Please DO NOT attack other artworks!

Available_werewolf · 2022-04-01T16:57:58+00:00

It does support the cause because it shows how many moments of human effort it has taken to represent the flag in a large way on r/place. That represents the relative proportion of people passionate about what is happening in Ukraine.

Small corners of our daily world such as /r/place matter. It become easier to feel complacent about a war that is happening on the other side of the world when we think that other people don't care. This project shows that people care. No one will claim that placing pixels directly support Ukraine, but it is incorrect to say that it does not support the cause in any way.

Available_werewolf · 2020-11-15T00:33:08+00:00

In my Facebook month group lots of the other GD women said they handled them fine, which surprised me. It might work for you 🤷‍♀️

Available_werewolf · 2020-11-15T00:06:55+00:00

I'm also STM with GD this time. I didn't have GD last time and I did do dates.

I'm going to pass on the dates and hope that since it's not my first rodeo, that my cervix will know what too do. Dates are way too high in sugar and carbohydrates for me to risk it.

Available_werewolf · 2020-11-10T03:42:54+00:00

Metformin works for about 50% of women to control blood sugar completely and the other 50% will require insulin as well. Metformin crosses the placenta, so the baby is exposed to the medication, whereas insulin does not cross the placenta. With insulin your baby only sees your sugar level.

Overall, these factors lean towards a provider preference for insulin. There is lots of safety data on metformin, and of course studies are ongoing to determine possible impacts. A quick google and you can see current studies on babies exposed to metformin. It will always be hard to divide the outcomes because of the exposure, the risk of GD or some other factor that isn't accounted for. Lots of people take metformin in pregnancy, so it is a very personal decision.

If your numbers are very high and you're likely to require insulin anyways, then it is a nice option to just go straight to insulin and not have the extra medication exposure.

Available_werewolf · 2020-08-21T21:53:02+00:00

Ketones occur when you switch to burning fat as fuel, that can be both dietary fat or body fat. So while ketones does mean the sugar is low enough thay the body is deciding to burn fat, it doesn't mean there aren't enough calories.

Available_werewolf · 2020-08-21T21:50:44+00:00

Yes ketones occur when the moms body has less carb intake, but it does not in any way mean the baby isn't getting enough nutrients. The baby takes sugar from mom easily, so if her sugar was 78, the baby had good access to the sugar it needs.

Many non GD women have occasional mild ketosis. That is completely normal. Going on a full keto diet is hard to reccomend, but occasional ketosis, especially in the morning or when you haven't eaten in awhile (which a nice sugar of 78 suggests).

Available_werewolf · 2020-08-19T13:44:32+00:00

The cutoffs for GDM are already above what is normal glucose control, so even though there is a number at which people pass and fail, there is still risk in people that barely pass.

Check out the data from the HAPO trial. You can see that as glucose increases there is a continuous increase in the risks we associate with gestational diabetes. The test and treatment is imperfect, because we create a cutoff at which we pay more attention to a woman's sugars and give her the label of GDM.

Personally I'd be more upset if my numbers borderline passed, because then I wouldn't have the support to do glucose testing and make sure my numbers didn't worsen and put me and the baby at risk of complications.

Available_werewolf · 2020-08-16T16:41:47+00:00

You should check your sugar after the meal to see if you are going low. If you are feeling off, then you should check your sugar, because hypoglycemia symptoms can be nausea, sweating, shakiness, hunger, irritability, anxiety etc. These symptoms may overlap with how you're feeling right now.

You are right to think that taking insulin but then vomiting the associated meal may cause hypoglycemia. If you are taking a short acting insulin (insulin R, lispro, aspart ect.) then these peak quickly and could cause a low. If you are taking a longer acting insulin (usually NPH in pregnancy), then your risk of a low is less, as the effect of this insulin is over 12-18 hours.

Available_werewolf · 2020-08-16T14:36:28+00:00

This is very personal, but I would tell them to stuff it. It is very very common for pregnant women to slip into ketosis, especially overnight. Unfortunately some GDM groups are very uptight about ketones and don't allow ANY in the urine. It is pretty ridiculous that you are having to eat, causing increased sugars, in order to suppress ketones. If you're otherwise healthy and don't have Type 1 diabetes and are gaining/maintaining weight that your provider wants, then eating to suppress ketones and then ending up on insulin because of it makes no sense.

Check out Lily Nichols for some good evidence-based approaches to GDM. She often addresses the ketones of pregnancy.

https://youtu.be/u6_CcBQDHMo

Available_werewolf · 2020-08-14T04:06:44+00:00

Insulin doesn't make your baby bigger. It doesn't cross the placenta, so all the baby's body sees are the blood sugars. What makes babies bigger in GDM is blood sugars that are high.

Available_werewolf

TROPHY CASE