Jumat, 07 Desember 2012

How do I know if I have gestational diabetes or not?

Q. Hi I am currently 33 weeks pregnant and I had glucose tolerance test (75 ml) at 18 weeks and then at 28 weeks. Both of the times were negative but I had gestational diabetes with my first one though. Two weeks ago I have generally monitored my sugar level 2 hours after dinner and I was shocked to see that it was 8.8. Now I have been monitoring everyday since then and average is 7.5 ( without any diet plan and exercise). So does this mean that I got diabetes?

A. No, my friend, it does NOT mean that you have gestational diabetes.

Believe me, if your gynae team were concerned the would have told you as it makes their job even more difficult if there are added complications thrown into the cooking pot. (I'm fairly sure that you already appreciate that developing gestational diabetes increases risks to both mother and unborn child.)

Because you developed gestational diabetes during an earlier pregnancy DOES put you at increased risk of developing it during successive pregnancies, but this does NOT mean that you automatically will.

As you suspect, the 8.8 mmol/l (millimoles per litre) result that you got IS higher than it should be, but this MAY have been just a 'one off'. Yoiu also need to take into consideration whether you performed the blood test correctly. Did you, for instance, wash and dry your hands immediately prior to testing? There are a number of contaminants that can affect the results, such as food and/or drink remaining on the hands, cleaning products, scents/perfumes, alcohol swabs ... if not allowed to completely evaporate.

Your average blood sugar (glucose) level of 7.5 mmol/l is within the range that a non-diabetic would expect. (Normally, a non-diabetic's blood sugar level would not rise above 7.8 mmol/l two hours after eating. I am well aware that you MAY have been requested to test after one hour, but this is to do with the dangers that could be involved when someone has gestational diabetes.)

If you are, at all, concerned, my friend, you need to express your concerns to your gynae team. You could also try following the advice that was offered during your first pregnancy with regards to diet and exercise. It won't do either yourself, or your baby, any harm whatsoever.

Congratulations, by the way. I hope that everything goes well for you, that your pregnancy goes according to plan, and that your baby is the most beautiful baby in the world.


Im going to be delivering my baby next month and plan to breastfeed. I gained well over the amount recommended
Q. i was wondering how can i get back to my pre pregnancy weight if im going to be breastfeeding. I cant actually diet or go to weight watchers which i plan on doing. Does weight watchers have a post pregnancy diet.

A. I was in the exact same boat as you!!
I had done weight watchers years before, and I did it again after I had my son for the exact same reasons as you...it worked!
But it only worked because I really did stick to the points allowed, the food allowed and I exercised..nothing too strenuous, I walked a lot and danced with my baby in the living room.
However, I did not start until after a couple of months...I was just too exhausted & getting used to being a mommy.
Good luck & congrats!!


Safe way to lose wieght after pregnancy?
Q. im due with my first in october and i'm hoping to get back to my normal size as soon as possible after, im planning on breast feeding aswell. any other expecting moms out there have a post baby diet plan? (",)

A. walk, walk, walk ... drink PLENTY of water, and eat high protein, low carbs. just be balanced really. but exercise, diet and drinking water are really all you need to do!


What is a good diet plan for pregnant teens?
Q. I have been pregnant for almost two months. What would be a good diet for me and my baby? I get nauseous really easily right now(of course) but just need some advice. I want to stay fit. Am I able to work out still?

A. Oh boy! Yes, let's tell our young friend not to worry about fitness during pregnancy. That's a fantastic idea! Maybe she can grow up to be like 2/3 of the rest of the country, overweight or obese!

Listen kid, definitely keep up the workout plan. Walking and swimming are great. I go for an hour each day (I am 26 weeks along). Eat balanced meals, plenty of fiber, lots of water, and don't go under about 2000 calories a day. Make sure to take your prenatal vitamins and anything else your doc prescribes.

Don't go nuts cutting calories or binging. Pregnancy is no excuse to eat anything you want. You'll hear again and again, "your body will just gain what it wants to gain" or "you can just lose it later." This is FALSE. You can control how much you gain if you are careful and diligent. Stay in the guidelines suggested for you by your doctor, not too much or too little. Many women CAN'T take off the baby pounds, because they put on too darned many to begin with.

Personally I'm not big into eating meat (I'm not a vegetarian, I just don't like it much) so I add protein by drinking lots of milk. I eat small meals. It's not so bad, and by the time you hit the end of trimester 2 your stomach will be compressed enough so you won't be able to eat a big meal anyway.

Keep it tight sister! The healthier and more fit you are going into delivery, the better your birth experience will be and the faster you'll heal. Don't use your pregnancy as an excuse to become a butterball, like so many women do.





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