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Post GD: Blood sugar readings - please please help

  • Thread starter Thread starter Lavender100
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Lavender100

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I was diagnosed with gestational diabetes. My fasting was 4.1 but 2 hours post glucose drink was 8.4. I'm now 7 weeks post partum and haven't had my follow up GTT yet but have been testing a bit at home. I had some cottage pie with 2 Yorkshire puddings and 1 hour later my reading was 9.9!! Within 5-10 minutes it had gone down to 7.8 and by 90 minutes post meal is 7.3. By 2 hours it was 5.7. Does this mean I must have proper diabetes or prediabetes? I feel so down. I must have had this for years and not know. I'm 24, really slim with a bmi on the lower side. I have however eaten a really high sugar diet for years. Please can someone offer any explanation?
 
I think it means you have gestational diabetes...

https://www.diabetes.org.uk/gestational

http://www.diabetes.co.uk/gestational-Diabetes.html

Better to try to avoid high carb foods and drinks whilst pregnant I presume.

I'm sure there will be more people along but maybe amend the title to Gestational Diabetes so they will know what you are asking so you don't get lots of useless blokes like me...

Maybe post something here too

http://www.diabetes.co.uk/forum/category/gestational-diabetes.21/

Hope that helps

Regards
Mark
 
Thank you. I have had my baby now so technically the gestational diabetes should have gone immediately after birth. This makes me think I didn't actually have gestational diabetes but rather type 2 or prediabetes all along
 
Lavender100 said:
Thank you. I have had my baby now so technically the gestational diabetes should have gone immediately after birth. This makes me think I didn't actually have gestational diabetes but rather type 2 or prediabetes all along
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Ah I see.. Maybe post in the gestational diabetes forum as I'm sure they will be more knowledgable than me.
 
Lavender100 said:
No I am post partum ...had my baby 7 weeks ago :)
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congratulation with you Little Baby .:):):):):):):).. maybe the diabetes disapears again after a while hopefully.... but try to avoid carbs .... as much as possible except from in vegtables from over the ground ...
 
Lavender100 said:
I was diagnosed with gestational diabetes. My fasting was 4.1 but 2 hours post glucose drink was 8.4. I'm now 7 weeks post partum and haven't had my follow up GTT yet but have been testing a bit at home. I had some cottage pie with 2 Yorkshire puddings and 1 hour later my reading was 9.9!! Within 5-10 minutes it had gone down to 7.8 and by 90 minutes post meal is 7.3. By 2 hours it was 5.7. Does this mean I must have proper diabetes or prediabetes? I feel so down. I must have had this for years and not know. I'm 24, really slim with a bmi on the lower side. I have however eaten a really high sugar diet for years. Please can someone offer any explanation?
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Lavender100 - The bottom line is none of us can diagnose you with anything. On the face of it, you perfored well after a high carb meal. Your cottage pie and 2 Yorkie would be a fair few carbs, never mind anything else you might have had.

Everyone rises when they have eaten; particularly a carby meal, but you were well down again, and well, well within non-diabetic levels.

upload_2016-10-16_19-47-30.png

I would say, for now, concentrate on enjoying your new baby and eating sensibly. You have a new GTT or other gestational diabetes assessment/review. If that throws in a curved ball, deal with it then. Worrying up front rarely helps.

If, perchance, you do happen to go over the threshold, there are many, many folks here who can support you on that journey.

Good luck with it all, and a big congratulations on your baby.
 
Lavender100 said:
I was diagnosed with gestational diabetes. My fasting was 4.1 but 2 hours post glucose drink was 8.4. I'm now 7 weeks post partum and haven't had my follow up GTT yet but have been testing a bit at home. I had some cottage pie with 2 Yorkshire puddings and 1 hour later my reading was 9.9!! Within 5-10 minutes it had gone down to 7.8 and by 90 minutes post meal is 7.3. By 2 hours it was 5.7. Does this mean I must have proper diabetes or prediabetes? I feel so down. I must have had this for years and not know. I'm 24, really slim with a bmi on the lower side. I have however eaten a really high sugar diet for years. Please can someone offer ajny explanation?
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FYI gentlemen : post partum = after delivery.

As I'm sure you are aware, @Lavender100 , hormones after pregnancy take a while to settle down and go back to normal. GD is cause by your pregancy hormones. So it's not exactly true to say ithat GD resolves immediately on giving birth.

You should have another GTT shortly, within 8 weeks of delivery - https://www.rcog.org.uk/globalasset...eaflets/pregnancy/pi-gestational-diabetes.pdf

The readings you have posted aren't diagnostic of diabetes, which requires a random blood sugar (ie not a fasting blood sugar greater than 11) In fact, all the readings you posted are non-diabetic.

Congratulations on the new baby!
 
Thank you for your replies. My consultant said the GD would go immediately because it was caused by the placenta. I will await my next GTT bit can I ask...is it normal for a non diabetic to go up to 9.9 after a meal? Is diabetes more about sustained spikes? Sorry I have no clue and really would like more information
 
Lavender100 said:
is it normal for a non diabetic to go up to 9.9 after a meal?
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9.9 60 minutes after eating a carb heavy meal is not unheard of in a non diabetic, it is perhaps toward the high side of normal, but still normal - you would have to hit 11+ for it to be diagnostic of diabetes.

Let's not forget that you've probably also got a lot of hormones, stress, lack of sleep going on at the moment too. Try not to worry unnecessarily, be a bit easier on youself.
 
Lavender100 said:
Thank you for your replies. My consultant said the GD would go immediately because it was caused by the placenta. I will await my next GTT bit can I ask...is it normal for a non diabetic to go up to 9.9 after a meal? Is diabetes more about sustained spikes? Sorry I have no clue and really would like more information
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They can rise quite high, after a high carb meal, but then their body deals with it fairly promptly. One of the other Mods, @andcol tested his wife and young adult daughters a bit during his own diabetes journey and found they could rise a fair way. To be honest, I can't recall the numbers and if I posted what's in my head it would be unfair.

In both my responses, I'm assuming you're not longer using insulin or any other diabetes medication.
 
catapillar said:
9.9 60 minutes after eating a carb heavy meal is not unheard of in a non diabetic, it is perhaps toward the high side of normal, but still normal - you would have to hit 11+ for it to be diagnostic of diabetes.

Let's not forget that you've probably also got a lot of hormones, stress, lack of sleep going on at the moment too. Try not to worry unnecessarily, be a bit easier on youself.
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Catapillar, either I've misread your reply to Lavender or I'm confused? My readings post meals have never ever hit 11+ and only once hit 10. Over the last week I've hit 9.5 on one occasion but I'm normally no higher than 8.8. Do you think I have been mis-diagnosed as Type 2?
 
Hi, congratulations on having your baby.

As @catapillar says those numbers, especially the after 1 hour readings, definitely do not indicate D (but of course the absence doesn't prove).

A 9.9 at one hour is also not unheard of. My wife when tested peaked at 8.1 whereas my daughter reached 8.6.

I expect it will take your 1st phase a while to return to what it might have been prior to becoming pregnant. The peak at an hour is impacted by what diet you have been on in the last week (the pancreas and liver have a memory), what you eat. In fact by so many things it can be misleading but there is some literature that shows non-D do not go above 11.x (cant remember the x) ever as all the hormones, liver and pancreas work together to stop it.
 
Andcol thank you so much for replying. Wow, I didn't know that about your results being affected by what you've eaten on previous weeks. Do you know if temporary high spikes cause damage?
 
Chasida said:
Catapillar, either I've misread your reply to Lavender or I'm confused? My readings post meals have never ever hit 11+ and only once hit 10. Over the last week I've hit 9.5 on one occasion but I'm normally no higher than 8.8. Do you think I have been mis-diagnosed as Type 2?
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I dunno. No idea, sorry.

A random blood sugar is one test that can be used to diagnose diabetes. Random meaning not fasting, so there could have been food taken in at any point prior. Just like OP is doing with blood sugar readings. For a random blood sugar test to suggest diabetes, it has to hit 11 according to current uk guidelines, i think it has to do this on two separate occasions.

However, it's pretty unusual for random blood sugar to be used to diagnose type 2. You might have been diagnosed on the basis of your hba1c, or fasting blood sugar. Here's some more info on diagnosis - https://www.diabetes.org.uk/About_u...itoring/New_diagnostic_criteria_for_diabetes/
 
Lavender100 said:
Andcol thank you so much for replying. Wow, I didn't know that about your results being affected by what you've eaten on previous weeks. Do you know if temporary high spikes cause damage?
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Well there is no concrete evidence either way about temporary high spikes. I expect it depends on how long that spike is temporary
 
catapillar said:
I dunno. No idea, sorry.

A random blood sugar is one test that can be used to diagnose diabetes. Random meaning not fasting, so there could have been food taken in at any point prior. Just like OP is doing with blood sugar readings. For a random blood sugar test to suggest diabetes, it has to hit 11 according to current uk guidelines, i think it has to do this on two separate occasions.

However, it's pretty unusual for random blood sugar to be used to diagnose type 2. You might have been diagnosed on the basis of your hba1c, or fasting blood sugar. Here's some more info on diagnosis - https://www.diabetes.org.uk/About_u...itoring/New_diagnostic_criteria_for_diabetes/
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My understanding (as it applied to little old me, at diagnosis) is that a single random reading of anything over 11.1 can be used to diagnose diabetes (I was, and "they" did), although current "Gold Standard" for T2 is an HbA1c of 48 or greater.

In the end, I had the random 11.1+ (declared T2 at that point), then a few days later, a "qualifying" HbA1c test.

The rest is history.
 
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