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A few GD questions for 2nd time around.....


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  #1  
May 21st, 2010, 10:08 AM
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So I am pregnant with my second child and had GD with my first. I am still in my first trimester and been testing for a couple weeks. My fasting numbers are anywhere between 92 and 115. I am really surprised by this given that my fasting numbers while 30+ weeks were always borderline low (75-85) and I RARELY got a high after meal number. I realize this could mean that I have true diabetes. I did have my A1C tested in December and it came back at 5.2 - which they said is normal. I'm also wondering if the fact that I'm working 10+ hours a day 6 days a week has anything to do with it. My job isn't very stressful of physically demanding but I'm wondering if this could also be a cause of my high numbers. So I guess I have a few questions:

Is it possible to have high fasting numbers in 1st trimester and not have Diabetes?

How can you tell the difference between type 1 and type 2 diabetes? - I ask because I have a normal BMI, ran 3-4 times a week before getting pregnant and eat pretty darn healthy.

I have an appoinment with my Dr. on Tuesday and plan to discuss this with him - but do you think I will be put on medication, told to wait and continue to test, or do a glucose challenge test?
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  #2  
May 21st, 2010, 07:36 PM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
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Your numbers are not high enough to be Type 1. Your A1C is normal, healthy, and average. You do not have Type 1 diabetes. I do, it was diagnosed in my first pregnancy, and when they finally checked for it, it was immediately obvious and they labeled my type 1 3 days after diagnosis. Type 1 can develop surprisingly late (I was 29) I would be pretty surprised if you had it.
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  #3  
May 24th, 2010, 01:58 PM
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Type 1 diabetes in many cases happens during childhood, usually type 2 happens later in life, like 40's and on... your A1C was too low to even have a concern that you have any type of real diabetes.

I did have GD with my first pregnancy and now again with my 2nd... you are at a higher risk for it now but you may not end up getting it, you will have to wait and see. As of right now it doesn't seem like you have it yet, however in my first trimester I didn't have it yet either but I do now.

I'm confused about your fasting levels with your previous pregnancy and never having high levels after meals, were you on insulin or just doing it by diet? Your levels sound like they were so low, surprised you had GD, unless you were just doing so well with your diet and that's why your levels were so under control.

So how are you monitoring your fasting levels right now? Are you using a glucometer or are you getting the testing done at the doctor?

If you are concerned you need to mention it to your doctor and they should send you for the OGTT now. If you have a history of GD they don't usually wait until you are 26-28 weeks pregnant for the testing, they might do it now and if you are negative, then they will re-test you again around 26 or so weeks.
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  #4  
May 24th, 2010, 02:17 PM
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Thanks for the responses.
In my fasting levels of my previous pregnancy - I always was around 75-85 and my after meal numbers rarely went over 120 (only when I seriously indulged) . Before I could drink 18+ ounces of milk (I craved milk) before bed and my fasting number would still only be 85ish. I was never on medication - just diet controlled.

I am measuring my levels with a glucometer now. My average for fasting is around 105ish but anywhere in the range of 92-116.

I guess I am just surprised that my A1C was normal in december and now I'm having high fasting numbers. I have been 'experimenting' with different foods to bring it down to a manageable level.

Thanks Again.
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  #5  
May 24th, 2010, 02:53 PM
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Sounds like you might just have the early onset of either type 2 or GD. Hormones in pregnancy can immediatly cause blood sugars to act wierd.

Your fastings are above normal but not crazy abnormal. I would talk to your OB about this and see about going to a specialist.

Your doctor can also run blood work to see if you are type 1... there are certain antibodies that you would carry that would indicate type 1.

I have type 2 as I don't have the antibodies... my pancreaus just gave up working.... and they are hoping it will one day start working again!

Best of luck!
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  #6  
May 25th, 2010, 09:40 PM
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Quote:
Originally Posted by Lynn_Z_Mommy View Post
Thanks for the responses.
In my fasting levels of my previous pregnancy - I always was around 75-85 and my after meal numbers rarely went over 120 (only when I seriously indulged) . Before I could drink 18+ ounces of milk (I craved milk) before bed and my fasting number would still only be 85ish. I was never on medication - just diet controlled.

I am measuring my levels with a glucometer now. My average for fasting is around 105ish but anywhere in the range of 92-116.

I guess I am just surprised that my A1C was normal in december and now I'm having high fasting numbers. I have been 'experimenting' with different foods to bring it down to a manageable level.

Thanks Again.
Is it possible that your fasting for too many hours? I know it's tough because we need our sleep but the longer your body goes without food, the liver will spill sugar into the body and that is what causes high fasting levels. I never used to eat a snack after dinner, before bed and I was told that I have to.
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  #7  
June 6th, 2010, 11:44 PM
Adriana's Mommy's Avatar I <3 my kids
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Quote:
Originally Posted by Lynn_Z_Mommy View Post
So I am pregnant with my second child and had GD with my first. I am still in my first trimester and been testing for a couple weeks. My fasting numbers are anywhere between 92 and 115. I am really surprised by this given that my fasting numbers while 30+ weeks were always borderline low (75-85) and I RARELY got a high after meal number. I realize this could mean that I have true diabetes. I did have my A1C tested in December and it came back at 5.2 - which they said is normal. I'm also wondering if the fact that I'm working 10+ hours a day 6 days a week has anything to do with it. My job isn't very stressful of physically demanding but I'm wondering if this could also be a cause of my high numbers. So I guess I have a few questions:

Is it possible to have high fasting numbers in 1st trimester and not have Diabetes?
I'm sure you don't have Type II diabetes.. Don't stress about it..

I had the same FBS numbers like you when I was pregnant with my son in the first trimester also.. But I had a normal A1C done at 6 weeks and it came back normal.. My Endo told me that I was one of the few women to get it so early in pregnancy.. I also work 10 hour shifts and my work is kinda stressful. Once I had my son, the diabetes went away..
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  #8  
June 16th, 2010, 10:18 AM
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Thanks for the responses ladies - I just wanted to update that I ended up having my 3rd m/c about 2 weeks ago. Thanks for the responses though.
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  #9  
July 4th, 2010, 06:59 AM
Renwick2002's Avatar Veteran
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I'm so sorry Lynn!!
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