March 2016 Moms

AMA and Gestational Diabetes

I apologize if I missed the answer to this in my search. My doctor's office just called and said I have GD. At my last visit he said at my age unfortunately GD often turns into Type 2 diabetes and therefore will probably still be diabetic even after lo is born. He wants to see me first thing Monday morning.

Has anyone else had any experience with this? Any insight as to what I can expect when we meet Monday? All I've found in my search was "it sucks" but no specifics about what to expect. None of my friends have had GD and the only person I know who's experienced it is my aunt who doesn't even know I'm pregnant so I can't really call and ask her. Is it mostly something they try to control with diet? Does it depend on how badly you fail? I'd have tried to ask him but it was someone from his office instead so I wasn't sure if I was talking to a nurse or receptionist or what. Thanks in advance for any light you can shed on this for me.

Re: AMA and Gestational Diabetes

  • I haven't heard that at all about staying diabetic, but with my last I just had to do the low glycemic index diet, no insulin or meds. I'm 36.

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    Brian's Whovian wife (5/'09) 
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  • I apologize if I missed the answer to this in my search. My doctor's office just called and said I have GD. At my last visit he said at my age unfortunately GD often turns into Type 2 diabetes and therefore will probably still be diabetic even after lo is born. He wants to see me first thing Monday morning. Has anyone else had any experience with this? Any insight as to what I can expect when we meet Monday? All I've found in my search was "it sucks" but no specifics about what to expect. None of my friends have had GD and the only person I know who's experienced it is my aunt who doesn't even know I'm pregnant so I can't really call and ask her. Is it mostly something they try to control with diet? Does it depend on how badly you fail? I'd have tried to ask him but it was someone from his office instead so I wasn't sure if I was talking to a nurse or receptionist or what. Thanks in advance for any light you can shed on this for me.
    I'm fairly young but I was diagnosed with GD also. I believe mine is due to family history and being overweight. They told me mine would most likely go away after birth though. They're probably going to order you to get a blood sugar meter and test strips, they also have me monitoring my ketones. Mine is mostly controlled by diet and they also recommend some light exercise to try to keep your blood sugar down. Mine really only runs extremely high when I drink regular soda, they're going to tell you to switch to the Zeros (Coke Zero, Sprite Zero, etc.) or diet if you drink soda. I didn't even take the glucose test, my fasting blood sugar was too high so they automatically diagnosed me. I have to go to the OB office and meet with a diabetes expert every 2 weeks, I have to track my food and blood sugars. I take mine 4-6 times a day. They want you to eat every 4 hours. Breakfast, snack, lunch, snack, dinner, snack. Big snack before bedtime to keep ketones down. You take blood sugar before and after breakfast, lunch, dinner.

    If you have any other questions, please let me know, that's all I can think of off the top of my head, but I've been dealing with this for a few weeks now and it's not too bad.
    M & B
    miscarriage - September 2012 @ 9 weeks
    blighted ovum - November 2012
    BFP!!! - July 2015
    Amelia, my sweet little rainbow baby born March 4, 2016
  • Thank you so much for your responses. Glad most of it seems to be able to be controlled through diet and treatment sounds manageable. I can't do artificial sweeteners because they give me migraines but I like water anyway so no problem there. Eating small meals more frequently and making a point to move a little more is something I can get can started with now at least.

    @oceanchild My doctor said 40 is some sort of magical number where AMA complications can get weird. A coworker got preeclampsia with her son at 41 and still has high blood pressure as a result. That's not to say it's a given in my case, and not much I can do now anyway, but I'm going to try to think positive.
  • I was diagnosed with glucose intolerance (which isn't quite GD but needs to be monitored much the same) with DD#1. It meant checking my blood sugar 1-2 hours after every meal and first thing in the morning. I had to go to a dietician every 3 weeks to go over my #s. I was able to control it easily with diet and light exercise. That being said everyone is different and there are some women that no matter how clean they eat they end up needing insulin.

    GD doesn't always mean you'll turn into a type 2 after the birth - it increases your risk but I wouldn't say it's a forgone conclusion. I think a lot of it depends on your family history and genetics. I have several family members with it and I was okay after the delivery. That being said I'm fairly young, normal weight and (up until I got pregnant again) very active so that may help.

    My best tips from my go around with this before is what was said before - eat smaller meals more frequently, cut back on simple carbs, lots of water and light exercise.
  • My grandfather and grandmother both ended up with diabetes and I was carrying extra weight bedtime got pregnant, not enough to normally worry too much (my prepregnancy bloodwork was always "perfect" according to my GP) but I think both of those factors and my age are why my doctor might be nervous about whether or not it will go away.
  • My father and grandmother are both type 2 and my mom had gestational. So there's always hope it will. :)
  • Thank you, that's comforting. I'm hoping that will be the case here, trying to be positive. This doctor is a little more nervous, less laid back than the doctor I had for DD and I'm still getting used to him.
  • I would also think that if you are willing to carry over some of the healthy lifestyle changes you have to make with GD you might be less likely to have type 2 diabetes after the baby is born.  Don't let one overly-paranoid Dr ruin your day :)
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  • I would also think that if you are willing to carry over some of the healthy lifestyle changes you have to make with GD you might be less likely to have type 2 diabetes after the baby is born.  Don't let one overly-paranoid Dr ruin your day :)

    Stole the words right out of my mouth!
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