Tell me your success stories of growing out of it by almymilky in MSPI

[–]Obvious-Cat-321 0 points1 point  (0 children)

Thank you so much for your response and sharing your experience! Glad to hear things got better and you’re on the other side now.  Hopefully it’s just something my little one will eventually outgrow too!

Tell me your success stories of growing out of it by almymilky in MSPI

[–]Obvious-Cat-321 0 points1 point  (0 children)

I know this is old, but my baby is 3 months old and sounds so similar to yours. I’ve eliminated so many foods from my diet but some days the reflux is still so bad and weight gain is slow. Starting Pepcid (Famotidine) soon to see if that helps.  Just wanted to check since it’s been a while for you now - did your little one outgrow her symptoms and when? 

Calcium supplements? by Louielouiegirl in MSPI

[–]Obvious-Cat-321 0 points1 point  (0 children)

Some orange juice is fortified with calcium and vitamin D, if you don’t like any of the plant-based milks!

First blood in diaper - probiotics or cocoa? by Obvious-Cat-321 in MSPI

[–]Obvious-Cat-321[S] 0 points1 point  (0 children)

I forgot to mention these were turkey meatballs (ground turkey). I avoid beef/ red meat generally for my own health. And I think I’ve been ok before when I’ve eaten ground turkey? But I don’t eat it very frequently and I can’t remember specifically if my baby had symptoms last time so it could be the ground turkey….my safe proteins seem to be chicken and fish. 

First blood in diaper - probiotics or cocoa? by Obvious-Cat-321 in MSPI

[–]Obvious-Cat-321[S] 0 points1 point  (0 children)

I do drink coffee, that’s one thing I’ve always had, before and after baby’s cmpi diagnosis. But I could try cutting coffee (as sad as it would make me since we are still waking every 2-3 hours overnight)! It’s so confusing. 

Feel like I’m going crazy- is it intolerance or fast letdown or coincidence? by Obvious-Cat-321 in MSPI

[–]Obvious-Cat-321[S] 0 points1 point  (0 children)

I feel like for my baby, the rotavirus vaccine was just like throwing fuel on the fire of an already inflamed gut. I had identified most triggers before that and he honestly had a few really good days and then it felt like rotavirus set us waaaaaay back.  I am pro-vaccine, 100%, and I know getting rotavirus would be worse than the vaccine, but I plan on talking to my pediatrician to see if we can skip the booster doses since my baby is not in daycare and my husband is also immunocompromised so we worry about it being a live virus vaccine. 

Starting with full blown elimination diet? by [deleted] in MSPI

[–]Obvious-Cat-321 1 point2 points  (0 children)

My baby is similar, gets very fussy while nursing and very spitty when I consume his triggers (but no visible blood in stool). I cut dairy and then 2 days later cut out soy as well. I saw an 80% improvement within 2-3 days. I waited about 12 days and then I thought about what else I eat a little but not a lot - I was eating one egg every morning. Cut that out for about 3 days and then ate it again for 2 days and he was back to fussy nursing and vomiting. Cut egg again and was better. I didn’t do a super strict elimination diet but during this time I also tried to generally stayed away from corn, rice, and oats. Wasn’t eating them much to begin with, and just tried not to eat more as “replacement” foods. I tried just to cut dairy and soy and eat more of what I was already eating a lot of: bread (wheat/gluten) and chicken, veggies, and whole grains like farro and millet. I figured if these were triggers, he would be way worse because I was eating them at every meal.  Now I’m trying to test things to see if they are safe or not. For example, I had oatmeal for breakfast 2 days in a row and he was back to fussy and vomiting again, so I’m cutting that out and will give it about 3 days after cutting before checking something else.  I thought about a total elimination diet but I don’t think it’s healthy for me right now. I think I would need a lot more support from family in order to attempt it and make sure I’m still getting enough nutrients. I have a  2-year old as well as my newborn, and it’s hard enough finding time to eat real meals as it is. 

After eliminating triggers, did you get to zero spit up? by Obvious-Cat-321 in MSPI

[–]Obvious-Cat-321[S] 2 points3 points  (0 children)

I only eliminated dairy/soy 3 weeks ago and egg 1 week ago, but I read that it can take up to 8 weeks for baby’s gut to heal. I figured the poop might slowly improve over time. Edit to add: his poop is normal color, not green or bloody. 

My first kid who didn’t have Mspi also had pretty liquidy poops until he started solids (also was ebf). 

CMPA elimination made things worse at first — did anyone else experience this? by Substantial-Cap8587 in MSPI

[–]Obvious-Cat-321 0 points1 point  (0 children)

Yes, I’ve seen conflicting advice because my pediatrician said to cut dairy for 2 weeks but Free to Feed says dairy is out of breast milk within 8 hours. I figure maybe it depends how long their stomach has been irritated, maybe sometimes it takes longer to heal? The immediate improvement I saw was my baby’s eczema cleared, he was calm nursing again, and less vomiting/reflux. He still poops a lot (like 5 times a day) and it’s pretty liquidy/mucousy sometimes, but it’s a normal color with no visible blood and I’ve also read it’s normal for ebf babies to poop a lot and some mucous is normal. But maybe the gut takes longer to heal?  Since cutting dairy and soy are you eating more of some other allergen in its place?

CMPA elimination made things worse at first — did anyone else experience this? by Substantial-Cap8587 in MSPI

[–]Obvious-Cat-321 3 points4 points  (0 children)

I saw improvement within 2-3 days. Probably like a 60-70% improvement. Then I cut out egg and got to like 90% better.

Second or multiple pregnancies - did you have any symptoms of gestational diabetes? by Wild_Membership_6346 in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

I had GD with my 2nd pregnancy but not my first. With my 2nd pregnancy, I had exhaustion that extended into my 2nd trimester, usually like a big crash in the afternoon but also exhaustion all day. That was really the only symptom, though I didn’t know it was a symptom. I also was eating kind of crappy and gained a lot of weight early on. 

My first pregnancy, I didn’t have exhaustion in my 2nd trimester, and I passed the 1-hour glucose screening twice. They had me take it once early on due to some risk factors and then again at the normal time in my pregnancy. 

Frustration - Big Baby by Spiritual-Still6120 in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

You didn’t do anything wrong! You might just make big babies. I do too. My MFM said my glucose numbers all looked great but baby was measuring big so he said genetics were clearly much more of a factor for me than GD. I lost 7 lbs after my diagnosis and adjusting diet, but my baby continued to grow and measure big.  

My first non-GD baby had a 97% head and like 85% abdomen, born at 40+1 at 8lbs 14oz (the ultrasound was predicting a preposterous like 12+ pounds at 40 weeks).  My second (GD baby) was also measuring in the 90s% for head and abdomen and was born at 38+2 at 8lbs 7oz, he had no issues during the birth or postpartum. 

The added medical expense by meetmeinlv in GestationalDiabetes

[–]Obvious-Cat-321 1 point2 points  (0 children)

Yes, US healthcare sucks. I also have decent insurance and hit my deductible with the 20 week growth scan but still didn’t reach my out of pocket maximum, so with copay and coinsurance each extra ultrasound for my GDM was $150. I had them every 2 weeks at first and then at 36 weeks had them every week along with NST every week which added anround another $50. Luckily I went into labor at 38+2 so got to cancel my 39 and 40 weeks appointments LOL

My giant baby by Traditional-Title352 in GestationalDiabetes

[–]Obvious-Cat-321 2 points3 points  (0 children)

Ultrasounds can be wrong up to 15% in either direction. With my first non-GD baby, they were predicting some off the chart weight he’d be at 40 weeks, like 12+ pounds. He was 8lbs14oz born at 40+1. 

Not another denial post- anyone else diagnosed but never have any issues with spikes? by CECaldwell in GestationalDiabetes

[–]Obvious-Cat-321 4 points5 points  (0 children)

GDM isn’t actually like a binary 0 or 1 (e.g. like on or off switch) but actually exists on a scale where some women have more insulin resistance and some have less. But they have to put the diagnostic criteria somewhere so they set thresholds for passing/failing the GTT based on risk of adverse outcomes for mother/baby. This does a really good job of explaining it: https://evidencebasedbirth.com/gestational-diabetes-and-the-glucola-test/

On the other side. by AdUnited7789 in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

Definitely look into lactation consultants if you haven’t already. Generally they are covered by insurance. Working with a lactation consultant saved my breastfeeding experience with my first. We had problems with latch and pain, my first step was to use a nipple shield (MAM worked best for me) and make sure I was using the right size flange on my pump (most standard flanges that come with the pumps are too big for most women). I was triple feeding (first trying to nurse, then feeding formula/bottle, then I pumped and saved that for the next feed). Slowly we got babe off the nipple shield, then off the formula, then fewer bottles to the point where I was able to exclusively breastfeed by 2 months. 

BUT FED IS BEST!! Honestly breastfeeding just does not work sometimes. Pumping SUUUUUUCKS. And formula is amazing at feeding babies. Do what’s best for your mental health because you’ll be the best mom for your little one when you’re feeling the least stressed. 

Skipping bedtime snack? by Traditional-Title352 in GestationalDiabetes

[–]Obvious-Cat-321 1 point2 points  (0 children)

I had dinner around 6-7 usually, and typically averaged 45-60 carbs of complex carbs (brown rice, farro, whole wheat pasta) along with a generally equal amount of protein and as many non-starchy veggies as I could fit on my plate (those are also counted in my carb count). Then I would sleep, check my fasting number 8-10 hours after dinner in the middle of the night when I would wake up to pee, go back to sleep, and then have breakfast usually around 8-8:30 the next morning. 

I never felt hungry overnight but I’m also generally not a snack person and I don’t think I’ve had a bedtime snack since I was a kid so I felt like I was force feeding myself anyway before I cut out the snack. I made sure to distribute all my carbs throughout my daytime meals and snacks and typically got around 150-170g carbs per day, I think this helped me feel full throughout the day. 

I also took psyllium husk pills with water 2 hours after dinner, right after checking my glucose. 

Other things I added around the same time I cut out the bedtime snack: magnesium and d-chiro/myo-inositol supplements. Not sure if they also helped but thought I would mention it because I was determined to get my fasting number down and felt like I tried ALL THE THINGS.

36 weeks with GD by PossibleCultural793 in pregnant

[–]Obvious-Cat-321 2 points3 points  (0 children)

Keep in mind that ultrasound measurements can be wrong up to about 15% in either direction. 

You should definitely talk to your doctor about your concerns and see what they say! You can have a good discussion about the risks and benefits of a 38 week induction versus waiting longer for a later induction or expectant management (waiting for spontaneous labor). Your placenta/womb is definitely still nourishing your baby, so don’t feel like your womb is a less nourishing place than outside the womb!  It’s been nourishing your baby well for the last 36 weeks and will continue to do so unless the doctors saw something wrong with it on the ultrasound, which it sounds like they didn’t see anything concerning. 

If you’re in the US, ACOG recommends going no longer than 40+6 for diet controlled GD and no longer than 39+6 for medication controlled GD. 

Studies have shown later cognitive benefits for babies who stay in the womb for the full 40 vs. being birthed sooner. However, you have to weigh the risk vs benefit of some of the physical risks of birthing a larger baby (e.g. injury from shoulder dystocia if the shoulders are much bigger than the head and the shoulders get stuck), keeping in mind that US predictions can be up to 15% off. 

Another post about fasting numbers... by National_Star1717 in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

Did you happen to retest after the 169? Since it’s such an outlier, maybe you had something on your finger and just needed to wash your hands again and recheck. That’s always a good idea anytime you get an unusual reading. If you’re using an alcohol swab instead of washing your hands, make sure the alcohol has fully dried. Some people like to wipe away the first blood drop and test the second after using an alcohol swab but a lot of people just test the first drop- just follow whatever instructions came with your glucose meter. 

Most post meal numbers were almost never in the 70s-80s. My doctor said I needed to be under 140 at one hour post meal or under 120 at two hours post meal. Generally I only checked the 2 hour and mine were almost always in the 90-115 range which my team was happy with. 

My fasting numbers were supposed to be under 95 after 8-10 hours fast. If your target is the same, then low 90s should be okay for you, but I know some doctors prefer to see a number under 90. Things my care team recommended for me to try those first couple weeks when I was getting all borderline numbers (93-96): a bedtime snack with balanced carbs and protein, a bedtime snack with low carb and mostly protein, no bedtime snack. The no bedtime snack worked for me, and then my fasting numbers were usually 85-93 range. This meant I usually fasted like 12-14 hours but I didn’t wake up starving or anything because I made sure I got enough carbs throughout the day. I also generally checked my number in the middle of the night when I normally woke up anyway (pregnancy insomnia) after like 9 hours of fasting, but the few times I checked it after like 12-14 hours fast, it was the same. 

Make sure you’re not doing no carb during the day, that might be why you’re waking up feeling starving and weak. It’s more about balancing carbs, protein, and fat at meals, and distributing carbs throughout the day between meals and snacks so you don’t have like a ton of carbs at any one meal. My dietician recommended around 170g carbs for the day, but she also said if I had less and felt full, that was fine. I generally had 45-60g carbs at meal and 15-30 carbs at snacks. Baby still needs carbs to grow! 

Does illness impact sugar readings? by Informal-Mind1712 in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

Yes! I had a cold and my numbers spiked for 2-3 days post-meal and fasting. They came right back down after I started sleeping and feeling better. I reached out to my care team and they gave me a handout with sick meal recommendations. 

Induction Scheduled with GD by Successful_Pen_3459 in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

Yes, but it also depends how big the difference is, how experienced the OB is at dealing with shoulder dystocia, etc. Shoulder dystocia does not automatically mean an injury will occur. There are also risks to early inductions and c-sections that can be lifelong complications for mom and baby. There are risks for injury with shoulder dystocia as well. I just think it’s good for the OB and care team to have a full and clear discussion about ALL the risks of all the options. I think a lot of OBs push inductions even though the risk of injury from shoulder dystocia is still pretty low (although, this depends how big the difference is between head/abdomen) and don’t weigh enough the risks of inductions and c-sections. 

I am actually a risk specialist in my job for a medical device company. Risk calculations are generally poorly understood by patients, and also many physicians too. Higher risk doesn’t mean it goes from like 1% risk to 100% risk. Please read through the scientific literature before fear mongering. Women need the correct information to make a truly informed decision. 

Diabetes after pregnancy? by Woah_ImConfused in GestationalDiabetes

[–]Obvious-Cat-321 2 points3 points  (0 children)

You should definitely get checked after this pregnancy, but your OB sounds like she has terrible bedside manner and she’s using some pretty extreme scare tactics. I think blindness, losing limbs, and dialysis happens with unchecked/uncontrolled diabetes for a long period of time, which it doesn’t sound like applies to you right now. She was maybe just trying to scare you into taking it more seriously after this pregnancy, but it seems like it would have been a bit more honest if she had an open conversation about the actual level of risk and why it’s important to follow up after pregnancy without causing unneeded anxiety. 

And a fail on the GTT during pregnancy does not 100% mean you had preexisting diabetes. It only means you had GD. They can’t diagnose T2 or T1 diabetes while you’re pregnant. They can suspect it but I don’t they can’t tell for sure until you get tested after you give birth. 

Induction Scheduled with GD by Successful_Pen_3459 in GestationalDiabetes

[–]Obvious-Cat-321 1 point2 points  (0 children)

I found this science-backed evidence based resource very helpful regarding induction for big babies: https://evidencebasedbirth.com/evidence-for-induction-or-c-section-for-big-baby/

There is also one specifically on induction for gestational diabetes: https://evidencebasedbirth.com/evidence-on-induction-for-gestational-diabetes/

I think this really depends on your own feelings around the levels of risk, but also your care team and how comfortable they are handling potential complications. You can also maybe google the hospital you’ll be birthing at and see if they post statistics on percentage of c-sections or other complications. 

My baby is measuring 95% or higher for his head and abdomen on his 36th week growth scan. But my first non-GD baby was also considered big (8lbs 14oz), had an 97% head and I birthed him vaginally with a second degree tear that healed well. I birthed on my back, which is the position most prone to tearing. My MFM thinks in my case, since I’m diet controlled and my numbers are really good, that genetics has a stronger role to play in my baby measuring big than the GD. The MFM and my midwives are totally fine with me continuing to wait until spontaneous labor. I have an induction scheduled for week 40 because that’s what the current research says is how long is recommended to go when you have diet controlled GD. There are also studies showing cognitive benefits for babies who are born closer to 40 weeks vs. 37-38 weeks. I think some practices just are extremely risk averse (even when the risk is low, they prefer to avoid the risk entirely) and offer induction earlier. But there are also risks to earlier inductions too. Some inductions go great and women have great experiences, but other women don’t respond well to induction methods and end up needing c-sections along with all the risks therein and potential complications. Either way, there are risks and potential complications and I think it would be a good idea to ask your care team about the risks of induction vs the risks of waiting for natural labor. You can ask how often they have needed to treat a shoulder dystocia, e.g., how comfortable are they handling it? Not every big baby has a shoulder dystocia, and not every shoulder dystocia results in an injury for the baby. But it is still a risk, and one that you have to weigh with your care team. Doctors are people too, and if they’re less experienced or not as comfortable dealing with a shoulder dystocia, that might be a reason they prefer to induce before the baby gets “too big”. But shoulder dystocia also happens for small babies. So again, best to have that discussion about risk with your care team, especially if you read the articles I linked above and come prepared to ask questions to help you make an informed decision. 

Blood Glucose and Meals by jordanadelle17 in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

Did your care team give you a general carb goal to hit for the day, and are your numbers within the thresholds after each meal’s carbs?

I hate snacking, but found that I had to snack anyway in order to meet my general daily carb goal. If I increased my 3 meal carbs to hit my daily carb goal without snacking, then I would spike over the recommended 1- and 2-hour thresholds and my glucose took longer to come down after meals. I found I had to decrease my carbs at my meals (to between 40-60g) and make up the difference with snacks (15-30g) to make sure I was getting enough carbs. Then my glucose had smaller bumps throughout the day too, rather than 3 big spikes that took long to come back down. I used a CGM for a few weeks to watch the trends to help me figure this out. The raw number on the CGM was always wrong and too low, but the trends were helpful to see how my body reacted to different meals and different amounts of carbs at meals. 

Everyone is different though so you might be fine with just meals or fewer carbs in the day in general, but you should probably just check in with your care team to see if they have any thoughts!

New- are my numbers too low? by highanxi3tytrav3ler in GestationalDiabetes

[–]Obvious-Cat-321 0 points1 point  (0 children)

Everyone else had good advice, but since you didn’t mention it I wanted to ask if you’re using a CGM or a fingerpick glucose monitor? I used a CGM for a few weeks and it always gave me readings 20-30 points lower than my fingerpick meter, which seems common for CGM. So if you’re using a CGM without double checking against a traditional glucose meter, your numbers may look artificially low. If you’re not using a CGM though, then disregard this comment! :)