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Glucose Screening

post #1 of 22
Thread Starter 

Where are all of you on this for this pregnancy? It's coming up for a lot of us. I'm 24 weeks and since I do have risk factors, I will be doing the test BUT am doing a meal. I'll get a fasting blood draw in the morning (in a few weeks), eat a normal breakfast, and get another draw two hours later. Last time I did the drink and barely passed. It's so unnatural, I was/am very uncomfortable consenting to the drink this time.

 

What are your experiences? What do you plan to do?

post #2 of 22

The drink always makes me vomit. Then I always fail the one hour and pass the three hour. My DF is a paramedic so we have a glucometer and strips at home. I am going to test my fasting level first thing in the morning and then eat a big breakfast of pancakes and syrup. I will test again in an hour. Then I will check randomly before, after and between meals for a few days. If any of my readings are off then I will go to the doc for an A1C hemoglobin. I think the drink is very unnatural. I know I would never consume anything like it LOL it's just gross!

post #3 of 22

I'm doing the meal too :) I did the 1 hour GTT with DS 6 years ago, an swore I'd never do it again. UCK. Since the M/W has to transfer me, she said we'll do the glucose screening "breakfast" before I go, so that the OB can't harass me about the 1 hour GTT. What's on the menu for you? I'm trying to remember mine off the top of my head, but I think it's:

2 eggs, 2 pieces of whole wheat bread/toast, a glass of "no sugar added" juice and a glass of milk OR 2 slices of cheese...

post #4 of 22

We discussed this at the MW appointment yesterday, she said normally it's done around 26-28 weeks.  I have no relatives with diabetes, baby measuring normal actually a hair below (but it's still early so that's not a concern), amount of fluid appears fine, my urine strips are normal.  She said the only risk factor I have is that I'm over 25 and that's a very weak factor.  So I've opted to skip it for now.  DH did not have any major objections, although he did point out that if it were him he would be doing all the available tests under the sun, but that's just his personality.

 

The MW talked about some good diabetic practices like no juice, no white carbs, limit sweets and sugar, get some exercise post-meals rather than sit around.  I'll be doing some of those but not others, I'm sure, we'll see how it goes.  She did say that in her opinion, if you have risk factors that make you really concerned about GD, you should just do the 3 hrs test as the 1 hr is just a screening and not perfect and if you end up doing both anyway that's just more glucose you end up drinking and more needle pokes to suffer through.

post #5 of 22
Thread Starter 

My meal will be pretty similar to what you mention, toast, butter, eggs, and probably milk.

 

I might use my dad's thingy over Christmas and test my blood there at the same times I'll get it tested later on.

 

Re the A1C, I thought that wasn't very relevant since GD is something that develops later in pregnancy, if one does have it?

post #6 of 22

I was told the A1C was the most accurate test and that they would use it once the three hour was failed. I could have misunderstood.

post #7 of 22

I'll be doing it at my next appointment at 27 weeks.  I don't have a lot of options for prenatal care where I live, especially for the hospital I want to deliver at, so I'm picking my battles with them and this isn't one I'm choosing to fight.  I "failed" the screen twice with DS's pregnancy, but my numbers were fine on the 2 hour test.  So, I'm planning that I will need to do the 2 hour this time as well.  I don't mind the drink, it doesn't make me feel sick, so I'm not sweating this one.  

post #8 of 22

My MW had me do an early GTT since I declined with my son (was seeing a HB MW) and ended up with a baby that weighed 10lbs, 5oz. Of course at 2 years he is 3 feet tall and weighs 32lbs so really, he is just a big kid. But they won't listen. I wasn't diabetic last time but they insisted on checking his blood sugars several times a day for two days after he was born. (all normal btw, because I WAS NOT DIABETIC.) This time, to save myself the headache at birth (and my son from a bunch of heel sticks) I submitted to the 1 hour test at 16 weeks. Passed with flying colors. My MW did tell me I didn't have to fast, she advised me to eat a high protein, no carb or sugar breakfast beforehand. I will have to do the test again at 28 weeks. Anything to save my baby from that pain and me from that stress after the birth. I don't mind them sticking me, I'm an adult and I understand why they are taking my blood.

post #9 of 22
Quote:
Originally Posted by pattimomma View Post


The drink always makes me vomit. Then I always fail the one hour and pass the three hour. My DF is a paramedic so we have a glucometer and strips at home. I am going to test my fasting level first thing in the morning and then eat a big breakfast of pancakes and syrup. I will test again in an hour. Then I will check randomly before, after and between meals for a few days. If any of my readings are off then I will go to the doc for an A1C hemoglobin. I think the drink is very unnatural. I know I would never consume anything like it LOL it's just gross!




 



Same here, down to the paramedic DH. smile.gif

That test makes me seriously ill all day and I refuse it. I'll check my own levels at home and give doc the results.
post #10 of 22

I don't mind doing the drink.  I like the fruit punch the best.  Lemon lime wasn't bad.  Orange was not my favorite.  I can't imagine drinking the "cola" version.

 

I've done it enough times to not worry about the drink.

 

post #11 of 22
Quote:
Originally Posted by pattimomma View Post

I was told the A1C was the most accurate test and that they would use it once the three hour was failed. I could have misunderstood.



It's the most accurate way of diagnosing type 1 and type 2, but not for gestational diabetes.  It is a measurement of the average blood sugars over the last 3 months and that doesn't work for GD as that doesn't build up over months and months.  It's more rapid.

post #12 of 22
I have mine at 28 weeks but I'm just drinking a combo of either orange juice or apple juice and 1/2 a banana. I don't have to do the nasty drink.
post #13 of 22

I'll be doing it at my next appt at 28 weeks. I think my office only has the orange - bleh! Last pregnancy I "failed" by one point but did perfectly fine with the 3 hour. It's a bad test for many reasons, but my OB is the only one in the area who will actually deliver VBAC, so I'm picking my battles.

post #14 of 22

I will be doing mine at 28 weeks, in my home.  My midwife told me to eat normally, but not to eat a ton of carbs or sugars that day.  I'll drink 10 oz of grape juice (real grape juice, not the sugar syrup, she said) at the time they tell me, then the midwife will come over and do the test.

post #15 of 22

I'll be skipping the test again this pregnancy.  I have no risk factors, and understand the 'treatment' is largely lifestyle and may or may not 'work'.

post #16 of 22

At this point, I'm declining the test. I took it and passed w/ my first preg and declined it w/ my second.
Twins is the only risk factor I have, and, at this point, even a positive result wouldn't change much in my care (as in, I'm living mostly on IV fluids and, what I do eat is pretty much straight protein. Plus, we're watching fetal growth via US every 2-4 weeks anyway). For CYA purposes, I'm letting them draw weekly glucoses both fasting and pp (I'm already getting stuck 2x/week for IV fluids)

I actually wasn't going to fight too hard on this one- it didn't seem like a hill to die on, but peri was receptive to me not doing it.

post #17 of 22

I believe I am declining it. My Dr only offers the 3 hour fasting test now b/c apparently too many women were failing the 1 hour who weren't actually diabetic. I did fine w DS and don't have any risk factors other than age I suppose (33). Since my MS went away I have been watching my sugar intake (laying off the daily 1/2 pint of ice cream) and I eat healthy whole foods anyway and exercise a few times/week (would more if I had a sitter).

 

Whenever I decline a test there is always a small part of me that worries, but i have sort of learned to trust my instincts and knowledge about my body/pregnancy.

post #18 of 22

I refused the drink the 1st time and ate  protein, carbs, and had some juice for the random test at the office. it was a little high, so he made me do the 3 hour GTT at the hospital and I HAD to drink the stuff. I didn't think the cola itself was terrible, but omg...I can't even think about the 4 blood draws without crying. They literally butchered me. I didn't realize that's what they were going to do before I went, so I didn't know to fight for an IV port. I warned them, but they didn't listen...of course. Meanwhile, I had the most awful spasms in my side the whole time. I had been in the hospital for them the day before, they were so bad.

 

3 of those numbers were high, so they "diagnosed"me with GD. But as I thought of it, I started thinking about how it started to get really bad when I started on the Aldomet. So I did some reasearch...yep! BOTH Aldomet and Lopressor cause out of control high blood sugars!! Not to mention the other list of horrible side effects that I am having from them. Now that I have a glucometer and strips, i think it was a good thing. It really is completely out-of-control high...and no, diet isn't helping...I wonder why??

 

I'm going back tomorrow to take my week of numbers (5x/day) back to OB and see what he says, and I'm going to BEG him to stop taking the Aldomet. I feel like I'm losing my mind *tears* 

post #19 of 22
Quote:
Originally Posted by JoyfamMama View Post

I refused the drink the 1st time and ate  protein, carbs, and had some juice for the random test at the office. it was a little high, so he made me do the 3 hour GTT at the hospital and I HAD to drink the stuff. I didn't think the cola itself was terrible, but omg...I can't even think about the 4 blood draws without crying. They literally butchered me. I didn't realize that's what they were going to do before I went, so I didn't know to fight for an IV port. I warned them, but they didn't listen...of course. Meanwhile, I had the most awful spasms in my side the whole time. I had been in the hospital for them the day before, they were so bad.

 

3 of those numbers were high, so they "diagnosed"me with GD. But as I thought of it, I started thinking about how it started to get really bad when I started on the Aldomet. So I did some reasearch...yep! BOTH Aldomet and Lopressor cause out of control high blood sugars!! Not to mention the other list of horrible side effects that I am having from them. Now that I have a glucometer and strips, i think it was a good thing. It really is completely out-of-control high...and no, diet isn't helping...I wonder why??

 

I'm going back tomorrow to take my week of numbers (5x/day) back to OB and see what he says, and I'm going to BEG him to stop taking the Aldomet. I feel like I'm losing my mind *tears* 


I am so sorry you are going through this. I would think. if they knew you were on this medication, that they ought to have warned you. I hope you are able to find a solution soon! :hug

post #20 of 22

I've lost my post twice now, when I've tried to submit it, and now I'm crying...ugh...I'll try again later. 

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