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It's been 3 weeks since I was dx'd with GD. The first week we just did diet changes to see how my numbers would react. Second week I started taking Glyburide (half a 2.5mg tab) and my numbers were all over the place all week long, with pretty big spikes after lunch and no diet changes and I felt crummy. Now I am on insulin and my numbers are still whacked out. In the beginning even though my Am fasting was high (and that's the # they want to get down) the rest of my day was pretty even and somewhat normal BEFORE I started any tx. I want to get this under control for the health of my baby but darn it this is ridiculous.
On a good note I've lost 6lbs since starting on the diet
Here's the thing with fastings - they are the hardest thing to control because of something called the "daybreak rise" - there is a hormone called cortisol in your bloodstream that rises in the bloodstream and messes with your fastings. I recommend taking your blood sugar at 3am- I bet you will see that it is going down the way that it is supposed to, and then around 5am it spikes. That's what mine does, and that's pretty common. The secret to fixing this problem is generally more insulin. My fastings were great all pregnancy, but for the last 3 weeks, they have sucked. We tinker with my insulin and we are slowly getting somewhere.
How long have you been on the insulin? Insulin dosages are kind of a trial and error thing, so it may take a little while to get the perfect dosage. And as the pregnancy progresses, you'll have to keep tinkering. But you're doing great!!! Keep up the good work!!!
I understand about the fasting number, they told me that in the very beginning. On the Glyburide it came down to the 90's but wouldn't budge so that's why we switched to insulin. Lastnight was my second shot of 10 units and I only take it at night for right now. I have instruction to up it 2 units every couple days for a max of 16 at night. Then if my daytime numbers are still wacky we will start insulin in the AM before breakfast and see how that works. For some reason my endocrine system is ultra sensitive (it was the same when I was being tx'd for Grave's disease). I figure by the time I go into the hopsital to deliver we will have finally figured this all out! LMBO