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Old 05-27-2006, 10:09 PM   #1
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Exclamation Diabetes and birth defects

I'm carrying twins and at 11 weeks, I was diagnosed with gestational diabetes.....I'm very worried because I've read that have uncontrollled glucose levels early on in pregnancy can cause birth defects (including neural tube defects). My fasting blood sugar was fine (less than 80). But it sky rockets when I eat sugar. It's possible that I had this the entire time. I'm not overweight but I do have a family history of diabetes.

Does anyone know about the risk of birth defects and diabetes? Any thoughts would be appreciated, as I am very worried right now.

 
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Old 05-27-2006, 11:05 PM   #2
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Re: Diabetes and birth defects

wow, thats really early to be diagnosed! i have gestational diabetes too, and like you im not overweight but do have a family history. however, i wasn't diagnosed until recently. i had my sugar test at about 24 weeks or so, and it was a little high so i was sent in for the 3 hour glucose test. i go to a large practice with like 10 doctors so i don't always get the same one. well the doc i saw after my 3 hour test just said that i failed one part of the test, that i was borderline to just cut back on sugar. so thats what i did, although i did not totally eliminate the sweets, i cut back. well a few visits down the road i got a different doctor with a different opinion who says i definately have gestational diabetes that i failed more than one part of the 3 hour test, blah blah blah... so now im going to have to check my sugar 4 times a day (i have an appointment with some sort of diabetes specialist to show me how) and see a dietician (who will probably tell me i cant eat bread which is freakin me out) and go through the non stress test twice a week. i think the damage has been done though, because the doctors have come to this conclusion so late in the game (im 35 weeks) and according to my ultrasound for growth, the baby is already almost 7lbs! so i know diabetes can definately cause you to have a big baby. although i vaugely remember reading something somewhere about diabetes causing problems in very early pregnancy, i haven't heard a whole lot about it, but i would try not to worry to much. what good will it do now? besides, it can't be all that common otherwise i know we would be hearing more about it and they would probably test everyone for diabetes in the beginning. at least you have the benift of finding out early, unlike me who now has a large baby and is terrified! good luck.

 
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Old 05-28-2006, 06:06 AM   #3
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Re: Diabetes and birth defects

how is the initial sugar test done?

 
Old 05-28-2006, 08:34 AM   #4
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Re: Diabetes and birth defects

Quote:
Originally Posted by manchak99
how is the initial sugar test done?
they give you a sugary drink and then draw blood an hour later.

 
Old 05-29-2006, 05:17 PM   #5
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Re: Diabetes and birth defects

Thanks for the post. I'll ask my doctor at my next appointment....It's hard not to worry though b/c a lot is at stake.

 
Old 05-29-2006, 09:19 PM   #6
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Re: Diabetes and birth defects

I was diagnosed with GD around 25 weeks. I maintain my blood sugar through diet. No it doesn't mean I'm not allowed breads, or even some type of sweet now and then. Through your dietician you'll learn to eat 6 small meals a day that ALWAYS include a protein combined with a carb. You'll learn what carbs are better than others, and how much can be taken in. Our blood sugar levels are at their highest in the morning during pregnancy, so this is the time to be extra careful, and eat smaller meals. My breakfast can include a half and apple with peanut butter, or a protein bar, or one piece of whole grain toast with an egg. Fruit juices are out out out. You'll find out what you should eat through the dietician. Monitor yourself carefully. I've discovered how I can eat two hershey kisses and not raise my levels too high. But that was after much monitoring and figuring out what worked and what didn't.

If you can't maintain your sugars through diet the doc should be giving you insulin (they come on pill form now).

You run the risk of a baby with kidney problems and possible heart problems as well as having a baby born with diebetis when you don't maintain your sugar levels during pregnancy. No nureal tube defects.

Hope that helps.

 
Old 05-31-2006, 01:43 PM   #7
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Re: Diabetes and birth defects

Pill form for insulin??

That doesn't sound right, before I was pregnant, I was on two diff types of diabetes pills, Metaformin and Gulabride. And I was immendiately taken off of them, due to the fact that they can cause defects in the babies intestions. I was put on insulin shots now.

My doc told me pills aren't safe for pregnancy?

 
Old 05-31-2006, 02:33 PM   #8
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Re: Diabetes and birth defects

I didn't have to go on insulin so I don't know the particulars. Ijust remember the doc mentioning a pill instead of a shot. Didn't do any research on the pill form either. Very interesting info you have though. Sounds as though the shot is far safer. Hopefully Nancy won't have to deal with it.

 
Old 05-31-2006, 06:00 PM   #9
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Re: Diabetes and birth defects

I've gotten GD so early that I will likely have to go on insulin at some point. My next appointment is on monday so I'll see what my doctor says.

 
Old 05-31-2006, 06:32 PM   #10
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Re: Diabetes and birth defects

I was did the test at 13 wks. and was diagnosised w/ GD ( I am not overweight, but I do have family history of type 2). After the initial diagnosis the diabetes dr. did a test called an A1C that gives a history of blood suagr levels as far back as 90 days. I had normal blood sugar levels, which really put my mind to rest that I did not have undiagnosised Type 2. I also had to collect a 24 hr. urine sample (boy that was NOT fun) to test my kidneys. The dr. also scheduled a level 2 ultrasound to check the baby's development. I was really upset when I found out b/c I read too much stuff online and became unreasonably scared. Like you I thought that something could be worng w/ the baby b/c I did not know I had it. But they did not find anything during the ultrasound. Your diabetes dr. will give you more information and advice on how to treat GD. Try not to over worry.

 
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