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Old Jan 16th, 2010, 16:13 PM   #1
Rach27
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Gestational Diabetes diagnosis


Hi everyone,

So on Thurs I was diagnosed with GD, which did come as a bit of a shock as I had no symptoms, have a healthy diet am slim and have a low BMI (20.6). I do, however, have a family history (Auntie and Grandma had type 2) and I do experience what I thought might be 'sugar lows' from time to time. I don't favour sugary foods and I find it hard to digest carbs generally so don't eat a lot of either.

My fasting glucose was 4.1mmol/L and the result two hours after the glucose drink was 8.5mmol/L (should be < 7.8mmol/L).

I was referred to the diabetes team at the hospital and given my own testing kit (very cool machine!!) and so far all the results are well below target - when I woke this morning before breaky I was only 2.9mmol/L!!!

I'm happy now it's been spotted and seems controlable but I have a few concerns I hope you can help with.

At an U/S scan yesterday, the baby was measuring a bit small (by about a week). I thought GD could cause the babies to grow bigger than gestation??? The specialist midwife has told me they want me to have the closest to a natural birth as possible but won't let me go overdue. Why is this? When I asked if they induced every GD woman, she said yes and there were a few cases where women had refused and for two of these, the babies were stillborn even though their GD was seemingly under control!

I am happy to have an induction (they think this will happen around 39 weeks) as long as he's ready but I'm not sure how bringing labout forward a week would mitigate the risk of still birth??? Anyone?

Also, can the sugar lows I'm having (like the 2.9 this morning) harm my baby at all? I realise they might if I fainted, although, touch woood, this won't happen.

Any advice would be greatly appreciated. I see an OB next week at the hospital to talk about delivery options.

Thanks ladies x


 
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Old Jan 18th, 2010, 04:35 AM   #2
Rach27
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Anyone?


 
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Old Jan 18th, 2010, 06:18 AM   #3
xerinx
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Quote:
Originally Posted by Rach27 View Post
Hi everyone,

So on Thurs I was diagnosed with GD, which did come as a bit of a shock as I had no symptoms, have a healthy diet am slim and have a low BMI (20.6). I do, however, have a family history (Auntie and Grandma had type 2) and I do experience what I thought might be 'sugar lows' from time to time. I don't favour sugary foods and I find it hard to digest carbs generally so don't eat a lot of either.

My fasting glucose was 4.1mmol/L and the result two hours after the glucose drink was 8.5mmol/L (should be < 7.8mmol/L).

I was referred to the diabetes team at the hospital and given my own testing kit (very cool machine!!) and so far all the results are well below target - when I woke this morning before breaky I was only 2.9mmol/L!!!

I'm happy now it's been spotted and seems controlable but I have a few concerns I hope you can help with.

At an U/S scan yesterday, the baby was measuring a bit small (by about a week). I thought GD could cause the babies to grow bigger than gestation??? The specialist midwife has told me they want me to have the closest to a natural birth as possible but won't let me go overdue. Why is this? When I asked if they induced every GD woman, she said yes and there were a few cases where women had refused and for two of these, the babies were stillborn even though their GD was seemingly under control!

I am happy to have an induction (they think this will happen around 39 weeks) as long as he's ready but I'm not sure how bringing labout forward a week would mitigate the risk of still birth??? Anyone?

Also, can the sugar lows I'm having (like the 2.9 this morning) harm my baby at all? I realise they might if I fainted, although, touch woood, this won't happen.

Any advice would be greatly appreciated. I see an OB next week at the hospital to talk about delivery options.

Thanks ladies x

They induce you as the placenta starts to deteriate so they bring you forward to reduce the chance of that happening.

Sugars if low wont effect baby but will you. When mine are below 4 i go into hypo and need sugar asap.

Ive had gd in 4 pregnancies now. My first had abdominal problems which they ended up blaming on undiagnosed gd and she passed away at 19 weeks.
My 2nd i had at 38 weeks via section after failure to progress through induction.
My 3rd i had at 38 weeks via section and with this one they are giving me another section at 38 weeks.

My 2 ended up in scbu after birth due to low sugars, my DS was in for 3 days while my DD was only in for a night.And they do tend to be bigger babies. My DS was 9lb 1/2oz and DD was 8lb 13 1/2 oz.

If you have any other questions i will try to help you as much as i can hun


 
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Old Jan 19th, 2010, 12:41 PM   #4
Rach27
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Quote:
Originally Posted by xerinx View Post
They induce you as the placenta starts to deteriate so they bring you forward to reduce the chance of that happening.

Sugars if low wont effect baby but will you. When mine are below 4 i go into hypo and need sugar asap.

Ive had gd in 4 pregnancies now. My first had abdominal problems which they ended up blaming on undiagnosed gd and she passed away at 19 weeks.
My 2nd i had at 38 weeks via section after failure to progress through induction.
My 3rd i had at 38 weeks via section and with this one they are giving me another section at 38 weeks.

My 2 ended up in scbu after birth due to low sugars, my DS was in for 3 days while my DD was only in for a night.And they do tend to be bigger babies. My DS was 9lb 1/2oz and DD was 8lb 13 1/2 oz.

If you have any other questions i will try to help you as much as i can hun
Thanks for that. Have to admit I am rather confused!

At my growth scan last week (@ 30+6 weeks), they measured:

- Head circumference
- Abdominal circumference
- Femur length
- Amniotic fluid
- Cord flow

HC and AC were measuring around 30 weeks (if slightly more than gestation) and the legs were at 32 weeks. The amniotic fluid was bang on normal at 12 ish and the cord blood flow was good.

My fundal height had been measuring spot on as well and I'm glad the baby isn't looking huge but I'm confused about the inproportionate measurements a tad. As far as I understood it, a small belly can indicate the baby is lacking in nutrients (as in perhaps if I suffered from low blood sugar??). I was worried my placenta might not be functioning but the output looked great and the result was was neither conducive with IUGR or Macrosomia....

Is the small AC measurement anything to worry about???


 
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Old Jan 19th, 2010, 13:02 PM   #5
xerinx
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Quote:
Originally Posted by Rach27 View Post
Quote:
Originally Posted by xerinx View Post
They induce you as the placenta starts to deteriate so they bring you forward to reduce the chance of that happening.

Sugars if low wont effect baby but will you. When mine are below 4 i go into hypo and need sugar asap.

Ive had gd in 4 pregnancies now. My first had abdominal problems which they ended up blaming on undiagnosed gd and she passed away at 19 weeks.
My 2nd i had at 38 weeks via section after failure to progress through induction.
My 3rd i had at 38 weeks via section and with this one they are giving me another section at 38 weeks.

My 2 ended up in scbu after birth due to low sugars, my DS was in for 3 days while my DD was only in for a night.And they do tend to be bigger babies. My DS was 9lb 1/2oz and DD was 8lb 13 1/2 oz.

If you have any other questions i will try to help you as much as i can hun
Thanks for that. Have to admit I am rather confused!

At my growth scan last week (@ 30+6 weeks), they measured:

- Head circumference
- Abdominal circumference
- Femur length
- Amniotic fluid
- Cord flow

HC and AC were measuring around 30 weeks (if slightly more than gestation) and the legs were at 32 weeks. The amniotic fluid was bang on normal at 12 ish and the cord blood flow was good.

My fundal height had been measuring spot on as well and I'm glad the baby isn't looking huge but I'm confused about the inproportionate measurements a tad. As far as I understood it, a small belly can indicate the baby is lacking in nutrients (as in perhaps if I suffered from low blood sugar??). I was worried my placenta might not be functioning but the output looked great and the result was was neither conducive with IUGR or Macrosomia....

Is the small AC measurement anything to worry about???
Its not too small hun tbh near enough your dates so i wouldnt worry. I had growth scan today 34+2 and my LOs ac is 40+ weeks, hc is 40+ weeks and fl is 37+ weeks and he is massive!!7lb14 already.

Im having him early due to the pain he is causing me.

But your LO seems to be doing great hun. If they were worried at all they would let you know


 
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Old Jan 19th, 2010, 14:19 PM   #6
Teel
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Hiya

I had undiagnosed GD- my measurements were always fine with the midwife until the final few weeks- I had the GD test and no follow up and my mwife had reassured me no news is good news, so i carried on as normal. This wasnt the case- the hospital failed to send me a follow up letter to discuss my GD- nehows fast foward until 39weeks + 5 days- yep pretty much full term- I went in for a check up and a growth scan. To my utter shock and complete surprise I was told my lil girl would be weghing in between 9.5 lbs to 11.5 lbs- the decision was made for an elective section- everything went as planned- 10lb 7 oz my little girl had weighed in- a heffer of a baby!

The aftermath of the section had raised my blood pressure to stroke levels- my GD follow up was fine but was told i am at risk of developing diabetes at later life. My little girl was tested clear- thank goodness.

There was one thing that happened, but i dont want to scare you.
My little girl had her routine check up and on the day of release to go home, my heart broke. The docs had checked her chest and told me she had a heart murmor- I was devastated to say the least- she had more tests done, hooked up on blood pressure machine- being told this and that about my newborn. Nehws, fast forward a few agonising weeks- returned for a check up- found out it wasnt a murmor in the end- was told that due to my GD it causes one of the arterys not to close up completelty causing a slight murmor. The check up found the artery closed up a little later than normal.
Again its not to scare you, just to share my story.

Hope that gives you an insight


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Old Jan 20th, 2010, 05:15 AM   #7
Rach27
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Quote:
Originally Posted by xerinx View Post

Its not too small hun tbh near enough your dates so i wouldnt worry. I had growth scan today 34+2 and my LOs ac is 40+ weeks, hc is 40+ weeks and fl is 37+ weeks and he is massive!!7lb14 already.

Im having him early due to the pain he is causing me.

But your LO seems to be doing great hun. If they were worried at all they would let you know
Thank you for your words of reassurance I was arriving at that conclusion (just takes me a while sometimes!) We see the specialist tomorrow and then I guess we'll have another growth scan in a few weeks. Bubs seems oblivious too all the fuss any how which is the main thing!

When are you being induced? Bet you're looking forward to have that weight lifted off (so to speak!).

xxx


 
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Old Jan 20th, 2010, 05:56 AM   #8
xerinx
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Im meant to be having a section at 38 weeks on 15th feb but with him being sooo big and me in so much pain i see consultant next week to either have him at 35/36/37 weeks depending on how im managing. I wanna wait til 36 weeks if poss


 
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Old Jan 20th, 2010, 06:55 AM   #9
Rach27
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Originally Posted by xerinx View Post
Im meant to be having a section at 38 weeks on 15th feb but with him being sooo big and me in so much pain i see consultant next week to either have him at 35/36/37 weeks depending on how im managing. I wanna wait til 36 weeks if poss
All the best of luck with everything! Keep me posted


 
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Old Jan 20th, 2010, 07:08 AM   #10
xerinx
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Thanks hun and i shall do


 
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