Gestational Diabetes ( Thread 2)

[foxy_girlfriend]

almost day 3 na ko so far pasado naman mga values ko.

sis miss ira anong hour ka nagfail? went to diabetes care center of makati med. ok naman banana pero medium size lang (almost half ng dole bananas na binebenta sa mini-stop). wala din sinabing what kind ng banana basta 1 medium size per meal ok na.

may PCOS din ako before maging pregnant and was taking metformin in preparation to get pregnant.

About your questions:
#2. I did it bago talaga ko sumubo
#4 in my case, since sa first hour ng ogtt ako nagfail, yun ang pinamonitor ni doc (1 hr after gawin yung unang subo per meal).

About the diet, may exchange exchange kasi yung fat, carbo and protein. No.1 bawal ang simple sugars. Bawal cakes, ice cream, chocs/candies, fruit juices (except from fresh calamansi and lime), honey, jams, pies, pastries, soft drinks, syrups, table sugars AND catsups.

About <120. For me <130. Sabi ni doc 125 daw sa iba. Hindi daw sya masyado strict so okay na sya sa <130. So far di pa naman ako lumalagpas sa 106 para sa first hour ko.

Sis alessabanana ako din, kumain ng 1 pc ng cookie nibbler kahapon hehe. Nasa mall naman kami kaya dinaan ko na lang sa mahabang lakaran.

Sis bubugirl, yung iron supp ko sugar coated kasi matamis. thanks sa tip. will have to change it to non sugar coated. Ako isang baldeng ice cream siguro pagkatapos manganak hehe.

[foxy_girlfriend]

mga sis and miss ira sa Bambang ako nakabili ng murang strips. may One Touch Ultra kasi dad ko. Bumili muna ko sa mercury para itest 1200 for 25 strips + 25 lancets! Kaso need pala ng control solution. Wala sa mercury. The next day we tried Bambang. OMG 550 lang for 25 strips ng One Touch Ultra! mas mura ng 55%! Buti na lang hindi masyado Bambang mula sa min kaya we could easily make the trip. Sinoli ko na lang sa mercury yung binili ko at pinalitan nila ng GC. Lancets are 1 peso each pag tingi, generic yun na pwedeng gamitin sa lancing device ng One Touch Ultra. Pag maramihan 90 pesos for 100 pcs.

[miss ira]

^Sis miss ira, ako din may PCOS and slightly overweight before I got pregnant. Mas high risk tlaga tayo sa GD. pero yung readings mo nung first try mo is way decent compared sa akin. Feeling ko kaya pa ng diet yan have faith.

Sabi ng endo ko, before eating daw ang range ay 80-101mg/dl then after eating ay 102-120 mg/dl.

Nagtest ako ng umaga before breakfast as in bago kumain. Wala namang specific time. Ako I prefer after I pee in the morning and before I drink my first glass of water. I noticed na dun mababa ang sugar ko e

Pag fasting, my endo recommended 10 hours of no food and no water.

Pag nag-momonitor ka best if you can get readings before breakfast, before lunch, 2 hours after lunch, before dinner and 2 horus after dinner/bedtime. The good thing dito sa setup na 'to is magiging mindful ka sa times ng pagkain. Small frequent meals talaga best for people with GD. saka bawal mag skip ng meals.

For breakfast, 1 cup of non fat milk then I eat egg/tuna/chicken sandwich(I make the spread beforehand, I use mayo lite then onions, tapos I add the protein na depende sa mood ko. For the chicken remove the skin ha.), then sa snack I drink diabetasol - nakakbusog nman kaya pwede na. Lunch, 1 cup rice plus meat and veggies(green leafy ones), meryenda - sandwich again pero half lang. Dinner - 1/2 cup rice plus fish/chicken and veggies.

Yan yung ni-recommend sa akin ng nutritionist ko sa VRP. Nagse-seminar sya dun, nirefer lang ako ng endo ko. Iba iba din daw yugn diet na recommended depende sa case Sakin kasi nag experiment muna kami bago ako nakakuha ng system sa pagd-diet. Saka every now and then bumibigay ako.. parang kahapon nag sundae ako bawi na lang sa exercise pag ganun. lakad lakad hehe Kaya mo yan sis!

Thank you sis alessabanana! kinakabahan talaga ako. Last night after ko magdinner (8:10), nagcheck ako ng sugar level around 9:20 pm --> 119 mg/dl. Tried magwalis walis dito sa sala after ko kumain and magayos for 15 minutes. kaso sumakit na tyan ko.. nakabed-rest din kasi ako kasi nagcocontract pa din tyan ko pag lakad ako ng lakad. I had bleeding din kasi first week ng june kaya eto. from 9:20pm until 7:30am this morning, nagcheck ako sugar level --> 96 mg/dl super nadedepress ako kasi sa iba <95 ang sabi ng endo nila.. nakakafrustrate pala, hindi na ako nagcheck kanina after meal.. gawin ko nalang before breakfast and after dinner nalang.Mahal din kasi ng strips!

Will try your diet plan. I am including din pala OKra since nabasa ko online na its good for diabetes daw. Ngapala, anong normal sugar level na binigay sayo ng endo kapag fasting?

[miss ira]

almost day 3 na ko so far pasado naman mga values ko.

sis miss ira anong hour ka nagfail? went to diabetes care center of makati med. ok naman banana pero medium size lang (almost half ng dole bananas na binebenta sa mini-stop). wala din sinabing what kind ng banana basta 1 medium size per meal ok na.

may PCOS din ako before maging pregnant and was taking metformin in preparation to get pregnant.

About your questions:
#2. I did it bago talaga ko sumubo
#4 in my case, since sa first hour ng ogtt ako nagfail, yun ang pinamonitor ni doc (1 hr after gawin yung unang subo per meal).

About the diet, may exchange exchange kasi yung fat, carbo and protein. No.1 bawal ang simple sugars. Bawal cakes, ice cream, chocs/candies, fruit juices (except from fresh calamansi and lime), honey, jams, pies, pastries, soft drinks, syrups, table sugars AND catsups.

About <120. For me <130. Sabi ni doc 125 daw sa iba. Hindi daw sya masyado strict so okay na sya sa <130. So far di pa naman ako lumalagpas sa 106 para sa first hour ko.

Sis alessabanana ako din, kumain ng 1 pc ng cookie nibbler kahapon hehe. Nasa mall naman kami kaya dinaan ko na lang sa mahabang lakaran.

Sis bubugirl, yung iron supp ko sugar coated kasi matamis. thanks sa tip. will have to change it to non sugar coated. Ako isang baldeng ice cream siguro pagkatapos manganak hehe.

Hi sis! For OGTT palang ako sa june 25.  sa case ko naman, hindi ako pinagmetformin ng OB ko though she did put me on contraceptive pills until ready na ako magbuntis. I stopped going to her and   taking pills then. 6 months after siguro without pills I got pregnant naman. sa OGTT mo, ilan yung mataas ang sugar? Out of 4 (FBS, 1st,2nd & 3rd) ilan dapat yung within normal para masabing hindi GD or hindi irefer sa endo?

[foxy_girlfriend]

^sis sa 1st hour ako nag fail. 180 mg/dl dapat, 195 ako =(. So nirefer na ko ng OB ko sa diabetologist or endo.

Nagpills din ako with metformin less than 2 months after taking the pills nabuntis na ko.

[miminibebe]

To our sisses who already gave birth na may GDM, were you able to breastfeed immediately pagkalabas ni baby? Or hindi? Kasi i was asking my OB if ipapahawak ba sa kin si baby pagkapanganak ko, yes daw, unang yakap.  Pero di niya namention na pwede ko na siya breastfeed agad. 

Nung sa daughter ko kasi tulog ako nung na-CS so hindi ko sya nabreastfeed agad, tapos di pa siya ni-room in agad sa kin dahil nagka low grade fever ako, so i was able to BF her nung 2nd day ko na. Nabigyan na siya ng formula, eh gusto ko sana dito sa sunod sa kin siya unang magfeed, not from the bottle.

So ayun, ini-allow ba kayo na BF agad si baby or may special treatment for babies born na may GDM ang mommy?  Alam ko kasi itetest din sila for glucose, yun lang.  Next Sat pa ang check up ko kay OB so i'd check with her again.

[cj_09]

Hello! I just want to share this,I had my FBS last month and the result was 78 mg/dl. Pinakita ko kay Ob yung result and ayaw nya ng FBS dahil daw hindi accurate,nagkakaroon ng false positive result. Ang gusto niya is RBS (2 hrs after eating) at dapat ang result will not be more than 105 mg/dl. Nagpalab test ako last week ng RBS at ang result ay 128 mg/dl pero nakalagay dun sa lab result na ang normal values ay 80-180 mg/dl. Nalilito tuloy ako ngayon at medyo takot dahil irerefer niya ko dun sa terror nyang diabetologist!

[foxy_girlfriend]

^wow ang baba ng 105mg/dl ng after 2 hours. sa akin less than 130 mg/dl 1 hr after eating. hehe terror ba yung diabetologistsis?

[cj_09]

^sobra..super sermon pa abot ko nung last time na nagpacheck-up ako. Plus ang consultation fee,mahal. Feeling ko pumupunta lang ako sa kanya para magpasermon.

[foxy_girlfriend]

tsk tsk. buti na lang covered ang pre-natal check-up ko mukhang mahal din sa makati med. isipin mo na lang sis the doc is pushing you to better.yun na lang ang bright side.

[loveann]

hi sis! hindi nawawala ang yeast infection ko but medyo konti na lang discharge ko once naginsert ako suppository. Sabi ng OB ko need ko magka FBS baka kasi diabetic ako, sana wag naman. nagdiet ako konti lang sweets ko sa katawan at oat meal lang ako sa dinner.

[alessabanana]

Update ko lang kayo mga sis, since nung last post ko e tinaas yung dosage ko ng insulin. 22 units in the morning and 18 units in the evening. Ayaw kasi ng endo ko na gutom ako, wag daw ideprive sarili kasi si baby baka wala naman daw makuhang nutrients. Simula nung tinaas mas naging okay na ako, mas nabubusog nako saka within normal na yung sugar ko. Syempre iwas sweets pero yugn carbs ko mas nkakakain nako. Hopefully paglabas ni baby mawala na din yung GD ko kagad.. Gastos ng insulin saka strips!

Stay safe mga mommies

[miss ira]

Mga sis! Hope you're all doing fine.  I have monitored my sugar level although hindi sya parehas ng time and not exactly after an hour but lumalampas ng an hour and 15 mins or 30 mins. Iba-iba oras kasi ng pagkain ko. the first few days, nasa >120, got frustrated with that so what I did I went back to my usual diet pero less talagang kanina. Kasi I have thought, If I am going to cut carbo sa diet ko, then paiinumin ako sa OGTT ng glucose baka talagang tumaas agad sugar ko dahil sa ilang linggo hindi nakatikim ng sugar katawan ko.

* My OB told me to have only 3 cups of rice per day lang pero para makabawi I am consuming less than 2 cups of rice per day. 

* First few days, wheat bread ang kinakain ko but since I read somewhere na pwedeng culprit pandagdag ng sugar level so balik ako sa white bread with peanut butter thinly spreaded or I have 2 slices of white bread with sunny side up and baked beans on top.

* I crave for cakes, ice cream and any choco beverages pero I am trying my best not to have. alternative to that, my hubby would buy Munchkins from Dunkin Donuts and share it with my neices, I had 5  .

* With my milk, I am taking in every other day nalang. I had to ask my OB via text regarding it kasi baka nakadagdag din sa pagtaas ng sugar ko, she advised to take it every other day. Instead of 4 heaps, I only put 2-3 heaps nalang since matamis din kasi kapag 4.

* My mum is a bit aware na din with ulam so everyday she would cook tinola (either papaya or sili leaves), hubby sometimes would cook chicken inasiman with ampalaya or boile pechay, okra, baguio beans and camote leaves.

* If I fancy fish, grilled with lots of tomatoes and onions inside.

* for meat naman, I have pork pero super konti lang. My hubby would make sisig with only salt and bit of mayo.

June 16
10:31 am (2hrs post BF) → 121 mg/dl
13:21 pm (an hour Post Lunch) →  123 mg/dl
21:20 pm (an hour Post Dinner) → 119 mg/dl

June 17
7:37 am → 96 mg/dl (FBS)

June 18
8:03 am → 98 mg/dl (before BF)

June 20
7:41 am → 92 mg/dl (before BF)
23:15 pm → 113 mg/dl (post dinner)

June 21
7:5 7 am → 91 mg/dl
 then had to repeat it to double check
8:01 am → 88 mg/dl

June 22
8:57 am → 86 mg/dl then did it again 9:00 am →  87 mg/dl
13:31 pm  → 110 mg/dl (an hour and 25 mins post Lunch)

Any comments will be much appreciated. Sa monday na OGTT ko kinakabahan ako. bukas puro ako gulay, water therapy and carbo sa afternoon

[imeego]

sa case ko naman, when i failed the ogtt (2nd hr with positive glucose sa urine), i was also advised to monitor my sugar for a week to check if makukuha through diet lang...monitoring ko is pre-breakfast, then 2 hr post-bf, post-lunch and post-dinner (puro 2 hr post-meal since yun ang bagsak ko sa ogtt)...that time, yung pre-bf ko was a little over 90 mg/dl lang which i thought was ok lang, but when i showed the result to my endo, sabi nya dapat below 90 (i think iba-iba cut-off ng endo ), so i was given insullin na pero dosage given was 8 units sa morning then 4 units sa evening lang, total of 12 units lang...38 wks na ako sa monday and so far, di na nag-increase ng insulin yung endo ko, tinetext ko na lang weekly yung results ko ng glucose monitoring

[miss ira]

sa case ko naman, when i failed the ogtt (2nd hr with positive glucose sa urine), i was also advised to monitor my sugar for a week to check if makukuha through diet lang...monitoring ko is pre-breakfast, then 2 hr post-bf, post-lunch and post-dinner (puro 2 hr post-meal since yun ang bagsak ko sa ogtt)...that time, yung pre-bf ko was a little over 90 mg/dl lang which i thought was ok lang, but when i showed the result to my endo, sabi nya dapat below 90 (i think iba-iba cut-off ng endo ), so i was given insullin na pero dosage given was 8 units sa morning then 4 units sa evening lang, total of 12 units lang...38 wks na ako sa monday and so far, di na nag-increase ng insulin yung endo ko, tinetext ko na lang weekly yung results ko ng glucose monitoring

whoa! less than 90.. does it varies then sa AOG + result ng sugar level? as you said iba iba cut off ng mga endo.

[imeego]

^that im not sure sis, kasi may nabasa ako dati na 95 mg/dl lang yung cut-off ng endo nya (and sa mga articles online din), that's why i guess iba-iba cut-off nila...siguro may mga parameters silang kino-consider, like mother's weight maybe and if compatible ba yung baby's size sa aog? i started on insulin nung 28 weeks na ata ako

[foxy_girlfriend]

sis imeego ako for pre-breakfast less than 100. I failed sa 1st hour ng 100g OGTT.

[miminibebe]

Ang cut off ng diabetologist ko is ganito.

FBS - dapat less than 90 mg/dl
1 hour post meal - less than 140 mg/dl
2 hour post meal - less than 120 mg/dl

yan ang binigay niyang cutoff sa kin from the start pa lang, kasi was diagnosed with GDM nung 6 weeks preggers pa lang ako, up to now ganyan pa din, going on 34 weeks na ko.  Mas mahirap icontrol now, mas madalas ako nagffail, di ko mapigilan ang takaw eh, lalo at nasstress ako this past few weeks.

[angeljolie]

^Ganyan din binigay saken ng diabetologist. Although hindi nya ako binigyan ng figure for 1 hour post-meal (which is ironic kasi dun ako bumagsak sa OGTT). Been testing since Friday, so 4th day ko na today. So far, I have never failed. Feeling ko talaga bumagsak ako sa OGTT kasi kinareer ko ang soda, rice at sweets ng ilang linggo sa kagustuhan kong mag gain ng weight. Kaso wrong move hehe. When I went back to my normal diet, hindi naman tumaas sugar ko. There was this one time pa na super baba (65) kasi I only had cereals and milk.

[foxy_girlfriend]

Finished check-up with my endo this morning. I'm so relieved! 3 times out of 36 times na monitoring ko nagfail ako. Over sa limit na sinet ng endo ko.  Sabi ne endo ko ok lang daw. I asked kung kelan magja-judge na maginsulin kami. 40% daw ng result ay fail mag-iinsulin na. Ngayon, twice a day na lang daw ako magtest (random sampling) and we will see each other 2 weeks after.

I asked kung mawawalan ako ng GDM after I give birth, possible daw. Possible din daw magcontinue. To confirm, I must undergo OGTT again 6 weeks after birth.

He is concerned lang kasi I lost 1.8 kg. I must check daw with my OB if everything is ok. Ang baba naman kasi ng 1500kcal for me. I asked why low fat and low sodium reco nya sa kin if I'm not hypertensive sabi niya bad naman talaga ang fat and sodium hehe.

Right now tipid na ko sa strips and I don't have to do insulin. so happy!