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Hyperemisis/Gestational Diabetes/PrednisoneFrom: Amy (anonymous@obgyn.net)Wed, 26 Jul 2000 15:37:57 -0500 (CDT)
I have posted many times about my problems with hyperemisis, kidney infections and stones, preterm contractions and Lupus during pregnancy. I thank you for all the input I've received so far. Because of my hyperemisis I could not tolerate the GTT so the doctors assumed everything was fine. I went in for a routine ultrasound to check growth yesterday and at 30 weeks gestation the baby weighed in at 2091 grams and was in the 95 percentile in growth, so my mfm doc took noticed, paid attention to the random glucose tests my rhuematologist had ordered which were always elevated and has decided that I have carbohydrate intolerance (aka gestational diabetes?). How can this be so when I still throw up 20 times a day, manage to keep down far fewer than 2000 calories/day and have only gained 10 pounds (no net gain in 10 weeks)? I take 20 mg of prednisone to control my Lupus. Could the prednisone be affecting my blood sugar? If I cut down or went off of it would that solve my problems? I'd rather live with pain and fatigue than gestational diabetes. What happens now? Will my baby just keep getting bigger--until I have a 10 or 11 pound baby? How do they treat people with "carbohydrate intolerance" late in pregnancy? My doc has me scheduled to talk to a nutritionist in a week, but I don't know how she can help me. It's just to a point where I can eat ANYTHING and keep it down. Radically modifying that tends to make my hyperemisis much worse. What can I expect in terms tests/monitoring for the rest of my pregnancy? If my baby is huge will they induce? I'm sorry for all the questions. I just can't believe all the crazy things that keep happening to me.
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