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Recent Gestational Diabetes questions

I was wondering if you have experience in dealing with

Hello, I was wondering if you have experience in dealing with patients that have gestational diabetes I am a student at MIT working on developing a startup adressing issues facing patients with gestational diabetes and was hoping to ask just a couple of questions to validate our assumptionsJA: Have you seen a doctor about this yet? What medications are you taking?Customer: I do have gestational diabetes myself also - which is what inspired me to work on improving the experience for patients with this conditionJA: Anything else in your medical history you think the doctor should know?Customer: No

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Dr. Phil, MD

Internal Medicine Physician

Doctoral Degree

46,760 satisfied customers
I would like to determine my potential conception dates.

Hi, i would like to determine my potential conception dates. This is my case:My cycles are on average 30-31-32 days. Ny fertile window starts CD13 based on what my doctor has advised from regular exams and i ovulate on average CD16-17-18. My LMP was 21.11.2016. The cycle before that was 47 days with brown spotting for 3 days during ovulation. Now this cycle when I got pregnant i had an unwanted episode 30.11.2016 (CD9). After that starting CD15-CD18 i fell really sick with high fever and bad flu.CD18 they put me on antibiotics. After 12.12.2016 (CD21) i had regular sex with my partner. On 31.12.2016 already 10 days late accoridng to my mobile app i did a home pregnancy test and it showed a barely barely visible test line. I re-did the test on 02.01.2017 and the line was darker but still faint. On 03.01.2017 i changed brands with higher HCG sensitivity and the line was clearly visible. I immediately went to my gyno and explained her all above, did a vaginal ultrasound and she could barely see the sac but said it was empty and she feared it may be ectopic pregnancy. She told me that according to lmp i should be 6 but this looked like 4-4.5 weeks. I did B-HCG and it turned out positive, with result of 241. She told me its positive and that it looks like an early pregnancy, told me to wait 2 more weeks. After 2 more weeks (18.01.2017) i had another vaginal ultrasound and there was the embryo, heart rate and a crl measurement of 0.38cm which dated me 6weeks 0days gestational age. She said the discrepancy may be due to late conception but wasnt too reasuring. Diagnosis was normal pregnancy.Now my questions: is there any way i could have conceived from the episode 30.11.2016?Is this discrepancy between lmp and crl from late ovulation or could there be an issue perhaps from sickness or antibiotics? What are my probable conception dates? What happens if further along my pregnancy they push my due dates due to larger crl measurement and matching up with lmp, does this change conception? What if i give birth earlier does it mean that this early dating was incorrect and there is in fact the possibility that i have conceived 30.11.2016?

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Dr. D. Love

Doctoral Degree

16,600 satisfied customers
My wife is a 32 year old with an uncomplicated pregnancy.

My wife is a 32 year old with an uncomplicated pregnancy. She has a normal BMI of 21 pre-pregnancy, is generally a health eater, and she has gained a normal amount of weight (20 lbs) for her length of pregnancy (29 weeks). Two weeks ago she went for the gestational diabetes 1-hour test and received an "abnormal" result of 162. She has tried twice to do the 3 hour test with the 100 g glucose beverage but has vomited within 15 minutes of drinking each time.Our doctor recommended she use jelly beans instead and try a third 3 hour test, but we were concerned as we saw no evidence that this works. To the contrary a study on the issue suggests this is not an appropriate use. (Because of their solid form and additional complex carbohydrates, however, jelly beans may create a different serum glucose response through the course of several hours. We therefore would not suggest substituting a "double dose" of jelly beans in a diagnostic 100-g glucose challenge test." https://csmcobgynresidents.files.wordpress.com/2011/03/jelly-beans-as-alternative-of-50-gm-glucose-test-for-gestational-diabetes-screening.pdf.)So we were left in the situation that she might or might not have gestational diabetes, but we are uncertain about what to do because she can't stomach the standard 3 hour test. A OBGYN friend (not our doctor) suggested going on a lower-carb diet for a week and testing her blood sugar in the morning and 1 hour after meals with a glucose monitor. We have been doing this for about 5 days. Her fasting blood sugar averages 80 and her postprandial blood sugar averages 95-105 (her highest reading so far was 125 after pizza).From what I can tell, these numbers do not suggest GD but, on the other hand, she is closely watching her diet. We are unsure of what to do next.Should she continue to manage her diet as though she has GD? How strict should she be — mindful with the occasional indulgence? Extremely strict? Should she continue to monitor her blood sugar four times a day? Should she try another test?We would love another opinion on how to proceed.

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Dr. Scott

Doctor

1,168 satisfied customers
I am trying to find scientific evidence that active

I am trying to find scientific evidence that active ketoacidosis can cause false readings on a BAC machine.JA: Have you seen a doctor about this yet? What medications are you taking?Customer: yes, dx of gestational diabetes, insulin resistance and tested with ketostix that morning with a moderate to large readingJA: Anything else in your medical history you think the doctor should know?Customer: I have a history of morbid obesity, PCOS, insulin resistance. I am 41 years old in my 3rd trimester pregnancy (2nd). I test my sugars every day (4x) and my ketones every morning with the dip sticks. Had Gastric Bypass surgery in 2012, lost over 120 pounds and my PCOS/insulin resistance seemed to have resolved itself.JA: Have you been keeping a personal medical record?Customer: yes

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

54,700 satisfied customers
I had a gestational diabetes test. They did not give me

I had a gestational diabetes test. They did not give me directions to take home, so I did not eat anything prior to the test. I had my blood drawn at 10:45. They took much more blood than I remember, and I felt a bit weak afterwards. Now, I am feeling headache and general malaise. Is this common after the test? Thanks!

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1,486 satisfied customers
I have been diagnosed with GD even though all my numbers are

I have been diagnosed with GD even though all my numbers are low (72-98) an hour after eating even with a lot of carbs. My fasting number waffle between 93-105 depending on the day. They want to put me on insulin and I am hypoglycemic so I am afraid that it will bottom me out. The hospital is becoming very persistent. My doctor thinks they are being too aggressive and I am now second guessing myself. Am I putting my baby in danger having my numbers fasting slightly high? I'm more afraid of a hypoglycemic attack than of high numbers but now I am getting confused.

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

54,700 satisfied customers
I am currently 28 weeks 5 days with my second pregnancy. My

I am currently 28 weeks 5 days with my second pregnancy. My first I had high blood pressure now, I have polyhydramnios (25.7cm) and we are repeating the glucose testing tomorrow. Last week, I had an ultrasound at the hospital and everything with baby looks great. He is measuring 3lbs 3oz which is large in the 77th percentile and his stomach is in the 97th percentile which is the reason for the repeat glucose test. For two days now, I have been having random heartburn that comes out of no where and induces vomiting. Is the new symptoms of heartburn/vomiting cause for concern? What should I know about all symptoms and pregnancy at this point?

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57,738 satisfied customers
I have a question about blood sugar and eyesight. First,

Hi. I have a question about blood sugar and eyesight. First, I'm a bit of a hypochondriac, and second, I have PCOS, so it is reasonable to think I may have some insulin resistance. I have a cousin with type I diabetes and my mother at age 63 has for the first time in her life been tested and shown to have high blood sugar levels (previously, never any problem). That's the extent of my family history.So, my eyes have become a bit blurry lately. It's been gradual. I have become more nearsighted, some problems with night vision and so forth. I've put this down to eye strain from frequent screen time and possibly dry eyes from allergies, but who knows. The blurriness is marked compared to my previous excellent vision, but I can still read things reasonably well from a distance (i.e. the text on this screen would be simple to read from 10 feet away). Still, I've noticed a change.Anyway I have started being worried that what if this is due to some kind of pre-diabetes or god forbid actual diabetes? Last time (only time) I had my blood sugar levels tested was during my pregnancy in early fall of 2013 (so, 2.5 years ago). I did not have gestational diabetes at that time. Is it possible that I've become diabetic and it's causing my nearsighted-ness?

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Anthony Bray, MD

Doctoral Degree

14,614 satisfied customers
I understand that a woman's ability to conceive a child

I understand that a woman's ability to conceive a child goes down around age 35. Is this applicable only to the first child or to all children?

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Anthony Bray, MD

Doctoral Degree

14,614 satisfied customers
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