@cowgirlace: Oh, definitely, exercise helps control blood sugar levels in general. I was told by my diabetes nurse to actually walk after meals to help keep my numbers down before. Sorry, I’m not a medical professional so terms I was using are way off, so I was just going off what I remember from my Maternal Fetal Medicine doctor and endocrinologist. The endo was the one who told me that exercising after my night snack would burn off the energy I need throughout the night, which is why he suggested to eat as close to bedtime as possible. Based on my research, exercise, especially resistance training, helps increase insulin sensitivity, which is why I was told to do at least 30 minutes of activity each day – it keeps BS levels stable, along with eating regularly at about every 2-4 hours with protein/carb balance, so our numbers don’t spike and crash constantly.
Fastings are a different animal and not as easy to manage as daytime numbers. If/when we eat during the day, we can exercise to keep numbers down, but overnight while we sleep, we rely on our bodies to stay stable and not crash, but process the carbs enough that it gets lower, with minimal movement for the most part. That’s why for some people, night snack matters, but for others, nothing helps and we need meds as a last resort. From what I was told, low blood sugar is bad for the mom, but high blood sugar is also not ideal for baby because it’s the high BS that causes all the GD risks – macrosomia, jaundice, low blood sugar at birth, and in RARE cases of uncontrolled BS, *trigger* stillbirth. Again, I’m just going off what I was told when I was first diagnosed.
@BeccaBee83: Part of the frustration of GD moms with whom I’ve come in contact is that we’re held at much more stringent standards than Type 1 and Type 2 diabetics. My strict MFM wanted my fastings under 90 (I was even told that 60-90 was “ideal” … 60 is LOW!) and postprandials to be 120 after ONE hour, and this is not uncommon. Some are allowed to go up to 95 or even 100 for fastings, then 140 after an hour (or 120 after two hours). Even so, these numbers are lower than non-pregnant people, who can be up to 110 for fastings and 140 two hours after a meal.
I struggled with the fact that I was put on insulin for getting 91 and 92, when I knew that other moms were allowed to even go up to 95! So yes, your fastings are a little high – again, for “normal” pregnant women, whatever that is – but they’re not TOO high that it’s crazy dangerous. I do have a friend who also had GD and her fastings would be a bit over 100 toward the end of her pregnancy and she was also put on insulin for about a month before she gave birth, and her baby girl was born perfect, no blood sugar issues (or any health issues for that matter), and nursed like a champ. This same friend told me that her OB informed her that not too long ago, 10-15 years, I think, as long as pregnant women were under 120 for fasting, they were okay, but the standards have become more restrictive and yep, so difficult for us. But we do the best we can, right?!
I hope you at least feel better that you’re not alone! Since technically “passing” the 3-hour, I’m no longer GD, but my OB still asked me to check fastings twice a week, and every time I have to prick myself with the lancet, I feel a little rush of panic. Pregnancy is hard enough on its own, and add GD into the mix, it makes it that much more frustrating because it’s different for everyone and it’s emotionally and mentally exhausting. It’s like a game with have to win, and we hope it ends when the baby is born. We’re at a higher risk for Type 2 somewhere down the line, so I feel like I’m doomed to fail! Anyway, this got long and I apologize, but again, there’s a lot of us out there so try a few things that people suggest and I hope something works for you!
ETA: I was put on insulin right away as well because my medical team didn’t do oral meds like Metformin and Glyburide, both of which increase your body’s sensitivity to insulin. I’ve read of women who do both oral meds and insulin to boost their effectiveness, but it’s pretty controversial because there are studies that oral meds cross the placenta in very small amounts. So again, you’re not alone about the insulin, and it’s great that your doctor is even concerned about adding more insulin that can affect your daytime numbers since it backfired on me!