Confused

[PregnantKate]

Im 32 weeks pregnant and have GD. Ive had a growth scan and baby is bigger then average.

My sugar levels were very up and down with diet control so Ive been given tablets to control it. I take it once a day 1st thing in the morning.

Yesterday all my results are lovely and within range, I even treated myself to a bit of chocolate!!

This morning, my fasting reading was lovely at 4.9. 1hr after breakfast and its shot up to a record high for me of 11.6!!

Anyone know why this is?? Why is it so high even after my meds?

[xMenace]

At one hour after meals even normal people spike. Test at two hours.

[PregnantKate]

Ive been advised to test 1hr after meals by the dietitian and diabetic midwife.

[xMenace]

There's also the "dawn phenomenon" at work in the mornings, the release of an evil hormonic soup that prepares you for a day of hunting and gathering but also makes you insulin resistant. You may have to cut back a bit on the breakfast carbs, especially fast acting sugars like juice and table sugar.

[xMenace]

Ive been advised to test 1hr after meals by the dietitian and diabetic midwife.

You're probably going to tell me these people are saying you need all those carbs for you and your baby. In my personal opinion that,s total ****. You have a big baby because it's getting too much sugar. You need to cut back on the carbs to lower that sugar, not add a bunch of meds.

But that's my personal opinion, and I'm not a woman going through this. But recommendations to fire our DE's and dieticians are quite common here.

[fgummett]

Most folk with Diabetes test 2 hours after food. As John said, it is normal for blood sugar to spike shortly after eating but by 2 hours we aim to have our blood sugars down near to normal (4.5 - 5.5mmol/l) as possible
When your health-care team told you to test 1 hr after food did they give you target values to aim for? If you are not meeting those targets you may need to reassess your eating and/or treatment.
Insulin injections (during the pregnancy only) could improve your control; which is important for your health now and in the future AND your baby's health now and in the future.
I also agree with John that limiting carbohydrates may be an even more natural way to maintain near-normal blood sugar levels. Eat well with plenty of good protein, fat (yes it is important), green leafy vegetables... be aware that many fruits are also high in sugar (carbs = sugar), but especially avoid highly-refined carbohydrates which are abundant in most packaged or processed food. Good Luck :)

I expect you will soon get some feedback from the ladies here with more actual experience of GD than I could have ;)

[lorilei]

Kate, I gravitated towards carbs for my morning meal pregnant or not, but especially when pregnant. i know most of the other foods like eggs, bacon gave me heartburn. but the granola and english muffins made me shoot too high ...i could hardly stay awake! when i spoke to my dr, she put me on a reflux medicine..and i switched to turkey bacon and low fat cottage cheese...sugars didn't bounce around as much. if you are still diet controlled, try small meals and limit those nice, but tricky carbs.

[poodlebone]

Im 32 weeks pregnant and have GD. Ive had a growth scan and baby is bigger then average.

My sugar levels were very up and down with diet control so Ive been given tablets to control it. I take it once a day 1st thing in the morning.

Yesterday all my results are lovely and within range, I even treated myself to a bit of chocolate!!

This morning, my fasting reading was lovely at 4.9. 1hr after breakfast and its shot up to a record high for me of 11.6!!

Anyone know why this is?? Why is it so high even after my meds?

The meds aren't magic and unlike insulin, you can't match a pill to the exact number of carbs you're going to eat. The key is to cut back on the carbs. My niece had her daughter when she was 23 and developed GD. She couldn't remember what pill was prescribed but it made her sick so the doctor put her on an extremely carb restricted diet instead. She said all she ate was chicken breast, eggs and salad. Her numbers stayed in range and her baby was a normal size, even a little small, delivered on time and now a healthy 4 year old.

[Ricros]

My wife isgoing through the same thing. Numbers are good all day except for after breakfast. She is taking 6 units of Humlin at night and 4 In the morning. She can not have many carbs at breakfast and definatly can by have cereal with milk. The baby is in the "normal" range for growth.
As with you and I think most pregnant woman she test one hour after every meal. So the doctor can see how she is doing with the foods she is eating and can adjust diet and meds.