September 2013 Moms

A not so great doctor appointment today

I normally don't even bother posting updates on my OB appts or anything but I had a follow-up appointment today (due to an unresolved and repeated bladder infection) with one of the midwives and the appointment didn't go as well as I had hoped. 

First off, I've gained 12 lbs. so far which my midwife thought was excessive since I'm not even halfway through pregnancy at this point. She also was concerned because my fundal height was 2-3 weeks ahead of where it should be. My uterus was right at my belly button which is where it should be at 20 weeks. Her biggest concern is that I might be looking at potentially having gestational diabetes. I asked her if we should go ahead and do the glucose test now but she said no, she still wants to wait until the standard 28 weeks to test. She said that even if I do have it, most of the rapid growth seen with GD occurs in the last 10-12 weeks of pregnancy. At this point the best course of action is prevention by controlling my diet and starting an exercise routine. 

I have been put on a very strict "almost no sugar" diet. She told me to cut out all beverages other than water and the occasional unsweetened tea. No more than 2 pieces of fruit per day, very limited processed white sugars, and any time I eat a heavy carb meal or anything with sugar in it to eat some protein along side of it. She told me not to have more than 2 sweet treats like ice cream per week. Yikes! I know it's for the best and I'll do anything to keep me and baby girl healthy but holy cow this diet is going to be hard. She did tell me that it's still early enough that I can control my weight gain and hopefully prevent GD and having a large baby. If I do end up with GD then my hope for a VBAC is shot because that automatically puts me at high risk and they will only do a c/s at that point. 

Is anyone else dealing with GD or potential GD? Or on a strict diet? 

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Re: A not so great doctor appointment today

  • Luckily I am not experiencing this because I would suck so badly at dieting. Just wanted to say that  I hope things aren't too hard or stressful on you and the baby.  Good luck.  
    Did she tell you to stay away from carbs?  Isn't tha
  • I'm really sorry you had a cruddy appointment.  Is there an OB or someone else in the practice you could get a second opinion from?  When I was pregnant with DS, I was a little farther along than you when my fundal height started measuring bi

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  • I understand your concern. In the past I had elevated A1c levels which meant I was in a prediabetic state. Since getting that wake up call I've been diligent about watching my carbs. I've managed to lower my A1c levels back down to normal by watching m

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  • I would also ask for either the glucose test early, or an ultrasound and or second opinion. The fact that she's treating you as if you have it but won't test for it yet seems odd to me. Women gain weight at different rates throughout their pregnancy. You
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  • image1026pumpkin:

    I'm really sorry you had a cruddy appointment.  Is there an OB or someone else in the practice you could get

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  • imagesprocketsmom:
    I would also ask for either the glucose test early, or an ultrasound and or second opinion. The fact that she's
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  • imagesprocketsmom:
    I would also ask for either the glucose test early, or an ultrasound and or second opinion. The fact that she's
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  • I was tested for it with dd2, because dd1 was so big. But I was negative, so I guess I don't have much to offer, EXCEPT, at my nt scan at 13 weeks, my uterus was also all the way up to my belly button, and I have a high waist. I don't know if the fact tha
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  • You know what's interesting about this... I had my MW appointment last week and I was 13 weeks. She Said something similar to me about my uterus... My uterus is measuring at 20 weeks as well. Pretty much none of my pants fit well anymore. But non the l

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  • No experience with it but I hope it all goes ok. Hopefully they caught it early enough to prevent anything from happening.
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  • FWIW with DD and this go around I had gained 15 lbs by this point. Fundal height was so far ahead I was sent for an ultrasound to confirm I wasn't having twins. Didn't end up getting GD,and fundal height started measuring normal after 20 weeks or so. Obv
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  • No advice (sorry!) but a friend of mind had GD and she delivered vaginally. Why can't you? That was her first though, so maybe after one c/s you can't deliver vaginally with GD??


     

      
  • A few thoughts.

    With a family history of diabetes (type 1, type 2 and GD), and being overweight, I asked early on about how to minimize my risk of GD.  My mw made the same suggestions as yours, which I followed to a T (till m/s started...).

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  • I can kind of see why she isn't worried about doing the test and wants to be aggressive with your diet.  I think she is just trying to do everything possible to ensure a chance of VBAC.  If you do the test now and pass, it doesn't mean you ar

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