Re: [ozmidwifery] GDM question
Hi Jo, As per the Cochrane Data Base, there is no evidence to support glucose testing in pregnancy, and it is not accurate at least 50%-70% of the time. Even if the test was positive, there is noevidence tosupport treating gestational diabetes. Treating gestational diabetics withinsulin reduced macrosomia (however most macrosomic babies are born to non-diabetic mothers)butthere were no improvements in other outcomes such as caesarean section, shoulder dystocia, or perinatal mortality. So my opinion would be to forget the GTT. Cheers MichelleJoFromOz [EMAIL PROTECTED] wrote: Hello you intelligent List-Wives...I have decided for various reasons not to have the routine GTT during my pregnancy, and now, at 33 weeks, I have had a small trace of glucose in my urine the last few weeks. Tonight I checked at work at I had a definite plus, not trace, of glucose. I did a BSL at the same time, and it was only 4.2. My question is, was my glucose higher before and my body just got rid of it for me, or is my body just good at getting rid of it via the urine instead of insulin? Or should I stop worrying? OR should I go ahead and do the GTT like my workmates insist I should have done in the first place?Thanks!Otherwise, pregnancy is wonderful apart from the sore hips trying to sleep :)Jo (RM)--This mailing list is sponsored by ACE Graphics.Visit to s! ubscribe or unsubscribe. Find local movie times and trailers on Yahoo! Movies.
Re: [ozmidwifery] GDM question
your body is simply telling you that it is having a bit of trouble metabolising the amount of refined sugars it is receiving due to the pregnancy although this is a good indicator of the predisposition to type II diabetes if you continue your present pattern of eating. Cut out as many refined carbs (white) and sugars and eat whole grain and whole raw fruit and veg and drink water cutting out soft drinks juices and cordials including sports drinks ( unless diet ones) monitor your blood sugar and retest your urine in a few days. We have a great diabetic educator here that I refer all women to who have had a similar situation and have had great success with them all not showing any further signs for the remainder of the pregnancy. A GTT may or may not have shown anything as at the time it was done your body may not have yet reached its threshold. I would not suggest a GTT unless your blood sugars are continually high. Then I would have a full GTT not the modified one Good luck but Im sure its just a matter of doing the low GI food thing which we all should be doing anyway but the high GI ones taste so good and remember that you may have been eating a lot more chocolate than usual in the last fe weeks Andrea Q On 02/04/2005, at 10:10 PM, JoFromOz wrote: Hello you intelligent List-Wives... I have decided for various reasons not to have the routine GTT during my pregnancy, and now, at 33 weeks, I have had a small trace of glucose in my urine the last few weeks. Tonight I checked at work at I had a definite plus, not trace, of glucose. I did a BSL at the same time, and it was only 4.2. My question is, was my glucose higher before and my body just got rid of it for me, or is my body just good at getting rid of it via the urine instead of insulin? Or should I stop worrying? OR should I go ahead and do the GTT like my workmates insist I should have done in the first place? Thanks! Otherwise, pregnancy is wonderful apart from the sore hips trying to sleep :) Jo (RM) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] GDM question
Hi all This thread is very interesting. The body is wonderful the way it grows and nurtures not only the developing baby but also changes every maternal internal activity to prepare her for labour, birth and breastfeeding. That amazing placenta changes the way we metabolsie glucose to make it available not only for the changes going on in a woman's body, but also for the baby and itself. The placenta uses as much oxygen and glucose as an adult brain, so it has very high requirements, and the woman needs to mobilise much more glucose into the bloodstream to deal with this. Some does spill over, and women are also prone to have some glycosuria if there is some stress in their lives as well. Regards, Lynne - Original Message - From: JoFromOz [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, April 03, 2005 9:53 PM Subject: Re: [ozmidwifery] GDM question Ken WArd wrote: It is not unusual to show some glucose. The renal threshold lowers. The fact that your BSL was normal is very reassuring. Be a little careful of your diet before you test your wee again. I wouldn't be worried. Maureen ps just how many Easter eggs did you enjoy? Bleh, I don't really like chocolate that much :) I had probably 3 smaller-than-bite-sized chocolates for the whole 8 hour shift though :) Only a trace of glucose tonight ;) Thanks, Jo (RM) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] GDM question
You are all so wonderful and knowledgable :) I am mindful of the GI diet, so I will endeavour to watch my intake of higher GI foods more closely from now on. It's so nice to have you guys around :) Thanks, Jo (RM) (eating porridge and banana for breakfast as I type) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] GDM question
Jo, I think glycosuria is pretty common in pregnancy. Your BSL is of course excellent. Perhaps you could do some reading about glycosuria in pregnancy. I don't think there is much evidence to support routine GTT or screening. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of JoFromOz Sent: Saturday, April 02, 2005 10:11 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] GDM question Hello you intelligent List-Wives... I have decided for various reasons not to have the routine GTT during my pregnancy, and now, at 33 weeks, I have had a small trace of glucose in my urine the last few weeks. Tonight I checked at work at I had a definite plus, not trace, of glucose. I did a BSL at the same time, and it was only 4.2. My question is, was my glucose higher before and my body just got rid of it for me, or is my body just good at getting rid of it via the urine instead of insulin? Or should I stop worrying? OR should I go ahead and do the GTT like my workmates insist I should have done in the first place? Thanks! Otherwise, pregnancy is wonderful apart from the sore hips trying to sleep :) Jo (RM) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] GDM question
Dear Jo I trust you know Henci Goer's book Obstetric Myths and Realities see www.hencigoer.com For an article by her re Diabetes try http://parenting.ivillage.com/pregnancy/pcomplications/0,,9z3m,00.html Denise Hynd Let us support one another, not just in philosophy but in action, for the sake of freedom for all women to choose exactly how and by whom, if by anyone, our bodies will be handled. - Linda Hes - Original Message - From: Nicole Carver [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Sunday, April 03, 2005 6:02 AM Subject: RE: [ozmidwifery] GDM question Jo, I think glycosuria is pretty common in pregnancy. Your BSL is of course excellent. Perhaps you could do some reading about glycosuria in pregnancy. I don't think there is much evidence to support routine GTT or screening. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of JoFromOz Sent: Saturday, April 02, 2005 10:11 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] GDM question Hello you intelligent List-Wives... I have decided for various reasons not to have the routine GTT during my pregnancy, and now, at 33 weeks, I have had a small trace of glucose in my urine the last few weeks. Tonight I checked at work at I had a definite plus, not trace, of glucose. I did a BSL at the same time, and it was only 4.2. My question is, was my glucose higher before and my body just got rid of it for me, or is my body just good at getting rid of it via the urine instead of insulin? Or should I stop worrying? OR should I go ahead and do the GTT like my workmates insist I should have done in the first place? Thanks! Otherwise, pregnancy is wonderful apart from the sore hips trying to sleep :) Jo (RM) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
RE: [ozmidwifery] GDM question
It is not unusual to show some glucose. The renal threshold lowers. The fact that your BSL was normal is very reassuring. Be a little careful of your diet before you test your wee again. I wouldn't be worried. Maureen ps just how many Easter eggs did you enjoy? -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of JoFromOz Sent: Saturday, 2 April 2005 10:11 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] GDM question Hello you intelligent List-Wives... I have decided for various reasons not to have the routine GTT during my pregnancy, and now, at 33 weeks, I have had a small trace of glucose in my urine the last few weeks. Tonight I checked at work at I had a definite plus, not trace, of glucose. I did a BSL at the same time, and it was only 4.2. My question is, was my glucose higher before and my body just got rid of it for me, or is my body just good at getting rid of it via the urine instead of insulin? Or should I stop worrying? OR should I go ahead and do the GTT like my workmates insist I should have done in the first place? Thanks! Otherwise, pregnancy is wonderful apart from the sore hips trying to sleep :) Jo (RM) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.