Making sense of gestational diabetes

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Making sense of gestational diabetes


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Old 06-22-2017, 02:48   #1
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Default Making sense of gestational diabetes

Hi everyone, I am 36-years-old and 25 weeks pregnant. I just took a 2 hour glucose test yesterday from 7-9am after fasting all night. My doctor's PA called me this morning to tell me my levels were so high that I need to start taking glyburide at bedtime starting tonight. I also need to go to an education program called "sweet success" near where I live and after I follow their advice for a week or two, I should consult with a perinatologist regarding gestational diabetes. I visit the program next thursday and I have an appointment to see the perinatologist on July 18th, which means I will be on this medication for 1 month before I see the specialist. I looked up the medication and it doesn't sound like a great med to take while pregnant (what is??) but I don't want to go against my doctor's advice until I have more information. I am going to start checking my blood sugar levels starting tonight and I have been eating fairly low carb all day, but I am on a road trip for a week, so that is going to be hard for me.

Any advice for a beginner to low carb while on a road trip?

Any advice for someone who has never tested blood sugar levels?

Any experience with glyburide you can share with me?

Any chance I can get off this medication quick? I am going to call tomorrow to see if I can get an earlier appointment with the perinatologist. What would they want to see in order to recommend discontinuing the glyburide?

Thank you!!!

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Old 06-22-2017, 05:00   #2
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Hi, welcome to the forum. Hopefully someone will be along that is more qualified than me to answer your questions about gestational diabetes. Being a man, I'm obviously nothing about pregnancies, but I heard that the pains experienced right before your arm goes completely numb after sitting in a movie theater with your arm around your girl, is similar to early labor pains. I've experienced that and had a couple of kidney stones.

I would think that insulin would be the more suitable med for GD rather than some chemical. Like I said maybe someone more familiar with GD will be along soon with sound reasoning Me personally, I would never ever take glyburide or any other sufonylurea for any reason.

Cutting back on the carbs should definitely help with lowering your BG. On road trips you can prepare some low carb snack to carry with you. I can usually find something at most restaurants that is low in carb count, buffet type places may be easiest if you avoid the other temptation items they put out. Fast food places, I eat the meat and trimmings of a burger, avoid the bun, and of course no fries or tator tots or chips. Breakfast at most hotels offers scrambled or hard boiled eggs and bacon or sausage.

Testing your BG should not be randomly done unless you are feeling strange and suspect a hypo (low blood) or really high BG. Usually if you want to know whats going on with your BG, its best to test right before a meal and then again one and two hours after. Again I must disqualify myself in your case, because I can't say that hormonal changes may or may not play as big a role.

As far as the getting off the medication, nothing says you have to get on it. They may prescribe it, but that doesn't mean you have to take it if you do not want to. I would certainly voice my concerns and request something else that is safer not only for you and the baby.

I certainly hope you get an earlier appointment. I wouldn't put much faith in the "sweet success program" advice.

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Old 06-22-2017, 13:28   #3
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Welcome to our house. Just finished vacuuming so take off your shoes when you come in.

I do not have experience with pregnancy (Im a man) BUT the 3 things that stand out to me are

  1. Going keto or VLC/HF is eating all natural foods. You will get all your vitamins and minerals and food for the baby
  2. There is no requirement for carbohydrates for anyone (fetus, baby or adult)
  3. Breast milk is VLC/HF and probably puts your newborn into ketosis while only on breast milk so that is a factor

I absolutely believe you can get your numbers down to the normal range quickly if you go with VLC/HF or Ketosis if you can (I am a ketotarian)

your numbers rise when you eat carbohydrates. going very low carb or ketosis will immediately lower the blood glucose because you are not eating anything that will put glucose in your system.

You should do this and speak to your doctor but know that most doctors do not agree with the ketosis or VLC/HF lifestyle (they are forced to agree with the ADA recommendations ()

Please let us know how your doing and if you need anything.

As mbuster said, you should test before a meal, 1 hour after and 2 hours after to begin to see what the food is doing.

Food is currently causing this (Im not talking about type 1) and food is the solution. I personally believe (Im not a doctor) you can get off the medication quickly if you adapt to a VLC/HF lifestyle.

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Here are some good starting points to read

Blood Sugar 101 - VERY informative and accurate
http://www.diabetesforum.com/diabete...ng-method.html a tried and true testing method
https://www.dietdoctor.com/low-carb lists foods for LCHF

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Old 06-22-2017, 13:53   #4
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Jamie and Sam

Congratulations on the impending arrival of your new family member.

Reducing carbohydrates is a safe and healthy way to treat GD. It is also a very healthy way to eat for anyone - so, Sam, you might want to do this also.

A word of caution: since glyburide forces the pancreas to produce insulin, whether or not you need it at the time, it's not good to reduce carbs too much while on this drug. You'll need to either get off the drug, or monitor your BG carefully so your BG won't go too low. (Personally, if I were pregnant, I'd only use insulin - if a change in diet didn't bring my BG down sufficiently - I wouldn't want to expose my baby to it.)

Here's a couple good resources to learn more about diabetes and the low-carb/high-fat way of eating:
Blood Sugar 101
https://www.dietdoctor.com/low-carb

And a testing method that will give you meaningful data to make good food choices.
http://www.diabetesforum.com/diabete...ng-method.html

The information you will get here from diabetics who are being successful in managing their blood sugar will not be the same as what the medical profession usually suggests (there are great exceptions to this, though). The ADA recommends a high-carb/low-fat/low meat way of eating - to the tune of up to 240g of carbohydrates a day. As a comparison, most who use diet to control BG don't eat more than 50g per day, and many (myself included) have reduced to less than that. How do they determine these? They test to see what actually happens when they eat a certain amount of carbs, and then adjust their diet for the next meal, and test.

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Old 06-25-2017, 12:30   #5
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Hi Jamie and Sam
Just wondering if it's possible to do the road trip another time?
I just ask this because being pregnant is enough of a challenge on its own let alone the pressures of high BG and the worry of whether you should be on meds or attempting to start LCHF.
For a beginner it's a bit of a challenge at first. If you could take the time for yourself right now that would be ideal. However, if the road trip is important then stick to chicken, salads, avocados, take some nuts with you in the car. You can make LCHF muffins, ( you can find recipies here in the forums.)They are easy and can be put in an esky and would last for you to have one a day. Drink heaps of water..stay away from fruit and eat heaps of veggies but defo no under ground grown stuff like potatoes and the like...they are not good. Wow that's a quick crash course hey! When you get back home and have more time, you could then really investigate for yourself and become more informed.
Road trips are only hard for me as you can get off track and be tempted to grab something that you would normally steer away from at home.
I took it that you haven't started the meds yet?
If you could just do LCHF for a few days and check your BS as suggested above you may be surprised how quick your BS does come down. That may solve at least one problem that you could be comfortable enough to decide not to take them.
Wow girl! Good choice to join this forum.
Even if you are on the road ask if you need help ok?
Even if it's about a food to choose...anything
Good luck and take care x

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Old 06-26-2017, 21:32   #6
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@Jamie&Sam welcome to the community.

You might find some good ideas for eating LCHF on road trips here.
http://www.diabetesforum.com/diabete...oad-trips.html

I had gestational diabetes through 4 pregnancies.

As others have mentioned, I don't personally recommend medications during pregnancy (or anytime really) other than insulin if needed.

This thread provides some nice resources that may also help you.
http://www.diabetesforum.com/introdu...t-started.html

One thing I do want to add, is that you might want to consider continuing a LCHF lifestyle once your baby is born. Women with gestational diabetes have a much higher risk of diabetes type 2 later on in life. https://www.niddk.nih.gov/health-inf...ke-action.aspx

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Old 06-26-2017, 22:00   #7
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Dear Jamie and Sam, just so busy ATM however have been thinking of you today. I'm like..gosh I should have added gestational Diabeties should be taken quite seriously. I received an email just now that cricket responded to this thread which has prompted me to agree with her firmly. I was diagnosed with gestational Diabeties with my last 2 pregnancies of four. I was warned to watch out for Diabeties down the track. Being your age at the time and having so much more on my mind and not really taking Diabeties seriously I shoved that info to the back of my mind regretfully. I think it's a blessing your here to be fully informed at the start. I hope you can make the time for yourself to really look after yourself. Your important too and you need to do that for yourself. Take care sweetheart and hope all will be well for you x

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Old 06-26-2017, 22:21   #8
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Quote:
Originally Posted by kazz8888 View Post
Dear Jamie and Sam, just so busy ATM however have been thinking of you today. I'm like..gosh I should have added gestational Diabeties should be taken quite seriously. I received an email just now that cricket responded to this thread which has prompted me to agree with her firmly. I was diagnosed with gestational Diabeties with my last 2 pregnancies of four. I was warned to watch out for Diabeties down the track. Being your age at the time and having so much more on my mind and not really taking Diabeties seriously I shoved that info to the back of my mind regretfully. I think it's a blessing your here to be fully informed at the start. I hope you can make the time for yourself to really look after yourself. Your important too and you need to do that for yourself. Take care sweetheart and hope all will be well for you x
I was in the same boat. My OBGYN actually warned me to be aware of a higher risk of diabetes later on in life and unfortunately I didn't pay attention to it so by the time I realized I was diabetic, years later, it was bad enough that I was hospitalized.

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Old 06-26-2017, 22:27   #9
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But now cricket..you help so many. X x

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