Gestational Diabetes

I just need to vent a little. I have been monitoring my bloodsugar for three weeks now. I told the Endo doc that it would take me a couple of weeks to adjust my meals accordingly and she agreed. I just got a call today and they say my morning fasting numbers are a little high and they want me to take insulin for the morning numbers. BTW my numbers for the 3 weeks average 100.6 for mornings and less than 130 one hour after each other meal. They want my numbers to be less than 100 - fasting and less than 140 - one hour after meals...supposedly that will change once I hit 28 weeks. The new numbers at 28 weeks will be less than 90 - fasting and less than 120 - one hour after meals. Anyone have any ideas why the numbers would drop so drastically?

With my first pg my Endo doc and OB did not communicate with each other, so when asked to come in and begin insulin I asked if they had spoken to my OB. When they responded with a NO I asked them to call the OB office just to let her know what is going on with my treatment since I AM going there because of my pregnancy. I just thought this was a reasonable request.

I guess the Endo office called my OB because about an hour later she called me. Said that I have two choices (1) follow the Endo instructions and take the insulin or (2) find another doc. I was like wait a minute, I never said I wouldn't take the insulin. I just wanted them to talk to you and let you know what is going on with me and to explain to me why we are taking this action. Of course the Endo office is saying that they did not say anything bad about me, but obviously someone is not telling the truth.

I just like all of you here want what is best for my babies and will do whatever they tell me to do, but feel like I am at a loss. I have lost all of my respect for both docs, but feel like it is very late in my pregnancy to be making any doc changes.

 

Sorry about the dr. situation, that does sound a bit funny! I don't have any experience with GD, but I'm sure someone will have some advice for you. Feel free to vent anytime to us. :hug99:

 

Sorry you are dealing with this. Your ob should have said, yes let's talk about what is going on. Your ob should be glad you want to keep him/her up to date.

Dianna

 

not to diminish what the docs did to you but I can tell you as a regular diabetic those numbers they gave you are right on...I had to do that my entire pregnancy - and I took ALOT of insulin throughout my pregnancy....

I'm glad your endo and OB are taking it seriously and trying to get your numbers to where they want to be - the later in pregnancy you get the higher the numbers tend to get - also right at 28 weeks is your trimester change - your sugars will probably get a bit wacky - mine always did....also the complications from having high sugars are VERY serious - most commonly breathing issues but there can also be other physical complications as well...

also my endo and my OB never communicated - they were mutually exclusive of each other - the endo took care of my diabetes and the OB and peri took care of the pregnancy....

 

I was diagnosed with GD at 29 weeks (I'm currently at 31) and have to follow the diet and test my blood 4 times a day. The only numbers I've been told about are your first set, under 100 first thing in the morning & under 135 one hour after each meal. I've never heard about the numbers changing. So, for the last two weeks my numbers have pretty much been in line and they say I'm doing fine. I don't know wwy they'd have you take the insulin if your numbers have been in line. Sorry about the frustration you are having with the two not communicating. My dietician/nurse faxes my results to my doctor weekly & she said that HE (the doctor) would have to request/prescribe the insulin if ever needed. Hang in there & good luck to you!!!

 

Let me say that I am just one of these people who ask questions when it comes to my treatment for anything medical. I understand that there are people out there who will take what any doctor says and do whatever they say no questions asked. I am not one of those people and I ask questions about the GD because I am concerned and want to do what is best. I don't think that because I ask questions regarding my health and the health of my babes should warrant my doc calling and threatening to drop me as a patient.

A very good friend of mine is a nurse on the labor and delivery floor immediately said I should get a second opinion about the GD and that I should get a new OB. Of course I would not change docs this far into my pregnancy, but I may end up considering a switch once the babies get here.

 

I agree that you should be able to ask questions about your care! Continue to be proactive and communicate with both. I hope that it gets better for you in that respect.
As for the GD...I will be thinking of you - it must be very hard. Keep up the great work!!
~Erin

 

Im 36 weeks and i also have GD and was recently diagnosed with it. somehow the results sat in their computer missed for over a month. sigh. I also have to take insulin. Morning and night syringe and with meals a shot from a cute thing that looks like a fat pen. My Doc said my numbers fasting should be under 95 and one hour after meals under 140.

I agree with you asking questions if something sounds strange because even doctors can make mistakes. This is a very stressfull time for you i am sure, and the added worry about your GD doc sure isnt helpful. You need comfort of knowing you are doing the right things for your babies and you are not wrong to double check your informantion you are given. I am sure there are much better GD doctors than that one if you ask arround. I wonder if your perinatal doctor could refer you to another one more friendly?

good luck. :hug99:

 

QUOTE(Mommy4_2 @ Jan 26 2008, 06:28 PM) [snapback]591067[/snapback]
Im 36 weeks and i also have GD and was recently diagnosed with it. somehow the results sat in their computer missed for over a month. sigh. I also have to take insulin. Morning and night syringe and with meals a shot from a cute thing that looks like a fat pen. My Doc said my numbers fasting should be under 95 and one hour after meals under 140.

I agree with you asking questions if something sounds strange because even doctors can make mistakes. This is a very stressfull time for you i am sure, and the added worry about your GD doc sure isnt helpful. You need comfort of knowing you are doing the right things for your babies and you are not wrong to double check your informantion you are given. I am sure there are much better GD doctors than that one if you ask arround. I wonder if your perinatal doctor could refer you to another one more friendly?

good luck. :hug99:



I was just diagnosed as well - they automatically said insulin for sure. What is the difference? How come sometimes you can regulate with diet and other times you have to take insulin. I'm really freaked out about the insulin thing!

 

I've been diabetic for 20 years. I had a lot harder time regulating everything with my first pregnancy. I'm doing better this time around, but I think it's impossible to have all my blood sugars where they want them. I don't see an endo anymore. I see a internal medicine doctor. She hasn't made any insulin changes yet. My OB just asks how my blood tests are & always tells me to watch them closely. My singleton was delivered at 36 weeks because I couldn't keep my blood sugars straight enough for everybody. He was perfectly healthy. My twins will be delivered between 32 & 36 weeks. My OB said that as soon as he knew it was twins. I'm shooting for 34 weeks. If I can make it that far, the babies will be delivered at a hospital close to me. Otherwise, I'll have to deliver at a hospital 3 hours away from home. I know you want your babies to be healthy as much as I want mine to be healthy. My peri, OB & internal medicine doctor tell me every time I see them "be sure to keep your blood sugars under control". I work hard at that every day. I just can't do it as well as they think I should. I'm going to tell you the orders will get harder to hear as the pregnancy goes on. I just wanted to tell them all to shut up & try it themselves before my first pregnancy was over. I'm already getting to that point with this pregnancy too. I've still got at least 13 weeks to go!!

 

I am sorry you have to deal with the GD, and feel awful for you that your OB spoke to you that way. I am also one of those people who needs to be informed about my medical care. I would want to switch docs, but don't know if I actually would at the point you're at. Hang in there, Lisa