Medical Forum / Diseases and Disorders / Diabetes / August 2007
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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