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LaurenJ

OB says all Diabetics have large babies despite tight control. True??

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LaurenJ

Hi! I'm currently 12 weeks pregnant with baby #2 very unexpectedly! My a1c in early summer was high (8%) but I've had much better control since before finding out I was pregnant. (Thanks to low carb!) Have next Endo appt in early Dec.. My first child was born in Jan 2013 weighing 8 lbs 15 oz at 37 weeks. OB said only c-section because of baby's size. My a1c was 7.5 at the time. My blood sugar meter test strips were recalled shortly after my baby was born for reading "too low". (50 pts lower than hospital meter!!) I also didn't know to eat low carb. This pregnancy was extremely challenging from week 4 - 10 because of extreme morning sickness and bladder infection. I'm finally feeling back to my old self, yay! Back on low carb! ... I'm seeing a new OB this time around and really wanting a VBAC. I'm in excellent health otherwise and I'm confident that I can get my a1c down below 6% and have a normal sized baby this time around! I'm almost 27 years old. My OB told me that no matter how well I control my blood glucose this time around, I will have another large baby. I have trouble agreeing with this. Have any of you had normal sized babies and what was your a1c at the time? Thanks so much!

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kooka

My daughter in law kept her gestational diabetes under good control and my grandson weighed 6.2 pounds and was full term. I'll ask her this weekend what it was.

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Kit

While not diabetic, my mother had 3 children.  All normal births.  One of my brothers was just over 9 pounds.  The other just under 9 pounds.  I was just under 8 pounds.  And my mother is a petite woman.

 

Its not just diabetics who can have large babies, and you can certainly have them without c-sections.

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Sobriquet

I haven't had kids, but one of the ladies i work with is a midwife who has been working for 30+ years. She told me that anyone can have a large baby, and that the tests they do prior to birth can be very inaccurate.

She is also a bit of a crusader against 'intervention' in the birthing process - so, just for your information: many hospitals and doctors prefer c-sections because they are faster, and more controllable (therefore, they work better with the hospital's scheduling, meaning they can get more women through in a day) - it is difficult for them when a woman has a natural birth, as they may be in labour for hours, blocking up resources (sad to look at it that way, but that is the world we live in). The other thing, and i don't know how it is where you are, but insurance companies here (Germany), pay about €500 to the hospital for a natural birth, and between €1000 -1500 for a woman to have a c-section - so they also make more money from it (to say nothing of the extra money earned because women need to stay in hospital afterwards).

Basically, you need to find a doctor you  can trust, then go with what you want to do to the extent you can... if you want a natural birth, then go with that unless your trusted doctor tells you otherwise. If you would prefer to have a c-section to be on the safe side, then go with that! The goal here is to have a baby, and too many women stigmatize one form of birth over the other... Although i've never been in that situation (although we're trying!) i think that women who are having a baby have enough to worry about as it is. Throw in diabetes considerations, and that is a lot of stress at a time when you don't really want to be stressing.

I wish you a happy rest of pregnancy and a beautiful baby!!

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LaurenJ

Thank you ladies! I want to tell my OB that it is possible to have an average sized baby with diabetes. Did you ladies eat low carb during your pregnancy? That's what I'm planning on doing this time. I eat lots of salads, avocado, eggs & lettuce wraps!

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GretchO

Thank you ladies! I want to tell my OB that it is possible to have an average sized baby with diabetes. Did you ladies eat low carb during your pregnancy? That's what I'm planning on doing this time. I eat lots of salads, avocado, eggs & lettuce wraps!

 

No, I didn't. I ate a healthy diet, but it included moderate carbs. I did have to adjust my basal and I:C ratios which took some work, but I ate pretty much the same as I did before getting pregnant minus the stuff you're supposed to avoid while pregnant/nursing.

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funkynassau

My daughter was 9 lbs 7 ozs and 2 days early.  Nobody checked for GD then.  Son was 9 lbs 6 ozs and 3 wks early!  Only after he was born did anyone ask if I'd been checked for GD and I said  no.

 

I have t2 so maybe I had it when pregnant with either or both kids, I dont know for sure.  Daughter's first baby was 9 lbs 2 ozs and full term, she had an awful time delivering her.

 

This time she's being induced this coming Sat and does indeed have GD.  They talked about putting her on metformin which they did for a few days then decided no point as she was close to due by then.  Insulin was suggested but didn't happen.  She's done everything to keep her own weight in control as well as agreeing to have this baby about 2 weeks early so she is smaller than she could be.  Last week baby was about 6 lbs.  So she will likely be about 7 lbs come Sat.  Hopefully all goes well and according to plan.

 

Edited for typos.

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Sobriquet

Thank you ladies! I want to tell my OB that it is possible to have an average sized baby with diabetes. Did you ladies eat low carb during your pregnancy? That's what I'm planning on doing this time. I eat lots of salads, avocado, eggs & lettuce wraps!

I have an appointment with a nutritionist tomorrow to discuss exactly that... for my last pregnancy, i was told i was eating the wrong kind of carbs (which sounds like funny talk to me - i refuse to believe that i HAVE to eat fast carbs because i am pregnant!)

The only thing i can gather from my research so far is that there should be enough carbohydrate so that you don't go into ketosis - which is what the Atkins etc diets strive for. That kind of makes sense to me...

I will let you know what she says!!

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killerleaf

One other thing to take into consideration:  how you grow scar tissue.  My first was a c-section.  I had wanted to try for a natural birth with the second; but other factors came into play.  (money mostly; if I had him on base, it was free, but they would only do c-section; if I wanted to try natural I had to go to civilian hospital, which would cost more money, and was about an hour from house).  Decided to have planned c-section.  Afterwards, I was told that it was the right decision; they spent over two hours cleaning out scar tissue.  If I had tried to go thru labor, I would have ruptured my bowel, bladder and uterus.  (they were all entangled, apparently)  so....just something to take into consideration.

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LaurenJ

Thank you so much for your responses! I really appreciate it. My OB referred me to a Maternal Fetal Specialist who I met yesterday. I do not feel very comfortable with this dr. She is a little intimidating and is insistent on me working with her diabetes educator instead of just with my endocrinologist. She was extremely pushy and even suggested that I switch to her and not see my regular ob anymore. My regular OB advised that I work only with my endocrinologist for blood glucose control and adjustments since I'm type 1. Wondering if maybe I should ask to see a different MFM? I was literally in tears by the time I left the office. She even said I would have to come in every 3 days! Never heard of such a thing and I already have had one baby who is very healthy! I live about 40 minutes away! Any advice? I feel so stressed but want to have the best control possible.

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Sobriquet

 I was literally in tears by the time I left the office.

I think right there you have your answer. Stress raises bg anyway, so if she stresses you, then that is not the lady for you.

Yes, you need to keep your bg down - but you can do that, if you're careful - it's a pain in the butt, but at least you know it's not forever, it is just until your baby is born happy and healthy.

 

I visited the nutritionist today (she is also type 1 - we had a 'sister!' moment)- she told me that pregnant women should NOT go into ketosis - i.e. aim for 90-100g carb over the whole day - and that should include some of every kind of carb - legumes, grains, vegetables, fruits etc... it doesn't have to be a lot, nor does it have to be at any specific time of the day, but that all these things contain minerals etc, that the baby needs to develop.

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GretchO

Wow, yeah. I don't think I'd be happy w/ that OB. I went to a high risk OB (diabetes, high blood pressure, 40 years old) and his mantra was "peace and calm whenever possible". He was an awesome OB...happily worked in conjunction with my endo and kidney doc (same hospital, so maybe that was easier). Initially I had wanted to have the guy who was head of the high risk OB group - and after meeting him (he sounds a LOT like this woman you're seeing) I was so very thankful I ended up with the OB I ended up with. The one I had originally wanted was very controlling, zero bed side manner...had me in tears once (I had to see him if my OB was out).

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notme

Find a doctor you trust. Large babies don't always need to be c-section babies. I was not aware that I was even pre disposed to diabetes when I had my children. I delivered my daughter, all 10lbs 4oz of her naturally. My othe children were all nine pound babies. All of them were delivered without a c-section.

 

Find a doctor that will work with you. You don't have to settle for a pushy doctor who won't listen to you. Your babies and your birth experience.

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k_dub

I did eat low carb/paleo most of my pregnancy. It just reduces your margin of error (law of small numbers). I also hiked and walked a lot.

 

I just found out that I'm expecting baby #2 August 2016. I'm planning on having a natural hospital birth. My first labor went so fast - 6 hours start to finish. I had an epidural last time that wasn't placed until I was already 10cm dialated. I know what to expect now and I know my body is capable of birthing this baby without assistance. I am not concerned at all about a large baby. My body was built to give birth.

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LaurenJ

Thank you ladies so much! I really need the advice & encouragement right now! .... @k_dub Congratulations on your pregnancy! I'm due June 1st!

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