Pregnant and questions about glucose test, gestational diabetes, etc.

I want to know how you ladiies are eating. My doctor says I have to gain at least 20 lbs. and I can't seem to even gain one. I am 12 weeks pregnant and still losing weight. I am due 6/7/11.

I'd like to know if its suggested to do the glucose test, I already have blood sugar issues with eating - I crash most of the time right after eating.

My OB and his nurses are printing pages out of files and textbooks on how to take care of a bariatric patient it makes me nervous, but I do love their office and staff.

And I am worried about the growth of the baby - they said the next ultrasound will be done between 20-24 weeks ... the 'gender' ultrasound.

Perhaps I am just nervous or over reacting but I didn't expect this pregnancy and I want to do everything right by this  baby as much as possible.

My OB was not worried about weight gain until my 2nd Trimester and I actually lost about 12 lbs in the first Tri. I am a month away from having my baby (tho I swear he wants to comesooner LOL) ans now I am up by 12 lbs. The most important thing is that your baby is growing at a healthy rate and gaining which your OB should monitor. Just try to eat as much as you can and often, I now eat hourly. It is hard to find a Doc that knows how to handle a WLSer so doing research yourself and informing the Doc usually helps. Ask to do the fasting glucose test instead of the drink due to sugar issues. Very simple, I just had blood drawn then went to eat and returned for another blood draw to compare 2 hrs after I ate. Good luck!

Thank you very much for the information. I know I'm not the first or last to go through this - just wanting to know if I could help my OB out in any way at all and of course keep a good healthy mommy and baby :)

I lost about 11 pounds and now I am about 16-17 weeks I am bad about keeping up this pregnancy but now I am holding steady. I am also having twins so they expect more weight gain but as long as I am eating and all thats all I can do. I am not going to stuff myself to gain weight. I am going to eat what I can and go from there. Last year I did not gain 20 and my baby girl was just fine. All babies grow at different rates in the begining which is why my doc wont start doing measurements on baby and all till about 25-26 weeks then I go every 4 weeks for growth ultrasounds. Which is always fun. I have issues with low blood sugars all the time so I keep like hersheys kisses with me all the time. I put one in my mouth and suck on it not chew and swallow so that way by the time its gone I feel better. It helps. Plus eating something every hour has helped with my blood sugar

Whew i feel ya on the OB looking at a book not really knowing what they are dealing.  With those some concerns, I eventually changed my OB to one that actually had WLS patients.  Eventually I just got fed up with the last OB doc not asking the right questions my WLS doc said they should be concerned about. 

I was just asked to do a glucose test, but after talking it over with the doc we decided to NOT do it since it would cause a dumping affect and I literally cant drink that much in one sitting anyways.  So I just get a glucose finger stick with a 12 hr fasting at my 2 wk visits now that I am in my 3 trimester. No big deal and all is well. 

I lost  around 30 lbs, 198 to 168, in my first trimester, went to a max of 190 at the end of my second trimester and now am at 185.  So really I havent gained any, lost and at both of my ultrasounds the baby was doing just right.  I have to admit I have been heavily fatigued and exhaused and I really do think its b/c of the protein and iron levels.  I have been eating more, esp in my second trimester, but now its like I cant eat half as much stuff.  I throw up at least once a day and I am dumping more.   Yeah this is all bad, but again the doc has reassured me the baby is fine and I need to get use to eating more freq and lessen my portion sizes. 

Overall, as with many others who advised me throughout this whole preg dealing with WLS, I am fine and so will you :)  Nervousness is normal and keeps you on your guard.  A good thing.

Thank you ladies :)

I am suppose to do the  blood glucose test in a few weeks and I think I am going to pass on it letting them know that they need to find an alternative. I just dumped last night for the 1st time ever and I swear I never ever wanna go through that again... it was HORRIBLE :(