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30 Weeks Pregnant With Twins Diagnosed With Gestational Diabetes

Gestational Diabetes: My Story

Gestational Diabetes: My Story

Remember a few weeks ago, when I shared my struggles in taking the gestational diabetes test? Well, there ended up being a lot more behind that struggle than just having to figure out a way to swallow that awful sugary fruit punch drink! About a month ago, I took the “one hour” glucose test and did not pass it. My blood sugar count wasn’t awful- a 144, but my doctor recommends retaking the test if you’re over 140. So I trooped back to the lab and took the “three hour” glucose test. Essentially, the lab technician tested my blood clean, I then drank the sugary drink (this time I went for orange- it was still awful!) and they proceeded to test my blood every hour for the next three hours. It was actually a tough test- the sugary drink more or less shocked my body as my blood attempted to metabolize it. I didn’t feel too hot through the entire thing, but had high hopes that because my original count wasn’t that high, I would be fine. A few days later, I received a phone call from my doctor’s office- I had failed the three hour glucose test and had been diagnosed with gestational diabetes. So many thoughts quickly ran through my head- did I do something wrong to trigger this? Have I put my baby at risk? What the heck comes next? Luckily, my doctor’s office holds a gestational diabetes training class to help answer some of these and many other questions. And it’s been a couple of weeks for me so far, so I have learned a lot about this condition. While I’m certainly not a doctor or a diabetes expert (please consult a professional for expert advice!), I thought I’d share my story with all of you in case you’re at risk for gestational diabetes or if you’re going through being diagnosed as well. First off, I learned that nothing I had done triggered Continue reading >>

Scary Diagnosis Of Gestational Diabetes..

Scary Diagnosis Of Gestational Diabetes..

Scary diagnosis of Gestational Diabetes.. Scary diagnosis of Gestational Diabetes.. I am 32 weeks pregnant and have just been told I have GD.. I was given a glucose tolerance test because my dad has type 2 diabetes at aged 72 so it was a shock to receive a phonecall from the hospital with the news. Within 24 hours the hospital had arranged for me to see a dietician, a diabetic nurse, the diabetic consultant and to attend the hospital for growth scans to commence within a week and to continue every 2 weeks until the baby arrives.I must add that I am 36, fit and healthy with a BMI of 21, have a 3 year old born quickly and perfectly at 7lb 6oz and up until last week was having a nice problem free pregnancy.I lost twins last year and understandable found the whole thing a heartbreaking experience but I was just starting to relax and see the ending that we deserved after something traumatic.My first meeting on monday was with the diabetic nurse, she explained that my reading of 7.8 was GD and 7.7 was normal, she then proceeded with filling out a new book for me to carry around in addition to my green notes and accompanied by a pack for me to test my glucose levels 4 times a day using the fingerprick testing kit, that was all fine.. She then expressed the importance of a healthy diet and gave me a vague diet sheet to follow and told of the new increased risks ahead for me including still-birth, placenta abrubtion and being told of the increased chance of complications with the birth ruling out the planned homebirth, moving me from a low-risk to a high-risk pregnancy, the increased chance of being induced from 37/38 weeks and if I can't control my glucose levels over the next few weeks I would have to inject insulin.Within 15 minutes of negative info overload I burst into tea Continue reading >>

New Gestational Diabetes Diagnosis

New Gestational Diabetes Diagnosis

So I was diagnosed last week with gestational diabetes at 24 weeks. I bombed my 1hr glucola so I am not even attempting the 3hr one. I am just wondering how this will change my monitoring for the rest of this pregnancy. I would also love to hear how it ended up affecting your outcomes (early induction, babies ended up in NICU for blood glucose issues, etc.). I thought I was trucking along just fine but this seems to be a game changer. They are not making you take the 3hr test? That's strange to me. I failed miserably with my 1hr test, I tested at 192! They said more than half women who fail the 1hr test, even with a high number like that, will pass the 3hr test. Unfortunately, I failed that one too. Luckily, not as bad as the one hour test. They told me the 3hr test would determine if I for one had GD, and 2 how bad. If it wasn't so bad, I'd have to watch what I eat. Second, would be to do finger pricks after meals. Third would be a pill, and worse case I would need insulin shots. Luckily I only fell into the second category with the finger pricking. As far as my management with the GD and babies' health, I just watched my diet and checked my blood sugar by pricking my finger. It sucked, but I dealt with it. Both my babies were born healthy @ 36+4. They were 4lbs and 4lb 12oz. DS did 3 days in NICU not related to GD. I was one of the lucky ones who only gained 22lbs during my pregnancy, which my doctor was very proud of considering I had GD. There are many risk for you and the baby with GD that I'm sure your doctor will discuss with you. I was also diagnosed with GD very early around 10 weeks when my doctor ordered my initial blood work she also wrote the GD test. I scored a 158 . So I was put on monitoring category. Meaning checking my blood sugar after every meal. I Continue reading >>

Potential Complication: Gestational Diabetes With Twins

Potential Complication: Gestational Diabetes With Twins

Potential Complication: Gestational Diabetes With Twins Gestational diabetes is caused by a change in how your body responds to the hormone insulin . This hormone helps move glucose out of the blood and into the cells, so your body can use it for energy. When you are pregnant, your cells become slightly more resistant to insulin . That increases the amount of sugar in your blood , which helps make more nutrients available to your babies. However, if the level of glucose becomes too high, it can cause problems for you and your twins. If you develop gestational diabetes, you're at greater risk for: Risk of developing diabetes later in life The good news? If you receive treatment and control gestational diabetes, your risk of problems is similar to the risks of other women. Your chances of having healthy twins are excellent. And, after you deliver, glucose levels often return to normal. However, both you and your babies will have a higher risk of getting diabetes later. So your doctors will need to regularly monitor your blood sugar levels. Certain things raise your risk of getting gestational diabetes. You are at increased risk if you: Are Hispanic, African-American, Native American, Asian American, or Pacific Islander Had gestational diabetes in a previous pregnancy Had a previous very large baby (9 pounds or more) or a stillbirth Have had abnormal blood sugar tests before You can expect your doctor to assess your risk for gestational diabetes at your first prenatal visit. If you are at high risk, you should have a blood test for gestational diabetes as soon as possible. If your test is negative, you should still repeat the test about week 24-28. If you are not at high risk, you should still get screened about week 24-28. To test for gestational diabetes, your doctor ma Continue reading >>

New Optimal Screening Threshold For Gestational Diabetes In Twin Pregnancies

New Optimal Screening Threshold For Gestational Diabetes In Twin Pregnancies

New Optimal Screening Threshold for Gestational Diabetes in Twin Pregnancies New Optimal Screening Threshold for Gestational Diabetes in Twin Pregnancies Ideal 1-hour 50-g glucose challenge test cutoff 135 mg/dL, say researchersin the American Journal of Obstetrics & Gynecology A common complication, gestational diabetes affectsapproximately 6-7% of pregnant women. Currently, screening is done in two stepsto help identify patients most at risk; however, the suggested levels foradditional testing were based on singleton pregnancy data. Now investigatorshave analyzed data from twin pregnancies and have determined that the optimalfirst step cutoff for additional screening appears to be a blood sugar levelequal to or greater than 135 mg/dL for women carrying twins. Their findings arepublished in the American Journal ofObstetrics & Gynecology. Representing approximately 3.3% of all live births in theUnited States, twin pregnancies present unique medical challenges; however,most of the available data regarding GDM testing thresholds are based onsingleton pregnancies. Since carrying twins amplifies the normal physicalchanges that accompany pregnancy, a team of researchers from the Icahn Schoolof Medicine at Mount Sinai and the New York University School of Medicine setout to pinpoint the most effective screening cutoff for women pregnant withtwins. Currently, the American Congress of Obstetricians andGynecologists advocates a two-step diagnostic approach. Women are screenedbetween 24-28 weeks, using a nonfasting 1-hour 50-g glucose challenge test(GCT). If a patient exceeds the recommended cutoff (between 130 mg/dL and 140 mg/dL),additional testing is performed to diagnose or rule out GDM. In this study, doctors analyzed data from 475 womenpregnant with twins who were treated Continue reading >>

Gestational Diabetes - My Story And Recipes

Gestational Diabetes - My Story And Recipes

This is a little bit of a departure from my normal blog posts. However, I thought sharing my experience with gestational diabetes would be good to raise awareness and let other pregnant gals hear a first hand account. I hope you keep reading and that you learn something. The recipes, ideas and meal suggestions are healthy for anyone diabetic or not. Heading into my third trimester gestational diabetes was not on my radar. It blindsided me. I didn't expect to be diagnosed. I've been very proactive about my health. I've focused on eating well, maintaining a good weight and getting exercise. I only had two of the risk factors: I'm over 25 and I do have history of type II diabetes from both my maternal grandfather and paternal grandmother. Although they both were diagnosed late in life and already had other health problems so it just didn't seem relevant. When I failed the first 1-hour non-fasting glucose test I figured it was a fluke and I would pass the longer 3-hour fasting glucose test. I didn't. For the 1-hour glucose test, anything over 130mg/dL (or 140mg/dL depending on your doctor) is high enough to warrant the three-hour test. If your blood sugar is over 200mg/dL they don't even bother with the 3-hour test and confirm a diagnosis of gestational diabetes. Usually pregnant women are tested between 24 and 28 weeks. At week 28 my blood sugar tested at 138 mg/dL. What is considered elevated blood glucose levels vary by doctor and practice. From what I've read, I go to a fairly conservative practice. Below you can see the American Diabetes Association scores to diagnose gestational diabetes verses the practice I go to and then what my scores were. The 3-hour fasting glucose test involves not eating for 12 hours, then having blood drawn. That's the first fasting score. Th Continue reading >>

Pregnant With Twins Gestational Diabetes ??s - Mothering Forums

Pregnant With Twins Gestational Diabetes ??s - Mothering Forums

Parenting Multiples > Pregnant with Twins Gestational Diabetes ??s I'm 30 weeks preganant with twins and just failed that stupid 3-hour GTT test (just by a little they said). Now my Dr's are insisting I see a dietician. However, we live in a rural area and the small-town hospital here doesn't have a dietician that specializes in maternity cases (let alone multiples). I'm afraid this visit will just be a waste of time. Can anyone give me good advice about what I should be doing/expecting now? I'm a little freaked out at this point b/c the nurse they had call me with the results was going on and on about possible birth defects from GD as well as the possibility of stillbirth, etc. From what I've read this is only a problem if you have undiagnosed diabetes early in your pregnancy. Is this true? I want to take this seriously, but how much difference is changing my diet (which I have been very careful about up until now) is going to make at this point? Any thoughts from anyone who has gone through this stuff? Hi, I had GD during my pregnacy it was my first time dealing with it and was told that it is due to carrying twins. They told me it was slight but still insisted I tested my blood from my finger after each meal. OUCH it really got on my nerves after a while and I realized what made it go up, like after eating a bowl of oatmeal. So I did meet with a dietician and was told to cut out carbs. My biggest down fall was pasta I ate two bowls of it. You need to make you diet consist of high protein, meats, chicken eggs, bacon, fish all vegetables are good. Stay away from potatoes though. Cut out breads, pasta, muffins, oartmeal all things high in CARBS or have very small portions maybe once a day. If you eat a sandwich add mayo have one slice of toast instead of two. If you ha Continue reading >>

“i Had Gestational Diabetes When I Had Twins”

“i Had Gestational Diabetes When I Had Twins”

Zoe Hiljemark, 34, a PR consultant, lives in Poole with husband David and children Karl, 3, and twins Isaac and Sofia, 22 months. The first few months of pregnancy were tiring, but I put the extra exhaustion and dizziness down to carrying twins. Caring for my toddler took it out of me, and even walking up stairs left me breathless. When I was six months, a scan showed the babies were measuring large and, given my first son weighed almost 10lbs at birth, the doctors sent me for a glucose tolerance test. My blood was taken after overnight fasting, and again after a sweet drink. It showed that my body wasn't processing the glucose properly and that my sugar levels were high, meaning I had gestational diabetes. I followed the advice of a dietician and cut out processed sugar completely, as well as avoiding natural sugar like fruit It was a shock, especially since I don't fit the common criteria, like being overweight. I was gutted but determined to manage my condition. I followed the advice of a dietician and cut out processed sugar completely, as well as avoiding natural sugar like fruit. Testing my blood sugar levels daily using a finger prick machine showed my glucose levels still hadn't stabilised so I was prescribed insulin. I had to inject myself daily, as well as still managing my diet. Thankfully, it worked. My glucose levels normalised, the dizziness and exhaustion improved and I began to feel more positive. After a forceps delivery first time round, and this complication now, I wanted a quick, controlled birth The doctors wanted me to try for a natural birth but I requested a c-section. After a forceps delivery first time round, and this complication now, I wanted a quick, controlled birth. So one evening at 37 weeks, David took me to be admitted onto the ward for Continue reading >>

What Is Gestational Diabetes During Pregnancy?

What Is Gestational Diabetes During Pregnancy?

Gestational Diabetes in Pregnancy More and more, pregnant women in the United States are facing an ailment that can have negative consequences for both mothers and babies: gestational diabetes. Diabetes is a condition wherein the body cannot regulate its sugar levels, resulting in high or low blood sugar levels. Why is this becoming more prevalent with pregnant women? According to studies, more women are entering pregnancy as obese. Obesity is a high risk factor for diabetes. Some of these women have diabetes pre-pregnancy while others develop it after their pregnancy hormones take over. On the other side, there are just as many fit and healthy pregnant women who find out they have gestational diabetes. Why is that the case? What is this form of diabetes during pregnancy? Here you will read about the condition gestational diabetes, how it is caused, and how it can be both prevented and treated. What is Gestational Diabetes? Gestational diabetes occurs when a pregnant woman's body cannot control her blood sugar effectively, causing her to have high blood sugar. Nearly 4% of all pregnant women develop gestational diabetes. The pancreas is responsible for emitting the sugar controlling substance insulin into the blood to help remove excess amounts of sugar from the body. Sometimes, the pancreas produces too much insulin, and other times it doesn't produce enough. When it doesn't produce enough insulin, it cannot help remove sugar, causing high blood sugar. During pregnancy, hormonal increases change the levels of insulin produced by the pancreas, making it so that the pancreas cannot keep up with the production of insulin needed to regulate blood sugar. If this continues, gestational diabetes is what occurs. Most of the time, this happens to pregnant women between the 24th Continue reading >>

32 - 36 Weeks The Toughest Time...

32 - 36 Weeks The Toughest Time...

Between 32 - 36 weeks are what we know to be the toughest time for gestational diabetes. It's at around this point that we typically see insulin resistance worsen. You think you have your gestational diabetes diet sussed out and you can literally wake and eat the same breakfast you've been tolerating well for weeks on end and get crazy blood sugar levels?! What the heck is going on and what did you do wrong???... Firstly, you've done NOTHING wrong! This is to be expected and is completely normal and typical with gestational diabetes. To understand what's going on, we need to understand a bit about gestational diabetes and how it works... Gestational diabetes is a progressive condition Gestational diabetes typically presents itself between 24 - 28 weeks. It is for this reason that it is around this time where screening for gestational diabetes typically takes place. It should be noted that insulin resistance can be detected much earlier than this time also, especially in subsequent pregnancies where the mother previously had gestational diabetes. Many ladies are told that earlier diagnosis means that they may have undiagnosed Type 1 or Type 2 diabetes. We have found that this is not the case when ladies are tested following the birth of their baby and so we advise not panicking and waiting until you have your post birth diabetes testing before causing yourself too much distress. Further information on post birth diabetes testing can be found here. Gestational diabetes is caused by increased hormones levels from the placenta that cause insulin resistance. Those diagnosed with gestational diabetes are not able to increase insulin production to meet the additional requirement, or they cannot use the insulin which has been made effectively and so blood sugar levels remain to Continue reading >>

I Am 31 Weeks, And Have Gestational Diabetes...

I Am 31 Weeks, And Have Gestational Diabetes...

I delivered my son at 39 weeks by emergency c-section. I had gestational diabetes. My doctor told me that my baby was going to be at least a 9lb. or 10lb. baby. When he was born, he weighed 7lbs. 7.6 oz. Talk about a prediction? Doctors do not know everything, they can only speculate, just like us. My advice during pregnancy, THE BEST ADVICE I RECEIVED WAS... forget that you are eating for two, make healthy choices, splurge in moderation, exercise when possible. It did help me control my diabetes. I had gestational diabetes with my son and it also runs in my family to have huge babies. My doctor made me go full term plus a week. She etimated my son to weigh about 8lbs. He weighed 9lbs 12oz and I had him vaginally. I can't help but think maybe if she had induced me a little early it would've save me a few stitches and him a broken collar bone. Trust your instincts. My son felt huge and my doctor wouldn't listen to me. Also did your mother or grandmother have large babies? (my sister weighed 11 lbs 3 oz) Really the best thing you can do for yourself is to control your diet. Which will be extremely hard because diabetes gives you an insatiable hunger. Watch starch nd sugar the last month especially because sugar promotes cellular growth and thats all the baby does the last month. Your doc may want you to have another ultrasound closer to the end to estimate how big the baby is. Hang in there. I'm right there with you at 31 wks with #2 hoping he ends up smaller than his big bro. Please keep in mind that the weight of your baby right now is only an estimate and babies can weigh less or more than what they are estimated to weigh even with the help of an ultrasound. My third child was estimated to be 8 lbs just days before he was born. He was 10lbs and 6 oz, born at 41 weeks a Continue reading >>

What Might Go Wrong In The Third Trimester?

What Might Go Wrong In The Third Trimester?

Weeks 28 through 40 bring the arrival of the third trimester. This exciting time is definitely the home stretch for expectant mothers, but it also presents a time where complications can occur. Just as each trimester can bring its own challenges, so can the third trimester. Prenatal care is especially important in the third trimester because the types of complications that can arise at this time are more easily managed if detected early. You’ll likely start visiting your obstetrician every other week from 28 to 36 weeks, then once per week until your little one arrives. According to the American Diabetes Association, as many as 9.2 percent of pregnant women have gestational diabetes. Gestational diabetes occurs because the hormonal changes of pregnancy make it more difficult for your body to effectively use insulin. When insulin cannot do its job of lowering blood sugar to normal levels, the result is abnormally high glucose (blood sugar) levels. Most women have no symptoms. While this condition is usually not dangerous for the mother, it poses several problems for the fetus. Specifically, macrosomia (excessive growth) of the fetus can increase the likelihood of cesarean delivery and the risk of birth injuries. When glucose levels are well-controlled, macrosomia is less likely. At the beginning of the third trimester (between weeks 24 and 28), all women should get tested for gestational diabetes. During the glucose tolerance test (also known as the screening glucose challenge test), you will consume a drink that contains a certain amount of glucose (sugar) and at a specified time later your doctor will test your blood sugar levels. For the oral glucose tolerance test, your blood sugar levels are checked after you have fasted for at least eight hours and you’ve drank Continue reading >>

Complications In A Multiples Pregnancy

Complications In A Multiples Pregnancy

Home / Multiples Pregnancy / Complications in a Multiples Pregnancy Of all the types of multiple births , twins normally face the fewest medical problems and complications. Each additional baby a woman carries during her pregnancy increases the possibility of developing pregnancy complications . What are the most common complications associated with multiples? Preterm labor/delivery is defined as delivery before 37 completed weeks of pregnancy. The length of gestation typically decreases with each additional baby. On average most single pregnancies last 39 weeks, twin pregnancies 36 weeks, triplets 32 weeks, quadruplets 30 weeks, and quintuplets 29 weeks. Almost 60% of twins are delivered preterm, while 90% of triplets are preterm. Higher order pregnancies are almost always preterm. Many times premature labor is a result of preterm premature rupture of the membranes (PPROM). PPROM is rupture of the membranes prior to the onset of labor in a patient who is less than 37 weeks of gestation. Low birth weight is almost always related to preterm delivery. Low birth weight is less than 5.5 pounds (2,500 grams). Babies born before 32 weeks and weighing less than 3.3 pounds (1,500 grams) have an increased risk of developing complications as newborns. They are at increased risk for having long-term problems such as mental retardation, cerebral palsy , vision loss, and hearing loss. Multiple pregnancies grow at approximately the same rate as single pregnancies up to a certain point. The growth rate of twin pregnancies begins to slow at 30 to 32 weeks. Triplet pregnancies begin slowing at 27 to 28 weeks, and quadruplet pregnancies begin slowing at 25 to 26 weeks. IUGR seems to occur because the placenta cannot handle any more growth and because the babies are competing for nutrien Continue reading >>

Preeclampsia And Gestational Diabetes

Preeclampsia And Gestational Diabetes

Gestational diabetes and preeclampsia are both conditions that only occur during or just after pregnancy. Gestational diabetes is caused by an inability to use sugar properly during pregnancy, and may result in giving birth to a large baby. One of the potential complications of gestational diabetes is the development of preeclampsia. This condition, which may also be called toxemia of pregnancy or pregnancy-induced hypertension, occurs in about 10 to 30 percent of women with gestational diabetes. What Is Preeclampsia? Preeclampsia is defined as the presence of protein in your urine and high blood pressure occurring after the 20th week of your pregnancy. The condition affects about 5 to 8 percent of all pregnancies. In the United States, preeclampsia rarely causes the death of a mother or infant, but worldwide pregnancy-induced high blood pressure still causes 76,000 maternal deaths and 500,000 infant deaths every year. The cause of preeclampsia remains a mystery. We do know that you are at higher risk if you have gestational diabetes, a family history of preeclampsia, are overweight, or if you had high blood pressure or kidney disease before your pregnancy. Preeclampsia is more common during your first pregnancy, if you are carrying twins, and if you are over age 40 or a teenage mother. What Are the Signs and Symptoms of Preeclampsia? The signs and symptoms of preeclampsia are caused by the sudden increase in your blood pressure, retention of fluids in your body, and kidney damage that allows proteins to pass into your urine. High blood pressure. You may have high blood pressure during your pregnancy without swelling or protein in your urine, so high blood pressure alone doesn't mean you have preeclampsia. Your doctor may suspect preeclampsia if you have a sudden increa Continue reading >>

Gestational Diabetes

Gestational Diabetes

Hope your all well and having fabulous pregnancies! I'm 29 weeks and 4 days with twins and have just developed gestational diabetes. Is it insulin controlled and how did it affect your labour or maternity care? I was diagnosed with gestational diabetes at 27 weeks. At first they tried to control it with diet but I was eating a pretty healthy diet anyway and I found that I was hungry all of the time following the diet they asked me to - things like fruit tended to raise my sugar levels so I couldn't even snack on that to fill me up! The diabetes care team at the hospital were really good and phoned me every couple of days to see how I was getting on. I had to test my blood sugar levels several times a day and record those results - I then told whoever phoned what they were. After about 2 weeks I phoned them and said that I was starving hungry all the time and just couldn't control it with diet so they put me on insulin. I took it 4 times a day (I think- can't remember) and it made a huge difference to how I felt. Although DH (dear husband) used to have to give it to me because I just couldn't do it! I ended up taking larger amounts of insulin as the pregnancy went on and the babies got bigger. You'll find that you'll be monitored quite closely - I was anyway because of other complications. They will also not let you go past a certain date before they induce you- at my hospital it was 38 weeks and I'd had my girls by then anyway! It's because the gestational diabetes can make your babies grow too big. You will also be monitored really closely during labour. I had a c-section but was admitted the night before so that they could start giving me an insulin drip at midnight. They did tell me that if I'd had a natural labour they would have been testing my sugar levels every Continue reading >>

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