Diabetes

Frequently Asked Questions on Gestational Diabetes – Part I

Q: What is low & high range for pregnancy gestational diabetes test?

Just wondering the normal range (low & high) for the 1 hour glucose test they give you when you’re 27 weeks pregnant to test for gestational diabetes.  On the web, I found the high to be 140, but nothing about the low side is.  I want to know what side of the range I’m on.  I tested at 125.

A: High according to my Doctor was 120.  Was able to control it by watching with a balanced diet (no carbs or sugars).  Only tested at 120 a few times, but watched my diet closely.  All went well, baby arrived a couple of weeks early 7 lbs. 7 oz., healthy, happy, no problems.

Q: Why do they test so late in pregnancy for Gestational Diabetes?

I only have 14 weeks left in pregnancy and my doctors are saying they want to do the test for Gestational Diabetes. Why it is it important to have this test? The baby’s body is developed already, so why don’t they do this test a lot earlier in pregnancy? What happens if I say no to the test? Anything bad happens?

A: Well, having had GD twice now, I believe the tests are important. It’s caused by the placenta messing up your body’s natural ability to produce insulin to break down and digest sugars properly, and this often doesn’t occur until the hormones start to change again in the 3rd trimester to prepare for post-partum period.

The 1st test is the one hour, if you fail that, you go back for a 3 hour, same procedure. Since I had it before, I was tested at 6 weeks this time, and am on a diet, medication, and I see the doctor every 2 weeks.

As a previous poster said, one of the main things to watch for is a big baby. GD babies born vaginally often end up with broken arms, or shattered shoulders/collarbones, or get stuck in the birth canal. You can also not produce enough amniotic fluid for them to live in, so there can be problems caused by that. The most dangerous thing to watch for is the fact that having gestational or regular diabetes can cause your placenta to start to disintegrate early, which can result in stillbirth if not carefully monitored. GD often culminates in a C-section, though not always.

The first test is very easy, you just get up in the morning(fasting is usually but not always recommended), go to the lab, drink a small bottle of sugary tasting orange or lime soda(it’s not a pop really) and get blood drawn exactly 1 hour later. With all the risks that GD raises, I recommend getting the test so you can be prepared. It’s a simple thing to do to make sure you get the proper care and that your baby lives to meet you once s/hes born. Other than being bigger or possibly needing oxygen/sugar, GD babies are usually remarkably healthy if proper care is taken.

Q: So if I don’t have gestational diabetes this pregnancy, why has sugar bothered me for over 2 years now?

I haven’t been able to intake anything with real sugar since I had gestational diabetes with my last pregnancy; I lost over 50 pounds since then.  But is it possible to still have diabetes but maybe not gestational diabetes?  I rarely intake sugar substitute and as little as I’ve had, I kind of reject it as well.  What could be going on? A tiny grain of sugar or sugar substitute would leave a dreadful aftertaste and sickness for hours. Thanks for your input.

A: This does not sound like diabetes it sounds more like a reaction to either the sugar/sweetener or the sweetness of them Since my diagnosis of diabetes and the reduction of sugar in my diet many foods I used to enjoy now taste extremely sweet and sticky.

Q: Moms and pregnant moms: Gestational Diabetes and pregnancy?

I was just told I have Gestational Diabetes….I see the nurse on Monday but I was wondering if anyone else experienced this and what happened during your pregnancy and after? Does it go away? I’m 31 weeks along. I know I can read up on it but I’d rather have personal experiences. Thank you.

A: I had gestational diabetes with my last pregnancy.  And frankly, aside from having to watch what you eat, it’s not that big of a deal.  Just listen to what your doctor tells you and follow his orders so that way, your baby will be safe.  And I do believe they go away after you have your baby.  Mine did.  However, I think it makes the risk of developing diabetes later on higher.

Q: Anyone detected with type 2 (not gestational) diabetes during pregnancy?

Anyone detected with type 2 (not gestational) diabetes during pregnancy?

What care did you take during pregnancy?

Did you do special ultrasound sessions?

Wanted to know the outcome of the pregnancy?

Did you deliver a normal baby?

I am 11 weeks pregnant.

A: How do you know it’s not gestational? The Placenta creates a hormone around 20- 24 weeks that contradicts your insulin. It may be just that!  And Type two if it’s that works the Same way as the Gestational you are not making enough insulin.

I had Gestational Diabetes it went away right after Delivery. I took Glyberide, as the placenta gets bigger it produces more of that hormone and I needed more Glyberide.  From about 32 weeks and up I needed an ultrasound every week to check the baby wasn’t growing too fast. I also had to take what’s called a non-stress test 2 times a week, this checks to make sure the baby’s heart rate is good and it’s not under any stress.

I had a healthy baby boy. Because of the diabetes he was producing more insulin than a normal baby so he was a hypoglycemic the first days of his life. He was in NICU for a couple of days on a sugar IV as they weaned him off the sugar. Now he has no hypoglycemia and he is happy and healthy.  BTW he was only 6 lbs. 7 oz. so i delivered vaginally.

Don’t let people tell you because you have diabetes you have to deliver by C-section that is not true! I hope that helped.

Q: What is the chance of me getting gestational diabetes with this pregnancy?

My first born was healthy, as was I.  My second born was born with hypoglycemia and had to stay in the NICU for several days before I could take him home.  I am now 3 1/2 months pregnant with my third.  What would be the chance of me getting the gestational diabetes again?

A: The chances are a lot higher. You are supposed to have the 1 hour glucose test right when you find out your pregnant as opposed to the standard 24 weeks(I forget when the actual time when every mom is checked). I just had a baby 5 months ago and had gestational diabetes and this is what they told me at the class they made us take. Start checking your blood sugars now before your next appointment with the doctor.

Q: May be a dumb question, but can eating too much sugar during pregnancy cause gestational diabetes?

I’m 26 weeks now and I have the glucose test coming up in a week or so.  I couldn’t help eating a bag of sour gummy worms.  I don’t really eat to much sugar, but I drink a lot of oj, and grape juice.  What causes gestational diabetes?

A: If you have the predisposition for gestational diabetes, your diet will absolutely affect whether you get it.  If you don’t have that predisposition, you could eat ice cream all day and it wouldn’t “cause” it.  But you don’t know if you are likely to get it unless you had it in an earlier pregnancy, or it runs in your family.  So until you’re tested, it’s a good idea to avoid big loads of sugar just in case you do have glucose intolerance.

OJ and grape juice are two of the most hard-hitting fast sugars that you can ingest.  That’s what they prescribe diabetics whose blood sugars are falling into coma level because it can raise them so quickly.  If you have reason to think you might end up with gestational diabetes then you’d want to cut those out of your diet, but unless you have reason to think that, I would just keep the treats and sweets to an occasional thing and not all the time.

Q: how does a woman develop gestational diabetes during pregnancy?

I was curious to know!

A: I don’t think there is too much you can do to make it happen or to prevent it. If you are going to get it, you are going to get it. It is all about how your body breaks down sugars. You won’t suddenly begin breaking down sugar more efficiently, because you suddenly start eating right and you won’t suddenly break the down the sugars less efficiently, because you started eating more sugar. The major risk factor for getting gestational diabetes is being over 25. Also, having it in your family or having gotten it before can play a part, but you won’t necessarily get it.

Q: How early in pregnancy can u develop gestational diabetes??

I had gestational diabetes with my second baby. Now I’m 5 weeks pregnant again and craving nothing but sweets. I mean i am living off of sugar!! It dawned on me this morning that it could be diabetes again but is it too early in pregnancy to develop it?? I’ve always heard of it developing later on.

A: It is possible that you actually already had diabetes before even becoming pregnant again. Since you did have it once, it is possible to have never really gotten rid of it. Diabetes can come at any age, gender, or race. Be careful with the sweets for now, just in case. Also, if the sweets you’re craving are chocolate, it is possible that you are just craving the caffeine in chocolate. It is normal to be tired during pregnancy, and want a little boost. Let your doctor know on your next visit, just in case. Good luck!

Q: how does gestational diabetes affect my pregnancy?

Hello everyone! i am 31 wks. Pregnant and this is not my first pregnancy but this is the first time I’ve even came across this problem. I had an appointment early this week and I was told I had developed gestational diabetes. Has anyone ever had this problem? Will that cause them to induce me before my due date? What is the worst possible scenario and what is the best.

A: I had it.  It depends on how bad it is.  My case wasn’t bad at all, so I just had to check my blood sugar levels every day and watch what I ate.  If it’s really bad, you may have to take insulin injections.  The biggest threat it poses to a pregnant woman is that she could have a larger baby.  My son was 8 lbs. 1 oz. on his due date.  If they worry the baby is getting too large, they may induce you early, or if they think it’s already too big, they may decide to do a C-section.  Btw, I was induced and had a C-section, but not for that reason, and it wasn’t the worst thing in the world.  I would have been able to deliver my son fine if he hadn’t pulled some major acrobatic moves and got wrapped up in his cord.

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