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LouLou

New member
i have mild gestational diabetes :(

It is my understanding that reserves don't help the baby grow so being overweight (not saying you are) doesn't mean a woman doesn't need to gain weight. My cf clinic had these same request of me with weight gain as yours. How much weight have you gained in the 28 weeks? CFers pancreatic problems can lead to low birth weight which can cause preterm labor...or for the OB clinic to want to get the baby out early. Not sure I'd agree that being on earth premature is better than being in even a comprimised uterus but I digress.

From what I've heard the cf doctors believe low birth weight and premature delivery is more linked to nutrition than lungs. The OB world generally thinks that cf mothers deliver babies early because of O2 deprivation. Although my clinic tracks both closely. Maybe it's both who knows? Low birth weight and premature labor is caused by something called IUGR (interuterine growth restraint). According to my OB clinic, most cf moms have this to some degree. It is caused by one or more of the following in cf ) 1) lack of O2 to baby 2) lack of nutrition to baby 3) jsut a small baby (not cf related). They will detect and diagnose IUGR if your baby falls below 10% on the size charts determined from ultrasound. Now remember after 32 (or maybe it was 36) weeks the margin of error with u/s sizing is plus or minus 1 lb. which is huge when the baby only weighs 3-5 lbs. so then if they detect a smaller than 10% baby they do NST (non stress testing) which can determine if it's 1, 2 or 3 that is causing the baby to be small. My baby was progressing just fine up to 32 weeks when I began to decline any further u/s testing. You can read my post about risks of u/s. It bugged me enough that I didn't want to test unnecessarily. I don't want to non stress test or have u/s unless something else is not right with one or more of the following: my weight gain, my fundus height, baby's heartrate, baby's movement. They agreed that if all 4 of these things were on track that I could forgo u/s. I don't know that all cfers are tracked so closely for IUGR but there is reason to track it especially if you or baby presents as a risk for it.

I wouldn't worry that you're going to go preterm this early. Just eat right with the diabetes in mind. Also what is your O2 sat? My clinic says as long as it's above 96 the baby is meeting its needs.

JohnnaMarie was the last cfer pregnant on here (I think) that went gestational. Do a search on her. I remember her asking for recipe ideas of things to eat to boost calories while staying on diet.
 

LouLou

New member
i have mild gestational diabetes :(

It is my understanding that reserves don't help the baby grow so being overweight (not saying you are) doesn't mean a woman doesn't need to gain weight. My cf clinic had these same request of me with weight gain as yours. How much weight have you gained in the 28 weeks? CFers pancreatic problems can lead to low birth weight which can cause preterm labor...or for the OB clinic to want to get the baby out early. Not sure I'd agree that being on earth premature is better than being in even a comprimised uterus but I digress.

From what I've heard the cf doctors believe low birth weight and premature delivery is more linked to nutrition than lungs. The OB world generally thinks that cf mothers deliver babies early because of O2 deprivation. Although my clinic tracks both closely. Maybe it's both who knows? Low birth weight and premature labor is caused by something called IUGR (interuterine growth restraint). According to my OB clinic, most cf moms have this to some degree. It is caused by one or more of the following in cf ) 1) lack of O2 to baby 2) lack of nutrition to baby 3) jsut a small baby (not cf related). They will detect and diagnose IUGR if your baby falls below 10% on the size charts determined from ultrasound. Now remember after 32 (or maybe it was 36) weeks the margin of error with u/s sizing is plus or minus 1 lb. which is huge when the baby only weighs 3-5 lbs. so then if they detect a smaller than 10% baby they do NST (non stress testing) which can determine if it's 1, 2 or 3 that is causing the baby to be small. My baby was progressing just fine up to 32 weeks when I began to decline any further u/s testing. You can read my post about risks of u/s. It bugged me enough that I didn't want to test unnecessarily. I don't want to non stress test or have u/s unless something else is not right with one or more of the following: my weight gain, my fundus height, baby's heartrate, baby's movement. They agreed that if all 4 of these things were on track that I could forgo u/s. I don't know that all cfers are tracked so closely for IUGR but there is reason to track it especially if you or baby presents as a risk for it.

I wouldn't worry that you're going to go preterm this early. Just eat right with the diabetes in mind. Also what is your O2 sat? My clinic says as long as it's above 96 the baby is meeting its needs.

JohnnaMarie was the last cfer pregnant on here (I think) that went gestational. Do a search on her. I remember her asking for recipe ideas of things to eat to boost calories while staying on diet.
 

LouLou

New member
i have mild gestational diabetes :(

It is my understanding that reserves don't help the baby grow so being overweight (not saying you are) doesn't mean a woman doesn't need to gain weight. My cf clinic had these same request of me with weight gain as yours. How much weight have you gained in the 28 weeks? CFers pancreatic problems can lead to low birth weight which can cause preterm labor...or for the OB clinic to want to get the baby out early. Not sure I'd agree that being on earth premature is better than being in even a comprimised uterus but I digress.

From what I've heard the cf doctors believe low birth weight and premature delivery is more linked to nutrition than lungs. The OB world generally thinks that cf mothers deliver babies early because of O2 deprivation. Although my clinic tracks both closely. Maybe it's both who knows? Low birth weight and premature labor is caused by something called IUGR (interuterine growth restraint). According to my OB clinic, most cf moms have this to some degree. It is caused by one or more of the following in cf ) 1) lack of O2 to baby 2) lack of nutrition to baby 3) jsut a small baby (not cf related). They will detect and diagnose IUGR if your baby falls below 10% on the size charts determined from ultrasound. Now remember after 32 (or maybe it was 36) weeks the margin of error with u/s sizing is plus or minus 1 lb. which is huge when the baby only weighs 3-5 lbs. so then if they detect a smaller than 10% baby they do NST (non stress testing) which can determine if it's 1, 2 or 3 that is causing the baby to be small. My baby was progressing just fine up to 32 weeks when I began to decline any further u/s testing. You can read my post about risks of u/s. It bugged me enough that I didn't want to test unnecessarily. I don't want to non stress test or have u/s unless something else is not right with one or more of the following: my weight gain, my fundus height, baby's heartrate, baby's movement. They agreed that if all 4 of these things were on track that I could forgo u/s. I don't know that all cfers are tracked so closely for IUGR but there is reason to track it especially if you or baby presents as a risk for it.

I wouldn't worry that you're going to go preterm this early. Just eat right with the diabetes in mind. Also what is your O2 sat? My clinic says as long as it's above 96 the baby is meeting its needs.

JohnnaMarie was the last cfer pregnant on here (I think) that went gestational. Do a search on her. I remember her asking for recipe ideas of things to eat to boost calories while staying on diet.
 

LouLou

New member
i have mild gestational diabetes :(

It is my understanding that reserves don't help the baby grow so being overweight (not saying you are) doesn't mean a woman doesn't need to gain weight. My cf clinic had these same request of me with weight gain as yours. How much weight have you gained in the 28 weeks? CFers pancreatic problems can lead to low birth weight which can cause preterm labor...or for the OB clinic to want to get the baby out early. Not sure I'd agree that being on earth premature is better than being in even a comprimised uterus but I digress.

From what I've heard the cf doctors believe low birth weight and premature delivery is more linked to nutrition than lungs. The OB world generally thinks that cf mothers deliver babies early because of O2 deprivation. Although my clinic tracks both closely. Maybe it's both who knows? Low birth weight and premature labor is caused by something called IUGR (interuterine growth restraint). According to my OB clinic, most cf moms have this to some degree. It is caused by one or more of the following in cf ) 1) lack of O2 to baby 2) lack of nutrition to baby 3) jsut a small baby (not cf related). They will detect and diagnose IUGR if your baby falls below 10% on the size charts determined from ultrasound. Now remember after 32 (or maybe it was 36) weeks the margin of error with u/s sizing is plus or minus 1 lb. which is huge when the baby only weighs 3-5 lbs. so then if they detect a smaller than 10% baby they do NST (non stress testing) which can determine if it's 1, 2 or 3 that is causing the baby to be small. My baby was progressing just fine up to 32 weeks when I began to decline any further u/s testing. You can read my post about risks of u/s. It bugged me enough that I didn't want to test unnecessarily. I don't want to non stress test or have u/s unless something else is not right with one or more of the following: my weight gain, my fundus height, baby's heartrate, baby's movement. They agreed that if all 4 of these things were on track that I could forgo u/s. I don't know that all cfers are tracked so closely for IUGR but there is reason to track it especially if you or baby presents as a risk for it.

I wouldn't worry that you're going to go preterm this early. Just eat right with the diabetes in mind. Also what is your O2 sat? My clinic says as long as it's above 96 the baby is meeting its needs.

JohnnaMarie was the last cfer pregnant on here (I think) that went gestational. Do a search on her. I remember her asking for recipe ideas of things to eat to boost calories while staying on diet.
 

LouLou

New member
i have mild gestational diabetes :(

It is my understanding that reserves don't help the baby grow so being overweight (not saying you are) doesn't mean a woman doesn't need to gain weight. My cf clinic had these same request of me with weight gain as yours. How much weight have you gained in the 28 weeks? CFers pancreatic problems can lead to low birth weight which can cause preterm labor...or for the OB clinic to want to get the baby out early. Not sure I'd agree that being on earth premature is better than being in even a comprimised uterus but I digress.

From what I've heard the cf doctors believe low birth weight and premature delivery is more linked to nutrition than lungs. The OB world generally thinks that cf mothers deliver babies early because of O2 deprivation. Although my clinic tracks both closely. Maybe it's both who knows? Low birth weight and premature labor is caused by something called IUGR (interuterine growth restraint). According to my OB clinic, most cf moms have this to some degree. It is caused by one or more of the following in cf ) 1) lack of O2 to baby 2) lack of nutrition to baby 3) jsut a small baby (not cf related). They will detect and diagnose IUGR if your baby falls below 10% on the size charts determined from ultrasound. Now remember after 32 (or maybe it was 36) weeks the margin of error with u/s sizing is plus or minus 1 lb. which is huge when the baby only weighs 3-5 lbs. so then if they detect a smaller than 10% baby they do NST (non stress testing) which can determine if it's 1, 2 or 3 that is causing the baby to be small. My baby was progressing just fine up to 32 weeks when I began to decline any further u/s testing. You can read my post about risks of u/s. It bugged me enough that I didn't want to test unnecessarily. I don't want to non stress test or have u/s unless something else is not right with one or more of the following: my weight gain, my fundus height, baby's heartrate, baby's movement. They agreed that if all 4 of these things were on track that I could forgo u/s. I don't know that all cfers are tracked so closely for IUGR but there is reason to track it especially if you or baby presents as a risk for it.

I wouldn't worry that you're going to go preterm this early. Just eat right with the diabetes in mind. Also what is your O2 sat? My clinic says as long as it's above 96 the baby is meeting its needs.

JohnnaMarie was the last cfer pregnant on here (I think) that went gestational. Do a search on her. I remember her asking for recipe ideas of things to eat to boost calories while staying on diet.
 

LouLou

New member
i have mild gestational diabetes :(

It is my understanding that reserves don't help the baby grow so being overweight (not saying you are) doesn't mean a woman doesn't need to gain weight. My cf clinic had these same request of me with weight gain as yours. How much weight have you gained in the 28 weeks? CFers pancreatic problems can lead to low birth weight which can cause preterm labor...or for the OB clinic to want to get the baby out early. Not sure I'd agree that being on earth premature is better than being in even a comprimised uterus but I digress.

From what I've heard the cf doctors believe low birth weight and premature delivery is more linked to nutrition than lungs. The OB world generally thinks that cf mothers deliver babies early because of O2 deprivation. Although my clinic tracks both closely. Maybe it's both who knows? Low birth weight and premature labor is caused by something called IUGR (interuterine growth restraint). According to my OB clinic, most cf moms have this to some degree. It is caused by one or more of the following in cf ) 1) lack of O2 to baby 2) lack of nutrition to baby 3) jsut a small baby (not cf related). They will detect and diagnose IUGR if your baby falls below 10% on the size charts determined from ultrasound. Now remember after 32 (or maybe it was 36) weeks the margin of error with u/s sizing is plus or minus 1 lb. which is huge when the baby only weighs 3-5 lbs. so then if they detect a smaller than 10% baby they do NST (non stress testing) which can determine if it's 1, 2 or 3 that is causing the baby to be small. My baby was progressing just fine up to 32 weeks when I began to decline any further u/s testing. You can read my post about risks of u/s. It bugged me enough that I didn't want to test unnecessarily. I don't want to non stress test or have u/s unless something else is not right with one or more of the following: my weight gain, my fundus height, baby's heartrate, baby's movement. They agreed that if all 4 of these things were on track that I could forgo u/s. I don't know that all cfers are tracked so closely for IUGR but there is reason to track it especially if you or baby presents as a risk for it.

I wouldn't worry that you're going to go preterm this early. Just eat right with the diabetes in mind. Also what is your O2 sat? My clinic says as long as it's above 96 the baby is meeting its needs.

JohnnaMarie was the last cfer pregnant on here (I think) that went gestational. Do a search on her. I remember her asking for recipe ideas of things to eat to boost calories while staying on diet.
 

tara

New member
i have mild gestational diabetes :(

I was gestational diabetic. I do take enzymes and when not pregnant, my BMI ranges from 18-19 (nearly "underweight") My sugars were so out of whack I did go on insulin. I was terrified of the finger prick at first, so you can imagine how I felt about insulin. But you do what you gotta do, right?

I managed just fine and actually preferred insulin over a low carb diet. Diabetes is all about carbs. Through trial and error we figured out how many units of insulin I needed per number of carbs. (turned out I needed 1 unit of humolog per 15 carbs, which is a really low dose) I did have to count carbs, but I could eat anything I wanted. The more carbs, the more insulin. My numbers were always within range that way.

My OB referred me to a gestational diabetes team at my hosptial called "Sweet Success". They are a group of dieticians that monitor my blood sugars and met with me once a month I believe. They are not used to seeing CFers (I was the first!) so their diet is strict low carb. But they did work with me on my needs in combination with my CF nutritionist as well. It might be worth a visit to see your dietician (cf dietician or a diabetic dietician, or both!)

I don't know much about pre-term labor. I went full term (never went into labor) 38 weeks with twins. One baby was large (7#6oz) and one was small (4#11oz). The size difference is rare, but happens sometimes with twins. I was never worried about pre-term labor. I figured if it happens it happens. I did have a scare at 34 weeks, but a shot of terbutaline stopped the contractions (after a lengthy 10 hour visit to labor and delivery!!!)

Tara
 

tara

New member
i have mild gestational diabetes :(

I was gestational diabetic. I do take enzymes and when not pregnant, my BMI ranges from 18-19 (nearly "underweight") My sugars were so out of whack I did go on insulin. I was terrified of the finger prick at first, so you can imagine how I felt about insulin. But you do what you gotta do, right?

I managed just fine and actually preferred insulin over a low carb diet. Diabetes is all about carbs. Through trial and error we figured out how many units of insulin I needed per number of carbs. (turned out I needed 1 unit of humolog per 15 carbs, which is a really low dose) I did have to count carbs, but I could eat anything I wanted. The more carbs, the more insulin. My numbers were always within range that way.

My OB referred me to a gestational diabetes team at my hosptial called "Sweet Success". They are a group of dieticians that monitor my blood sugars and met with me once a month I believe. They are not used to seeing CFers (I was the first!) so their diet is strict low carb. But they did work with me on my needs in combination with my CF nutritionist as well. It might be worth a visit to see your dietician (cf dietician or a diabetic dietician, or both!)

I don't know much about pre-term labor. I went full term (never went into labor) 38 weeks with twins. One baby was large (7#6oz) and one was small (4#11oz). The size difference is rare, but happens sometimes with twins. I was never worried about pre-term labor. I figured if it happens it happens. I did have a scare at 34 weeks, but a shot of terbutaline stopped the contractions (after a lengthy 10 hour visit to labor and delivery!!!)

Tara
 

tara

New member
i have mild gestational diabetes :(

I was gestational diabetic. I do take enzymes and when not pregnant, my BMI ranges from 18-19 (nearly "underweight") My sugars were so out of whack I did go on insulin. I was terrified of the finger prick at first, so you can imagine how I felt about insulin. But you do what you gotta do, right?

I managed just fine and actually preferred insulin over a low carb diet. Diabetes is all about carbs. Through trial and error we figured out how many units of insulin I needed per number of carbs. (turned out I needed 1 unit of humolog per 15 carbs, which is a really low dose) I did have to count carbs, but I could eat anything I wanted. The more carbs, the more insulin. My numbers were always within range that way.

My OB referred me to a gestational diabetes team at my hosptial called "Sweet Success". They are a group of dieticians that monitor my blood sugars and met with me once a month I believe. They are not used to seeing CFers (I was the first!) so their diet is strict low carb. But they did work with me on my needs in combination with my CF nutritionist as well. It might be worth a visit to see your dietician (cf dietician or a diabetic dietician, or both!)

I don't know much about pre-term labor. I went full term (never went into labor) 38 weeks with twins. One baby was large (7#6oz) and one was small (4#11oz). The size difference is rare, but happens sometimes with twins. I was never worried about pre-term labor. I figured if it happens it happens. I did have a scare at 34 weeks, but a shot of terbutaline stopped the contractions (after a lengthy 10 hour visit to labor and delivery!!!)

Tara
 

tara

New member
i have mild gestational diabetes :(

I was gestational diabetic. I do take enzymes and when not pregnant, my BMI ranges from 18-19 (nearly "underweight") My sugars were so out of whack I did go on insulin. I was terrified of the finger prick at first, so you can imagine how I felt about insulin. But you do what you gotta do, right?

I managed just fine and actually preferred insulin over a low carb diet. Diabetes is all about carbs. Through trial and error we figured out how many units of insulin I needed per number of carbs. (turned out I needed 1 unit of humolog per 15 carbs, which is a really low dose) I did have to count carbs, but I could eat anything I wanted. The more carbs, the more insulin. My numbers were always within range that way.

My OB referred me to a gestational diabetes team at my hosptial called "Sweet Success". They are a group of dieticians that monitor my blood sugars and met with me once a month I believe. They are not used to seeing CFers (I was the first!) so their diet is strict low carb. But they did work with me on my needs in combination with my CF nutritionist as well. It might be worth a visit to see your dietician (cf dietician or a diabetic dietician, or both!)

I don't know much about pre-term labor. I went full term (never went into labor) 38 weeks with twins. One baby was large (7#6oz) and one was small (4#11oz). The size difference is rare, but happens sometimes with twins. I was never worried about pre-term labor. I figured if it happens it happens. I did have a scare at 34 weeks, but a shot of terbutaline stopped the contractions (after a lengthy 10 hour visit to labor and delivery!!!)

Tara
 

tara

New member
i have mild gestational diabetes :(

I was gestational diabetic. I do take enzymes and when not pregnant, my BMI ranges from 18-19 (nearly "underweight") My sugars were so out of whack I did go on insulin. I was terrified of the finger prick at first, so you can imagine how I felt about insulin. But you do what you gotta do, right?

I managed just fine and actually preferred insulin over a low carb diet. Diabetes is all about carbs. Through trial and error we figured out how many units of insulin I needed per number of carbs. (turned out I needed 1 unit of humolog per 15 carbs, which is a really low dose) I did have to count carbs, but I could eat anything I wanted. The more carbs, the more insulin. My numbers were always within range that way.

My OB referred me to a gestational diabetes team at my hosptial called "Sweet Success". They are a group of dieticians that monitor my blood sugars and met with me once a month I believe. They are not used to seeing CFers (I was the first!) so their diet is strict low carb. But they did work with me on my needs in combination with my CF nutritionist as well. It might be worth a visit to see your dietician (cf dietician or a diabetic dietician, or both!)

I don't know much about pre-term labor. I went full term (never went into labor) 38 weeks with twins. One baby was large (7#6oz) and one was small (4#11oz). The size difference is rare, but happens sometimes with twins. I was never worried about pre-term labor. I figured if it happens it happens. I did have a scare at 34 weeks, but a shot of terbutaline stopped the contractions (after a lengthy 10 hour visit to labor and delivery!!!)

Tara
 

tara

New member
i have mild gestational diabetes :(

I was gestational diabetic. I do take enzymes and when not pregnant, my BMI ranges from 18-19 (nearly "underweight") My sugars were so out of whack I did go on insulin. I was terrified of the finger prick at first, so you can imagine how I felt about insulin. But you do what you gotta do, right?

I managed just fine and actually preferred insulin over a low carb diet. Diabetes is all about carbs. Through trial and error we figured out how many units of insulin I needed per number of carbs. (turned out I needed 1 unit of humolog per 15 carbs, which is a really low dose) I did have to count carbs, but I could eat anything I wanted. The more carbs, the more insulin. My numbers were always within range that way.

My OB referred me to a gestational diabetes team at my hosptial called "Sweet Success". They are a group of dieticians that monitor my blood sugars and met with me once a month I believe. They are not used to seeing CFers (I was the first!) so their diet is strict low carb. But they did work with me on my needs in combination with my CF nutritionist as well. It might be worth a visit to see your dietician (cf dietician or a diabetic dietician, or both!)

I don't know much about pre-term labor. I went full term (never went into labor) 38 weeks with twins. One baby was large (7#6oz) and one was small (4#11oz). The size difference is rare, but happens sometimes with twins. I was never worried about pre-term labor. I figured if it happens it happens. I did have a scare at 34 weeks, but a shot of terbutaline stopped the contractions (after a lengthy 10 hour visit to labor and delivery!!!)

Tara
 

JazzysMom

New member
i have mild gestational diabetes :(

I developed gestational diabetes while pregnant. My weight wasnt poor, but it wasnt what is expecting from a normal pregnancy so they didnt even try to control things with diet. I was put on insulin and just ate normally. I only put on 18 pounds during the whole pregnancy so I couldnt imagine if I had to restrict or relearn how to eat.

I am pancreatic insufficient and only delivered early by c section because of my history of hemoptysis. The baby & I were doing well until month 8 rolled around and my hemoptysis reared its head.

Not knowing how easily you burn weight with exacerbations etc I would think you are ok weight wise, but if restrict your diet to control your sugars ends up being a real problem then address it.


Good Luck!
 

JazzysMom

New member
i have mild gestational diabetes :(

I developed gestational diabetes while pregnant. My weight wasnt poor, but it wasnt what is expecting from a normal pregnancy so they didnt even try to control things with diet. I was put on insulin and just ate normally. I only put on 18 pounds during the whole pregnancy so I couldnt imagine if I had to restrict or relearn how to eat.

I am pancreatic insufficient and only delivered early by c section because of my history of hemoptysis. The baby & I were doing well until month 8 rolled around and my hemoptysis reared its head.

Not knowing how easily you burn weight with exacerbations etc I would think you are ok weight wise, but if restrict your diet to control your sugars ends up being a real problem then address it.


Good Luck!
 
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