Guidelines for the Management of Pregnancy in Women w/ CF

K

Keepercjr

Guest
It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).

I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.
 
K

Keepercjr

Guest
It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).

I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.
 
K

Keepercjr

Guest
It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).

I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.
 
K

Keepercjr

Guest
It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).

I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.
 
K

Keepercjr

Guest
It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).

I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.
 
W

wanderlost

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Keepercjr</b></i>

It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).



I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.</end quote></div>

Caroline, I was misdiagnoised with GD during my first pregnancy (long story, I can share if you want), so I had a meter fand for my second one and I was checking my sugars throughout. I told my OB that my sugars were not high and I really didn't want to take the OGTT during this pregnancy. His argument for me to take it was based on two criteria 1) he felt as a good doctor he woulld be amiss if he didn't order it and 2) should my sugard go high in the future, they'd have the test done for insurance purposes

I went ahead and took it at about 28 weeks and passed with flying colors, so it was no big deal.

I'd say if you're monitoring your sugars, why take 2 of them? there is some un natural - ness to the test - after all.
 
W

wanderlost

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Keepercjr</b></i>

It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).



I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.</end quote></div>

Caroline, I was misdiagnoised with GD during my first pregnancy (long story, I can share if you want), so I had a meter fand for my second one and I was checking my sugars throughout. I told my OB that my sugars were not high and I really didn't want to take the OGTT during this pregnancy. His argument for me to take it was based on two criteria 1) he felt as a good doctor he woulld be amiss if he didn't order it and 2) should my sugard go high in the future, they'd have the test done for insurance purposes

I went ahead and took it at about 28 weeks and passed with flying colors, so it was no big deal.

I'd say if you're monitoring your sugars, why take 2 of them? there is some un natural - ness to the test - after all.
 
W

wanderlost

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Keepercjr</b></i>

It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).



I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.</end quote></div>

Caroline, I was misdiagnoised with GD during my first pregnancy (long story, I can share if you want), so I had a meter fand for my second one and I was checking my sugars throughout. I told my OB that my sugars were not high and I really didn't want to take the OGTT during this pregnancy. His argument for me to take it was based on two criteria 1) he felt as a good doctor he woulld be amiss if he didn't order it and 2) should my sugard go high in the future, they'd have the test done for insurance purposes

I went ahead and took it at about 28 weeks and passed with flying colors, so it was no big deal.

I'd say if you're monitoring your sugars, why take 2 of them? there is some un natural - ness to the test - after all.
 
W

wanderlost

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Keepercjr</b></i>

It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).



I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.</end quote>

Caroline, I was misdiagnoised with GD during my first pregnancy (long story, I can share if you want), so I had a meter fand for my second one and I was checking my sugars throughout. I told my OB that my sugars were not high and I really didn't want to take the OGTT during this pregnancy. His argument for me to take it was based on two criteria 1) he felt as a good doctor he woulld be amiss if he didn't order it and 2) should my sugard go high in the future, they'd have the test done for insurance purposes

I went ahead and took it at about 28 weeks and passed with flying colors, so it was no big deal.

I'd say if you're monitoring your sugars, why take 2 of them? there is some un natural - ness to the test - after all.
 
W

wanderlost

New member
<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Keepercjr</b></i>

It is interesting that the CFF recommends a high risk OB. I can see some women w/ low lung functions or history of frequent lung infections needing a high risk ob from the bat but I can't see the general "planned pregnancy CFer" needing one. What is with them pushing calcium? The dietitian at my clinic was very clear about needing 1000 mg of calcium at a recent visit. She didn't push anything else, just calcium. (I'm not complaining or anything, just curious as to why it is just the calcium).



I did have 2 OGTT during my pregnancy with Logan - 1 around 16 weeks and the other around 28 weeks. I am not sure how I want to proceed this time. I have a glucose meter and I may just decide to monitor myself a few times and skip the tests. I have no history or indication of diabetes. We'll see.</end quote>

Caroline, I was misdiagnoised with GD during my first pregnancy (long story, I can share if you want), so I had a meter fand for my second one and I was checking my sugars throughout. I told my OB that my sugars were not high and I really didn't want to take the OGTT during this pregnancy. His argument for me to take it was based on two criteria 1) he felt as a good doctor he woulld be amiss if he didn't order it and 2) should my sugard go high in the future, they'd have the test done for insurance purposes

I went ahead and took it at about 28 weeks and passed with flying colors, so it was no big deal.

I'd say if you're monitoring your sugars, why take 2 of them? there is some un natural - ness to the test - after all.
 
S

Scarlett81

New member
there is some interesting research out there by legit sources about gd. many docs who previously dx gd are supporting theories that gd may not even exist. not in all cases of course, but in many. gd is so widely dg now that doc are wondering why, esp for americans. in based on the fact that your whole metabolism is changed during pregnancy, as is your calorie intake, so why wouldn't the way your sugar metabolism change as well. the way everything else is metabolized during preg changes. it makes alot of sense.
if you ever have this issue come up, its worth looking up these sources.
 
S

Scarlett81

New member
there is some interesting research out there by legit sources about gd. many docs who previously dx gd are supporting theories that gd may not even exist. not in all cases of course, but in many. gd is so widely dg now that doc are wondering why, esp for americans. in based on the fact that your whole metabolism is changed during pregnancy, as is your calorie intake, so why wouldn't the way your sugar metabolism change as well. the way everything else is metabolized during preg changes. it makes alot of sense.
if you ever have this issue come up, its worth looking up these sources.
 
S

Scarlett81

New member
there is some interesting research out there by legit sources about gd. many docs who previously dx gd are supporting theories that gd may not even exist. not in all cases of course, but in many. gd is so widely dg now that doc are wondering why, esp for americans. in based on the fact that your whole metabolism is changed during pregnancy, as is your calorie intake, so why wouldn't the way your sugar metabolism change as well. the way everything else is metabolized during preg changes. it makes alot of sense.
if you ever have this issue come up, its worth looking up these sources.
 
S

Scarlett81

New member
there is some interesting research out there by legit sources about gd. many docs who previously dx gd are supporting theories that gd may not even exist. not in all cases of course, but in many. gd is so widely dg now that doc are wondering why, esp for americans. in based on the fact that your whole metabolism is changed during pregnancy, as is your calorie intake, so why wouldn't the way your sugar metabolism change as well. the way everything else is metabolized during preg changes. it makes alot of sense.
if you ever have this issue come up, its worth looking up these sources.
 
S

Scarlett81

New member
there is some interesting research out there by legit sources about gd. many docs who previously dx gd are supporting theories that gd may not even exist. not in all cases of course, but in many. gd is so widely dg now that doc are wondering why, esp for americans. in based on the fact that your whole metabolism is changed during pregnancy, as is your calorie intake, so why wouldn't the way your sugar metabolism change as well. the way everything else is metabolized during preg changes. it makes alot of sense.
if you ever have this issue come up, its worth looking up these sources.
 
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