• Please Remember: Members are only permitted to share their own experiences. Members are not qualified to give medical advice. Additionally, everyone manages their health differently. Please be respectful of other people's opinions about their own diabetes management.
  • We seem to be having technical difficulties with new user accounts. If you are trying to register please check your Spam or Junk folder for your confirmation email. If you still haven't received a confirmation email, please reach out to our support inbox: support.forum@diabetes.org.uk

May have diabetes after diet controlled GD

Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

Peanut2017

New Member
Relationship to Diabetes
Gestational

  1. Hi all
    I'm a newbie to all this and in limbo.

    I'm 8 weeks post delivery and was diagnosed with gestational diabetes at 36 weeks pregnant. I Was having symptoms of diabetes for about 3-4weeks- dry mouth, peeing lots.
    Glucose in my urine- then had ogtt. Fasting 4.6 mols, 2 hour post Grandial 12mmols. Hb1ac 39. Was very well diet controlled. Baby weighted 71b 12. I had no family history, no risk factors apart from bmi, bmi was under 30 (so didn't fit the criteria for earlier ogtt).

    Now when I was pregnant always thought it was strange as my fasting sugars were very good where as many ladies with gd fasting were a struggle. My ogtt post grandial was very high. Obs Consultant was wondering if I was diabetic previously however confused as my hb1ac was ok.

    So post partum I continued with the gd diet 90% time to loose weight and to be honest I didn't want to go back to my normal diet as I was shocked how much sugar was in products. 10 days post partum - ate a medium thin crust pizza (to test) - an hour later - bm 11.1mmol two hours later 9.2mmols. GP and diabetes nurse says it can take gd a while to go.

    8weeks later - weetabix x 2 with milk bm 8.3 an hour later. I'm convinced I still have diabetes and I never had gd. I have a feeling I have a start of LADA. In 8 weeks I have lost 3 stone ( 2 of this was pregnancy and I am breast feeding, Gp aware). No symptoms of high sugars such as dry mouth. This weight loss has done very little to my sugar control. Prior to pregnancy my weight was generally bum and hips. I have my hb1ac this week and have been asked to be tested for antibodies.

    Anyone been in this similar situation. What are people's opinions?
 
Hi Peanut, welcome to the forum 🙂 I'm no expert on pregnancy and how your blood sugars might behave in the few weeks afterwards, but you do cite a couple of meals that would send my blood sugar levels sky-rocketing, and the same with pizza. Your one-hour post-Weetabix, whilst a little on the high side, isn't too bad at all. Have you tested before eating as well, so you can measure the actual increase caused by the food? I'd be more inclined to take note of waking levels, ad you say yours was 4.6 prior to the OGTT, which is very good. Also the OGTT is designed to give your system a really hard wallop of glucose to see how it copes - again, yours coped reasonably well, at only 1 mmol/l above the 'diabetic' threshold of 11 mmol/l. Your HbA1c is that of a person without diabetes.

It may be simply those post-pregnancy hormones still at play, and it may settle down, but you are wise to pay close attention to it all the same. It may be a very early onset of LADA - that can manifest itself very slowly indeed, sometimes over years. The antibody test should show what is happening, although I think it can be inconclusive sometimes. There is another test called the C-peptide test which measures the amount of insulin your pancreas is producing - do you know if you will be tested for this also?
 
Hello and welcome to you.

Congratulations on ye Baby !
 
Hi Peanut, welcome to the forum 🙂 I'm no expert on pregnancy and how your blood sugars might behave in the few weeks afterwards, but you do cite a couple of meals that would send my blood sugar levels sky-rocketing, and the same with pizza. Your one-hour post-Weetabix, whilst a little on the high side, isn't too bad at all. Have you tested before eating as well, so you can measure the actual increase caused by the food? I'd be more inclined to take note of waking levels, ad you say yours was 4.6 prior to the OGTT, which is very good. Also the OGTT is designed to give your system a really hard wallop of glucose to see how it copes - again, yours coped reasonably well, at only 1 mmol/l above the 'diabetic' threshold of 11 mmol/l. Your HbA1c is that of a person without diabetes.

It may be simply those post-pregnancy hormones still at play, and it may settle down, but you are wise to pay close attention to it all the same. It may be a very early onset of LADA - that can manifest itself very slowly indeed, sometimes over years. The antibody test should show what is happening, although I think it can be inconclusive sometimes. There is another test called the C-peptide test which measures the amount of insulin your pancreas is producing - do you know if you will be tested for this also?

Thanks for replying.
It was 4.7mmols and went up to 8.3mmol after an hour. Two hours later I was 6.2mmols.
i seem to have good and bad readings with the same food. My pancreas is very confused. I've had low readings today of 3.7 - rechecked it 3.9- I'm eating regularly.
My GP is meant to be getting back to me regarding antibody testing.

I wish it would resolve but pretty certain it's not going to.
My feelings about it are very mixed about my situation. One minute I'm annoyed as I would of liked the opportunity to of trying to prevent it. I'm 30, no family history, was diet controlled and yes was overweight but not massively. The next minute I'm angry at myself and think I'm lucky to have had nearly 30 years without diabetes and there's worse things.

I just want to know what's going on so I can process it. It would be beneficial to know if I have the start of LADA- as I have seen about starting treatment earlier to help the pancreas. Also now being a Mum I need to have a rough idea what to expect.
 
Status
This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
Back
Top