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9 weeks w/ TWINS Just diagnosed GDM - Worried and need advice


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  #1  
March 5th, 2010, 10:21 AM
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Join Date: Mar 2010
Posts: 3
Hello

Thank you for stopping by my thread. I am 9 weeks (almost 10) pregnant with twins, obese, PCOS and now (as you would expect) diagnosed with gestational diabetes.

This is my first couple days of monitoring my blood sugar and I would like to know others experience advice.

I am supposed to test 4x a day
-Before breakfast with levels of less than 90
- 1 Hour after Breakfast, Lunch, Dinner with levels less than 140

So far I found that my morning levels are super high...this morning I was 92 before breakfast and 202 one hour after breakfast! I had 1 cup of yogurt for breakfast which equaled just under 30grams of carbs (which is my goal for breakfast).

So that freaked me out. So for my mid morning snack I tried for under 2 carbs with more protein and took my reading after an hour and it was 142.

Yesterday after lunch I had a reading of 150 which i was disappointed about but I thought that it was not SO far out of range that maybe with a walk after lunch or something I could bring that down.

Basically I am wondering how these readings compare and does it really help like after a few days or a week of exercising to controlling those numbers even more or am I just a hopeless case at this point with only having measured my sugar a few times so far with half the readings being over what they are supposed to be.

I am learning that the morning is the worse time for the hormones in pregnant women and that sugar is always high then hence the low carb intake for the morning. I was just wondering if I should cut it back to 1 carb and higher protein for breakfast as well as make sure I walk for 30 mins after breakfast.

Right now I am thinking about walking 15 mins after everytime I eat. Is that crazy? I really really want these babies to be healthy and do this without insulin, but even with insulin I will be fine if my levels come down. My biggest concern right now is birth defects since it is so early in my pregnancy. Of course everyone is trying to make me feel better (dietician and docs) by reassuring me that they will take good care of me and everythign will be fine but that doesnt help me. I just want to break down crying right now. We did fertility for 6 years and we were convinced it would never happen and now it has and with twins, I just don't know what I would do if something bad happens to them!

So can anyone out there tell me their experience if it was similar to mine...
How close do your levels have to be before they interfere with medicine? I mean I understand that 202 is out of line by far, but is 150? 92?

Thanks for your help and sorry for the long post...hopefully you hung in there and read through it all!

Sillysqrrl
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  #2  
March 7th, 2010, 10:06 PM
BluvnU4evr's Avatar Erica
Join Date: Jul 2005
Posts: 6,573
Doctors wants you in certain ranges. Follow whatever your dr or nurse says. Although for fasting 92 is not terribly high, some say as long as it's not above 100, some will say anything over 90 is high. The main thing is: don't beat yourself up over it. Easier said than done, I know. But you're figuring all this stuff out and will eventually know what works and doesn't. It could be the types of food you're having that is causing your BG to be high. For example, dairy affects me big time. Not only are you looking to stay within the carbs for your meals, but look at the sugar content as well. For me this is how they broke up my carbs....

Since in the AM it's always a little on the high side (below 100, but above 90), they have it set up like this:
Breakfast: 15grams (And when my fasting BG is high I usually just do an egg on toast and a low carb/low sugar yogurt)
AM Snack: 15grams (This is when I allow myself the dairy if my 1hr after bkfst BG is good)
Lunch: 45grams
PM Snack: 30grams
Dinner: 45grams
Bedtime Snack: 30grams

I found that if I am to have dairy it has to be as an AM or PM snack. I've also switched to an unsweetened soy milk for cold cereals and I will have low carb/low sugar yogurt (3grams), or fat free cottage cheese as snacks. But I've also found that now that I'm restricting my dairy intake, I CRAVE IT! All I every craved this pregnancy is cereal and regular 2%milk.

So, are you just monitoring your BG right now? I did that for one week... playing with different diet options and taking my BG 4X a day. This week they decided to put me on 2.5mg of Glyburide 2X a day (1hr before breakfast and 1hr before dinner) to help bring my BG down. I'm still figuring out and tweeking my diet to stay within the BG numbers levels and carbs they want me to eat. Another due date friend of mine says that fiber helps her BG numbers and I have agree with her.
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Erica




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