Originally Posted by Liora
I completely understand the desire to "cheat" this completely bogus test. I had GD with my last pregnancy since I failed the 1 hour and the 3 hour horrifically. So they put me on a restricted diet and I had to take my blood glucose levels 4 times a day.
I never changed the way I eat at all (I was eating very healthy anyways) and I NEVER had a bad glucose reading. That test with its crazy pure sugar on a fasting stomach is just absurd.
So why cheat? Well being labeled with GD almost got me kicked from midwives to ob. I had to have (needless) non-stress tests, monitoring during labor, and was unable to labor in the water. I also had a "deadline" for delivery or they would induce me. It robbed me of a lot of choice in my childbirth. If I thought I had actual GD then ok, but I absolutely did not.
No doubt if you have ACTUAL GD then you'd want to know. So, I'd recommend trying a meter to see if your sugar levels are actually elevated. But, considering lots of practices won't let you do a breakfast test I am definitely going to try to cheat the test.
I would have to agree with this.
With my first pregnancy I had insulin dependent GD. Before I got pregnant this time I was seeing an endocrinologist for isulin resistance related to PCOS. I was on metformin. I because very unexpectedly and happily pregnant. I have continued seeing her throughout this pregnancy. I took a 2 hour GTT when I was around 12 or 13 weeks pregnant I can't remember now, and passed with flying colors. Still she wanted me monitoring my sugars 4X a day and emailing them to her weekly.
I was told if my numbers got bad or a failed the 3 hour at 28 weeks it would be automatic insulin, which brings all sorts of other automatic interventions. So I refused the 28 week test. I was already monitoring 4X a day and I felt that as long as I could control the numbers myself with altering diet where I needed to, why should I put my body through the test, and put my body through the insulin, because I am pretty sure I would have failed the 3 hour, putting all that pure sugar into me, no water allowed, no moving... yeah not typical of my normal eating habits.
So I have eaten "mostly" whatever I wanted, and for the most part have had good numbers. My fastings have been on the higher side many times, but the endo is ok with that since they are just slightly elevated and it's not every day, (they are between 95 and 105 a lot, her cut off is 95) and my after meals are only ever elevated when I eat something I shouldn't- like 3 pieces of pizza last night.
I do still take my metformin, and my OB treats me similar to how she would a GD person, because of the metformin, and the refused 3 hour. So I have had more ultrasounds, and I am having an induction at 39w4d but I have avoided daily needle sticks, NSTs, an earlier induction (last one was at 38 weeks). I feel better having controlled it (GD or not who knows, my endo says I do not have it looking at my numbers which is good but also a lot of that could be me eating "right") with diet.
So did I "cheat" the system by starting controlling my diet early, and refusing the test? maybe. Do I "cheat" by eating crap sometimes when my sugar is on the lower side, and purposely waiting till I don't have to test my sugar for a while? yep. but my A1C is 5.0 and 5.4 so far this pregnancy, and like my endo says it's more the AVERAGE of your glucose numbers that matter rather than highs here and there.