C.G. asks from Braintree, MA on September 18, 2009
Just Diagnosed with Gestational Diabetes
Does anyone have any advice/suggestions about this diagnoses? I was so convinced that I would not have it since I went through the same thing with my first pregnancy and everything was fine. It sent me into a bit of a shock when I heard the news last night. I meet with the Nutrionist next week and an Endocrologist (sp?) the following week. I did hear that I should start eating better now and that might prevent the need for insulin when I visit with the Dr.??
1 mom found this helpful
So What Happened?™
Thank you all so much for your responses! As usual, these repsonses are so helpful to me. I am scheduled to meet with a Nutritionist on Thursday and an Endocronologist the following week. My numbers were considered high so my biggest fear is needing to go on insulin right away. I am hoping I will have a little more time to work on dieting and exercise before that is necessary. In the meantime, I am keeping away from pasta, pizza, and refined sugars. Eating walnuts, almonds, salads, omelets, and some chicken. I have also been eating Cherios for breakfast? Looking forward to meeting with the Nutrionist asap;-)
Thank you all again for taking the time to repsond!
CG
Featured Answers
S.M. answers from Lewiston on September 18, 2009
Hi,
I had it and it was a little difficult to get the routine down. I controlled my with diet so I was lucky. I was also very strict. The good news is it is laid out step by step for you. You have a list of foods and how often and what combinations to eat and what not to have. Mine went away the day I had my daughter but I still try to be careful because there is a higher risk of type 2 now. Good luck! It is not as daunting as it may seem now :)
More Answers
M.C. answers from Hartford on September 19, 2009
when i was pregnant with my son, i was told by multiple doctors that i was basically guaranteed to develop gestational diabetes because of my own sugar issues. That just made me determined to prove them wrong. I obsessed over my diet, visited many websites that are dedicated to preventing diabetes in pregnant women and did a complete 180 on my diet. And I never developed diabetes, much to the surprise of my doctors.
Point is, yes, you can absolutely control your diabetes through diet and they will send you to a nutritionist to make sure you can do just that.
It definitely wasnt easy for me and I would find myself in tears some days because of the things I couldn't eat (ugh, pregnancy hormones!). Most days for lunch I ate plain rice cakes (35 calories, zero sugar) which tasted like cardboard. I was pregnant around christmas time and no christmas cookies for me. There were a ton of sacrifices but when your baby is born completely healthy and you know it was because of your care during your pregnancy, it's completely worth it.
Good Luck!!
S.I. answers from Boston on September 19, 2009
Hi. I had GDM with my son. It was an overwhelming feeling at diagnosis, but hang in there and you'll learn amazing new things and get through fine.
You must change your diet. There is no option really for you baby. Sustained high blood glucose is what can cause birth defects or fetal death. But there are many ways to do this so don't get scared! Your docs will work on nutrition with you, but one they don't talk to pregnant women about much is exercise. They assume pregnant women won't do anything of the sort. It is kinda funny in retrospect, but that doubt by healthcare providers was what motivated me.
I was walking to an appointment. They told me I had to come in to learn insulin because despite my extremely diligent diet, my glucose was still too high (normal, btw. Don't think you have 'failed' if this happens. The placenta just becomes more and more insulin resistant thru pregnancy to give more nutrients to the growing baby. Us GDM women's placentas just go on overdrive). I was just due for checking my sugar after breakfast and... Totally normal!!! I asked the nurse and she says 'oh ya, walking lowers your blood glucose, but we don't expect you to excercise regularly...'. I was so insensed I asked to delay the insulin for a week to see how I could do.
After *every* meal I got up and walked for at least 15 minutes. By the end that was all I could do, plus it was January in Boston.
I stayed off insulin for two more months, only taking it the last four weeks of pregnancy. I know now how important the insulin was for my baby but I also know I did everying I could to be as healthy as possible.
So walk if you can. And hang in there, test you glucose, read labels. You will learn more about the American food system and how badly we eat in these next few months than in your life so far. And that is a gift you can give to your child and family. You will have to know it now because we are at higher risk for developing type 2 for the rest of our lives. Stay ahead of the statistic, stay healthy!
If you want to talk more, email me anytime. I work at Joslin Diabetes Center now in part because of my experience. ____@____.com
L.B. answers from Boston on September 19, 2009
Hi, I went through it with all three of my pregnancies. The first two, I controlled the diabetes through diet. I followed the glycemic index diet that a diabetic would be on.
It really wasn't a huge ordeal.
For the 3rd pregnancies I was put on insulin shots right away when the test came back. These were no big deal as you can't feel them. They are so small and go into your thigh or your stomach fat area.
All 3 of my kids were born healthy. The first and 3rd weren't huge...just under and just over 8 lbs...the middle was almost 10 lbs!
When you have gestational diabetes, you tend to deliver bigger babes.
Good luck!
V.L. answers from Providence on September 19, 2009
The same thing happened to me, but my two pregnancies were fastly different from the start. Gestational diabetes is not something that should scare you, but you will want to pay attention to what you are eating and be consistent with your blood testing. You will quickly figure out what triggers the high readings for you and then limit your intake to keep the condition controlled through diet. I was lucky in a sense because I had no food cravings the second time around; some of my otherwise favorite foods actually turned my stomach. If you are a big fan of pasta, then I would recommend Dreamfields because it fills you up without spiking your sugar levels and tastes like pasta.
R.D. answers from New London on September 19, 2009
I had gestational diabetes while pregnant with my daughter. For me, after the shock wore off, it was a matter of finding foods that I liked that I was able to create portions tailored to the diet the nutritionist suggested. I basically cut sugar out of my diet, with the exception of fruit once a day, ate wheat bread instead of white, started eating brown rice and reduced the amount of pasta we ate. It did seem to be overwhelming at first, but once I figured out what a portion looked like, and what foods wouldn't spike my sugar levels, it became pretty easy to stick to a diet. I ate eggs, chicken, pork, lots of salads with avocado, meat and cheese, and my snacks tended to be crackers and cheese. There were days of course, where my sugar levels were really high, but the doctors are looking at averages, not spikes.
One thing that was hard was going to friends or a restaurant for meals, because people don't always know what foods contain carbohydrates, plus restaurant portions tend to be twice what you need!
My daughter was born weighing 7 lbs, 4 oz., which was a good birth weight. My glucose levels went back to normal after she was born. I am tested every few years to make sure that I don't have type II as an adult. All of the effort to maintain my levels were more than worth it! My husband and I have a healthy 7 years old!
Hope this is helpful.
M.B. answers from Hartford on September 19, 2009
Do you know what your numbers were on your test? They'll most likely have you manage with diet at first. I had it with my last. I had to test my blood sugars 4 times a day. The only things I was completely forbidden from having at all was pizza because it just really messes with the numbers. However, in moderation I could have a little chocolate ice cream with peanut butter before bed. In all honesty it wasn't too too bad and I managed to keep it all under control with diet. So most likely when you see the nutritionist she'll go over your numbers from the glucose test and just give you a diet that you can follow. They'll ask what you eat now in a normal day and then adjust it accordingly.
G.S. answers from Boston on September 21, 2009
Been there too! You are lucky to know so soon as to what to do. I too was devestated to know that I had it too. I thought my child was going to be affected by me until I got to see a Endocrynologist (?). Every other month for good measure. (no copay though)
My nutrionist was GREAT! She told me that I should be balancing out my CARBS with DAIRY. Crazy as it sounds it did work well.
I was able to loose weight while I was Pregnant, which I actually needed to. Mine had to be controlled with Insulin: heartbreaking but the Healthy, small baby GIRL I had was the pay off. Yep ups and downs but it was worth it.
Do be afraid, the diet is fun and can be used even afterwards. Think 5 small meals a day and have fun with the food you eat. Watch you CARBS.
The best news is that 3 hours after I gave birth I no longer needed to have a shoot ever again. However, I may need to do it all again next time.
Think positivly and enjoy.
G.
B.G. answers from Boston on September 19, 2009
Hi- I was diagnosed with gestational diabetes at 36 weeks. I passed the first screening (at 24 weeks I think) but my baby was measuring big so they re tested me and I had it. I was very nervous becuase I felt it was so late and the baby was already so big. I met with all of the specialists and went on the diet. I actually felt so much better once I was on the diet they perscribed...you will learn how to count carbs!!!! I ended up not gaining much weight (it was ok becuase I started out a little heavy)and I felt great. Eventhough I was very strict on the diet, they put me on insulin the last week before the baby becuase my morning fasting numbers were a little high. FYI- the shot is no big deal...you don't even feel it. So, I ended up having a 10.8 ounce baby. She is a little big, but beautiful and there were no complications. Consider yourself very lucky to get the diagnosis early. Follow the diet. When you know the sugars are directly affecting the baby, you have all the will power in the world. Good luck!
Email