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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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Help, ideas, etc., for gestational diabetes in teenager

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Billie - 04 Aug 2007 05:01 GMT
I need some help in guiding my 17 year old gestational diabetic.  :-(  She
will get her treatment and instructions next week from her doctor, but I
already know the basics of what they will be.  I'm anxious to see if he is
going to be putting her on insulin.  I came close to going with them to the
doctor's appointment, and would have asked him a lot of questions then.

We have already talked some, but tomorrow she is coming down for us to go
over more specifics of eating.  I will not touch the exercise part without
knowing what her doctor okays.

I suspected this might happen since she was born with hypoglycemia, and has
diabetes on both sides of her family, with one cousin on the other side in
very bad shape.  This is why we bought her a meter several weeks ago.  Lots
of 150 to 190 readings.  She failed the GTT last week, and is going back for
a 4hr one any day next week.  If she had been npo, she could have gotten it
then, but.....no, so now probably Monday. :(

Guess that's it.  I'll stick with interaction with replies the best I can.
Not feeling tip-top tonight; had to cancel the gastric emptying x-ray today.
Thank goodness for the gd threads from the past.  Glad I read them, not
having any idea of needing the info personally.  *s*

Billie

"Striving for a world without Myasthenia Gravis"
Myasthenia Gravis Foundation of America
http://www.myasthenia.org
Muscular Dystrophy Association
http://www.mda.org/disease/mg.html
http://www.mda.org/publications/fa-mg-treatment.html
Myasthenia Gravis Association UK
http://www.mga.superbuilder.net/mgaforum.html
Frank t2 - 04 Aug 2007 06:15 GMT
If walking is an option, do it with her and accustom her
and the whole family to pleasant walks whenever possible
"habit before distance" ...

Sorry but I don't pray any more (Ha! .. I can see the old hags
in here saying to each other "AND he's a pagan!") but it comes
from my life experience ...
However, I will wish for you to find the strength to be a chum
for life to your whom you evidently love so much ...

I am with you, Billie !

F

"Billie" <mynewsaccount@swbell.net> a écrit ...
>I need some help in guiding my 17 year old gestational diabetic.  :-(  She
> will get her treatment and instructions next week from her doctor, but I
[quoted text clipped - 34 lines]
> Myasthenia Gravis Association UK
> http://www.mga.superbuilder.net/mgaforum.html
Billie - 04 Aug 2007 10:45 GMT
Frank, walking is the best option for her, and I would encourage more if her
doctor was finished with his treatment plan.  She lives just one block down
the street, and does walk back and forth.  Our temps are really high right
now, and I've felt she needed to be cautious as the "when" she walked.

Yes, I do love this girl with all my life.  I have given much of my life for
her, but she has brought much more to me than I have given to her.  If there
were only one purpose in her life, it could very well be to have enlarged my
heart to encompass people in life that, without new insight and growth, I
might have never known and cared for as deeply as I have.

People talk about how much less than capacity we use our brains.  Well, in
my opinion, we  use our hearts even less than to their fullest, maybe even
so more than not using our brains.

Using our hearts to their fullest is risky.

You thoughts and wishes are very, very welcome.

Billie

"Striving for a world without Myasthenia Gravis"
Myasthenia Gravis Foundation of America
http://www.myasthenia.org
Muscular Dystrophy Association
http://www.mda.org/disease/mg.html
http://www.mda.org/publications/fa-mg-treatment.html
Myasthenia Gravis Association UK
http://www.mga.superbuilder.net/mgaforum.html

: If walking is an option, do it with her and accustom her
: and the whole family to pleasant walks whenever possible
[quoted text clipped - 9 lines]
:
: F:
Frank t2 - 04 Aug 2007 12:41 GMT
It's very positive that she is interested in healthy eating ...
I recently acquired this book from Amazon, does she have ?

"The First Year Type 2 Diabetes: An Essential Guide for the Newly Diagnosed"

My (not so) private email is fsinatra@laposte.net

I'll be out until Wednesday, at the beaches in Normandy, but I'll
check back then ...

F

"Billie" <mynewsaccount@swbell.net> a écrit ...
> Frank, walking is the best option for her, and I would encourage more if
> her
[quoted text clipped - 44 lines]
> :
> : F:
Billie - 04 Aug 2007 13:16 GMT
Thanks, Frank.  Maybe we will know more by then.  There are many
possibilities of "what she could be" and I feel some more lab work should be
in the offing.  That is what I am wanting to glean from here.

Billie

"Striving for a world without Myasthenia Gravis"
Myasthenia Gravis Foundation of America
http://www.myasthenia.org
Muscular Dystrophy Association
http://www.mda.org/disease/mg.html
http://www.mda.org/publications/fa-mg-treatment.html
Myasthenia Gravis Association UK
http://www.mga.superbuilder.net/mgaforum.html

: It's very positive that she is interested in healthy eating ...
: I recently acquired this book from Amazon, does she have ?
[quoted text clipped - 57 lines]
: > :
: > : F:
Loretta Eisenberg - 04 Aug 2007 13:37 GMT
Frank, what old hags are you referring to.  There are none in this group
that I know of.

I am agnostic I dont pray, but I get others to do it for me.

Loretta
Cheri - 04 Aug 2007 15:10 GMT
Loretta Eisenberg wrote in message
<22520-46B4730B-1543@storefull-3235.bay.webtv.net>...
Frank, what old hags are you referring to.  There are none in this
group
that I know of.

I am agnostic I dont pray, but I get others to do it for me.

Loretta

+++++

Old hag is the equivalent of a french fried *old fart* like Frank. :-)

Cheri
W. Baker - 05 Aug 2007 19:26 GMT
: Loretta Eisenberg wrote in message
: <22520-46B4730B-1543@storefull-3235.bay.webtv.net>...
: Frank, what old hags are you referring to.  There are none in this
: group
: that I know of.

: I am agnostic I dont pray, but I get others to do it for me.

: Loretta

: +++++

: Old hag is the equivalent of a french fried *old fart* like Frank. :-)

: Cheri

Old hags, are what babes turn into after a number of years.

Wendy
Cheri - 05 Aug 2007 20:17 GMT
W. Baker wrote in message ...

>: Loretta Eisenberg wrote in message
>: <22520-46B4730B-1543@storefull-3235.bay.webtv.net>...
[quoted text clipped - 16 lines]
>
>Wendy

LOL

Cheri
Will, T2 - 05 Aug 2007 21:56 GMT
>Old hags, are what babes turn into after a number of years.

Hi Wendy,

I don't think Frank meant it that way... Rather, I think it was an
expression of his frustration with an attitude that he percieved  had
been unjustly directed at him. Please remember, hiis world is not your
world... Frank's remark was, in a sense,  almost Shakespearean, in the
way he said it.

Because I have a foot in both worlds, so to speak, I do understand.
Colloquialism and idiomatic expression are simply not the same for
Frank, as they are for some of the denizens of asd. One of my
daughters, who went to the Univ. of London in the 90s, clued me into
the culture clash some years ago.

Unfortunately, Frank is gone for a few days, now, enjoying a little
time off with his wife in Normandy.

Will, T2
bj - 05 Aug 2007 22:44 GMT
> Colloquialism and idiomatic expression are simply not the same for
> Frank, as they are for some of the denizens of asd. One of my
> daughters, who went to the Univ. of London in the 90s, clued me into
> the culture clash some years ago.

Remember the hoary old story about the American guest whose English host
asked her if she'd like him to knock her up in the morning?
bj
Will, T2 - 05 Aug 2007 23:05 GMT
>> Colloquialism and idiomatic expression are simply not the same for
>> Frank, as they are for some of the denizens of asd. One of my
[quoted text clipped - 4 lines]
>asked her if she'd like him to knock her up in the morning?
>bj

Hah!  I had forgotten about that one...

Hope you are having a happy sunday afternoon, bj...

Will, T2
Alan S - 06 Aug 2007 00:07 GMT
>> Colloquialism and idiomatic expression are simply not the same for
>> Frank, as they are for some of the denizens of asd. One of my
[quoted text clipped - 4 lines]
>asked her if she'd like him to knock her up in the morning?
>bj

There are many little differences like that. For example, if
an American is pissed they are angry. If an Aussie or a Brit
is pissed they are drunk. In the USA there were waitresses
who called me honey without any other intent than to ask for
my breakfast order; here the waitresses call me dear in the
same context. Neither means more than a form of address. The
meaning is quite different if they aren't waitresses and
call out as I pass on the street.

To get upset about words rather than intent is just plain
silly. To remain upset after the intent has been explained
is simply ignorant.

There are terms of endearment, terms of address and terms of
derision. Sometimes they are all the same word used with
different intent. To presume the wrong intent can be equally
insulting as using the word offensively.


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltraveloz.blogspot.com/
latest: Mossman Gorge in the Daintree Rainforest
http://loraldiabetes.blogspot.com/
latest: Self-Testing and Type 2 Management
MI - 06 Aug 2007 03:19 GMT
On 8/5/07 4:07 PM, in article mflcb3p5o6k0ef0l09bjbrncc095qeblsm@4ax.com,

>>> Colloquialism and idiomatic expression are simply not the same for
>>> Frank, as they are for some of the denizens of asd. One of my
[quoted text clipped - 32 lines]
> http://loraldiabetes.blogspot.com/
> latest: Self-Testing and Type 2 Management

Alan, that is a perfect explanation. I keep thinking of the English
expression to call someone "homely" Won't win any friends in Northa America
but to an Englishman it as the same meaning as "homey". When we first moved
to California I had to bite my tongue many times because of the colloquial
words used there. That and making fun of my accent.

Martha T2 Canada
Frank t2 - 04 Aug 2007 18:31 GMT
Raised in science and logic, I have not yet found a
way to incorporate the bible into reality.
So I suppose I am leaving the door open, just in case.
There's no harm in that.
Whoever made the dit with which scientists start their
theses will surely be wise enoug to recognise someone
who uses to maximum, the gifts provided, instead of
accepting what any stranger tells us ..

To each his own,

"Loretta Eisenberg" <sassybklynlady@webtv.net> a écrit ...
> Frank, what old hags are you referring to.  There are none in this group
> that I know of.
>
> I am agnostic I dont pray, but I get others to do it for me.
>
> Loretta
Will, T2 - 04 Aug 2007 19:26 GMT
>Raised in science and logic, I have not yet found a
>way to incorporate the bible into reality.

Maybe if you thoght of it as myth, and not necessarily all literally
true, it might make a difference in  your perception. Having studied
the writings of Jung and those of other psychologists/psychiatrists,
it seems to me that one can get insights from the bible, and other
sacred writings of other cultures, without bogging down in trying to
sort out scientifically the literal truth of whether this or that did
or did not happen...

Will, T2
Will, T2 - 04 Aug 2007 20:25 GMT
>Maybe if you thoght of it as myth, and not necessarily all literally
>true, it might make a difference in  your perception. Having studied
[quoted text clipped - 3 lines]
>sort out scientifically the literal truth of whether this or that did
>or did not happen...

Your hookah made me think of T'The Cat's Cradle, by Vonnegut.

Now, you have stimulated me to think of the Bokononist religion...
that Vonnegut invented for his novel....

In Bokononism, the supreme act of worship was boku-maru, in which two
people became intimately connected to one another by achieving
prolonged physical contact between the soles of their bare feet....
seems like it might be a little boring, but who's to say it is any
worse than what peole do in "real" religions....

Will, T2
Frank t2 - 04 Aug 2007 23:00 GMT
There is also the 'vécu' (lived experience) ...
I was a cat'lick as a child and was privy to all
the good things that they talk about and do ...
There are many aspects to religion that form a
persons attitude to religion, cults etc.,

My childhood as a Catlick formed me enough
to be very wary of getting hooked in again
And I don't want a 'social club' religion neither.

No, I think I am stable enough without one.

"Will, T2" <wmmckee@cox.net> a écrit ...

>>Raised in science and logic, I have not yet found a
>>way to incorporate the bible into reality.
[quoted text clipped - 8 lines]
>
> Will, T2
Will, T2 - 04 Aug 2007 23:10 GMT
>There is also the 'vécu' (lived experience) ...
>I was a cat'lick as a child and was privy to all
[quoted text clipped - 7 lines]
>
>No, I think I am stable enough without one.

Know what? Maybe in the end, it simply does not matter, as long as you
are happy and well-adjusted in the life you are living now.

The point? Maybe there is no point.... Maybe it all 'just is',
whatever the meaning of 'is' is..... (Sorry, I could not help
visualizing the illustrious Bill Clinton).

Will, T2
KC - 04 Aug 2007 06:29 GMT
I never had gestational diabetes, but I went through 3 pregnancies as a
diabetic.  Here in California they usually put all pregnant diabetics
(whether type I, type 2 or gestational) in a program called Sweet Success.
They do the same tight control for all types of pregnant diabetics.

For exercise they strongly suggest exercising for 15 minutes twice a day
unless the doctor forbids exercise.  Most people choose walking as their
exercise as it's convenient and something pregnant women can easily do.  The
15 minutes of exercise must come right after eating meals, so that basically
you burn off the glucose from the carbs that you eat at 2 meals a day.

Everyone, whether on insulin or not, is expected to check blood sugar levels
upon waking, and 1 hour after the beginning of each meal.  If a person did
not stay under 90 mg/dl as a fasting level and under 120 mg/dl for a
post-prandial level, then they gave insulin.  In my last pregnancy, the
insulins were NPH for basal insulin and Humalog for bolus insulin.  They
hadn't yet moved to Lantus as basal insulin.  It has been over 2 years since
then, so they may have moved to Lantus as basal insulin by now.  It was NPH
at bedtime, NPH + Humalog before breakfast and Humalog before dinner.
Upward insulin adjustments are usually necessary as the pregnancy
progresses.

For food they had us see dieticians to make up individual food plans.  They
had us eat 3 meals, and 3 snacks a day to spread out the carbs into smaller
doses.  They had us always eat protein with carbs if possible.  I say if
possible because when I had a stomach flu they were fine that I only ate
some starches.  I saw 3 different dieticians in the 3 different pregnancies,
and one really pushed the grains, but the others were happy to accomodate my
preferences of less grain and more other foods like fruits, veggies, dairy
and meat.  For me if I was ever still hungry after the allotted food, I
would eat more protein or fat.  I would not eat extra carbs past what was in
my meal plan.

They also do not much like to let diabetics go past their due dates as the
diabetes can cause premature aging of the placenta.  They will probably have
her do non-stress tests and possibly biophysical profiles in the last
several weeks of the pregnancy to monitor the baby's well being toward the
end of the pregnancy.

That's it.  It's a pain to have diabetes during pregnancy.  There are so
many extra appointments, but with the tight control they recommend, outcomes
are fantastic.  I have 3 beautiful and very healthy girls to show for my
efforts at tight control during pregnancy.

KC

>I need some help in guiding my 17 year old gestational diabetic.  :-(  She
> will get her treatment and instructions next week from her doctor, but I
[quoted text clipped - 34 lines]
> Myasthenia Gravis Association UK
> http://www.mga.superbuilder.net/mgaforum.html
Billie - 04 Aug 2007 11:15 GMT
KC,

Thank you so much for this detailed post.  I will print it our for her (and
others in the family).  Guess we'll have to have our foot sects, and now a
pg one, too.  haha  I keep up with your posts.  I'm old enough to be your
grandmother, and with granddaughters, what you have to say is of great
interest to me.

I have been concerned for her and diabetes even before her pregnancy.  She
had signs even before becoming pregnant, but not enough for me to intervene.
The family thinks I go overboard about this diabetes stuff, but which of
them would want to end up like me, and SHE knows how mine all came to be,
and I think she has been worried because she has brought it up so much in
the past.

It will be interesting to see if this is GD or a case like yours that she is
a diabetic and pregnant.

I got mad at Jim yesterday when she sat down here, and said she was tired,
he said, "What have you got to be tired of?"   GRRRRRRRRR  Being pg in a
still growing, maturing body is reason enough, now add to it that she has
been running high bg indefinitely.

You can probably count on me to be back to you with questions and ideas.  A
big hurdle has been crossed in that SHE is interested in *correct* eating.
I bought her a slew of books at the beginning of her pg, and she reads and
uses them diligently.  One of them had a big section on GD, and I told her
to go and read that in detail, plus bring them down here for us to look over
the material together, and for me to teach her good, healthy diabetic eating
habits, something she is used to having been around me.  THANKFULLY, she
loves healthy foods.  Gave her my debit card to go to Kroger today, and upon
looking at the detailed receipt, she did a great job, especially considering
she's only 17 yrs old.  Now to help her learn to prepare those good meals,
and the pattern of testing beneficial to  her and the baby.

Sorry.  I am rambling on again.  Is what happens when I get emotionally
involved in situations.  Though living with her bio-mom, she is my legally
adopted granddaughter, and I *do* have ultimate say-so if daughter is unable
to be a foundation for her in this area.  We'll just see how things work
out.

Day by day, one step at a time.

Billie

"Striving for a world without Myasthenia Gravis"
Myasthenia Gravis Foundation of America
http://www.myasthenia.org
Muscular Dystrophy Association
http://www.mda.org/disease/mg.html
http://www.mda.org/publications/fa-mg-treatment.html
Myasthenia Gravis Association UK
http://www.mga.superbuilder.net/mgaforum.html

:I never had gestational diabetes, but I went through 3 pregnancies as a
: diabetic.  Here in California they usually put all pregnant diabetics
[quoted text clipped - 41 lines]
:
: KC
Julie Bove - 04 Aug 2007 06:29 GMT
>I need some help in guiding my 17 year old gestational diabetic.  :-(  She
> will get her treatment and instructions next week from her doctor, but I
[quoted text clipped - 23 lines]
> Thank goodness for the gd threads from the past.  Glad I read them, not
> having any idea of needing the info personally.  *s*

I may have had GD.  I was told they thought I had it.  I am thinking now
perhaps it was really type 2 but since I was pregnant, they thought it was
GD.  They didn't actually do the 2nd test on me so I never knew for sure if
I had it or not.  I was seeing 5 Drs.  Two of them said they were going to
treat me like I had it and the other three insisted I didn't have it at all.
At any rate, I was sent to a dietician and put on a diabetes diet (Exchange
Plan) and sent weekly to the lab for blood tests.  I freaked when they
mentioned testing my blood at home so they just sort of dropped that and
didn't push the issue.

The diet I was put on had too much food for me to eat.  I used to cry and
cry when meal and snack times rolled around because I just could not eat
that much.  I was overweight at the time and also had a thyroid problem.
Because I was overweight, they didn't care much if I gained weight or not.

As far as the diet goes, they usually don't want a pregnant woman doing low
carb, but she might find she has to eat less carbs than before.  The most
important thing is to eat on a regular basis.  I was supposed to eat three
meals at the same times each day and two snacks.

I didn't use insulin, so I can't address that.
Billie - 04 Aug 2007 11:20 GMT
Thank you, Julie.  Of course, I am very familiar with all you went through,
and first of all, I am glad she is not going to have to go through all that
uncertainty that you did.

All I know of them using insulin during pg is what I have read here from
other pg-ers.  This is why I want to get as much info here, and when she
goes back for her next appointment, I want to do my best to go with her.
She, nor her mother knows enough to ask important questions.

Billie

"Striving for a world without Myasthenia Gravis"
Myasthenia Gravis Foundation of America
http://www.myasthenia.org
Muscular Dystrophy Association
http://www.mda.org/disease/mg.html
http://www.mda.org/publications/fa-mg-treatment.html
Myasthenia Gravis Association UK
http://www.mga.superbuilder.net/mgaforum.html

: I may have had GD.  I was told they thought I had it.  I am thinking now
: perhaps it was really type 2 but since I was pregnant, they thought it was
[quoted text clipped - 17 lines]
:
: I didn't use insulin, so I can't address that.
Kurt - 04 Aug 2007 07:03 GMT
> I need some help in guiding my 17 year old gestational diabetic.  :-(  She
> will get her treatment and instructions next week from her doctor, but I
> already know the basics of what they will be.  I'm anxious to see if he is
> going to be putting her on insulin.  I came close to going with them to the
> doctor's appointment, and would have asked him a lot of questions then.

http://diabetes.org/gestational-diabetes.jsp

Kurt
Billie - 04 Aug 2007 11:21 GMT
Thank you, Kurt.

Billie

"Striving for a world without Myasthenia Gravis"
Myasthenia Gravis Foundation of America
http://www.myasthenia.org
Muscular Dystrophy Association
http://www.mda.org/disease/mg.html
http://www.mda.org/publications/fa-mg-treatment.html
Myasthenia Gravis Association UK
http://www.mga.superbuilder.net/mgaforum.html

: > I need some help in guiding my 17 year old gestational diabetic.  :-(  She
: > will get her treatment and instructions next week from her doctor, but I
[quoted text clipped - 5 lines]
:
: Kurt
Loretta Eisenberg - 04 Aug 2007 13:36 GMT
Is this your daughter or granddaughter.  I am confused. but what else is
new.

17 and already she has diabetes if not gd.

I have to read more posts, Billie, because I think I am missing the boat
here

Loretta
 
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