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RE: Gestational Diabetes - 6/8/2006 1:48:01 PM   
pinkee


Posts: 487
Status: offline
quote:

ORIGINAL: windchymes

I agree, that's ridiculous.  Attitudes like that are the reason OB-GYN's pay such astronomical insurance rates for malpractice. 

I'm a lab tech in a hospital and I actually administer the GTT's (Glucose Tolerance Tests) to the mom's, and they usually come in in the 6th or 7th month.  Even if they initial test is "positive", and they have you come back in for the 3 or 4 hour tolerances, most the time they just have you watch your diet, which you're supposed to be doing anyway, and the problems will still most likely all clear up once the baby is born. Don't worry, I'm sure everything is going to be fine and Aiden will be happy and healthy!

On a side note....my first grandbaby, to be named Courtney, comes into the world via c-section next Saturday!!!  I plan on being there, and in the delivery room


Ob/Gyns pay malpractice insurance rates commesurate with T/their malpractice.
 
Congrats on your new grandbaby.
 
Now can W/we please help NOMC?  Where is my mbmn when i need her?
 
pinkee

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Profile   Post #: 21
RE: Gestational Diabetes - 6/8/2006 3:53:17 PM   
feastie


Posts: 1793
Joined: 6/4/2004
Status: offline 		I was tested for gestational diabetes with both children at around 6-7 months.  Generally, unless you are at a high risk for developing gestational diabetes, 24-28 weeks is the appropriate time for doing the test.  You want to know whether you have it so that the growth of your baby can be monitored, and so that the doctors are aware, at the baby's birth, to look for possible low blood glucose in the baby, and that the baby may have some breathing difficulties.  That's not saying your baby WILL have problems, it's just best to be aware that there could be problems and that everyone is prepared for them.  You may also, later in your pregnancy, be advised to keep kick counts.  Both of my sisters had it and their babies and they are just fine.

You should not be affected, typically, but it can cause a mother's blood pressure to become elevated, so they will keep a close eye on that.

All in all, it's something you should be aware of, and if diagnosed, follow your doctor's advice.  It's not a cause for a huge amount of concern, just something that requires attention.

Best wishes.

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Disclaimer: Any views expressed in any post are my opinions only. They may or may not be yours.

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Profile   Post #: 22
RE: Gestational Diabetes - 6/8/2006 5:42:38 PM   
MsIncognito


Posts: 742
Joined: 5/24/2005
Status: offline 		NOMC was getting sound advice already. They only totally ridiculous piece of advice she was given was by you. If you really want to help her, don't freak her out. First time Moms have enough things to worry about without people like you fear mongering.

Everything others have said is true - the tests are 'normally' given between 6 and 7 months gestation unless there is a family history of gestational diabetes (my understanding is that a family history of other types of diabetes doesn't necessarily warrant testing sooner). Also, the vast majority of women who test positive for GD do manage to control it with diet. In fact, when a friend of mine was diagnosed with GD about 9 or 10 years ago the diet she was put on was startlingly similar to The Zone  and very manageable. She was healthy, the baby was healthy and she never had any blood sugar issues again.

quote:

ORIGINAL: pinkee
Now can W/we please help NOMC? 

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RE: Gestational Diabetes - 6/8/2006 5:47:09 PM   
spectreandnectre


Posts: 401
Joined: 3/20/2006
From: nebraska
Status: offline 		the doctor i used to work for performed the test at 27 weeks hope that helps but i believe each doctor has their own theory

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RE: Gestational Diabetes - 6/8/2006 5:51:19 PM   
KatyLied


Posts: 13029
Joined: 2/24/2005
From: Pennsylvania
Status: offline 		I think the call to an ambulance chaser is a bit premature.
The idea is to calm her down, not make her more worried.
Many women have gestational diabetes and they and their baby get through it fine.  It just requires some special vigilance.


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RE: Gestational Diabetes - 6/8/2006 7:17:27 PM   
NakedOnMyChain


Posts: 2431
Joined: 11/29/2004
From: Indiana
Status: offline 		OK, everyone, play nice.  LOL.  I'm pretty sure Pinkee was just trying to look out for me, but I'm positive it's not serious enough to warrant a lawyer.  I have a great doctor and I trust her.  I'd really like it if you all didn't get in a fight.  You're all great people and there's truly no reason for it.

In answer to your question, the baby's name is John Aiden.  Tyler's first name is John, and there are ten other Johns in his and my combined families, so we couldn't go wrong with that.  LOL.  (As a little fun fact, Michelle isn't my first name either.  My first name's Marilyn.  You can imagine the fun times Ty and I had trying to sign up for a bank account when we both go by our middle names.)

_____________________________

"Oh, it's torture, but I'm almost there."
~The Cure

"I ask for so little. Just fear me, love me, do as I say, and I will be your slave."
~The Labyrinth

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Profile   Post #: 26
RE: Gestational Diabetes - 6/8/2006 8:14:23 PM   
pinkee


Posts: 487
Status: offline
quote:

ORIGINAL: NakedOnMyChain

OK, everyone, play nice.  LOL.  I'm pretty sure Pinkee was just trying to look out for me, but I'm positive it's not serious enough to warrant a lawyer.  I have a great doctor and I trust her.  I'd really like it if you all didn't get in a fight.  You're all great people and there's truly no reason for it.

In answer to your question, the baby's name is John Aiden.  Tyler's first name is John, and there are ten other Johns in his and my combined families, so we couldn't go wrong with that.  LOL.  (As a little fun fact, Michelle isn't my first name either.  My first name's Marilyn.  You can imagine the fun times Ty and I had trying to sign up for a bank account when we both go by our middle names.)


i like "John Aiden" alot.  Guess you know what sex the baby is...wasn't possible back in the day.
 
Please get S/someone to post asap after you give birth, telling U/us all is well with mother and child.
 
Me, i expect baby pictures!
 
pinkee

< Message edited by pinkee -- 6/8/2006 8:48:35 PM >

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RE: Gestational Diabetes - 6/9/2006 6:53:24 PM   
FelinePersuasion


Posts: 4792
Joined: 11/20/2004
Status: offline 		Ok why would GD make a baby big? Aren';t they gonna be big with or with out?

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Profile   Post #: 28
RE: Gestational Diabetes - 6/9/2006 6:57:11 PM   
feastie


Posts: 1793
Joined: 6/4/2004
Status: offline
quote:

ORIGINAL: FelinePersuasion

Ok why would GD make a baby big? Aren';t they gonna be big with or with out?


However, untreated or poorly controlled gestational diabetes can hurt your baby. When you have gestational diabetes, your pancreas works overtime to produce insulin, but the insulin does not lower your blood glucose levels. Although insulin does not cross the placenta, glucose and other nutrients do. So extra blood glucose goes through the placenta, giving the baby high blood glucose levels. This causes the baby's pancreas to make extra insulin to get rid of the blood glucose. Since the baby is getting more energy than it needs to grow and develop, the extra energy is stored as fat.
This can lead to macrosomia, or a "fat" baby. Babies with macrosomia face health problems of their own, including damage to their shoulders during birth. Because of the extra insulin made by the baby's pancreas, newborns may have very low blood glucose levels at birth and are also at higher risk for breathing problems. Babies with excess insulin become children who are at risk for obesity and adults who are at risk for type 2 diabetes.

The rest of this very informative article on GD can be found here:
http://www.diabetes.org/gestational-diabetes.jsp

Edited to add--some babies are naturally just bigger than others, but not all are big.  Mine were 6 lb 13 oz and 6 lb 7 oz and both were full term. 

< Message edited by feastie -- 6/9/2006 6:58:15 PM >

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Disclaimer: Any views expressed in any post are my opinions only. They may or may not be yours.

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Profile   Post #: 29
RE: Gestational Diabetes - 6/9/2006 6:57:36 PM   
KatyLied


Posts: 13029
Joined: 2/24/2005
From: Pennsylvania
Status: offline 		It is not good for your baby if extra glucose from your blood is crossing the placenta, and going into the baby’s bloodstream. The high blood glucose levels of the baby will make it produce extra insulin to try to get rid of the extra glucose. The extra glucose can also feed the baby up, which is why women with untreated gestational diabetes give birth to big babies.

_____________________________

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- Albert Einstein

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RE: Gestational Diabetes - 6/9/2006 7:05:53 PM   
Aileen68


Posts: 6091
Joined: 8/2/2005
Status: offline 		In reply to no one...story of my life  LOL
I was bordeline with my first daughter.  She was  6lbs 14ozs. and 3 days overdue.
My second daughter was 6lbs 9ozs. and 4 days overdue....induced because of GD and the extremely fast labor I  had with my first.  Gestational diabetes can be controlled with diet and does not have to lead to any complications or large birth weight babies.

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RE: Gestational Diabetes - 6/9/2006 8:21:59 PM   
KatyLied


Posts: 13029
Joined: 2/24/2005
From: Pennsylvania
Status: offline 		Aileen is correct.  The big baby problem usually occurs when the gestational diabetes is not dx or when the dietary guidelines aren't followed.

_____________________________

“If you want to live a happy life, tie it to a goal, not to people or things.”
- Albert Einstein

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Profile   Post #: 32
RE: Gestational Diabetes - 6/9/2006 8:53:59 PM   
spankmepink11


Posts: 1310
Joined: 9/28/2005
Status: offline 		NakedonMyChain,

You've gotten some great advice on this thread  that i agree with wholeheartedly.  Just relax, enjoy this incredible experience, and  follow doctors instructions.  I  had the GTT while expecting my 2 younger sons @ 6 months due to the babies sizes. With the middle boy i had to do the 4 hour test.However even though the babies were large...i did not have gestational diabetes....gained a good deal of weight with the middle boy...and  about 24 lbs with the youngest...yet both weighed in at 10 lbs.  (both natural uncomplicated births)
Watch your diet......follow the advice of your doctor,  and listen to your body.  That reminds me...i'm hoping you shared the problems you stated regarding the headaches...fatigue, lightheadedness etc with your doctor?
Good luck.....sending  nothing but positive thoughts your way....

P.S.  John Aiden is a fine name    (i'm biased my Dads name was John...and my youngest' name is the celtic version of the same    )

(in reply to KatyLied)
Profile   Post #: 33
RE: Gestational Diabetes - 6/9/2006 11:49:16 PM   
FelinePersuasion


Posts: 4792
Joined: 11/20/2004
Status: offline 		oh so their fatter than a normal one, not bigger as in  lenght?
quote:

ORIGINAL: feastie

quote:

ORIGINAL: FelinePersuasion

Ok why would GD make a baby big? Aren';t they gonna be big with or with out?


However, untreated or poorly controlled gestational diabetes can hurt your baby. When you have gestational diabetes, your pancreas works overtime to produce insulin, but the insulin does not lower your blood glucose levels. Although insulin does not cross the placenta, glucose and other nutrients do. So extra blood glucose goes through the placenta, giving the baby high blood glucose levels. This causes the baby's pancreas to make extra insulin to get rid of the blood glucose. Since the baby is getting more energy than it needs to grow and develop, the extra energy is stored as fat.
This can lead to macrosomia, or a "fat" baby. Babies with macrosomia face health problems of their own, including damage to their shoulders during birth. Because of the extra insulin made by the baby's pancreas, newborns may have very low blood glucose levels at birth and are also at higher risk for breathing problems. Babies with excess insulin become children who are at risk for obesity and adults who are at risk for type 2 diabetes.

The rest of this very informative article on GD can be found here:
http://www.diabetes.org/gestational-diabetes.jsp

Edited to add--some babies are naturally just bigger than others, but not all are big.  Mine were 6 lb 13 oz and 6 lb 7 oz and both were full term. 

(in reply to feastie)
Profile   Post #: 34
RE: Gestational Diabetes - 6/10/2006 6:37:57 AM   
spectreandnectre


Posts: 401
Joined: 3/20/2006
From: nebraska
Status: offline 		my 3rd child i was told i was borderline gd, i watched my diet and had my son two and a half weeks late and he weighed 8 lbs 2 oz.  Also note that they say if you have gd with one child you will probably have those issues with future pregnancies (i did not).  They also told me that it is a good indication that you may get diabetes later in life.  Just some added info the docs relayed to me thought you might like to know.

_____________________________

"When I see you, the world stops as if the only purpose in life was for me to please you."

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RE: Gestational Diabetes - 6/10/2006 9:05:52 AM   
NakedOnMyChain


Posts: 2431
Joined: 11/29/2004
From: Indiana
Status: offline
quote:

ORIGINAL: spankmepink11

Watch your diet......follow the advice of your doctor,  and listen to your body.  That reminds me...i'm hoping you shared the problems you stated regarding the headaches...fatigue, lightheadedness etc with your doctor?
Good luck.....sending  nothing but positive thoughts your way....


Good advice, and thanks for the well wishes.   

I told both my regular OB/GYN and the doctor who did my test about the symptoms I experienced when they made me drink that nasty crap.  LOL.  I'm telling ya', it's gross.  They made me drink twice as much this round.  The doctor told me she'd give me ten minutes to finish it.  I looked at her, shook my head, and chugged it.  She looked mildly impressed.

_____________________________

"Oh, it's torture, but I'm almost there."
~The Cure

"I ask for so little. Just fear me, love me, do as I say, and I will be your slave."
~The Labyrinth

(in reply to spankmepink11)
Profile   Post #: 36
RE: Gestational Diabetes - 6/10/2006 9:11:49 AM   
KatyLied


Posts: 13029
Joined: 2/24/2005
From: Pennsylvania
Status: offline
quote:

They made me drink twice as much this round.  The doctor told me she'd give me ten minutes to finish it.


Have you had an ultrasound yet?
That is the best, you drink tons of water, then they press on your tummy.  The tech told me she never sees pregnant women move so fast....when they are told the test is over and they can pee.


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Profile   Post #: 37
RE: Gestational Diabetes - 6/10/2006 9:13:44 AM   
NakedOnMyChain


Posts: 2431
Joined: 11/29/2004
From: Indiana
Status: offline 		When they did the test yesterday, they sent over a specialist from the hospital.  She was very helpful and informed.  She said the outlook wasn't positive for me not having gestational diabetes.  She also said with how high my sugar levels were, combined with extensive family history of diabetes, that I might be simply diabetic, not just gestational, but we won't know until a bit after I have Aiden. 

The doctor said her biggest concern was not that I would have a large baby, but more for the immediate respiratory problems he will have when he is born.  I didn't completely understand the reasoning for the respiratory problems that babies born to mothers with gestational diabetes have.  She explained it to me, and apparently when my body dumps all the sugar it can't process a large part of it goes to Aiden.  He, therefore, develops a sugar addiction.  When he is born he goes through immediate withdrawal, hence the respiratory arrest.  That scares me.

I'm taking it all in stride, though.  If I have it, there is nothing I can do besides doing my best to control it, eating right, etc.  If I don't have it, there is no sense in worrying needlessly. 

I won't find out definite results until sometime Monday, but I'll keep you posted.

_____________________________

"Oh, it's torture, but I'm almost there."
~The Cure

"I ask for so little. Just fear me, love me, do as I say, and I will be your slave."
~The Labyrinth

(in reply to NakedOnMyChain)
Profile   Post #: 38
RE: Gestational Diabetes - 6/10/2006 9:31:32 AM   
KatyLied


Posts: 13029
Joined: 2/24/2005
From: Pennsylvania
Status: offline 		NOMC - Don't worry, they will take good care of Aiden, they will watch you and him and they will test him (heel pricks) as soon as he's born.  All you can you are taking care of now - take the best care you can of yourself and listen to your doctor(s).  You are in my thoughts.

_____________________________

“If you want to live a happy life, tie it to a goal, not to people or things.”
- Albert Einstein

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Profile   Post #: 39
RE: Gestational Diabetes - 6/10/2006 9:43:19 AM   
feastie


Posts: 1793
Joined: 6/4/2004
Status: offline
quote:

ORIGINAL: NakedOnMyChain

When they did the test yesterday, they sent over a specialist from the hospital.  She was very helpful and informed.  She said the outlook wasn't positive for me not having gestational diabetes.  She also said with how high my sugar levels were, combined with extensive family history of diabetes, that I might be simply diabetic, not just gestational, but we won't know until a bit after I have Aiden. 

The doctor said her biggest concern was not that I would have a large baby, but more for the immediate respiratory problems he will have when he is born.  I didn't completely understand the reasoning for the respiratory problems that babies born to mothers with gestational diabetes have.  She explained it to me, and apparently when my body dumps all the sugar it can't process a large part of it goes to Aiden.  He, therefore, develops a sugar addiction.  When he is born he goes through immediate withdrawal, hence the respiratory arrest.  That scares me.

I'm taking it all in stride, though.  If I have it, there is nothing I can do besides doing my best to control it, eating right, etc.  If I don't have it, there is no sense in worrying needlessly. 

I won't find out definite results until sometime Monday, but I'll keep you posted.


Don't worry about it.  They'll be prepared in case he does have breathing problems.  They'll have the necessary equipment right there, ready to go.  Much better, don't you think, than having to go fetch it?

Not to frighten you, but prepare you...
If he does have breathing problems, they will probably take him to neonatal icu.  All this means is that they will be able to care for him 24/7.  My son, who had other problems we were not prepared for, spent five days in icu.  You'll still be able to go see him and touch him, you probably wouldn't be able to nurse him but you can show up at feeding times and give him his bottle.  They may even let you pump your colostrum for him to have, so that when he's ready to nurse, you'll be ready for him, (provided you're planning to breast feed).  It seems scary and intimidating, but it is the best place for him, as he'll be surrounded by nurses all the time.  I'm just sayin, if that's what they need to do, don't freak, it's really okay.

Best wishes to you and your growing family.

_____________________________

Snarky and loving it.

Disclaimer: Any views expressed in any post are my opinions only. They may or may not be yours.

(in reply to NakedOnMyChain)
Profile   Post #: 40
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