I had my first of many appointments with my new OB Endo (Dr Endo). We went over my 3 GD tests and it was officially confirmed that I am indeed, gestationally diabetetic.
She spent time taking my history, looking over my sugar readings from the past week and then as I suspected spoke the magic words...you.need.insulin. My fear has come to life. Luckily for me, I had already begun researching other options and asked about Met.formin (my favourite of all IF drugs), she was quite receptive to the idea and we decided to give it a try. I am to take 2 pills (breakfast and dinner) everyday for a week while maintaining my GD diet with each meal followed by at least 10 min of walking or other exercise. We will re asses in a week and may push me to 3 pills a day (however I suspect that if zero improvement is shown, then I will be on insulin faster than I can say, I hate needles).
Dr. Endo also asked about my weight gain, so far at 30w3d I have put on 20 pounds. She said that is right on target. An average weight person needs to put on 20-30 pounds total during pregnancy and she will be monitoring my weight very closely for the remainder.
I have come to terms, unwillingly but none the less with my GD. It definitely sucks, but after all that I have been through to finally get to this place, its not the end of the world and I am going to suck it up and deal.
So enough about my GD, here's the important info for those that may find themselves in a similar situation:
- failing the one hour glucose test does not mean a GD diagnosis - many people pass the extended test
- you are a higher risk for developing GD if you:
* a previous diagnosis of GD or delivery of a large baby
* being a member of a high risk population - Aboriginal, Hispanic, South Asian, Asian and African descent
* being 35 years or older
* being obese
* a history of PCOS
(I met none of this criteria, so don't think you are automatically spared)
- the first course of treatment is diet and lifestyle changes.
* daily exercise, especially after each meal
* eating 3 meals a day combined with snacks between meals
* eating a bedtime snack (most important snack)
* counting carbs - limiting the amount of carbs per meal
- you may be required to check and monitor you glucose levels (I check 4x a day). This is done by a finger prick and is not painful
- if diagnosed with GD you have a 1/5 chance of developing Diabetes Type 2 within 8 years, therefore regular monitoring and lifestyle/diet changes should be continued
- there are different drug treatment options available and you should speak with your Dr on what is appropriate for you
- the dietitian told me about the 'pizza theory', basically even if you portion out the carbs exactly, use low fat cheese and whole grain crust, you will still get a high reading. Therefore - pizza not the best option for a GD diet.
- the most important: YOU DID NOT CAUSE GD. It is directly related to your hormones and how much insulin your pancreas is producing. Eating shit food while pg did not cause this.
- I am working on some new lower carb recipes and thinking of some higher protein non-meat related snacks, if you have any ideas I would love to hear them.
(Please remember that I am not a medical professional, just passing along the info I received.)