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Gestational Diabetes #64
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Posted 11 April 2012 - 03:57 PM
Another question for you all in the hope we may be able to share tips and tricks.
I have been advised to start expressing colostrum and gave it my first go today. Am very proud of myself that I got 1ml! A tiny amount but I am sure it will increase as I get more practice.
Is anyone else doing this? If so, how are you collecting it? My DC advised me to express on to a sterile spoon then "suck up" the colostrum in to a syringe, but I found this really difficult as there was so little.
Posted 11 April 2012 - 06:14 PM
Please be advised, I've not been advised to express yet but thinking you might find it easier to do so into a little medicine cup, should be easier to syringe up than from a spoon.
Can I ask why you definitely need to be induced? I really want to avoid induction if possible.
Had a reading of 7 after lunch today after trying so hard fell into a false sense of security and had loads of sweet chilli sauce and half a roll with my lunch. Bad idea, sweet chilli sauce has so many carbs oops.
I hate having to call up for one just bad reading. I now have to try a bit harder for dinner, but I have no food and nothing planned. It's after 6 and yesterday I really hurt my ankle so haven't left the house, poo.
Posted 11 April 2012 - 06:39 PM
Scan today and all is looking good. Fluid is still around 8.5, bub is head right down, back to my right side and bum smack bang in the middle of my ribs, feet and arms to the left. She's also slowed down a little bit and is measuring on average 1 week ahead, so 33 weeks, approx weight of 4pd 13oz, or 2.18kg and is on the 83rd percentile. So in two weeks she's gained just under 200gm. I've got my OB appointment tomorrow and I plan on trying to discuss due dates or induction plans and I'm hoping that they're open to negotiation about it! Hopefully they send me for another scan at 34 or 36 weeks to check on things again before she arrives. Big relief that she's not powering ahead with growth though!!!
Welcome Preachers Wife, hope you had a good Easter break
Chiara Glad to hear everything is healthy with bub! Good luck for your next scan
Chelara Yes I survived Easter, it's silly but I'm not really a sweet tooth so avoiding chocolate and sweet things isn't really a problem for me, its the heavy savoury carbs like chips that are my downfall!
Expressing I've never been told to express and collect before birth, but have been told to express a bit each time I'm in the shower (the warm water helps). I do this pretty early on so now at 32 weeks I have a decent amount that I can get out. Even though breastfeeding is extremely difficult for me with supply, colostrum levels have always been good. Last time bub was too sleepy to attach properly so I had to express, and managed to get almost 2ml out of each side. I second the medicine cup idea too. Also be careful as nipple stimulation can bring on contractions.
Levels My morning levels are really getting to me, I am up to 20units overnight and still can't get it under 5.0 in the mornings, I am totally blaming the amount of pain I am in and lack of sleep I am getting, I just hope that they're not too cranky at me at my OB appointment tomorrow.
Edited by MickeyBoo, 11 April 2012 - 06:40 PM.
Posted 12 April 2012 - 10:18 AM
Hello again everyone,
quick reminder I am formerly ChiaraB. Someone from highschool found me on here this the name change.
Induction: I've been advised that I will not be allowed to go after 40 weeks due to the high amount of insulin i'm on (20 overnight and 8 in AM...which reminds me I have to get that one in). At the moment the date will be based on how big he gets...so at the last ultrasound he was tracking at 90th percentile: if he gets bigger, earlier induction, smaller, later induction. I am really hoping to avoid induction too so have started all the old wives tale tricks! Am feeling hopeful as it appears that "things are happening": on and off period pain and (TMI) my bits are humungous.
MickeyBoo: Like you I am on 20 overnight and cannot get below 5 at fasting. Today I was 6. It has been like this throughout the pregnancy but - strangely enough - appears to get worse as the insulin dose increases. I think it is just because I am getting more pregnant. Dinner is also becoming very problematic and lunch is creeping up too. I have a feeling I will be put on short acting as of today.
Chelara: Can I ask how far along you are? I have found that as the pregnancy progresses sometimes there is nothing I can do to control the levels. This appears to go through phases: medication will go up, good levels for 3 days or so, then will go out of whack again. I know exactly how you feel though: last night I had what I thought was one of my "safe" dinner meals and ended up with a 9.2
Expressing: Essentially i'm expressing and storing in the event my milk comes in late and the LO needs to feed and/or is born with low sugars. I stalked these boards for old threads on expressing colostrum and consensus appeared to be expressing straight in to the top of the syringe and then reinserting the plunger. This was great for collection but I stupidly spurted it all back over myself when putting the plunger in - DER (there needs to be a baby brain smiley, seriously: in the interim this will suffice ).
Posted 12 April 2012 - 12:12 PM
Had my appointment with the endo and she was really good. Gave me a script for insulin, but won't need to fill it until I've had a week or so to get levels sorted. It's a bit easier this time, I'm better at using the monitor and knowing what triggers high results (no rice for me!). She even said I didn't need to go to the diabetes clinic if I was happy not to (yes) as I was clearly sensible. But it is easier to call them for an appointment than trying to reach the dr.
My fasting levels are a bit high (high 5's, low 6's) and that's with a decent supper. I managed to get away with just four units before bed with my last preg to keep it under five, hopefully again?
I've always been under private OB care, so not sure about inductions/high risk. I'm having my third Caesar also, no help there either. I haven't ever been told to express, and have BF both mine til 12 month, with milk coming in about day 3. DD (my first with no GD) had 10 MIL's of formula about 12 hrs before my milk arrived as she was just too hungry. I've also been pretty bad at expressing even when breastfeeding was established.
Heading to the Easter show tonight, which won't be as much fun without being able to scoff fairy floss on the train home, but the kids are very excited!
Posted 12 April 2012 - 06:25 PM
pleasebeadvised I am 34 weeks I think, geez I've forgotten, due 26th May. Thanks, that makes sense re the induction. I am not on insulin or meds so just going with diet for now. I am pretty strict with carbs, advised at first clinic that I should have 17 serves of carbs per day. I am finding about 11 to be more accurate, I am also accounting for foods that don't seem to contribute according to the diet plan ie pumpkin is meant to not count, well I have to account for it. Upping my protein has helped the most. My safest meals at definitely plain old meat n 3 veg though things like lentils and legumes, even though they have carbs seem to keep my levels down. Tacos with mince and kidney beans is great for example and I can easily have 3 with a low reading.
I can have rice but am strict on 2/3 rds cup cooked. I measure it out. It s sauces that get me, too easy to underestimate how much I've used. I have only been having basmati rice too, meant to be lower gi.
Does anyone know whether, if it comes down to it bubs can have glucose rather than formula? Not sure what's the best but I really wan to be successful in breastfeeding. I am no good a expressing either it will certainly attempt to if it's advised.
I see my Ob on Tuesday so will try to get some answers from him as well.
Posted 12 April 2012 - 07:32 PM
I had my OB appointment today and got to see the Head OB who is really lovely She was happy to bump my due date up to match my NT scan date, so I'm officially 33 weeks tomorrow and due date is 1st June now. Really quick way to shave a week off your pregnancy!
I have to have fortnightly scans as there's still some worry over fluid levels being too low and bubs growth, going off of the scans I've had already there is some concern that she may plateau and start to stop growing well, but I have another scan in two weeks which will give a better indication. Induction is all set to be booked for 17th May, at 38 weeks, so just 5 very short weeks! (unless bub is not doing well then it'll be at 37 weeks instead) I only have two antenatal clinic appointments left so hopefully it all just flies by Getting very excited now!
Glucose/Formula I may be wrong, but I understood that glucose was administered via a drip, which was only used as a last resort and something that you wouldn't want to put bub through unless dire circumstances. I have wanted to breastfeed the last two times and was able to do just a colostrum feed , for #3 to get the right levels, but #4 just wouldn't get over that line so he had a colostrum feed and then about 10ml of formula after one feed and he was fine for the next feed and we were allowed to go home. My milk came in very soon after that so he kept on improving. I'd say that policy changes hospital to hospital so it might be better to ask now and know where they stand.
Yep Chiara, I said to the OB today that I was getting increasingly disappointed that I couldn't get my levels down and she said that its all hormonal and there's not a lot I can do, especially if my after meals levels are so well controlled. Just have to deal with what comes I suppose! I'm just hoping that it plays out the same way as my other pregnancies, it tends to hit it's peak at 34 weeks and then starts to ease off. So one more week to go hopefully!
These next few weeks are going to be interesting for everyone I think!
Posted 12 April 2012 - 09:44 PM
Well Easter show was fun but a GD fail! I tried really hard not to succumb but ended up with a hot dog (really there were no good food choices). I tested on the train on the way home and it was over 8!!!
Will try very hard tomorrow!
Posted 14 April 2012 - 09:59 AM
Hi girls hoping I can join in here. First of all I have to appoligise for any typos and errors. I'm typing this from hospital on my iPhone.
I'm 30 weeks and was diagnosed at about 25 with gd.
I'm currently in hospital and have been for 2 nights now, it doesn't look like I will be going home anytime soon with the levels I had this morning and last night.
So basically they are saying I have out of control diabeties I'm also on metformin 500 twice a day.
My levels are 99% of the time above the acceptable levels.
Im positive they though I was cheating or not eating what I was supposed to eating as they were suprised that on
Their diet my levels are still high.
Today they have me testing just before eating and then the 2 hours after.
Yesterday my levels were like this......
B fast 7.2
Random they requested at 10 which was an
Hour after a snack 6.8
This morning my fasting level was 6.5!
I guess I'm hoping someone else has been through something similar. From what I hear it's likely I will start insulin, if this happened to you did you have to stay in ling ? As I hear they Like to keep you a few days to make sure the levels drop.
Posted 14 April 2012 - 12:28 PM
Great the day just gets better and better 9.1 after breakfast, which is what they served me. Allbran 1 bit bird seed toast with vegemite. No fat no sugar yoghurt and water!
Posted 14 April 2012 - 02:45 PM
Just wondering if I could join in too? I am almost 35 weeks (due 21 May) and was diagnosed with GD at 20 weeks. I am currently on insulin (novomix 30) and take 36 units in the morning and 22 in the evening before dinner - and I am pretty sure they will up the dose on Tuesday when I go back to the clinic as my levels are under control but only just (getting lots of 6.8's and 6.9's which are just barely under their limit of 7.0).
~nikki~ - I did not get admitted to hospital at all. They just sent me to the diabeties educator who explained all about the diet etc, showed me how to inject, gave me the script and sent me home I just have to ring the clinic if I get 3 readings in 5 days above 7.0 2 hours after eating, or over 5.5 fasting so they can adjust my insulin level. They also get me to come to the antenatal diabeties clinic each fortnight where they check my record book etc and they do any adjusting of insulin, diet then.
I have also found that many of the 'safe' foods give me really high levels. The only bread I can eat is the tip top 9 grains bread, and breakfast everyday is kellogs sustain - anything else for breakfast and my levels are insane all day!...its just trial and error really to see what your body can and cant handle.
Has anyone else found they are getting huge bruises where they inject? I am sure the doctors must think someone is beating me up!
Posted 15 April 2012 - 07:46 PM
I got the diagnosis of GD last Thursday. Spent Friday afternoon at the specialists, and had a lot of blood tests etc, learnt how to use the monitor etc. At this stage she is confident I can control it with diet alone, and I probably won't need insulin at all. No guarantees of course.
Readings were all good on Friday and yesterday, but today they are way over. I have the flu, and am feeling really rubbish, and didn't get a lot of sleep last night. The doctor said this can have an impact on my levels, so I'm hoping that's all it is.
I'm finding the diet really difficult. I am gluten free as well, and so all my portions are different to what they allocate on the diet plan. I feel like I'm just not eating enough, but I'm not sure what I can eat. I see the dietician tomorrow, so hopefully that will help.
I'm feeling really overwhelmed by it all at the moment.
Posted 16 April 2012 - 07:27 AM
~nikki~ Sorry to hear you have been admitted. I find that quite unusual as I have been having levels similar to yours. At the moment I am seeing an endocronologist at the hospital on a weekly basis and phone her once a week to check my medication levels (insulin 24pm 9am) are spot on. I also have a diabetes educator/midwife I can access. I'm also monitored by a midwife weekly and OB fortnightly. I hope your levels are sorted soon and you can go home: it's scary sometimes when you can't manage them.
domlachlan Welcome! I was getting bruises as well, until I got used to injecting. I also found it has got more painful as the dose has increased. The trick is to make sure you are putting the needle in at a right angle to your belly and not moving it once it is inside.
MAtthias' Mum GD is so overwhelming! I know exactly how you feel, and I'm not finding it gets easier I hope the dietician can give you a hand.
Posted 16 April 2012 - 08:25 AM
Preachers Wife You did well not to give in to all the other yummy things there as well!
Nikki I can't believe that they have put you in hospital! I have heard people being hospitalised for GD but they have been completely out of control, on loads of insulin and they have really put them in there to monitor diet more closely etc. I'm really surprised that they haven't started you on insulin to control your levels first because metformin can be really unreliable with controlling levels that are consistently high. I hope that they get it sorted soon so you can go home.
And if I ate all that for breakfast my levels would be sky high as well. I have two pieces of multigrain toast with vegemite and a cup of tea to get back high 5's and if I add cheese then it goes mid 6's.
Welcome domlachhan I never used to get bruising unless I went in on an angle, but have found with the higher 20unit overnight dose that I am getting a bruise each time, my stomach is looking very spotty!
Matthias' mum I hope that the dietician can give you some answers, I don't have a clue when it comes to gluten free so am not much help! But if you do feel hungry then you can eat more of the 'free' foods that you know you don't react to to fill you up. I sometimes zap a steam bag of vegies and munch on them
PBA Hope you have a good week this week!
AFM School holidays are over and the house can return to normal! I actually have no appointments this week which is a first for a long time, so I plan on becoming a vegetable and enjoying my couch as much as possible LOL My SPD has really flared up this week and walking/lifting my feet/getting up and down is becoming increasingly painful so I'll be glad of the break! I also booked us a family beach holiday for the last week in April, we haven't had a family break in three years, so I'm looking forward to just relaxing with everyone and enjoying the time before new bub arrives. I'll be 36 weeks exactly when we leave and it's only 1.5 hours drive away so hopefully bub behaves and stays put! Anyway, better go do the school/kindy run!
Posted 16 April 2012 - 03:17 PM
Ladies, just a quick question. Levels after meals have been (99%) good, usually between five and six, but I haven't had a fasting level under five yet. I've been testing since last Wednesday, so not quite a week. With my last pregnancy I needed insulin for overnight, to get good fasting levels and expect the same now. Should I make an appointment this week to see the diabetes nurse educator, or wait until next week (tues) to see the endo??
Matthias Mum hope the dietician had some advice, I'm not gluten free, so not much help either. I know it did take me a few days/a week to adjust and start eating at strict times with meals and snacks, rather than grazing through the day as I normally would. I found keeping some snacks like raw vege sticks in the fridge to grab and a huge bottle of water around good. A swig of water seems to keep the craving at bay.
Nikki I hope you're home soon, hospital can't be fun. That also seems like a lot for breakfast. Ivebeen having two weetbix with sliced banana and a small amount of milk and that's it. Everybody reacts differently to things, hopefully it will calm down soon.
Posted 16 April 2012 - 03:28 PM
The dietician today was really helpful. I'm feeling a bit more positive about it all now. I have a much better idea of how to balance the diet, and have had a lot more energy today. I'm also feeling very pleased that I can still have a tiny bit of gelato every now and then!
I'm still having issues with my levels after breakfast, so I might try something else to eat tomorrow - the dietician suggested extra protein might help - maybe toast and omelette or something. They've given me about a week and a half to see how I go, and if the post breakfast test is still high, I will need insulin. Fingers crossed...
Posted 17 April 2012 - 03:59 PM
Matthias' Mum protein at breaky really works in reducing levels. My standby is a piece of soy and linseed toast, poached/boiled egg, 1/2 avocado, yoghurt and glass of milk. If I'm REALLY starving i'll add a sliced tomato or another egg. Anything else sends the levels skyward: cereals (any!) are an absolute no-no but I will occasionally do fruit and yoghurt or toast/peanut butter/banana sambos.
Posted 17 April 2012 - 05:10 PM
Eek my breakfast every day is a single slice of multigrain toast with spread or cheese and a cup of coffee plus 2 sugars. I forego food to get my coffee the way I like it lol. Protein definitely help, I am a light breakfast eater though.
Welcome to all the new people.
Preachers wife, do your morning levels need to be under 5? Mine are allowed to be 5.5 so 5 s all good actually I had days and days of 5.4 and it has never worried anyone. Have no idea about insulin though and haven't been advised to see an endo yet.
Matthias mum I do often have icecream 2 hours after dinner, just a single scoop, you might get your gelato in that way, strawberries and cream is another yummy thing to have that's very low carbs. There's plenty of options, nuts for snacks, eat meat with your lunch and dinner, lentils and legumes add carbs but seem to give me good readings, might be easy for you to add foods like tha being gluten intolerant. Tacos with salad, mince, kidney beans etc are great and should be ok for you.
Posted 17 April 2012 - 06:49 PM
Chelara I"m blooming starving so i'm trying to pack in as many nutrients and as much food in to each meal and snack as I can This meant giving up my absolute favourite hot sugary milky tea and, or course, that morning cappucino. HAving said that I bought some sweetener today for my tea...i'm really anti-chemicals but man it was good to have a hot 'sugary' mess. Maybe you can try this also?
Posted 17 April 2012 - 08:13 PM
I often have pop corn for a snack or for supper, and have been buying Aitkins choc bars and 'lite' peach ice tea. I wouldn't normally buy 'diet' foods but they're getting me through this
Posted 18 April 2012 - 08:23 AM
Thanks for the tips everyone! It's a tricky balancing act isn't it? I do find I'm getting the best results after lunch and dinner, when I've been having sweet potato, chickpeas or beans, and more protein. I feel like I'm a science experiment!
Breakfast is tricky, as most GF options are really high in carbs. I slice of toast and a cappuccino would put me over 30g. I think I will try the toast and egg. Avocado and cheese sounds good too.
My fasting rate is supposed to be >5.0. Does anyone know if it makes a difference if you've been up a while before testing? I've waking up really early (or even in the middle of the night for a couple of hours). This morning I was awake before 5am, but didn't eat until after 7, and I was 5.2 before I ate.
I'm still struggling with the diagnosis. I know it's silly, but I just feel like such a failure if my levels are too high, like there some sort of magic food equation I should be able to come up with.
Posted 18 April 2012 - 08:42 AM
Under 5 fasting rate would be hard. I was advised it needed to be taken upon waking, like your am up half the night. Usually I make myself go back to sleep and test before I get out of bed. But at a reasonable hour ie 7. Apparently your level will rise if you're up and about before eating. I think you'd be in fasting mode so you don't have sugar in your system your (liver I think) releases more sugar from your energy stores which the raises bsl.
Matthias mum, could you try breakfast burritos or something with the very small corn tortillas, cheese, avo, tomato, kidney beans or even bacon, cheese avo etc. I think you could have 2 of he smallest sized soft tacos. Baked beans would work, bubble and squeak if you boil extra potato and sweet potato, then add some bacon, onion etc and fry. A yoghurt, Greek if possible or diet, very small amount of porridge if oats are ok for you.
I would consider checking your levels when you first wake in the night ie even 1am, if it is 4 or lower than your waking level normally is maybe have a very small snack to see if it helps even out the morning level, ask your educator though, I am just thinking of things I have read on diabetes forums.
Posted 18 April 2012 - 08:47 AM
Please be advised, I am happy with my one piece of toast, I eat something again two hours after so no big deal, it was all I was eating before the gd diagnosis. Today I had bacon and cheese on it so can have more food if I need it. If I get higher readings coming through I am prepared to cut the sugar, did you know you could get a substitute that is half sugar half sweetener so you only get half your normal carbs and it tastes more real? Can't remember what it's called but it's the colour of raw sugar and quite fine.
Posted 18 April 2012 - 11:21 AM
Breakfast burritos... yum! These are all great ideas, I'll get a bit more creative tomorrow morning I think!
I've been using Stevia instead of sugar in tea and coffee if I feel like something sweet. It's plant based, so I feel better about it then nutrasweet or similar. I'm still trying to go without though, cause I figure it's better to try and lose my sweet tooth if I can! Really miss sugar in coffee though.
Posted 24 April 2012 - 08:20 AM
Hi ladies, how are we all going this week?
Preachers Wife I had to have fasting levels under 5 for my last two pregnancies, and this one they have upped it to under 5.5 which is a lifesaver for me as I have had maybe three under 5.0 for the whole pregnancy so far. Its hard though as I had no problems with keeping it under 5 the last times, and this time I am really struggling to even keep it in the 5.0-5.5 range. I've always been told that if I have three high readings for one particular test time in a week then I need to contact them.
Matthias Mum I'm not a big brekkie person, and if I eat cereal when pregnant I get a shocking BSL. I have found the only thing I can eat is 2 pieces of multigrain toast with vegemite and a cup of tea/cup of coffee. I have found a diet jam recently at Aldi that doesn't affect my levels either and is still tasty, but even things like peanut butter and cheesespread which have very little carbs send my BSL's sky high. I sometimes have poached eggs on toast, or cheese on toast which sends them a little higher but still within normal limits, and toasted ham and cheese sandwich for breakfast is fine too. Have a look at your bread as well, different multigrain breads have different effects on me, I can have the Aldi multi, and the Bakers Delight, but any of the commercial brands or Woolworths and I react badly.
As for testing time, the more you move about the more it can affect your waking levels. I get up, use the toilet wash my hands with warm water and then go straight back to test. Any more movement than that can give a false reading. It's best to have a set time to test every day, and being up and down all night is worth mentioning, and can affect your levels, but as long as you are doing your morning test at the same time each morning then that will give the best reflection on how your system is coping.
As for me I hit 34 weeks last Friday and like clockwork my insulin needs dropped overnight. I am getting quite low readings after meals, well low compared to what I was having. Example would be a bowl of spaghetti bog would normally have me at about 6.4, last night it was 4.4. I am only on 6 units after lunch and dinner and all my levels are coming back in the mid 5's now instead of low to mid 6's, my fasting levels have settled down to 5.1's, on 22 units, I have been sitting on 5.4's for majority of the time. I am a little worried as a sudden decrease in insulin requirements can sometimes mean problems with placental function, but it could also just be a hormonal shift. Will have to wait and see what the Drs say on Thursday. I have a scan today to check everything again, so will pop back in with how that went
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