NEW GD Check In 12.9.14

crabigator · December 2014

@PikoPiko That sounds similar to what I was told by the dietician. Here's exactly what she said:

Fasting glucose goal: 70-95

1 hour after start of meal goal: 80-140

Within 1-2 hours after start of meal goal: under 130

2 hours after start of meal goal: under 120

She emailed me the first two, and gave me those last two after we met and I noted that I'm not always in a place to test my blood sugar levels exactly 1 hour post-meal.

crabigator · December 2014

@PikoPiko Oh, and I had a growth scan with an OB at the same appointment where I met the dietician. They confirmed onsite there for me that the baby was measuring normally, and I'm assuming that if she was measuring big anywhere, they would have also told me while I was laying there. I go back for another (final, I think?) one at 36 weeks, which she said they would use to determine the likelihood of whether I'd need a c-section.

foxslaw · December 2014

So excited i don't have to keep a food diary/journal! What a relief! I posted this elsewhere, but my appointment went really well. Testing 4x a day for now, but if my levels are as normal as she expects them to be, I'll get knocked down to fewer & fewer testing until I only test as needed (or once a week). She was really practical and nice, the exact kind of doctor that I needed given my history of ED. Feeling much more positive about everything overall. I'll start officially posting in these check-ins once I get my glucometer today.

psychobutthead · December 2014

@foxslaw Im so happy to hear your appointment went so well!

@pikopiko she didnt give me any kind of range. She also didnt say which numbers are too low. SO IDK if my fasting is to low or my numbers during the day are.

CatLadyTX · December 2014

@psychobutthead‌ maybe you can request another meeting with your Diabetes Educator and the dietitian. They can probably help you troubleshoot your problems.

HailsMom · December 2014

I finally called MFM yesterday to see who is supposed to be following me for this. The nurse I talked to initially told me that it wouldn't be them it would be whomever diagnosed me and started me on the glyburide. She didn't believe me when I said that was them. She finally looked further into my chart and said - oh, in that case you are supposed to be faxing us your numbers once a week. Nice of someone to tell me this 2 weeks later!

HailsMom · December 2014

Oh! and I use an app - I think it's called Glucose Companion. I really like it. It will show me a graph of how my sugars are and give me averages, highs, lows, all of that. And I can make notes as to if it's fasting, before/after meals, ext.

psychobutthead · December 2014

CatLadyTX said:

@psychobutthead‌ maybe you can request another meeting with your Diabetes Educator and the dietitian. They can probably help you troubleshoot your problems.

I can't even reach her by phone. POS Kelsey Seybold hangs up on me everytime they put me on hold to try to reach her.

psychobutthead · December 2014

I talked to the nurse at my school about my doctor. The nurse use to work as a nurse at a birthing center.

She said if I was being made to make my payments for the visits in advance then it was already too late for me to switch.

I really just hate Kelsey Seybold and I have nothing positive to say about their OB's, dieticians, or diabetic counslers.

Just trying to reach my diabetic counsler I was transferred 4 times, put on hold twice and disconnected both times.

I "increased" my sugar levels and I feel horrible now. I can't keep my eyes open but I have to continue working. I told my doctor this is the way I feel when my sugar is this high yet she insisted its too low and I don't eat enough.

I'm just pissed off and so tired of this. First I was criticized and told I was getting proper nutrition because I made a choice to eat pickles once and that I wouldn't have all these issues if I ate correctly. I was eating correctly I ate the way they told me to and I've had nothing but mounting issues since then.

I have been so worried about this baby becoming over weight and having to have his shoulder dislocated at birth like me that I don't cheat. My only cheat time was Thanksgiving and I felt such guilt and was so convinced I was going to kill my baby that I haven't since.

I'm just over this shit.

agm04 · December 2014

@psychobutthead I'm so sorry, that's really frustrating.

CantoDeAmor259 · December 2014

Please please don't let your doc scare you into a c section over fear of a big baby! It goes completely against acog guidelines! You do not need a c section just because you have gd.

I stopped experimenting with my eating on Monday night. Since then my 2 hrs numbers have all been under 100. I can't get my fasting number low enough though, it's always a little above 100.

I'm refusing ultrasounds. I have no issue submitting to non stress tests but there is no point in the ultrasounds, at this point. I've only gained 8lbs in 30 weeks, I'm not measuring big at all, and my sugar is perfect except for fasting numbers. Ultrasounds are not reliable and the acog even cautions against their use for fetal size because of how inaccurate they can be. Just my own opinion and research over the last few years.

FlutterOfYoshis · December 2014

How far along? 30w, 3d
GD treatment or regimen? Just got my results today from the fasting glucose test that I failed 3/4 blood draws. Now I'm worried that it took me 2 weeks between the screening test and the 3-hour test to learn this.
How are you feeling? Physically I feel fine, but emotionally I feel shocked, bummed, defeated, upset (as I'm sure many of you did upon learning, too). My family left me a bunch of my favorite cookies after the baby shower this weekend and it makes me so incredibly sad to know I likely will be too afraid of messing up something with my baby to even think of eating them now.
Any updates? I'm going in tomorrow afternoon for an ultrasound and meeting with a nurse educator to see what I have to do.
Qotw: What snacks are working for you? I'm reading what's been working for you guys since this is totally new to me. Once I emotionally calm down, I hope I can rationally think through this rather than feeling like food is the enemy.

foxslaw · December 2014

CantoDeAmor259 said:
Please please don't let your doc scare you into a c section over fear of a big baby! It goes completely against acog guidelines! You do not need a c section just because you have gd.

I stopped experimenting with my eating on Monday night. Since then my 2 hrs numbers have all been under 100. I can't get my fasting number low enough though, it's always a little above 100.

I'm refusing ultrasounds. I have no issue submitting to non stress tests but there is no point in the ultrasounds, at this point. I've only gained 8lbs in 30 weeks, I'm not measuring big at all, and my sugar is perfect except for fasting numbers. Ultrasounds are not reliable and the acog even cautions against their use for fetal size because of how inaccurate they can be. Just my own opinion and research over the last few years.

Not to sound abrasive, but refusing ultrasounds seems pretty dumb to me. Why wouldn't you want to be AS INFORMED as possible?

PikoPiko · December 2014

foxslaw said:

Please please don't let your doc scare you into a c section over fear of a big baby! It goes completely against acog guidelines! You do not need a c section just because you have gd. I stopped experimenting with my eating on Monday night. Since then my 2 hrs numbers have all been under 100. I can't get my fasting number low enough though, it's always a little above 100. I'm refusing ultrasounds. I have no issue submitting to non stress tests but there is no point in the ultrasounds, at this point. I've only gained 8lbs in 30 weeks, I'm not measuring big at all, and my sugar is perfect except for fasting numbers. Ultrasounds are not reliable and the acog even cautions against their use for fetal size because of how inaccurate they can be. Just my own opinion and research over the last few years.
Not to sound abrasive, but refusing ultrasounds seems pretty dumb to me. Why wouldn't you want to be AS INFORMED as possible?

I agree with foxslaw, there are only 2 outcomes with the taking the ultrasounds: you do it, it reveals nothing of importance, you take it with a grain of salt and move on. Or it reveals something critical that you could fix soon, saves the baby. Got nothing to lose except maybe some $$.

@psychobutthead, I'm sorry it's been such a struggle with your healthcare providers. I'm also on a pay upfront plan, but I've asked before that I can still change clinic and have the insurance adjust/reimburse. If these folks are really not providing you the best care you need, I'd really encourage you to look into your options.

@foxslaw, I'm so glad to hear your appointment went so well! Not having to jot down everything you eat is truly a blessing.

To everyone else, happy Thursday! I hope today goes well for everyone.

HailsMom · December 2014

foxslaw said:

Not to sound abrasive, but refusing ultrasounds seems pretty dumb to me. Why wouldn't you want to be AS INFORMED as possible?

I don't think she meant no ultrasounds at all - just saying she doesn't see the point of a growth scan. I can kind of see her point in that the only reason they want to do a growth scan is to check to see how big baby is, but the problem with that in the third trimester is that they can be WAY off. I think I read somewhere that they can be as bad as being 2lbs off.

foxslaw · December 2014

HailsMom said:

foxslaw said:

Not to sound abrasive, but refusing ultrasounds seems pretty dumb to me. Why wouldn't you want to be AS INFORMED as possible?

I don't think she meant no ultrasounds at all - just saying she doesn't see the point of a growth scan. I can kind of see her point in that the only reason they want to do a growth scan is to check to see how big baby is, but the problem with that in the third trimester is that they can be WAY off. I think I read somewhere that they can be as bad as being 2lbs off.

*****
She flat out said that she's refusing ultrasounds. They check other things besides just growth! That was my only point!

CantoDeAmor259 · December 2014

I should clarify that I'm refusing growth scans ultrasounds. As we are talking about gd treatment I assumed that it was what was being talked about as that's usually the type of ultrasounds that are done. If the ultrasound is for a different reason, then no it's not something that I would just refuse. But an ultrasound for the sole purpose of seeing how "big" baby is isn't something I'm doing, because of how inaccurate they can be. That's all I was saying.

chicagojackie · December 2014

Hey ladies I know I'm out of place here because I'm regular preexisting diabetes but a few things:

1-I always found that diet sodas and sweeteners made me hungrier and worse throughout the day. I like agave nectar or use a little sugar in the raw if I'm doing ice tea or a decaf or something.

2-I like hard boiled eggs as a snack, easy to Pre-make and good in fridge at home/office. Plain 100cal packs if almonds are nice. Fiber one cereal delicious as a snack too or to use as a crust for chicken or pork. String cheese. I like Campbell's cup of soup or soup at hand, sometimes a cup of veggie soup or tomato soup gets you over the 3 o clock hump.

3-American diabetes association has a great website with sections like "what can I eat? And diabetes super foods". I found their info to be just as helpful as an adjunct to the nutritionists.

4-ultrasounds for GDM and DM are to help prevent stillbirth-and to check for placental dysfunction-and to check for growth and development etc, etc, not just to weight shame people. The ultrasound and the NST form the Biophysical profile (BPP) which gives a full view of how the baby is doing in utero.

5-the biggest risk factors for you progressing to overt DM from GDM are your BMI (>30 is a problem) and waist circumference. There are a lot of GDM moms that move on to type 2 diabetes within 10 years. So maybe some should think about adopting these changes long term. Diabetic diet is a healthy diet.

Elmo1414 · December 2014

@psychobutthead‌ I hope you can get through to someone who can help you clear things up and give you advice on what you should be eating

HailsMom · December 2014

thanks for the info @chicagojackie !

foxslaw · December 2014

Thanks, @chicagojackie‌

CantoDeAmor259 · December 2014

I never thought about using fiber one ceral as a crust! I'll def have to give that a try, thanks for that tip!

psychobutthead · December 2014

CantoDeAmor259 said:

Please please don't let your doc scare you into a c section over fear of a big baby! It goes completely against acog guidelines! You do not need a c section just because you have gd. I stopped experimenting with my eating on Monday night. Since then my 2 hrs numbers have all been under 100. I can't get my fasting number low enough though, it's always a little above 100. I'm refusing ultrasounds. I have no issue submitting to non stress tests but there is no point in the ultrasounds, at this point. I've only gained 8lbs in 30 weeks, I'm not measuring big at all, and my sugar is perfect except for fasting numbers. Ultrasounds are not reliable and the acog even cautions against their use for fetal size because of how inaccurate they can be. Just my own opinion and research over the last few years.

My doctor isn't scaring me into a c-section. My fear isn't having a c-section but having a child who is so large they get stuck in the birth canal. I got stuck in the birth canal because I was over 9lbs. DD was over 8lbs and was very lucky to not get stuck and I didn't have GD with her.

I'd rather have a c-section then a baby having to go through what my parents tell me I had to the moment I was born.

ALso I never got a call back! I called and left a message with the diabetic counsler at around 8 this morning. I never got a phone call back. So if I cant get a call back on something this important who do I actually have to turn to.

HailsMom · December 2014

@psychobutthead what are your numbers? How low or high are they getting that you aren't feeling well?

psychobutthead · December 2014

HailsMom said:

@psychobutthead what are your numbers? How low or high are they getting that you aren't feeling well?

Well I was feeling fine until they told me I need to increase my numbers. Thats when I felt tired and like I couldn't stay up. My sugar went to like 125 yesterday when I tried eating more.

Usually my fasting numbers will be somewhre between 80-100 and after breakfast usually 100-115. My doctor didn

t specify what numbers she felt where too low or why. She didn't specifiy anything like that. And the counsler has still yet to call me back.

HailsMom · December 2014

psychobutthead said:

HailsMom said:

@psychobutthead what are your numbers? How low or high are they getting that you aren't feeling well?

Well I was feeling fine until they told me I need to increase my numbers. Thats when I felt tired and like I couldn't stay up. My sugar went to like 125 yesterday when I tried eating more.

Usually my fasting numbers will be somewhre between 80-100 and after breakfast usually 100-115. My doctor didn
t specify what numbers she felt where too low or why. She didn't specifiy anything like that. And the counsler has still yet to call me back.

none of those numbers really seem off. I was told fasting should be under 90-95, so even at 100, yours are borderline. 100-115 an hour after a meal might be a little low - but not bad, 2 hours after a meal would be perfect.

Also, keep in mind that some of the feeling tired could be the fact that we are all in the third tri now. I can go from 60 - to needing to go to bed RIGHT NOW in a matter of minutes.

I would keep calling until you can talk to the counselor. If you can't get in touch with them, try the office manager and explain your situation.

PikoPiko · December 2014

I also agree your numbers aren't out of range low. They look like you're taking care of yourself well. Of course I'm not a doctor and am not qualified to say that at all. Your dietitian really needs to pinpoint exactly which number she wants you to improve!

Trust me, when your sugar is too low - you'd know it. Pre pregnancy I already have issues with hypoglycemia in the morning, the feeling is completely different, you'd feel like you're one click from fainting. I felt like that every morning a week ago and the glucose meter pegged me at 55-65.

CatLadyTX · December 2014

I was thinking about you today while I made lunch, @psychobutthead‌. If they say you aren't eating enough and that your numbers are too high when you do, then you might need to spend a few days eating the appropriate amount (once you find out what that amount is) and possibly go on insulin once you establish a pattern of high numbers.

I know the prospect of insulin sucks, but if it will help you not have another big baby then it might be a good option.

Also along the lines of big babies, you might just make big babies. If you and DD were both big, then regardless of how careful with your diet you are (and it sounds like you are extremely careful) you may be destined for Daniel to be big.

psychobutthead · December 2014

But they never said my numbers are too high. They only they they're too low.

Yesterday I had to call 4 separate times because kelsey seybold kept hanging up on me everytime they put me on hold. IDK what else I'm suppose to do. I'm trying to reach someone and no one is even trying to get back to me.

CatLadyTX · December 2014

Right, but you say that when you eat more your numbers are too high.

HailsMom · December 2014

first off, RELAX! take a breath! you are getting yourself worked up, and that's not good for anyone.

try calling again - doesn't the place have multiple offices? If you can't get a hold of your office, can you try another one and explain? If you still can't get anyone on the phone and you are really worried, if it was me, I would go up there and get answers in person. If you show up and explain that you have been trying to call, but can't seem to get anyone on the phone - they should help you out. If they still won't I would ask to speak with an office or practice manager.

But most importantly, try not to let this all stress you out. That's just going to fuck with your numbers even more.

psychobutthead · December 2014

CatLadyTX said:

Right, but you say that when you eat more your numbers are too high.

They do and I told my OB that and she just repeated I'm not eating enough and my numbers are too low. But she wouldn't explain exactly what was too low and when she said I didn't eat enough I offered to show her my food diary she told me to keep and she said no and wouldn't look at it.

HailsMom said:

first off, RELAX! take a breath! you are getting yourself worked up, and that's not good for anyone.

try calling again - doesn't the place have multiple offices? If you can't get a hold of your office, can you try another one and explain? If you still can't get anyone on the phone and you are really worried, if it was me, I would go up there and get answers in person. If you show up and explain that you have been trying to call, but can't seem to get anyone on the phone - they should help you out. If they still won't I would ask to speak with an office or practice manager.

But most importantly, try not to let this all stress you out. That's just going to fuck with your numbers even more.

My office doesn't have one. I had to go to a different office way out of my way when I had the counseling appoint originally.I don't know of anyone else to call for it and my doctor isn't helping matters at all.

HailsMom · December 2014

psychobutthead said:

My office doesn't have one. I had to go to a different office way out of my way when I had the counseling appoint originally.I don't know of anyone else to call for it and my doctor isn't helping matters at all.

That is why I'm saying speak to the office manager. If your dr isn't helping, the office manager should be able to get you in touch with the people you need to talk to.

Another option would be to call your insurance company. Sometimes they have a nurse line that is able to help answer questions or facilitate getting you answers.

psychobutthead · December 2014

HailsMom said:

psychobutthead said:

My office doesn't have one. I had to go to a different office way out of my way when I had the counseling appoint originally.I don't know of anyone else to call for it and my doctor isn't helping matters at all.

That is why I'm saying speak to the office manager. If your dr isn't helping, the office manager should be able to get you in touch with the people you need to talk to.

Another option would be to call your insurance company. Sometimes they have a nurse line that is able to help answer questions or facilitate getting you answers.

I didn't know I could call the insurance.

I just feel defeated. Like I thought I was doing soo good. I still don't see how I'm not eating enough.

My sample day of food pretty much matches the type of stuff you ladies eat. Maybe not work will make my numbers higher? But I don't know why they need to be higher they look good to me and from what everyone here thinks they look good to.

EDIT: I'm wondering if the weightloss is just from cutting out sugar, soda, juice, sweets, and now fast food.

Like any time I ever tried to diet bfp I would drop 3 to 4 pounds in the first month just from cutting out sweets and soda.

But my doctor just doesn't listen to me about anything. ANy time I say something or ask a question she acts overly annoyed.

chicagojackie · December 2014

@psychobutthead‌ it's not just about bad and good or what your weight is doing.

Most women lose weight on a healthy diet whether they are diabetic or not.

You also need to stop it with the defeatist attitude.

Your blood sugars you've posted are not dangerous. Here is a resource that has common goal numbers:
https://www.joslin.org/info/Managing_Diabetes_During_Pregnancy.html

I'm sorry you're feeling bad but you need to get a grip.

CatLadyTX · December 2014

@psychobutthead‌ are you calling the direct line to your clinic, or 713-442-0000? Calling the generic line and asking to be transferred may be more effective because if you are having trouble getting in contact with the DE you first saw, they can transfer you to another. Idk if The Vintage or Spring are too far for you, but I really liked the ones I have seen there. In Spring with my last pregnancy, I saw Susan (or maybe Susanne) and the DE I saw here in The Woodlands for this pregnancy is MaryAnne, she travels to The Vintage (near Willowbrook).

Have you asked your OB to set you up with a high risk case manager? I was referred at the beginning of my pregnancy because of the GD last time, and she has been helpful. There is also 713-442-BABY, but I do not know if they would be a good resource in this instance.

salbabe79 · December 2014

Reading about the chocolate makes me want dark chocolate with peanut butter...not a peanut butter cup but chocolate dipped in peanut butter you know cuz that is completely different!!

CatLadyTX · December 2014

Speaking of dark chocolate, thank you @foxslaw‌ for recommending it (I think it was you). It took care of my intense chocolate craving! I picked up the Godiva peppermint truffles and a brick of of peppermint dark chocolate. I love you!

CantoDeAmor259 · December 2014

For those of you who take a glucose pill overnight, does it cause your glucose to bottom out? We started me on the lowest dose and my glucose was at 70 for my fasting, right on the lowest end. I guess I just wasn't expecting that huge of a jump! If it keeps that low or lower through the weekend maybe I should see about cutting these pills in half (I think I remember someone does that) just curious!

@pyscobutthead - It really sounds like you're doing everything great! I'm sorry you're having such a hard time getting the answers you need, I can only imagine the frustration you feel!

HailsMom · December 2014

70 isn't bad for a fasting. Mine is about that with half the pill. Do you eat anything when you take the pill? I was told to eat something with some protein n it at bedtime when I take the glyburide so it doesn't bottom out. I will usually do string cheese or PB cracker. I would not change the dosage without talking to your provider first though.

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