 BrisbaneGal

Posted 09 March 2016 - 10:11 AM

View PostNaimed, on 03 March 2016 - 03:30 PM, said:

Hi BrisbaneGal (FYI: I'm from Brisbane too)

Mis-diagnosis is always a possibility, but from my experience being pregnant really impacts my ability to digest food and control my Blood Glucose. I was originally diagnosed with Diabetes in 2012, and the only times that I have had to rely on insulin to control how I feel has been during pregnancy. It is amazing how much the pregnancy hormones negatively affected my BG levels.

My point being that even if your results have been impacted by your toast diet in the days leading up to the test, I’m sure more focus on your diet until a second test couldn’t hurt. Pregnancy can push someone with pre-diabetes into GB or diabetes because of the big impact the hormones have on your system.

My pregnancy is being monitored by an Endocrinologist, Dietitian & OBGYN specialising in diabetes …….which is expensive & exhausting – so I’ll give you their advice for free J

In very simple terms……
· Try to eat low GI carbs, small protein servings, lots of fresh leafy veggies, lots of water & the less processed food the better (kind of like the Mediterranean diet with a focus on making sure you get enough iron).
· Eat regularly throughout the day (I eat 6 times a day).
· Keep snacks around 10g – 20g carbs total.
· Check BG first thing in the morning, before each meal & 2 hours after each meal.
· Trick your mind into thinking that “approved” foods are treats (this one’s hard – I still have an occasional black tea with mint as a treat & sometimes I’ll take a sip of my husband’s coffee).

Stay away from L-  processed food, white bread, rice, pasta, high GI fruit, fruit juice, full strength cordial, soft drinks or milk, pastry & sweets.

Related to your diet… make breakfast a priority (this has been CRITICAL for me being able to reduce my BG spikes).

Diet ideas:
Breakfast:
An egg with veggies or salad (e.g. spinach, asparagus etc.)
& a slice of cheese
& 1 piece of rye Burgen toast, spread toast with tahini or natural peanut butter & sprinkle with some seeds.
Water.

Snack & Supper ideas:
· Veggies & dip (if below carb requirement add a Rye or Wholegrain Ryvita)
· 20g carb nuts.
· Low GI fruit (pear, apple, med banana).
· Low GI crackers and cheese dip 20g carb.
· Lettuce sandwich.
· Low GI, low cab protein bar.

Lunch & Dinner:
Protein (palm sized serving only) & with veggies or salad (if below carb requirement add a Rye or Wholegrain Ryvita or 1 piece of rye Burgen toast).

I know the above sounds kind of strict, but it’s just for a while & after a while you’ll be used to it.

Thanks for the comments guys, all helpful :) I guess I was in denial a bit :) I will eat sensibly (should really anyways shouldn't we!) and make sure I exercise (bit hard with constant nausea at the mo!) and hopefully that will help BG. Doctor has given me a finger pricker so that's good.

Thanks :)




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