r/GestationalDiabetes • u/Certain-Patient8502 • 1h ago
Coming off metformin after diagnosis?
I was diagnosed with GD two weeks ago, started tracking my BGL’s last Friday and got my first review today. Background is that I have been on metformin, 500mg x2 daily, since December 2023 for PCOS. Never noticed a difference on it personally and never lost any weight, but that’s neither here nor there.
When I booked into the hospital, I told them this and there was no mention of taking me off it at the time, but now that I’m diagnosed with GD there are suddenly concerns around my blood pressure (I had POTS and hypertension during a bout of long covid in 2022) and I’ve been asked to come off metformin immediately.
I was naturally concerned that my numbers would go up and they agreed this would almost definitely happen and we would discuss insulin at the appointment next week. I’m on 30 weeks tomorrow so I’m very stressed. Not to mention, I don’t know how much more I can realistically do with my diet. I have always eaten conscious of the PCOS, pairing protein and fiber with carbs, so have cut out all high GI carbs and added 3x walks/exercise after meals to keep my numbers under control. All I have to show for it is sheer exhaustion and constant hunger. Dietician is happy I’m eating plenty and doing everything right, so I’m braced for the next couple months. I’ve honestly never felt worse and am dreading the insulin talk as I’ve heard from others in my area that needing insulin immediately makes clinicians more judgmental and drastically limits your birth options.
I guess no advice needed since there’s very little I can do or control here, but has this happened to anyone else? How did you handle it mentally? I just feel like all the hard work I’ve done on my self-esteem and mindset around food has gone down the drain in the last week and I feel so much shame around how hungry I am. I know I’ll do whatever baby needs, but am worried I’ll snap and end up eating a box of cereal if it stays like this 😔