GD

[mental_manda]

I have PCOS and pre-diabetes (prior to pregnancy

Comments

[cityofgods]

this is probably a question that you should call your doctor about. id call & ask. do you feel bad or different than you normally do? if he said 130 & higher i would probably do the insulin, being pregnant its not worth risking anything happening because youre scared of needles hun.

[__sail_awayx]

jw- why did you type this like that?

[cityofgods]

because i like the font, why? i type everything in this font btw, my journal entries as well. just a font i like & i found the code to do it in all my comments & entries.

From our rules:

[pregnantmods]

2. Font face/size/color
DO NOT change the font face, size, or color.
We're glad you can use LJ's rich text editor (or know basic HTML), but please leave the font alone. What looks amazing to you will probably bother just about everyone else. Don't get insulted when people ask you to change the font back to the default settings - just do it.

Please stop using the code to change your font in this community.

[blowpop81]

One point is not going to make a huge difference. In fact test again & you will likely get a different response. The meters are allowed a 20% error margin, meaning if your BS is really 130, the meter could tell you anywhere between 104 - 156. It's not going to harm your baby because of one point.

I agree you should call your doctor & get some instructions on how/how much insulin to take. Don't go taking it without knowing, because you could end up very low & that's more dangerous by far then your 130. Honestly, I'm a Type I diabetic & my doctor wants me to between 80-140 most of the time. I have my fair share of high 100's & even some mid to upper 200's & my baby is fine. Try another test :)

[__sail_awayx]

Really?! They made me feel like if I got a 200 reading my baby would be instantly dead!

I had a 131 the other day and the doctor in labor and delivery goes "IS THIS YOUR FIRST ELEVATED?" I'm like uh no, and thats not really that high. I hadn't eaten in 24 hours so I knew it wasnt food related.

op- I second waiting a few minutes and testing again. Also- make sure youre washing your hands. If my hands are even a little dirty it can throw off my reading.

[blowpop81]

I think OB's tend to over exaggerate everything when it comes to babies. My OB loves my tight control (my average reading on my meter is between 98-110 at any given time), but my Endocrinologist (who treats my diabetes) would like me to let up on my control a little because she thinks I'll just cause weight gain & I'm already over weight.

Even with my high's (I would say I have 5-10 week in the 150-200 range & maybe 2-3 over 200, but I test about 10 times a day, so you figure that's not bad with 70+ readings) my baby has been in the 25th to 50th percentile for weight & all the other things they scare you with have not happened either.

[starlite1980]

Have you taken the GD test at your OBGYN yet? It's the one where you have to drink that gross orange drink and then they draw your blood. If you fail this first GD test then you have to take a 3 hr glucose test where your blood is drawn four times, once before you take the drink and then three times after. If I remember correctly this test is taken in week 26.

[geminigirl]

I wish more health care providers wouldn't automatically take people with PCOS off the glucophage-about a year and a half ago, (July or August 2007-right at the beginning of my pregnancy with my daughter) a good study was published about keeping people on the glucophage through the second trimester, and how it significantly reduced the incidence of GD without risk to the baby. The study was in the journal Fertility and Sterility and the lead author is Charles Glueck (who is one of the top PCOS researchers in the country.) There also seems to be some evidence that it helps improve breastfeeding outcomes in women with PCOS when taken in the third trimester and while breastfeeding (and yes, it's safe to do that-check the Hale's listing if you're concerned

[sandi1743]

THIS!!! - i was at a total loss as to why they took her off. Gluc is much better for you (thus baby) than insulin over all according to studies when it alone with diet modifications control your blood sugar levels!
To the OP: do you have an RE (reproductive endocrinologist) or just a regular GYN? There are RE/OB/GYN's out there - just a bit hard to find.

[geminigirl]

Because the conventional wisdom has been to stop the glucophage once the risk of first trimester miscarriage has passed? I'm just glad that my OB (high risk pregnancy with my daughter) was open to my research and the new study; he's actually changed his treatment protocol for most PCOS patients (he mentioned it recently when I saw him, and for patients with high compliance he's doing this) to what we did when I was pregnant-stay on glucophage through the pregnancy, monitor sugars at least four times a day and skip glucose tolerance testing unless the sugars are regularly out of range, in which case you may have reason to use insulin or a different medication.

[sandi1743]

my RE/Ob/GYN has always kept women on it as it is has been in the lit. that women do better on the gluc. while pregnant for years...PCOS is linked with Type II and insulin resistance and GD is more likely to develop with these things already in the mix which is why i am at a loss.

[ophelia42]

Was that 2 hours after eating?

What did you eat? Something that might have raised your blood sugar abnormally?

When I had GD, my doctors wanted my 2 hour BS numbers to be under 120, but didn't freak if I occasionally had a few that were high.

[lemmings_world]

Oy, mine acts like it's the end of the world if I'm one point above the cut-off. I mean, a 96 in the morning and she's all upset with me. Unreal.