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My alleged T2 was only Gestational!

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joannaharvey7

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Gestational
Hi all, just an update really.
While pregnant my GTT was so high a nurse presumed I was T2 and ignored that it may have been my pregnancy hormones.
But having just had a HBA1C three months after giving birth I’ve proved her wrong with a result of 37mmol.
So pleased!
And also proof that you can be right over the professionals!
 
joannaharvey7 said:
Hi all, just an update really.
While pregnant my GTT was so high a nurse presumed I was T2 and ignored that it may have been my pregnancy hormones.
But having just had a HBA1C three months after giving birth I’ve proved her wrong with a result of 37mmol.
So pleased!
And also proof that you can be right over the professionals!
Click to expand...
Good news Joanna...TBH lots of assumptions are made with T2 diabetes...however any woman can develop gestational diabetes during pregnancy... some of the symptoms are common particularly during the first three months...but aren't necessarily a sign of a continuing problem... the good news is you're fine now... possibly she was being extra cautious...or as you say making assumptions...congratulations on your 'new arrival'...now you can press on with family life without the additional worry.
 
I am very pleased to hear this.
 
Do you find your diabetes team can be useless!
I’ve just asked my GP about coming off metformin and he said I shouldn’t have been on it after pregnancy and it may affect my HbA1c so I’m now off it to have the test redone in three months. I said this to the diabetes team and they said metformin wouldn’t affect the result(!)
I think I’m still all fine but bloody hell its a faff they don’t all know the same info!
 
Oh dear. There you were on cloud 9 and now .......
I hope the results from your next test prove that you’re not diabetic.
 
Can I just say that any lady who has GD these days, which resolves after giving birth, should automatically be 'invited' to have their HbA1c tested annually thereafter.

This is because GD shows a disposition towards diabetes and a very large proportion of GD sufferers go on to develop T2 at some time later.
 
So I’m now booked in for a restest in three months and must still keep an eye on BG levels post meals. But - my dr said to test 2hrs post meals and first thing in morning. When I was on metformin I was told to test an hour after food.. my readings 2hr post food have all been between 5.7 and 6.8mmol so I’m happy I think!! Just wondered why I should test two hours post food now instead of one?
Would this be because the metformin would help BG break down faster? X
 
I think the optimum time to check after food is when BG is likely to be highest. That way you know the level it reaches and can take a view on that. For most T2 members I see discussing it that seems to be between 1hr and 2hrs, but more likely to be nearer 1hr as in T2 the 'first phase' of insulin can be impaired. I'm afraid I don't know what would happen in GD, but in your shoes I'd chek a few times between 1hr and 2hrs to try to find your most likely 'spike time', then use that.
 
Don’t worry, Joanna, that’s the just the standard way of doing it, testing two hours after food. Though in your case I guess it’s a waste of time. You’ve got enough to worry about without having to prove you’re not diabetic.🙂
 
Post prandial blood tests are always supposed to be 2 hrs after eating, because levels have usually returned to normal by then. If you tested after 1 hour, you'd detect a peak, which is expected.
However, if I were in your situation, I wouldn't be using precious and rare non-baby time on checking my blood glucose levels.
More important to get an HbA1c test once a year or so, as having gestational diabetes makes it more likely you will develop type 2 diabetes at some time in the future. Alternatively, or in addition, you could do your own fasting test every 6 months or so. If you notice any symptoms such as more frequent / slower to heal infections, frequent peeing etc, then test yourself and / or go to GP.
 
Last edited:
Copepod said:
Post prandial blood tests are always supposed to be 2 hrs after eating, because levels have usually returned to normal by then. If you tested after 1 hour, you'd detect a peak, which is expected.
However, if I were in your situation, I wouldn't be using precious and rare non-baby time on checking my blood glucose levels.
More important to get an HbA1c test once a year or so, as having gestational diabetes makes it more likely you will develop type 2 diabetes at some time in the future. Alternatively, or in addition, you could do your own fasting test every 6 months or so. If you notice any symptoms such as more frequent / slower to heal infections, frequent peeing etc, then test yourself and / or go to GP.
Click to expand...

Thanks for your response!
They were unsure if it was GD or if I’m T2 and the DSN originally told me to stay on metformin post birth. HbA1c came back normal only for me then to be told DSN was wrong and should not have kept me on metformin post birth as it would affect the result. So now im metformin free and starting over with another HbA1c booked for three months time! X
 
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