GDM & delivery

Question

I was diagnosed with GDM early sa pregnancy (1st trimester). Nagconsult ako sa diabetologist 2x lang kasi hindi na sha covered ng HMO ko. Out of pocket sha, ₱800 per visit. I was advised to consult a nutritionist para maguide ako sa kinakain and macontrol namin ang sugar ko. I didnt kasi pricey. Around ₱6k ung alam ko sa st. Lukes when i asked my friend. So i used na lang yung materials i got sa nutritionist specific sa diabtes and portion sizes / carb count ng mga food. Nabigyan kasi nun ang lola ko before na diabetic. I still monitor my sugar daily though 2x n lang since pricey din ang strips. Would you rec na mag ffup ako sa diabetologist since im nearing my 3rd tri? 24 wks n ko. Need rin ba ng diabetologist/ endo during my delivery apart from ob and pedia? 2 ob na kasi yung sa CS ko acc sa ob ko since i also may multiple myomas w/c may cause delau sa pag contract ng uterus after delivery ng bb, baka mauwi kaminsa Hysterectomy kung sakali.

Maria · Answer

Anak, please get back to your diabetologist, GDM in the first trimester is serious at kailangan mo ng proper monitoring hanggang delivery para sa safety mo at ng baby. I know it's out of pocket at mahirap ang gastos, pero ito talaga ay hindi dapat i-skip, lalo na with your CS at myomas pa. A few of us mums went through similar struggles with HMO limits, at lahat namin nagsisi na hindi kami nag-prioritize ng specialist follow-ups early. As for delivery, your OB will coordinate with the needed specialists, usually iyong OB lang ang leading pero the whole team talks before you go in. Please squeeze in na that diabetologist appointment soon, ha? You're doing your best with monitoring at diet, pero you need professional eyes on this.

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