High-Risk Pregnancy

Just diagnosed with GD

Hi ladies!  I've never posted on this board but I thought you may be able to answer my question or have some input.

I failed my 3 hour GTT and was told that I have GD.  I go on Monday to the hospital to attend a class on changing my diet, checking my blood sugar and everything that goes along with GD.  So I'm new to all of this. 

Today at a regular OB check-up, my OB told me that as long as my blood sugar is controlled by diet alone that they won't need to do any additional u/s to check on the baby's growth ("but may do one more, we'll see"...).  But if I need to take meds then I will need to come in twice a week for NST's and u/s.  That seems like a big difference in monitoring just based on taking meds.  I don't mind the extra tests/ultrasounds but I feel like they should at least do some extra monitoring if I'm not on meds.  Anyone have any input?  TIA!

Married 9/19/09
Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues
TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
TTC#1  starting Nov. 2009
3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui
TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12 
TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks 
Macy Annabelle born at 37w4d on 4/29/15.  Diagnosed with Cri du Chat and passed away on 6/6/15.  Forever in our hearts.
TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
BabyFruit Ticker

Re: Just diagnosed with GD

  • I think of it as, if you are controlled with diet, it is basically like you don't have GD, as far as it affecting the baby. 

    I am diet controlled and am having extra ultrasounds, but that is due to other complications, not GD.

    Good luck, the diet is really not that bad!

  • imagejcsumm0:

    I think of it as, if you are controlled with diet, it is basically like you don't have GD, as far as it affecting the baby. 

    I am diet controlled and am having extra ultrasounds, but that is due to other complications, not GD.

    Good luck, the diet is really not that bad!

    I guess I was just confused by that.  If it's controlled by diet vs. controlled by meds then either way it's under control.  Could the meds affect the baby?  I'm not too concerned with the diet.  I'll miss my carbs but I'll be fine :)  I just get nervous that something could be wrong and you wouldn't know without ultrasounds! 

    Married 9/19/09
    Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues
    TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
    TTC#1  starting Nov. 2009
    3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui
    TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12 
    TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks 
    Macy Annabelle born at 37w4d on 4/29/15.  Diagnosed with Cri du Chat and passed away on 6/6/15.  Forever in our hearts.
    TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
    BabyFruit Ticker
  • Loading the player...
  • This is my second GD pregnancy.  I was diet and exercise controlled last time (and so far in this pregnancy).  I saw my regular OB for regular appointments.  Last time and this time, I have been referred to a Maternal Fetal Medicine specialist for GD monitoring.  I never had a single high reading (over 115 after meals or over 90 fasting). 

    It was my OB's policy that all GD patients see a specialist.  I saw the specialist weekly starting at 30 weeks.  I had 2 growth ultrasounds.  Starting at 32 weeks, I had weekly NSTs and weekly Biophysical Fetal Profiles.  This is just my MFM's policy.  He was comfortable with me going to 41 weeks last time, but said that no OB in my city will allow a GD patient to go to 40 weeks.  So- even though my numbers were great, DD was 50th percentile, she was perfect on all NSTs and BFPs, I would have been induced at 40 weeks.  Even if everything is perfect and it is like "you don't even have GD", the docs in my town must be practicing defensive medicine because you have to see a specialist and aren't allowed to go over 40 weeks. 

    Good luck with everything.  The diet is fine.  For me, the hardest thing is eating by a clock instead of when I am hungry.  Exercise helps me tremendously.  My numbers are always awesome after a walk or 30 minutes on an elliptical.  It also helps my BP to stay nice and low.  I felt really fit and healthy for labor and delivery and hope to be as healthy this time around, as well. 

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  • imagerainlily:

    This is my second GD pregnancy.  I was diet and exercise controlled last time (and so far in this pregnancy).  I saw my regular OB for regular appointments.  Last time and this time, I have been referred to a Maternal Fetal Medicine specialist for GD monitoring.  I never had a single high reading (over 115 after meals or over 90 fasting). 

    It was my OB's policy that all GD patients see a specialist.  I saw the specialist weekly starting at 30 weeks.  I had 2 growth ultrasounds.  Starting at 32 weeks, I had weekly NSTs and weekly Biophysical Fetal Profiles.  This is just my MFM's policy.  He was comfortable with me going to 41 weeks last time, but said that no OB in my city will allow a GD patient to go to 40 weeks.  So- even though my numbers were great, DD was 50th percentile, she was perfect on all NSTs and BFPs, I would have been induced at 40 weeks.  Even if everything is perfect and it is like "you don't even have GD", the docs in my town must be practicing defensive medicine because you have to see a specialist and aren't allowed to go over 40 weeks. 

    Good luck with everything.  The diet is fine.  For me, the hardest thing is eating by a clock instead of when I am hungry.  Exercise helps me tremendously.  My numbers are always awesome after a walk or 30 minutes on an elliptical.  It also helps my BP to stay nice and low.  I felt really fit and healthy for labor and delivery and hope to be as healthy this time around, as well. 

    Thanks for the info.  I guess I'll have to see how I do with the diet alone and then talk to my doctor about seeing a specialist or having more frequent monitoring.  I'm not all that impressed with this practice as it is.  So I tend to question the info they give me. 

    Married 9/19/09
    Me (32) Dx PCOS, DH (32) SA = Normal/mild morph issues
    TTC#5 July 2017 - 3rd cycle TTC = BFP on 11/12/17 at 9dpo Beta #1 = 96 at 13dpo - Beta #2 = 207 at 15dpo
    TTC#1  starting Nov. 2009
    3 rounds of Clomid + TI and 3 rounds of 7.5 mg Femara + IUI before our BFP on 11/8/10 at 12dpiui
    TTC #2 3rd cycle of Femara 7.5mg+Ovidrel+TI = 4 follies = BFP on 10/12/12 
    TTC#3 July 2014 - Metformin +TI = BFP at 9dpo - Twins, one baby lost at 5.5 weeks 
    Macy Annabelle born at 37w4d on 4/29/15.  Diagnosed with Cri du Chat and passed away on 6/6/15.  Forever in our hearts.
    TTC#4 3rd cycle of Metformin + Femara 7.5mg+Ovidrel+TI = 3 follies = BFP on 12/24/16
    BabyFruit Ticker
  • imageSarafuss:
    imagerainlily:

    This is my second GD pregnancy.  I was diet and exercise controlled last time (and so far in this pregnancy).  I saw my regular OB for regular appointments.  Last time and this time, I have been referred to a Maternal Fetal Medicine specialist for GD monitoring.  I never had a single high reading (over 115 after meals or over 90 fasting). 

    It was my OB's policy that all GD patients see a specialist.  I saw the specialist weekly starting at 30 weeks.  I had 2 growth ultrasounds.  Starting at 32 weeks, I had weekly NSTs and weekly Biophysical Fetal Profiles.  This is just my MFM's policy.  He was comfortable with me going to 41 weeks last time, but said that no OB in my city will allow a GD patient to go to 40 weeks.  So- even though my numbers were great, DD was 50th percentile, she was perfect on all NSTs and BFPs, I would have been induced at 40 weeks.  Even if everything is perfect and it is like "you don't even have GD", the docs in my town must be practicing defensive medicine because you have to see a specialist and aren't allowed to go over 40 weeks. 

    Good luck with everything.  The diet is fine.  For me, the hardest thing is eating by a clock instead of when I am hungry.  Exercise helps me tremendously.  My numbers are always awesome after a walk or 30 minutes on an elliptical.  It also helps my BP to stay nice and low.  I felt really fit and healthy for labor and delivery and hope to be as healthy this time around, as well. 

    Thanks for the info.  I guess I'll have to see how I do with the diet alone and then talk to my doctor about seeing a specialist or having more frequent monitoring.  I'm not all that impressed with this practice as it is.  So I tend to question the info they give me. 

    I'm surprised they don't have you scheduled to see a specialist. I have to see an Endocrinologist or his nurse every couple of weeks, and they scheduled those for me when I went in for my initial consultation regarding GD. They have not, however, set me up for any additional ultrasounds. We'll see what my OB says next week at my regular appointment, since I just started all my GD stuff last week.

    I highly recomend the exercise thing, too. My numbers are way lower if I just take a 15 min walk after a meal. Today for lunch the office bought pizza for everyone, and I was SURE my numbers would be high, but I took a walk and voila! My test came back MUCH lower than it would have been otherwise.

    My after breakfast numbers have been high, though, so they will be starting me on glyburide just for that meal.

    image

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  • My first pregnancy my sugars were very well controlled by diet. However, I still had the growth u/s just as anyone else who has GD. My son ended up being tiny (5.5 lbs) but I think there still is a rish of the baby becoming big and that is why they sent me for the extra u/s.
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  • According to my OB with my last pregnancy, if your GD is well controlled by diet there is less risk to the baby, thus you require less monitoring. If you need meds, your GD is (obviously) harder to control, thus more risk to the baby which requires more monitoring. 

    I was on insulin with my last pregnancy and had weekly u/s and NSTs from 34 weeks until my induction at 39 weeks. I started insulin again last night, and expect to discuss a plan for the remainder of my pregnancy with my new OB next week and I assume it will be similar to last time.

    Mama to two sweet girls
    DD1 Feb 2010
    DD2 Sept 2011


    Pregnancy Ticker
  • The nurse I met with before my first OB appointment told me that their practice was not "laid back" and they'd recommend a lot of testing. When I was diagnosed with GD that automatically meant I'd have twice weekly appointments (one with NST for baby and meeting with doc and the other sonograms for growth and/or BPP). My GD has been diet controlled.
    Sept. 2010: IVF #1= BFP; May 2012: FET #1= blighted ovum, D&C; FET #2= ?? Baby Birthday Ticker Ticker
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