November 2019 Moms

Gestational Diabetes Support

This thread is to provide support for the people diagnosed with Gestational Diabetes. Please use this thread to provide support, encouragement, and a place to complain if needed! Would love to see recipes, tips, and tools that people have used or are using to navigate this diagnosis successfully!

Re: Gestational Diabetes Support

  • I havent been diagnosed yet, but I know that ish is coming round the mountain in about 5 weeks. So I figured I had better prepare myself and start getting back to old habits. I was able to control my diagnosis last time through diet and exercise but I know that can change with every pregnancy. So yesterday I meal planned breakfast, lunch, and snacks today and just have to figure out dinner when I get home.

    I tend to have go to meals and find myself eating the same things over and over because I get used to how my numbers react to those meals. Any one else find they get in a routine with the eating or do you try to wing it and make it work?
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  • Even though I know I passed my 3hr for now but I'm still following my low carb/GD because I still worried I'll fail again later on if I have to retake it. So I want to offer support for those since I've done this before. I'm still watching my diet and sometimes checking my sugars too for now.

    @purplefan1 I absolutely find I fall into a routine with my low carb eating. I'm a creature of habit when it comes to my eating habits in general, so when I restrict myself to low carb it's even worse. Last time I would literally eat the same snacks and meals that gave me good numbers and rarely deviated from them. Winging it doesnt work well for me when it comes to counting my carbs and protein so I like having an idea of both before I actually eat a meal.

    I've tried to vary my diet some this time and see what keeps my numbers low and what isnt ok so far. But I still make the same meals at home and order the same things when I go out for the most part because I know they are "safe".
    Baby Birthday Ticker Ticker
  • @gumby22c I feel the same about the routine. It is just easier, takes the angst and guesswork out, and my numbers didnt stray from what I typically expected. If I dont plan things and just fly by I make unhealthy choices or just skip. Since neither of those are options with GD, planning it is.
  • Hi all! This is my second go-round with GD. Had it with my daughter and it was diet controlled, this time I got an early diagnosis and am on insulin. 

    I’d love to trade recipes and support! I found with my daughter it helped keep me healthy and I’ve been trying to focus on that with this one. 

    Sending you all love and support! 
  • Hey @amyjay23! Sorry about the diagnosis but so glad they caught it and are treating it! What is one of your favorite go to meals right now? You know, the thing that satisfies cravings but also helps you stick with your numbers?
  • natehknatehk member
    Hi all.  Unfort I failed my 1 hour on Monday.  Doc is actually not giving me the 3 hour right now.  Since I am on hospital bedrest anyways, I’m doing finger pricks 4x/day to assess.  He says let’s see how that goes and if we then need to manage with diet and/or insulin.  Sigh...one more thing to deal with.  
  • I’m eating a lot of scrambled eggs/ omelets. Also yogurt with fruit and granola. My favorite sweet treat it sugar free chocolate pudding with a scoop of peanut butter! 

    How about you? 
  • @natehk it is really common for people to fail the 1 hour and then pass the 3 hour. Hoping for you the finger pricks all show good signs! GD on TOP of hospital bedrest succckkkkksss.

    @amyjay23 eggs galore! My staple breakfast for both low carb and GD is scrambled eggs, a couple slices of turkey bacon, avocado, and a piece of toast. I also like fiber one bars for a "treat". I use benefiber in my drinks to up my fiber intake as well.

    I definitely found that drinking more water and taking walks after meals helps keep my numbers in check. And my night snack of cinnamon graham crackers and natural peanut butter helped some with my morning number.
  • @purplefan1

    I gotta say, when my doctor told me that a high protein snack before bed would help my morning numbers I didn't hate it!  Ha!  It's common for me to be found eating peanut butter straight from the jar.  Whoops.  My daughter has even started asking for "peanut butter pops."
    I'm all about the protein bars.  Aldi has a brand I like called Elevations.  I also really like the Think bars.  I may have to try adding benefiber in... that's a great trick!

    For me it seems like it's my fasting numbers that are hardest to keep as low as they are needed.  My diet and exercise routine does a pretty good job of monitoring my daily numbers, but that darn somogyi effect elevates my morning number.  I am currently on 10 units of insulin before bed, but I know I'm going to have to increase it soon.  I was around 85-90 fasting numbers, then once I hit 24 weeks its  been in the hi 90s and low 100 ranges.  Boo!  
  • @natehk Sending you love and low sugar vibes for the 3 hour!  I hope you don't need us, but we are here if you do!
  • @amyjay23 last pregnancy my morning fasting kept creeping up no matter what I did. I didnt get to the point of needing meds but the numbers liked to hover right around 95-100 towards the end. It frustrated me so much because it was the only number I didnt feel like I had much control over! 

    I go back in 4 weeks for my second glucose challenge so we will see what happens then. Im already working on trying to get in the habit just so the diet change doesnt feel like such a shock as it did last time!
  • This is my second time through with GD.  They diagnosed me early this time based on fasting numbers and prescribed insulin
    Last time we went with Glyburide, but recommendations have changed. My daytime numbers have been good. It is just the fasting numbers that gave me trouble.  Your second time through you have a higher likelihood and your numbers tend to rise faster. 

    Morning numbers are the most influenced by the placenta and the hardest to control.  Finding the right bedtime snack can help,but sometimes you just need the insulin.  

    Every OB has different thresholds they work with, I think it is interesting.  My OB seems to gave stricter guidelines than most.  They want blood sugar at under 120, 1 hour after meals and morning numbers under 92.  My OB medicates if you consistently have morning numbers over 91 and don't respond to lifestyle changes in a week or 2.  🤷‍♀️

    For me this time the diet has been more challenging because I have so many food aversions.  Luckily my after-meal numbers are great, but it is a challenge to eat.  Right now I have aversions to eggs, chicken, peanut butter, and cheese.  It doesn't leave a plethora of protein options as beans spike my glucose numbers.  I do a lot of forcing myself to eat.  

    Meal options:

    Breakfast: peanut butter toast, avocado toast, eggs, crustless quiche. 

    My OB bars dairy as your first meal, so I usually wait for mid-morning snack to have whole fat yogurt and nuts. Icelandic yogurt or Greek yogurt work well. 

    Trader Joe's has a protein enhanced pancake mix that has worked well for weekend fun with the toddler. 

    Lunches/dinners- 

    Meat/veg/small carb is my go to combo as plant based proteins spike my blood sugar. 

    I find a small portion of regular pasta more satisfying than a larger portion if the protein enhanced kinds. If you aren't picky about mushy pasta the pea-protein and chick-pea pastas can be good options. 

    IDK, I mostly just add in extra veg at meal times and eat a small portion of whatever grain/carb we are having. 

    Bedtime snacks - I am a bug fan of a small scoop of whole fat ice cream and nuts.  It feels like a treat and it serves well for morning numbers.  Vanilla Haagandas has a good carb/protein/fat balance for slower digestion.  

    Oh, and Dave's killer bread has a thin slice bread that is fairly low carb, same with Ezekial bread. 

  • amyjay23amyjay23 member
    edited July 2019
    @drama_llama It sounds like we are living the same life! I’m also on my second time with GD and am on insulin this time. Morning numbers are the ones that give me trouble as well! 

    Thanks for the meal ideas. Unfortunately most of my go-tos are the foods you are having aversions too right now but I’ll share any tricks as I come across them.  I’m definitely going to try that ice cream! 

    Lots of love to you! 
  • Just went to a staple meal of canned chunk chicken, shredded cheese, mixed with some mayo and ate it on this killer fiber wrap I love. I think they are ole xtreme fiber wraps and 16 grams of carbs per wrap with 11 grams of fiber. So filling and the fiber helps lower the net carbs.
  • I am curious: what kind of guidelines are you all getting for fasting and after meal numbers?  I know it varies a lot practice to practice and I am always curious  about what the differences are. 

    My OB asks for 92 or lower fasting and under 120 1 hour after the START of a meal. 
  • I'm having a hard time finding a bread that's low carbs. The bread I normally buy is like 18 grams per slice, and with the amount of sandwiches I eat that ends up being a buttload of carbs. And I love sandwiches, they're like my favorite food. 
  • @drama_llama I'm pretty sure the guidelines my OB gave me last time was under 95 for fasting and under 120 two hours after the start of my meal. 
    Baby Birthday Ticker Ticker
  • @drama_llama my guidelines were same as @gumby22c

    @angieeeeee have you tried the ole xtreme wellness wraps? I think they are delicious, 50 calories a wrap, 16g carbs but also 11 grabs of fiber making net carbs only 5g.
  • @purplefan1 so wait.... I can subtract fiber from carb content and go based off of that? If so my whole life has just changed lol
  • @angieeeeee yes! That's something they dont seem to share in the dietitian class for GD. I wasnt told that either, but my dad has diabetes and he shared that with me.
    Baby Birthday Ticker Ticker
  • @angieeeeee yes! You are looking for net carbs so that is carbs minus fiber. Fiber is a carb but it doesnt get broken down in to a sugar so passes through the body. Definitely upping your fiber content throughout the day helps keep your numbers a little better in check. Fiber One baked bars were a go to treat for me last pregnancy because they felt like a treat but were a good balance of carbs and fiber. And I love those fiber wraps sooooo much. I still always counted my carbs without subtracting the fiber (so if I ate 16g of carbs I still just counted it as 1 carb serving) but when I would look at the numbers on my glucometer I would notice a much better number if my meal also involved fiber. I really try to aim for 25-30g of fiber a day. I also put benefiber packets in my drinks to sneak some extra fiber in.

    Other tips that truly helped me: Drink lots of water. And make sure to drink a full glass of water after a meal. And whenever possible, get up and go for a walk after meals. So at lunch at work, cut your lunch about 10-15 minutes short and go for a quick walk, even around a conference room or the building. After dinner, take your partner or pet out for a quick walk around the neighborhood. Movement helps the body utilize the carbs you took in.

    Keeping a journal while you do this is helpful. Making notes on which meals helped your numbers stay solid versus which ones rocked your numbers for whatever reason helps. And it gives you a place to vent should you just get frustrated.

    Oh! And wash your hands before using your glucometer. It can really throw off the number if your hands are dirty or have residue on them. And if you happen to be getting sick you might notice your numbers off. Just note that and if you send in your numbers weekly, just let them know. I ran a high temp one week and my numbers were stupid for a couple of days because of it.

    Dont freak out at a bad number or two. They are looking for trends. Just see if you can pinpoint anything you can adjust and ask for help. I had to ask for tips for my evening snack because my fasting numbers have always been hardest for me and their tip was graham crackers and peanut butter. That helped start to keep my fasting levels better but those remained the ones that were wonkiest for me. They are there to help so ask for the help if you get stuck or frustrated.
  • Here to join the party, I just got my results that my 3 hour did not pass. I should be getting a call tomorrow or Monday from a specialist to talk about my options and what I need to do going forward. 

    A little overwhelmed, partially from other life stresses unrelated to this, but I know I got this <3 
  • You gave totally got this, @bmmims. And the times you dont feel like youve got it, we have got you!
  • The fiber knowledge seriouy just changed my life. Lol. 

    I have an appointment today to go talk to the person and find out all the fun stuff about checking my sugar and shit. They had originally scheduled me for 1230 which was gonna mean I had to come BACK to work after and work til 5 or 6 to make up my time. But luckily the doctor called today and said that "1230 doesnt work for her, can I come in at 3?" I wanted to say no just because its ridiculous that they can reschedule me for their convenience but originally couldn't offer me a 3:00 appointment. But I also didn't want to come back to work lol and a 3 appointment means my 8 hours are done at 2 so I am golden. 
  • I think the net carbs thing depends on the practice and how your body reacts.  At the nutritional training I went to they were explicit that "net carbs" did not apply to the guidelines they were giving us fir GD, womp womp :(  however, I think it really just comes down to how your body reacts. For some people fiber will keep the after meal numbers in check, for others it won't.   The object is to keep glucose levels low and steady, so if you can achieve that with net carbs, then that is great.  

    I find it really depends on the food.  Whole wheat bread doesn't spike my blood sugar, but beans do something awful. Even if it is a meal well under the recommended carb count, if it has beans my numbers go way up.  Brioche also spikes my numbers but ice cream is fine 🤷‍♀️  I think that us why they have you keep the food journal, so you can see those patterns. 
  • @purplefan1 those are great tips!  

    One thing that surprised me, re:washing hands, if you use hand sanitizer before testing don't use the scented ones! The body shop scented ones always skewed my numbers up. 
  • @drama_llama interesting. I'll be sure and ask about that at my appointment. 

    Which I just realized... I ate 4 slices of pizza for lunch (yay for free pizza safety lunches!). I'm sure that's gonna look terrific. 
  • @drama_llama I dont think mine wanted us to practice net carbs either. Which is why I always counted the carbs as was but would take in to account high fiber foods when my numbers would be great.

    Also, what IS the deal with beans? I was the same way, beans are a no go for me. I should look more in to what their problem is. Stupid beans. Ice cream was a no go for me except for those skinny cow ice cream sandwiches. Those worked well for me.
  • Started testing my blood sugar today. Had to have MH prick my finger for me the first time because I am so deathly afraid of needles I could not do it. I know it doesnt hurt, but I sat on the couch with the stupid lance thing and cried. 

    Sugar lwvels were high in the morning but seem to drop thought the day. So idk, I guess I'll keep playing with my food and see what happens. 
  • @angieeeeee when you say high, what was your fasting number? What did you have last night for a night snack before bedtime? Fasting levels can be the pain in the butt ones because they arent very much in your control.
  • Fasting number Sunday morning (when I started testing) was 138. I didnt eat a bedtime snack because we ate dinner kinda late. 

    Fasting number this morning was 106. Still high. Again, late dinner (ate an hour before I went to bed) so no bedtime snack. 
  • Has your meter been double checked/calibrated to make sure that it is accurate? With mine I brought it in and then drew for a lab and at the same time I finger pricked and we made sure they matched. Also, are you testing the fasting level as soon as you wake up, preferably before you even get out of bed, and around the same time every morning? I would set an alarm to go off so I would be consistent since my work day wake up times werent consistent.
  • I haven't calibrated it, I was reading afterwards that I should. And I test once i wake up and walk to the kitchen. I'm leaving all the stuff in my lunchbox for work otherwise its gonna be even more of a shitshow trying to get out of the house in the morning. 
  • Shitshow is one of my favorite words. Youve got this @angieeeeee. Make sure to get it calibrated because even new ones can be wildly off. I hope tomorrows numbers are lovely and low for you!
  • Hi All!  Second go around here with GD. First time diet controlled, this time I'm on insulin.  Feeling frustrated today because I've been on insulin and the diet since week 14 and I'm honestly just getting burnt out of the same foods.  Also, it really annoys me when my numbers spike and I have to increase my insulin again, which just happened this morning.   I'm so thankful I got the early diagnosis so I could start monitoring it right away but I'm in serious need of some other food options.  Eggs, peanut butter, greek yogurt, chicken, and salads can only take a girl so far.  

    Hope you're all feeling well.  
  • So far on this GD journey I have learned that I don't think my left hand bleeds. It's so much easier to get a blood sample from my right hand. Also, English muffins spike my blood sugar, but whole wheat bread does not. 
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