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3rd Trimester
Frustrated with my Dr. (LONG)
So I am thinking about switching Dr.?s with in my practice. I go to a large practice so I have many to choose from. In the past I have really liked my Dr. She delivered my DS and I have been happy with her for this pregnancy up till now.
I was recently diagnosed with GD and ever since then I have had issues with her. She seems very strict with weight gain and diet and I think she is a little over the top, but I want to double check with others before I make any switches.
When I failed my one hour she got on me about my weight gain which was 20lbs. I know that maybe a little high especially since I was a little over weight to begin with. She wanted me to be on a restricted calorie diet (this is before I took the 3 hour test and found out I had GD). She also said that the weight gain probably caused the GD, which I have since found out is not true.
After I failed my 3 hour I made another appt. with her a week after my GD class so she could go over my numbers and we could talk about what is going to happen the rest of the pregnancy. She showed little concern for the baby and mainly focused on how I would need to change my lifestyle after the baby. I understand that by having GD I am at higher risk for developing diabetes later in life, but right now that is not my main concern. My main concern is the baby and as my OB, I would like it to be hers as well. When I asked her about what extra monitoring I would need, she started talking about how I would need to regularly check my sugars and keep track of my diet after the baby was born. When I said well I really wanted to know about monitoring for the rest of my pregnancy, she basically blew through the extra ultrasounds and I really had to pry to see if I would need to come in more often.
My husband asked her about when I could go back to a normal diet and she said never. I was a little confused by this because I thought that when you deliver the GD goes away. So I asked if that meant that I could never have dessert again and she said only if you want your sugar to spike to 200. That doesn?t make any sense to me. If my body can?t process dessert when I don?t have GD doesn?t that mean I have diabetes? So she is basically treating me like I have regular diabetes already. She also said that she thinks that all of America should be on a low carb diet and she basically made me feel like a fat cow for wanting to have a sweet every now and then after the pregnancy.
Do you think she is over the top on the whole diet thing or is this normal Dr. behavior? Am I just over reacting because I want to be able to eat normally again after the baby is born? Please know that I will do what ever it takes to make sure I have a healthy baby and I will be more cautious after so that I can lower my risk of developing diabetes.
Thanks!
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Re: Frustrated with my Dr. (LONG)
Sounds like really bad bedside manner to me. If you aren't happy with her, switch. There is no reason for you to have these concerns/feelings and not have them properly addressed. I always understood that GD went away after birth, but you do have a 40% chance of having diabetes later in life. That also means you have a 60% chance of not having it.
Good luck to you.
As an RD, she defintely sounds alarmist. However, you are already on track with whats true and false about GD. You could also ask for a referral to a RD (registered dietitian), or an RD - CDE (certified diabetes educator). They'll be better able to help you monitor and create a diet that will help you control your risk for DM (diabetes mellitus) down the road, and work within your lifestyle (ie desserts!). One of the biggest misconceptions is that you can never have sugar and sugar is evil. So not the case anymore. GL and I really hope an RD referral will help.
I'm sorry your dr is acting like this. I have GD. It's honestly really easy to manage. You can have sweets in moderation. There are what my RD calls free sweets. Just as long as you keep a balanced diet. It's ok. You should honestly be sent to see a dietician/nutritionist. See if you can get a referral.
Good luck!
This! My cousin had GD, and it usually goes away once the baby is born. There are circumstances where it doesn't, and you then have Diabetes, but this isn't always the case. You need to find a dr who is more concerned with the patient and less concerned with simply treating the disease that you may or may not have.
I would say she is over the top! While, I think my ob is completely laid back, I have basically been told that as long as my sugar levels are under control, there isn't a whole lot to be concerned for the lo. Right now they are under control by diet and exercise.
Gd does increase your chance of late onset of type 2, and also increases your chances of having gd with subsequent pregnancies. However, I was told that I needed to test my sugar levels at 6 weeks post partum and then be test once a year for type 2 from here on out.
Also, losing any excess weight you may have had prepregnancy, will of course help decrease your chances of forming type 2 later in life, and I was told it could decrease my chances of gd with subsequent pregnancies. But I was also 60 pounds overweight before getting pregnant, and my dr has had no problem with me gaining 32 pounds..which is only 2 pounds over what she wanted me to gain.
I would definately switch drs, if your uncomfortable with the way your being treated. While gd can have side effects if not treated properly it doesn't have to take over the rest of your life!