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GD and MFM (repost from O14)

lrobi13lrobi13 member
in High-Risk Pregnancy
I am currently 28 weeks and I have GD.  I have been following the diet to the letter. I have also been checking my levels and my fasting ones are just too high. OB is putting me on glubryde  (sp?) and sending me to MFM.

Can any of you provide some of your own stories of dealing with MFM for GD?  I am not freaking out but I just want so first-hand accounts of how they oversee a GD patient.  I will call my MFM's office to discuss as soon as my ob's office calls me with the appointment information but I am feeling so impatient about it all!

Thanks!

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Re: GD and MFM (repost from O14)

  • KTZ17KTZ17 member
    Lurking...I was diet controlled, and ended up delivering early due to other issues, but I saw the MFM to check the baby's size. They'll want to make sure the baby isn't getting too big. I remember reading there is a danger that the baby's chest and shoulders can get too big to have a vaginal birth, so they like to regularly measure the baby. Best of luck!

    Lilypie Premature Baby tickers
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  • MrsL2BMrsL2B member
    Sorry, I missed this question on O14! I'm not sure how much the appointments for someone with GD differ from those for someone with pre-existing diabetes, but here's what my experience has been like.

    My MFM reviews my blood sugar logs (he may have you send them in weekly) and is the doc to handle my diabetes medications. My MFM always does ultrasounds at my appointments to monitor the baby's growth, and they are lengthy scans since the tech takes lots of measurements.

    The appointments are pretty long, too, since they don't book patients every 15 minutes like a regular OB practice might. My MFM is happy to take the time to discuss any diabetes & pregnancy questions I have, like how exactly insulin resistance worsens during pregnancy and what I can realistically expect during labor as a diabetic.

    My regular OB is still the one to handle routine things, like regular check ups for weigh-ins, blood pressure monitoring, belly measurements, etc., and will be doing the non-stress tests beginning in a few weeks.
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  • angelsnightangelsnight member
    I saw an MFM as my only OB during my pregnancy since I was also high risk for other reasons.  But regarding the GD, they reviewed my logs and had me fax them in if my appts were too far apart and they adjusted my meds as needed.  I didn't have a ton of growth scans, maybe 2 or 3, and I also did 2X/week NSTs starting around 31 weeks.  That's about it.....and also, don't feel like you're doing anything wrong since you need to go on meds.  You can eat a perfect diet and still need meds just because of how your placenta is interfering with your insulin production.
    Lilypie - (fm2j)

    Lilypie - (YesX)

     My Pregnancy/Parenting BLOG TTC since 5/2011, BFP #1 12/3/11, M/C 12/7/11 @ 4wks 2d. Began seeing RE Sep 2012. October 2012 Metformin 1500 mg= ovulation on CD34 BFP#2 11/14/12 9DPO, EDD 7/26/13, DX Gestational Diabetes @14 wks, our angel born sleeping 3/24/13 @ 22wks 2d. BFP #3 7/4/13 8DPO EDD 3/22/14, DX Gestational Diabetes @14 wks. started insulin @16 wks.  Our rainbow, born 3/19/14 @ 39wks 6d., we're so in love!

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  • lrobi13lrobi13 member
    Thank you!  I see my new doc next Thursday and it helps to know what those doctors generally do for GD.
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  • Justabean3Justabean3 member
    My Mfm is the same as MrsL2B

    I always make my appointments as early in the morning as I can and I get done within 45 mins usually

    The few I have had afternoon take forever!

    MFM is kind of dry though.
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