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Should I get another OGTT postpartum?


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  #1  
May 8th, 2009, 10:02 AM
BellaNaomi's Avatar Super Mommy
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Hi I'm new to this board. I had gestational diabetes with my daughter who was born last Sept. I thought it was sort of strange that nobody checked my blood sugar levels after her birth. I guess they assumed the GD was gone. I've been sticking to my diet in a sense because it helped with my energy levels and weight loss. I ate a piece of banana bread this morning and 2 hours later I still had a blood sugar level of 146. Should I be concerned enough to make an appointment and demand a OGT? Do you think I may be prediabetic? Any thoughts would be appreciated.
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  #2  
May 8th, 2009, 12:29 PM
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Are you pregnant now? I think if you're not pregnant, that might not be a horrible number....but i never hurts to get checked.
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  #3  
May 8th, 2009, 03:58 PM
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I was just told today that numbers 120 or above not being pregnant would be a high number. Unless I miss understood my dietician I would say to make an appointment. She said that after my baby is born that I was to check my sugar level four times a week at different meals.......and to go back to her 6 weeks post partum.
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  #4  
May 8th, 2009, 04:18 PM
Adriana's Mommy's Avatar I <3 my kids
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I would request a A1C test from your primary care provider.. I took this test when I found out I was pregnant and I passed.. It's good to know what's going on with your body before your try to have another child because having high blood sugar levels in your first trimester is REALLY bad for the baby, which causes birth defects.. Just something you should be aware of..

The A1C test looks back on your blood sugar level the past 2-3 months..

Here's a site you can read about the A1C test..

A1C Test - All About Diabetes - American Diabetes Association


BTW: Your daughter is ADORABLE..
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Last edited by Adriana's Mommy; May 8th, 2009 at 04:21 PM.
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  #5  
May 8th, 2009, 05:46 PM
BellaNaomi's Avatar Super Mommy
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Thanks so much girls for the advice. I have to follow my gut to and say something feels wrong. I felt horrible (super tired and sluggish) after breakfast today. I'm sort of mad my doctors have been negligent. I called my prenatal specialist and asked about tests post-partum and she said they don't do that. It's almost like once I had the baby, nobody cared. And like you said, it could effect my next pregnancy so you would think they would want to know.

Thanks for the compliment on my baby girl. She was 7 lbs so try not to worry all you GD pregnant girls about big babies. I followed my diet and she was perfect.
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  #6  
May 9th, 2009, 08:34 AM
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I would definitely have a follow up with your doctor. 146 two hours after eating is kind of high. They normally look at fasting numbers more closely though. I'd check your number fasting, but I'd also see about getting an A1C done as well. Having GD puts you at higher risk for type 2.
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  #7  
May 9th, 2009, 11:43 AM
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Did they test your bs at all in the hospital? Even though my first few readings after delivery were fine they tested me the entire time I was in the hospital. Did you see an endo during preg? I am to go back to my endo at 6 weeks pp for fasting bloodwork. My endo said that anything under 150 2 hours after meals is ok. And fasting should be 120 or less. I would call your primary doc for an A1C test.
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  #8  
May 13th, 2009, 11:18 AM
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I would absolutely make an appointment and have them do a 1 hour glucola. I work at an OB/GYN and we *always* do 1 hour glucolas on gestational diabetes patients at their 6 week check.

Good luck!
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  #9  
June 4th, 2009, 07:53 AM
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I had a baby in February, and my situation was similar. There was no talk of my blood sugars after I had the baby. No one told me to check my numbers or follow a particular diet or set up follow-up tests. The doctor who dismissed me (not my OB but the one who works with him since it was Sunday and he was the one on call) told me to continue my glyburide which I didn't do because we didn't even know if my numbers were still high. I suspect I have borderline Type 2. I haven't been checking my numbers regularly, but my fasting numbers are always 120's. After meals they have been 140's or 130's. I went to my regular doctor for strep throat and talked to her about my GD and needing a follow-up test, so I have orders to get some bloodwork done which I'm planning on taking care of in the next few days.

Last edited by AmieMo; June 4th, 2009 at 07:55 AM.
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  #10  
June 4th, 2009, 09:05 AM
Adriana's Mommy's Avatar I <3 my kids
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Quote:
Originally Posted by AmieMo View Post
. The doctor who dismissed me (not my OB but the one who works with him since it was Sunday and he was the one on call) told me to continue my glyburide which I didn't do because we didn't even know if my numbers were still high.
That's vary scary! Glyburide is known for causing hypoglycemia.. Not a good med to just take without monitoring your blood sugars.. Ask any Pharmacist and they will tell you this! You were vary smart for not taking them.. I would follow up like your doing.. The blood test or A1c will let you know how your sugars have been the past 3 months..

I've worked in the medical field for many years.. I ALWAYS get a second opinion and do research on my own.. I don't put all of my trust in one doctor.. I'm vary fortunate that I have access to Clinical Pharmacists and they give me sooo much information when I ask about drugs,etc..
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  #11  
June 4th, 2009, 03:54 PM
SandKmommy's Avatar Platinum Supermommy
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I've never been tested for diabetes outside of pregnancy, they monitored my sugars in the hospital but thats it not follow up testing. Just random at home draws which have all been normal (fasting between 76-95, 1hr after meals 120-140)

Heres the American Diabetes Association guidelines on numbers

Glycemic control

A1C <7.0%

Preprandial plasma glucose (before a meal)
70–130 mg/dl (5.0–7.2 mmol/l)

Postprandial plasma glucose (after a meal)
<180 mg/dl (<10.0 mmol/l)

Blood pressure
<130/80 mmHg

Checking Your Blood Glucose - All About Diabetes - American Diabetes Association

Recommended Blood Glucose Levels for Diabetes - Diabetes and Blood Glucose - Checking Your Blood Glucose


If your worried though, it wouldnt' hurt to ask for an A1C, dh got one on my urging and hes boarderlining at only 24(25now but 24 when he tested)
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Last edited by SandKmommy; June 4th, 2009 at 03:56 PM.
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  #12  
June 4th, 2009, 08:46 PM
fresh's Avatar Veteran
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my dr wants me to get tested after i have the baby. i would rather monitor my sugars at home and if i see any reason to go in and drink the yucky drink and let them draw blood then i will.......
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  #13  
June 7th, 2009, 10:24 AM
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I didn't have to drink anything with my follow-up test. They just drew blood. I think I would have rather done the 3 hour drink test again to see what my numbers were at various times. While I was still in the hospital after having the baby, I was filled with so much IV fluids that my numbers were way high when I checked them. It freaked me out because I'd had nothing to eat for 2 days, then I realized there was a sugar substance in the IV. After I came home from the hospital, my numbers were high due to the stress of healing from a c-section. They've come down over time, but still borderline I'm afraid.
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