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April 2014 Moms
Gestational Diabetes Check in
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Re: Gestational Diabetes Check in
Okay, this may come out as a jumbled mess, and I apologize, I'll try to make it as sensical as possible.
So! I'm on insulin for my fasting numbers that I can't get below target (in Canada it has to be under 5.3). I started at 4 units, am now at 10 units, increasing by 2 units each time. I have been told to go to 14 units, which I will do tonight. The problem is that throughout all of my increases, my fasting blood glucose has remained very stable, on average it is 5.7. All of my post meal numbers are well under target.
The other night I forgot to take my 10 units of insulin, and my fasting was 5.4. So I didn't take it again the following night, and my fasting was 5.7. I took it the following two nights, with a fasting BG of 5.7 and 5.9 the next days.
It seems really bizarre to me that my BG is so stable, regardless of whether or not I take insulin. I emailed my endocrinologist, and she told me that my hormones are increasing, and will continue to increase, causing increased need for insulin, and to up it to 14 units.
I responded that I thought it was highly unlikely that my hormones were increasing at the exact rate and time my dosages of insulin were increasing, and that still didn't explain my getting the same results with or without the insulin. I also told her that I would try a couple nights at 14 units of insulin, but if I got the same result I would be stopping my insulin injections, but continuing to monitor my BG and follow the diet guidelines. Obviously if my BG spikes I'll reevaluate my plan, but that's where I'm at right now.
It seems to me that my placenta and liver are working to keep my BG stable, regardless of how much insulin that I take at bedtime. I've eaten off of the diet several times (gone out for dinner, had popcorn at movies, etc) and my BG has never been over target, or even that close to it.
This leads me to believe that I don't have an insulin resistance issue, my placenta is doing what it needs to.
What do you ladies think?
http://global.thebump.com/tickers/tt186b6e.aspx?&fake.png
http://global.thebump.com/tickers/tt1887dc.aspx?&fake.png
With all of this blah food talk, has anyone started thinking/day dreaming about their post-labor meal? And I don't mean hospital food.
Mine keeps changing, but basically it consists of a pizza or noodles (the restaurant keeps changing) and some type of cake (cheesecake, chocolate mousse cake, etc.).
DH knows he will need to make a food run - and that he will need to get extra b/c I'm not sharing.
Oh, and my latest idea - bake a birthday/congrats cake at home to distract in early labor - and then eat it all up after LO arrives.
BFP#2 3/16/11, beta 138; 4/12 Baby/HB DS born 9/10/11 at 29w4d due to partial abruption and PTL
BFP#3 8/19/13 Another boy! 17P, modified bedrest and Nifedipine helped us have a termie! DS2 born 4/19/14 at 38w5d.
A14 Siggy Challenge (November): Favorite Fall Smell
I had to stop my exercise regimen in the second trimester because of the SPD. It sucks. At least you've been able to be pretty active up until now. I cannot wait until I can go for a run again. I miss my personal quiet thinking time. Nothing nullified my anxiety and stress like a good run.
your cake request made me think about a napoleon pastry and how good that would be and then I thought I'd like an éclair as well. a nice big one. I'm not really a sweets person usually but for some reason these both sound really good to me
My neighbor delivered my pre GD Girl Scout cookie order yesterday. I think I'll make my husband hide them.
ETA: meaning, I would think it would be lower after breakfast than what I've eaten since & including lunch
Midwives (who I think are pretty non interventionist, even with the gd) want the baby here by 41 weeks.
I feel you on the weight. I remember in my first pregnancy I didn't gain much weight in the middle, but towards the end it's nearly impossible to avoid!
my docs say they'll induce at 39 weeks. I've expressed my desire for that not to occur and I guess when it gets a little closer I'll start the argument again and tell them that induction isn't going to happen. hoping I go naturally before then.
my numbers are lowest in the morning and that's where I can splurge. by dinner my numbers are in the high 90s low 100s and I have to be more careful about going over my carb allotment. The nice thing is that since I started the glyburide I've been able to move off the protein shakes (grossness) to ice cream as my before bed snack to keep my fasting #s in check!
I've been having a blueberry muffin or a donut for breakfast with half a cup of cottage cheese, and my numbers are consistently in the mid 80s. Occasionally I will switch it out for 1/2 a whole wheat English muffin to be good, but I hate most breakfast foods and don't have time to make eggs or anything.
SO makes my eggs every morning he's around, but for Tues & Thurs when he goes into work early I picked up some frozen Jimmy Dean Delites on the honey wheat flatbread with egg whites, cheese & sausage. I've been doing ok numbers-wise with those and at least they only take 2 minutes in the microwave. I prefer the Kellogs Special K flatbread sandwiches, but the JDs were on sale.
A14 Siggy Challenge (November): Favorite Fall Smell
A14 Siggy Challenge (November): Favorite Fall Smell