Yet another GTT post :)

[Celina2]

A little history.  This is my 16th pregnancy.  I have had 10 losses, including 2 second trimester unexplained losses.  The closest explaination we were able to come to was my clotting factors.  Though not enormously out of whack, they were off enough for a perinatologist to have me take baby aspirin for future pregnancies.  This is my 3rd on it.

I have had 4 term births.  One was one week before term for pre-E that progressed to the big E during labor.  She was my first.  I have had pre-E 3 other times.  My 2 most recent births were c/s.  The first was my only non-pre-E pregnancy.  I fully fault the OB staff and their treatment of me in the last few weeks of my pregnancy (long story).  I tried for VBAC last time but my BP skyrocketed.

Ironically at this hospital, I would be allowed a VBA2C but I don't know that that will happen.  My son was diagnosed with IUGR (>5th percentile).  I have another growth scan on Thursday and we were given beta-methasone a few weeks ago.

I think I am starting to show some signs of pre-E again (climbing BP and occasional pitting edema) and I am pretty sure I will get it again.  I am trying to help the situation with my diet as much as I can though.  Supposedly I haven't had any protein (at all?) with my 24 hour urine tests.  I was officially put on bedrest about a week ago but have kind of been doing bedrest anyway because of some of my BPs at home.

My question is this.  Should I even bother with the GTT?  I honestly don't think I will be able to hold down the glucola.  When I mentioned that to the last provider I saw she said she would give me some zofran.  I tried zofran at the beginning of this pregnancy for extreme nausea.  It helped with the nausea but didn't keep me from vomitting.  I took it for 2 days then didn't have a BM for 2 weeks.  When I mentioned that part, the provider said zofran doesn't do that to people but she would give me colace.  Yeah, I don't think colace would help.  Why risk all of these meds (which I know are normally prescribed during pregnancy) for a test I am not sure I need?

I am even willing to just start a GD diet now or do post prandials.  The provider kept pusing the GTT.  I let her put in the prescription with no intention of picking it up.

Does it sound unreasonable skip the test?  I have never had GD before, I have no family history of diabetes as far as I know, I am 34 and was a little overweight at the start of the pregnancy but definitely not the heaviest I have been for a pregnancy.  At this point, if my diet makes baby a little larger, it would definitely not be a bad thing although I know that is not the only risk of GD.

Sorry for the long post.  Thanks in advance for any input.

Celina

[MarineWife]

With my last pg when I didn't pass the 1 hour test, I refused to do the 3 hour test. I compromised with my doc by checking my blood sugar at home a few times and coming in for a glucose blood draw after eating a normal breakfast. Do you think your doc might agree to something like that?

[Celina2]

They don't seem to be flexible on this.  I am willing to ask them though.  I just don't see the point in trying the glucola when I am pretty sure it is just going to come right back up.

Celina

[MarineWife]

Remember that they cannot make you do anything you don't want to do. You can just refuse it.

[gardenofsimple]

I've heard of some women being able to drink a soda or something instead before the test. Maybe they'd allow something like that? 

[MarineWife]

Originally Posted by Celina2 
At this point, if my diet makes baby a little larger, it would definitely not be a bad thing although I know that is not the only risk of GD.

I think another fear docs have with GD is that baby's blood sgar could crash right after birth. This is usually easily remedied by breastfeeding a lot. The problem comes from hospitals procedures that interfere with immediate and continuous breastfeeding.

[baby3in2011]

I told my Dr. I didn't want to do the 1hr test, so he offered to do a regular blood draw 2 hours after I had lunch. I'm sorry your Dr. is giving you a hard time about it, I bought a blood gluclose monitor a week before the appointment because I got paranoid about what my number would be. Maybe if you monitor yourself at home and the numbers are normal you can show them and they might back off a little? Good luck.