Gestational diabetes

[2nd time around]

I had GD with my first pregnancy while living in the US.  I am now pregnant again and wonder about the level of care here for GD.  I did a search here on the *** and it looks like GD is not taken as seriously here, several different threads are suggesting lack of concern on the part of the doctor, or very 'non chalant' diagnoses with little to no recommended treatment.

This is of concern to me.  Has anyone here had GD, been diagnosed and treated for it here in Singapore?  If you had good or bad experiences could you please explain and list the doctor you were seeing?  

Thank you.

[2nd time around]

Anybody?

[Gd2]

I was referred to see an endocrinology and was monitored quite closely by him.  Have to fax him my daily glucose monitoring report once a week and see him once a fortnight to do fructosamine and HbA1C test.  You can check him out at gleneagles hospital directory, on the 9th floor.

[No problem]

I had a baby a few months back and was diagnosed with GD during the last trimester. As my test results weren't too bad, my doctor referred me to a dietician. I had to do daily blood tests and had a follow up visit with the dietician and the doctor to review my daily readings. I didn't need any medication but the doctor did decide to induce labour at 37 weeks so that the baby wouldn't gain too much weight. I was seeing Dr. Thong at Raffles Hospital and would rate my experience with her as pretty positive.

[Me too GD]

I had GD with my first pregnancy. It was at 21 weeks and must say that the experience was pretty positive. It originally surfaced during the urine test which was administered as part of every visit and followed by a confirmation fasting blood test. When confirmed I was given a home glucose monitor to record and share the pre and post meal/snack blood sugar levels for the entire day, and since my case wasnt really extreme, was asked to do this once a week. And was referred to a dietician to keep my food intake in control.

Apart from this my doc also stressed that they would have to induce labor if the baby gained weight beyond a certain level, but luckily for me, my baby decided to come out by himself before they decided...

I think in general the medical community here is pretty vigilant, especially if they know that you already have gone thro GD before, as I have heard it from a few other friends of mine as well...

[Me three]

I had GD with my first one and second babies. I saw Dr Lee on the 9th floor at Gleneagles. I was monitored very strictly and had to fax charts and take tests just like the earlier post-er. I've been told that the glucose levels allowed here are much stricter than in the US. Can't confirm this though.

The birth was induced at 38 weeks as my gynae and endocrinologist told me that babies of mums with GD often develop problems like having heart failure at 39 weeks.

I really think you should not worry at all about the standard of care here. It's pretty high.

[We had been there]

My wife was diagnosed with borderline GD at the beginning of the 3rd trimester. She was given a home test kit to track her sugar levels through one day per week. If the levels broke the thresholds during that day, she would have to repeat it throughout the week. Fortunately, the levels didnt break the thresholds, so she could limit it to a day per week.

She was also sent to meeting with a dietitian who advised her on how to control the carbs and glycemic index and the like.

Things turned out ok in the end.

[Waffler]

I had GD too. My O&G was very cautious about it, referred me to a dietician and I had to do my blood sugar test levels once a day. In the end, I had other issues with my baby 'failing to thrive' so she never got very big, and we had a c-sec at 35 weeks.

My O&G is definitely on the "erring on the side of caution" kind of doctor, and for that, i'm grateful. I'd rather have more scans and more (non invasive) tests to ensure that my baby and I were both safe and healthy.

Here in SG I was under the impression that women over 30 need to go for a routine GTT anyway.