Gestational Diabetes
Goodday Doctors and BV's , am a ftm and 38weeks gone though I have had double plus (++) on my sugar level urine test for two times consecutively , presently I have denied my diet of anything sugary and carbs.
Does it mean I have Gestational Diabetes? And if so pls how will this affect my baby? Has anyone been through this, how did you cope?
Kindly share a diet plan and best meals to eat that would help control this. Please help a worried ftm.
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Abdominal Tuberculosis or Endometriosis
Kindly help me post this in the doctor's section as soon as possible. I am putting this up on behalf of a colleague who needs to take a decision urgently to avoid further complications.
Her stomach started swelling mid-last year and everyone thinks she is pregnant. She initially thought it was fibroid but upon several visits to different hospitals, some practitioners concluded it was abdominal tuberculosis while two others called the condition endometriosis. However, from various tests (including CT scan and ultra scan) carried out and personal research, there isn't any trace of tuberculosis and she is experiencing the following;
Gross ascites, drastic weight loss, loss of appetite, low blood count, fluid in the stomach, etc.
Just this week, she consulted two renowned practitioners, one of them is familiar with the condition which is said to be rare. They both recommended two different treatments which has really gotten her confused.
Is there anyone that is familiar with this condition? Can we get referral to a good practitioner in lagos just a get a third opinion?
Note: She has been TTC for 8 years which isn't making it easy to take a decision as one of the possible treatments will affect her ovaries.
Please Stella, I don't want this e-mail address to be published. In case anyone needs to send a mail, it can be sent to teejournals@gmail.com
Thanks.
God perfect their health. Amen
ReplyDeletePoster one relax urself as you may not have GD yet.Meanwhile GD usually disappears after delivery.Although some complications may arise affecting the baby negatively but in most cases the babies are fine and may need just close monitoring to stabilize the glucose level as they tends to be low.You may need to cut down on ur suger in take for now bt not completely.Baby needs to be delivered earlier since they add more weight expecially in this late stage of preg.
DeletePoster 2...What was the findings from the scan results?? Was it an abdomino pelvic scan??? If yes am sure it must point out if there is any problem.What about the ovaries and other pelvic organs any findings??? Am sorry bt it seems you are yet to visit any hospital.Whats with this acities and fluid retention does she smoke or any of its likes that may affect the liver?Pls visit a teaching hospital asap.And you need to redo that scan.
DeletePoster1 do u usually take sugary foods before Ur urinalysis during Ur anc..if so,stop it..it wiill make Ur urine to be sugar positive ..it happened to me once and Dey made me do fasting blood sugar test dat is so tym consuming..since den..I stopped eating before going for anc
DeletePoster 1, do not joke with high blood sugar in pregnancy. You are term already, go and deliver your baby. They can induce you. Diabetes, is one of the highest causes of still births. Today baby is fine, 30mins later, no more heart beat.
DeletePoster 2, Abdominal TB is very tricky. If you are having Ascities, ,,i won't be thinking Endometriosis. I hope it is not a malignancy.
Meanwhile, it is not impossible that the two conditions can co exist. All the symptoms you listed from scan weight loss, low blood count etc points to either TB or a malignancy.
Now, it is possible you also have endometriosis. But please do not take chances, if it is TB, you need to take care of it aggressively.
The only solution now is to go to a TERTiARY center. A teaching hospital where you have all the different consultants will be the best. TB is managed by internal medicine team, endometriosis is by gynaecologists and malignancies by oncologists. It is possible you have been going to a private hosp run by different specialists so they make the diagnosis on their own field.
Forget about all the things said about govt hospitals. That is the only place I will suggest. You can go to somewhere after they have made a DIAGNOSIS that is definitive.
The most important thing is to make a diagnosis. In these hospitals, they put head together and argue and discuss and make a joint decision which is better than one single opinion. Once a diagnosis is made, you have solved 50percent of your problems.
Nna m, mee ihe I ji buru Chi. Doctors, over to you.
ReplyDeleteI wish I could help medically but since I can't, lemme ask God to heal and fix u up.
ReplyDeleteHmmm!!! I pray y'all find the necessary help you need.
ReplyDeletePoster 1.... Google is your friend not enemies.
ReplyDeletePoster 2... God the healer will send divine healing to your friend. Kai so many sicknesses in this world ooo
It well
ReplyDeleteThe lord is your strength posters.
ReplyDeleteEat good food while pregnant,you people will not hear...
ReplyDeleteStrolls out of this post mehn!...
Foolish woman...house girl of this blog....who dash you queen taa!!!
DeleteDid u read at all? Or you just came to sprew trash? Why am I even surprised
DeleteAre u minding her? Stupid woman with that ur smelly mouth.
DeletePoster 1, call up a good gynae & ask him/her all of that to be more convinced. And pls watch ur diet. Some of these things stay, n some leaves. Just be mindful of wat u eat. I wish u safe delivery sis.
Poster 2, ask ur friend to do a liver/kidney checkup.. cud be any of those. Ur friend is healed in Jesus name. Amen.
Jesus fix this
ReplyDeleteFTM,Congrats.
ReplyDeleteYou might have a macrosomic baby...mine weighed 4.8kg. The only issue was that he was kept in the neonatal section for observation cos his glucose level was sooooo low. They stabilised it before we were allowed to leave.
The implication is that you should have your baby at least before the 40th week cos they keep getting bigger.
Doctors will tell you if you have gestational Diabetes or not. Once you give birth,most people do not have it anymore.
This is my lil experience,hope it helps. I wish you all the best.
Second poster.
ReplyDeleteMy prayers are with her.
Poster 1,you have gestational diabetes and would disappear after birthing your baby if you manage it well.Tho some of the risks of gestational diabetes are birth defects, jaundice,and hypocalcemia(low calcium in the blood)but its not ur portion IJN.Please don't cut off catbs from your diet to avoid hypoglycemia which can lead to reduced supply of glucose to the fetus. Google low glycemic foods for diabetics,eat more of vegetables and proteinous foods.Most diabetic pregnant women give birth at 36weeks to avoid fetal stress.
ReplyDeleteI haven't opened this section in a long while.
ReplyDeleteTo the posters I can only pray for God to stretch His healing hands to you. Someday I'll send my testimony here. God alone can do it.
Fix it, Lord
ReplyDeleteGod have your way in this situations.
ReplyDeleteLord take over, receive healing ijn amen.
ReplyDeleteFor the diabetic fella: Avoid starchy foods and if you must eat carbohydrate,eat complex ones;wheat bread,ofada rice (very little and once a while),unripe plantain,avoid sugary fruits,eat beans,eat leafy greens.
ReplyDeleteWhy are you dashing her diabetes na?
DeleteJesus christ! God forbid. Please stella, you have to find a way to control who posts /dishes out directives in this column.
DeleteThis is crazy. Someone can die here o.
Elena and Co... You are needed here ASAP please.
ReplyDeleteThis case does not look like endometriosis. The signs of weigh loss, ascites, blood in the abdomen is highly suggestive of malignancy i.e cancer. How old is your friend, what's TTC? Where does you friend reside? The location will determine the recommended hospital. It will be better for her to go to a teaching hospital in the state where she resides rather than patronizing numerous private hospitals. If she resides in Oyo state she could go to UCH or OAUTH. She really needs an expert not a guess work. It may also be abdominal tuberculosis but cancer must equally be ruled out. I'm 100% sure it is not endometriosis.
ReplyDeleteTrying To Conceive
DeleteTTC means trying to conceive
DeleteTTC is "trying to concieve" n if u read carefully ull see a part where Lagos was mentioned. Now u can help.
DeleteAlright. She may go to Lagos island maternity hospital, LASUTH or LUTH. These 3 Hospitals are teaching hospitals in Lagos and should be able to help. She should go with all her previous CT scan and ultrasound scans. I may contact you via the email address you provided if I could link you up with a doctor in one of the hospitals that may be of help when she visits. This case is an emergency because if it's a malignancy it needs to be properly evaluated for early treatment and possible surgery to reduce the risk of metastasis.
DeletePlease check you mail.
DeletePoster1, have you heard of Acha. I don't know if dats the Hausa or English name, Acha pudding or vegetable Acha is very good for your case. A mudu is sold for #400-700 depending where you are.
ReplyDeletePlease how is Acha prepared?
DeletePoster one i don't think u av gestational diabetes just yet..try as much to go low on all forms of sugar and carbohydrate..take protein n fiber filled food and also lots of water,fruits&vegetables..wash fruits and veggies thoroughly though..all the best ur almost there..if u do so God's willing before,ur next doc app ul,be clear of all + on sugar..all d best..
ReplyDelete1st poster- yes thats GDM. While there are some other more rare complications, being born big is the most common complication for GDM. You have to be properly monitored though, GDM can be associated with some other bad complications; but in the majority of cases baby is fine but may require a few hours of monitoring.
ReplyDelete2nd poster- you didn't describe the symptoms well in the right chronological order but that doesn't sound like endometriosis. In rare cases, abdominal TB manifests without a clinical TB but it is very very rare. She should get her liver and ovaries evaluated- I hope it is not a tumor sitting down somewhere. It could also be ovarian hyperstimulation- depending on the duration.
My advice is to go to LUTH or LASUTH; she might require procedures and multidisciplinary management.
Let me know if you have further questions.
God grant us good health!
DocKay!
Thanks for your suggestions. The liver was checked and is okay. Ovaries weren't seen even after CT Scan. She resides in lagos. Can I get an e-mail address so she can send a proper mail to you? Thanks.
DeleteNawa Oo! Different sickness everyday. God please heal and make them whole. Its well with you in Jesus name
ReplyDeletePOSTER ONE- DRINK LOT OF WATER, IF POSSIBLE 3-4 BIG EVA WATER PER DAY!!!!
ReplyDeleteGod perfect their health condition.
ReplyDeletePoster 2 is pregnant. Tell her to b careful wat she tks in. D day she eventually decides to operate whatever she/doctors believe is inside, dat day she will carry her baby. Na God no y nobody dey see d baby, not even machine. I don SEE nd hear many cases like dis. Pls com bk nd tell us d outcome
ReplyDeleteThere was a case on NL last year; the young man had symptoms similar to what your friend is having... after numerous tests and hospital visits he was diagnosed with stage 4 cancer. The doctors couldnt even tell where the cancer emanated from. Before the young man could commence treatment he died. Please advice her to go to a teaching hospital or very good hospitals like lagoon; reddington etc for fast and proper diagnosis.Time is of essence.
ReplyDeletePoster 2. she is 40 yrs old. TTC means trying to conceive.
ReplyDeleteI need drugs that will make me to ovulate am not ovulating and am ttc
ReplyDeletePoster 2, please advice your friend to seek medical help overseas,i am no doctor but gross ascites is a symptom of an underlying ailment which could be life threatening,not meaning to scare her but she can as well use the internet to research about the symptoms she is having.
ReplyDeleteA close friend had this same problem poster 2 had, she visited more than 12 hospitals both teaching hospitals and private but she ended up in India where she had to have surgery to remove her uterus and ovaries whivh was the last resort as she had already been told the same thing in Nigeria.
Though your friends case may be different,the truth is that she might not get much help from hospitals in nigeria.Please be strong for her as she is going to need lots of love and support esp as she is TTC.
Shut your mouth if you are not a doctor.
DeleteDo do you think she will just wake up one day and start going abroad? What will she be doing at the interim.
They have handled complex cases. People have also be operated and are free from cancer.
Your advice can kill someone. For your information, no two people have the same ailment, no two people's case is the same. People respond differently. Not everyone that has gone to India survived so please allow her to make an informed decision. Your friend is your friend, blog visitor is blog visitor. A doctor is a doctor and you are not one.
Trying to ovulate see a gynae who will most likely administer Clomid. You may be asked to do a hormonal assay which is ascertain what's wrong with your hormones. Could be nothing at all or a number of things.had an issue like that and I have a daughter and a son on the way. Good luck dear.
ReplyDeleteHave don hormons test and it said am not ovulating my doc gave me clomid for three month and is not working
DeleteWhat dosage of clomid were you given. Usually you start off with 50th and can go up to 150mg..ask your Doctor and try to read up as much as possible on your condition. I took 150mg and ovulated with it and had my daughter. You may also be asked to do follicle tracking that ensures you are actually ovulating with the right dosage. Goodluck
DeleteI can laufffffff oooooo
ReplyDeleteI can laufffffff oooooo
ReplyDeletePoster 1 sugar in ur urine is not confirmatory of GDM it may just be that u ate lots of sugary/starchy meal prior to the test. To confirm that, a Fasting blood sugar should be done as well as OGTT. Nevertheless d main issue with GDM is big babies and as such d baby may need monitoring when delivered. Just stay on top of it with ur OBGYN
ReplyDeletedoctor
Poster 2 there r lots of differentials, it is most likely a chronic n malignant condition and d CT scan most likely wld have said something..... she needs to visit a tertiary health institution for proper care
I support everything you wrote here and they all make sense. The weight loss points more towards a malignancy, so the poster should see a specialist asap.
ReplyDelete