Post # 17
@KH: Thanks for the thoughts! I am seeing a Certified Diabetes Educator/Registered Dietitian (though I admit I had to look up what her actual qualifications were online, as she was only introduced to me as a “Diabetes Counselor”). She seems to know what she’s doing, but she is only in the office a couple days a week, so it’s really hard to get in touch with her. I did express my frustrations with my doctor, and she apologized. If this happens again in the future, I’m definitely going somewhere else. It’s just hard because where I live there aren’t many providers to choose from, so making that leap is somewhat difficult. I’m just hoping that in the future she will be more communicative.
Fingers crossed that this new insulin regimen works!
Post # 18
@BeccaBee83: I’m so happy to hear that! I hope that the new regime works out for you.
Post # 19
@BeccaBee83: Yikes, how scary. I’m 32-4 and have GD as well. I think we measure differently here, so I’m not sure exactly how low 37 is (my “good” fasting level is anything between 3.8-5.2, below that… glucose tablet time). I’m just running out to work so don’t have time to write a long response, but when you have cheese/almonds as a night time snack, are you also pairing it with a carb? I’m sure you’re following whatever advice your doctor gave which is good, I’m more just curious since my bed time snacks are supposed to be something in the 15g of carb range and a protein. So… like half a chicken sandwich or lately… a tiny scoop of ice cream and a pepperoni stick haha.
Post # 20
@SapphireSun: My doctor didn’t mention anything about a carb at bedtime – she just said a protein and a fat… which I’m finding odd because everyone I talk to says I should have a carb at bedtime, too. What are some other good bedtime snacks to try?
Post # 21
@BeccaBee83: well, I’m sure your doctor has his/her reasons for not recommending a carb at bedtime. But for me it’s to make sure my sugars don’t go too low overnight and so I’m not producing ketones (which I test for with a pee stick every morning). I sometimes have a slice of peanutbutter toast, a digestive cookie and a handful of almonds… But like I said my current favourite and what I’ve had so much luck keeping everything in check with that its just become a habit is a mini ice cream bar and a mild pepperoni Stick. Sometimes I do a no sugar added ice cream and have a little berries on it but some people have to be careful with fruit at bedtime. Maybe not the most nutritious snack but I’ve been having trouble not losing weight (at 32 weeks I should be gaining about a half-full pound a week, but I was losing almost a pound each week) so my doctor has recommended a little more calorie dense foods. Was pretty much told not to be afraid of even saturated fats for the next 8 weeks.
My diabetes clinic gave me a booklet that has a page of bedtime snack ideas. When I get home I’ll write out some more of them.
Post # 22
Found a converter and yikes, you were a 2.7 on the scale we use.
Bedtime snack ideas from the book my dr gave me are:
1/2 sandwich, 1 c milk
8 soda crackers with cheese or peanutbutter 1 cup milk
2 plain cookies and nuts 1 c. milk
3 stoned wheat thins with peanutbutter/cheese 1 cup milk
1/2 small whole wheat pita with hummus and milk
3 cups air popped popcorn buttered, 15 nuts and milk
It says all bedtime snacks must have a protein and a carbohydrate.
Post # 23
I find it strange too that you were not told to snack before bed. That is my biggest fear, bottoming out while I am sleeping and never waking up again. My diabetes Dr is not the one that set me up with my meal plan it was the Diabetes dietician that did. I just told her what numbers my Diabetes Dr wanted me at at what times and we went from there. I also take the NPH HUmulin N but in pen form at night. I started at 4 units got all the way up to 26 units and am back to 14 units as of now because my numbers have been good for fasting and my day numbers were actually getting pretty low. I did this on my own as I have talked tomy Dr and she said it was fine because obviously I do not want to crash and I have a pretty good handle on gestational diabetes. I also have to check my keytones every morning and because I was having them in my urine I have to drink 4-6oz of milk at some point during the night when I get up to pee and that keeps the keytones at bay.
I hope this new regimen works for you!
Post # 24
@ BeccaBee83: I can’t believe they haven’t gotten back to you! Low BS is a dangerous enough problem when its just you – I can’t imagine how bad it is for your baby. I would definitely look into switching to a different provider. Maybe there are multiple doctors at the same office? I worked with a nurse practiioner for 6 months that I was so unhappy with the last time I had an appointment with her I went in to the dieticians office crying (I had a meeting with her at the end of my appointment). Turns out it wasn’t just me that had had issues with her and they switched me to working with the other office NP, who I love dearly and my diabetes control has improved too.