Is this standard? (Diabetes testing)

[boringscreenname]

My first pregnancy I did the 1 hour glucose tolerance test, and failed, but passed the 3 hour, and it was never an issue.

Now I'm pregnant for the second time and failed the 1 hour test by 1 point. They wanted my level at 129 or lower, and mine was 130, so I did the 3 hour and again passed it just fine.

Now my OB/GYN is telling me that after the baby is born I have to take the 3 hour test again, because I apparently have a 50% higher chance of developing diabetes later in life. But I never had to redo the 3 hour test after the birth of my son and I'm confused as to why they would want me to redo the 3 hour test even though I've passed it just fine two other times.

So is this standard procedure, because I had to take the 3 hour test in both pregnancies or is my OB/GYN just trying to bully me into unnecessary testing. Has anyone else went through this?

[COgirl19]

That sounds ridiculous to me. Especially since it was ONE POINT on the one hour. Considering the margin of error on those tests I can't believe they made you even take the 3 hour. No one has said a word about testing again post-partum.

I would decline. Clearly you have proved both times you don't have GD. I also failed by 1 hour this pregnancy but tested just fine for the 3 hour. Next pregnancy I am declining the 1 hour as well as it has so many false positives and is not a reliable indicator of GD. Unless I suddenly develop some risk factor for GD I am skipping it altogether next time.

[lillymonster]

I wouldn't do one after your pregnancy. If there was a possibility, then I would see a GP after the birth, but 50% is a large margin to try to make you do the test again.

I am thinking about skipping the GD test myself during this pregnancy anyway. I don't know, I just don't think it's her job to be concerned about what might happen later to you in life while you are not pregnant. She is an ob, not a specialist in diabetes care.

[hotharmony]

I just waned to add that my doctors office considers 133 passing 1 hr.

[aikigypsy]

I just took my 1-hour (haven't gotten the results yet) and was told that the cut-off for the 1- hour is 130 or above in line with the ACOG (American College of Obstetrics and Gynecology?) guidelines. 129 should pass, but they made me do the 3-hour with 129 last time because it was "borderline."

[womenswisdom]

IF you had GD, then you would have a higher risk of diabetes later in life, but not *right after* the birth. And you don't even have GD! I would decline or just tell your OB you'll discuss it with your PCP and follow up if you feel you should.