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Gestational Diabetes - backed into a strange corner.. - Diabetic Pregnancy

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July 24th, 2008


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faetal
12:05 pm - Gestational Diabetes - backed into a strange corner..
My blood sugars have been okay. Not always under 120 after a meal, but usually.
They feel uncomfortably high to me because I wanted to keep very strict control. However, my endo doesnt feel the medicating is necessary and feels that I would be constantly fighting lows if we medicated.
I dont WANT to be medicated of course, but I AM concerned about pumping extra glucose into the baby.
I really wanted to avoid another NICU baby on IV's for low blood sugar ;(

The other thing is, I'm trying for a VBAC. I know that the way you deliver a baby is not the important part, the health of the baby is.. but .. for me, recovering from a C section with a toddler and a newborn and not a lot of support is just not .. its not a desirable option. Things that would work in my favor are .. not having baby that they feel is getting too large, or going into labor a few weeks early.. for the same reason.

In response, partially consciously and partially sub consciously I've found myself eating less carbs than prescribed to try to further control my sugars. It seems like I should either continue doing this, OR eat extra carbs for several days to push all my sugars higher to get medicated. NEither sounds like a particularly safe option, but I'm really lost as to what to do at this point.

I'm almost 35 weeks along. I dont want the baby to get too much sugars, I dont want to endanger her with ketones either. I'm willing to be medicated if its the best option, but the endo thinks it isnt.

I want to just manage it with exercise, but I gotta tell you, I have such horrible back pain.. (posterior pelvic pain, with sciatic symptoms) that its REALLY hard to be as active as I should after meals.

I also feel myself spacing out my carbs which I think is keeping my sugars at a constant 100-120.. that cant be healthy either can it?

ugh. I just feel so lost.

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Comments:


[User Picture]
From:neanahe
Date:July 24th, 2008 07:21 pm (UTC)
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Breath easy, your sugars are fine. As a type 1, I had way more fluctuation than you during my pregnancy and my son came out perfectly normal.

You're endo seems to be giving you good advice. Good luck with the VBAC!
[User Picture]
From:faetal
Date:July 24th, 2008 07:41 pm (UTC)
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sometimes i get like, a 160 number or so, and sometimes it feels unfounded, like i didnt have THAT many carbs. I guess I'm just worried about all the times I'm not testing.
The endo DID say that a few high numbers wont hurt the baby, its weeks and weeks of out of control sugars that does damage.

[User Picture]
From:neanahe
Date:July 24th, 2008 08:01 pm (UTC)
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Let's put it this way: my body makes no insulin, and keeping my sugars under 200 was the best I could do an hour after a meal (I'd feel sick if it got over 180). There are women with gestational diabetes who have an average blood sugar of 300 and 400, because they don't bother to control it. They end up with huge babies that have a high incidence of heart malformations and an average IQ 10 points lower than normal.

You, on the other hand, are doing wonderful. You are obviously taking this very seriously and from the sound of it you are doing a great job. I have no doubt that your baby will be fine. :)
[User Picture]
From:lauren5678
Date:July 24th, 2008 10:07 pm (UTC)
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an average IQ 10 points lower than normal.


Really? What is that caused by?
[User Picture]
From:neanahe
Date:July 25th, 2008 12:24 am (UTC)
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Don't know, but I read the statistic somewhere, that children born to mothers with poorly controlled diabetes have a lower average IQ than a control group of children whose mothers had normal glucose levels during their pregnancies. I have a weird brain for numbers, and that one stuck with me.

It's been years since I read this, possibly in one of the diabetes magazines I used to get (so the data could be 10 or 15 years old). The children in question were the macrosomic infants born to mothers with poor control, and these children have a high rate of problems in general.
[User Picture]
From:lauren5678
Date:July 24th, 2008 10:07 pm (UTC)
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I agree, your sugars sound great to me. I'm type 1 also and like neanahe said, I had a lot more fluctuation in my sugars. I was hospitalized once for sugars in the 400's that wouldn't go down. I tried really hard to keep them in range (80-120) but I had a lot that weren't also. I had my baby girl 5 weeks ago and she was perfectly healthy and weighed 7lbs, 12oz. (Granted she was 3 and 1/2 weeks early but still). I'm sure you'll be fine, it sounds like you're taking care of yourself.

Edited at 2008-07-24 10:07 pm (UTC)
[User Picture]
From:neanahe
Date:July 25th, 2008 12:36 am (UTC)
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Mine got up pretty high a few times, too. I was far from perfect, but my doctor was really impressed that when something got out of whack, I made an effort to correct it.

I worked with a gestational diabetic woman who counted her carbs for all of 1 week before she got bored and stopped. I watched her eat waffles and syrup, drink cokes, etc. all the time. It was no surprise to me when her baby was almost 12 lbs at birth. Its amazing the care that some women don't take, and it makes the rest of us look more "high risk" than we actually are.
[User Picture]
From:faetal
Date:July 25th, 2008 01:26 am (UTC)
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My first baby was almost 11 pounds :( I passed my standard glucose tests, but I KNEW something was up and asked the doctors about it, they said they were high but I still passed. I asked if I should DO anything, eat any differently and they said no...
And so I didnt. but the thing is.. I didnt TOTALLY carb out the whole pregnancy either, I mean, sure I had a bagel every day or whatever, and I ate otter pops like they were going out of style (but c'mon they're 4 carbs each, I'm STILL eating otter pops)..

I think I maybe just grow big babies.... my husband was almost a 10 pound baby, and so was his sister..

[User Picture]
From:nonnierms
Date:January 4th, 2009 03:09 am (UTC)
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I'm recently diagnosed and met with the nutritionist who is having me eat a ton of carbs. I was insulin resistant before I was pregnant and was told by the doctor to limit carbs as much as possible, something I've done anyways for fifteen years as carbs tend to make me sick. I'm struggling to follow the diet they've put me on because of all the carbs! Its very strange to me to eat so many :\

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