Re: OT-gestational diabetes question

[Guest guest]

I wake up and my levels are aournd 103 and

> they should be (according to the dr.) below 95. I eat a

> snack before I go to bed usually high protein such as a hard boiled

> egg, yogurt etc.

> Anyone out there deal with this and have any suggestions for me?

> Thanks,

> h

h, I am pregnant also. I never took the GDT test because I knew I

would have failed with flying colors. No point in stressing my system

to find out info I already knew.

Make sure you are exercising daily (walking is fine at this point)and

you may have to eat more fat along with the protein before you go to

bed. You may also need to eat in the night. I would take 2 small

bowls. Fill one with ice and then the smaller with 2-3 bites of

cottage cheese and leave this on my nightstand. When I woke up

nauseous at 2 or 3 o'clock I would just have a couple of bites and

feel much better and be able to go back to sleep.

Keep staying away from sugar in all forms. It is obvious your body

really doesn't like it right now.

Good luck,

[Guest guest]

h,

I would suggest that you get a second opinion. I will explain why, but first, I

must emphasize. I am NOT a doctor. Nothing I say here can be used as a basis

for your medical monitoring. Only use it as a basis for whether you want to

seek a second opinion.

Before I changed my diet, I was prediabetic. I was told that a fasting blood

sugar reading of up to 105 was " normal " . 106-125 was considered prediabetic.

126 and above was considered diabetic. That criteria indicates that a reading

of 103 is still normal. However, do not go by these numbers and assume

everything is okay. Look at these numbers and go ask another doctor what she/he

thinks of a first morning, fasting blood sugar level of 103.

Terri

> OT-gestational diabetes question

> Date: Sun, 20 May 2007 15:08:35 -0000

>

>

> Hi there

> I am 30 weeks pregnant and planning a homebirth with a midwife. I met

> with a doctor last week, just as a back up in case something should

> happen, and he required I take the glucose test. The numbers came

> back high and they wanted me to take the glucose challenge test but I

> have declined. Instead I am monitoring my blood sugars at home. As

> long as I stay away from sugar and limit my grains I seem to be fine

> except in the mornings. I wake up and my levels are aournd 103 and

> they should be (according to the dr.) below 95. I am at a loss as to

> what to do to keep my levels at the right place over night. I eat a

> snack before I go to bed usually high protein such as a hard boiled

> egg, yogurt etc.

> Anyone out there deal with this and have any suggestions for me?

> Thanks,

> h

>

>

>

>

>

[Guest guest]

Fasting blood sugar levels are not the thing to tell if one is diabetic or not.

The A1C test is the one to do. It shows the last three months average of blood

sugar levels. Anything below 6.5 is good, the lower the better. 6.5 and over is

when to take a much closer look.

I have found eating an NT diet to be the best thing for my diabetes! My levels

stay so nice and even. My last A1C was so low they asked me what I was doing and

said to keep it up! I then got to tell the diabetic nurse/nutritionists what I

was doing and gave her a ton of TF?NT sites, raw milk and more to check out. She

was VERY interested and may even come to the MVV seminar with Sally Fallon this

summer!!!

As far as morning blood levels, my doctor wants them under 120. Says that is

good. She said most people will have a morning level between 80 -120. That is

pretty normal. Plus one should never go to bed with a blood sugar level less

than 100. You will drop too low during the night.

As far as gestational diabetes, I know the numbers are the same for them as for

a non-gestational person. If I were in this situation, now this is just me, I

would want to monitor my sugar levels for at least a week to get an good

average readings. To do this, test just before eating and then again two hours

after eating. Then of course morning and bed times too. I also do a mid

afternoon test as these are times I tend to go low. I know several gals who test

about 10 times a day!!! This will give you and your doctor the best idea of what

is really going on in your body.

Before bed you need to test your levels and if you are under 105, I would then

eat a serving of carbs. An med sized apple, glass of milk, piece of bread, etc.

This will keep your night time levels more even. Eating a protein with it is not

a bad idea either. Slows the absorbs down. Do not drink juice as that will spike

it up quickly and then it may drop faster. The whole fruit is always best as the

fiber slows it down and releases the sugars more evenly.

The doctor who said morning levels under 95, is this a diabetic doctor???? I

know 103 is considered perfect for a morning level. See if your doctor will give

a referral to a diabetic nurse for some one on one questions and answers. I

think this would help you greatly.

Kimi

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

www.Jremedies.com

" I do not ask that Thou should give me some high or noble task. Give me

little hands to fold in mine. Give me little children to point Thy way, over

the strange, sweet path that leads to You. Give me little voices to teach to

pray. Give me shining eyes Thy face to see. The only crown I ask to wear is

this, that I may teach my children. I do not ask that I may stand among the

wise, the worthy, or the great; I only ask that softly, hand in hand my

children and I may enter at the gate. "

-Anonymous

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[Guest guest]

Henci Goer:

What are the problems with gestational diabetes testing?

A diagnostic test should be reproducible, meaning you get the same results when

you repeat the test. Thresholds should be values at which complications either

first appear or incidence greatly increases; and normal ranges should apply to

the population being tested. The OGTT is none of the above.

Obstetricians adopted data from the original 1950s studies as the normative

curve for all pregnant women, but they shouldn't have. For one thing, those

researchers tested women without regard to length of gestation, whereas today,

doctors typically test women at the beginning of the third trimester. Glucose

values rise linearly throughout pregnancy, but no corrections have been made for

this (15). For another, they studied a population that was sixty percent white

and forty percent black. Hispanics, Native Americans and Asian women average

higher blood sugars than black or white women (10,57). This means values for

that 1950s population have been established as norms for all women, which in

turn means that some women are being identified as diseased simply because of

race.

The OGTT also isn't reliable. When pregnant women undergo two OGTTs a week or so

apart, individual test results disagree twenty to twenty-five percent of the

time (5,23). A person's blood sugar values after ingesting glucose (or food)

vary widely depending on many factors. For this reason, the OGTT has been

abandoned as a diagnostic test for true diabetes in favor of high fasting

glucose values, which show much greater consistency, or values after eating of

200 mg/dl or more, which are rare (46,52). Moreover, pregnancy compounds

problems with reproducibility. Because glucose levels rise linearly throughout

pregnancy, a woman could " pass " a test in gestational week 24 and " fail " it in

week 28 (55). These same reproducibility problems hold true for the glucose

screening test that precedes the OGTT (47,55).

More importantly, no threshold has ever been demonstrated for onset or marked

increase in fetal complications below levels diagnostic of true diabetes. The

original researchers chose their cutoffs for convenience in follow-up, but all

studies since have used their criteria or some modification thereof as a

threshold for pathology in the current pregnancy. Numerous studies since have

documented that birth weights and other outcomes fail to correlate with the

1950s or anybody else's thresholds. Today's researchers acknowledge that the

risks of glucose intolerance almost certainly form a continuum and that

screening and diagnostic thresholds are arbitrary (7,29-30,48,51).

Several organizational bodies that have looked critically at the GD research

have come out against GD testing. A Guide to Effective Care in Pregnancy and

Childbirth, the bible of evidence-based care, relegates screening for

gestational diabetes to " Forms of Care Unlikely to be Beneficial (12). " The

American College of Obstetricians and Gynecologists says no data support the

benefits of screening (1). The U.S. Preventative Services Task Force and the

Canadian Task Force on the Periodic Health Examination both conclude that there

is insufficient evidence to justify universal GD screening (4,11).

http://parenting.ivillage.com/pregnancy/pcomplications/0,,9z3m,00.html

[Guest guest]

One more thing, if you get a real high reading wash your hands and test again!!!

LOL you will not believe how many times I tested high and then washed my hands

and was normal!!!

Kimi

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

www.Jremedies.com

" I do not ask that Thou should give me some high or noble task. Give me

little hands to fold in mine. Give me little children to point Thy way, over

the strange, sweet path that leads to You. Give me little voices to teach to

pray. Give me shining eyes Thy face to see. The only crown I ask to wear is

this, that I may teach my children. I do not ask that I may stand among the

wise, the worthy, or the great; I only ask that softly, hand in hand my

children and I may enter at the gate. "

-Anonymous

--- http://USFamily.Net/dialup.html - $8.25/mo! --

http://www.usfamily.net/dsl.html - $19.99/mo! ---