Gestational Diabetes test, refuse it?? - Page 4

[Jaimee]

Originally Posted by Jaimee 

You need 50g of sugar.  So you can look at how many grams are in the serving size and multiply.  So if 8 oz of your favorite juice has 20g of sugar then you'll need to drink 2.5 servings (2.5x8=20 oz) of that juice.   Here's a link to one of the jelly bean studies: http://www.ncbi.nlm.nih.gov/pubmed/10561636.  This one required 28 jelly beans. 

The meal I ate was a PB&J sandwich with 2-4 TBS of jam (depending on the jam), a glass of milk, and an apple.
 

Yes right here.
 

[Thesan83]

Aww! I get a "page not found" from the jelly bean link. Anybody have another one? I'd really like to read about that study. I'd like to give myself the jelly bean test at some point postpartum, lol.

ETA: Wait! Nevermind! If you delete the period at the end of the link, it works!

With the one you did, Jaimee...did you have to eat that on an empty stomach? Like, eat that for breakfast? Just curious.

And sorry, by the way, if you took my previous post as something that was trying to draw you into an argument. Wasn't my intention at all. Just wanted to add my 2 cents to the discussion.

[Jaimee]

Thesan83- no problem!     I do recognize that GD is serious for many women and that failure to detect it can result otherwise preventable problems.  But, I take issue with the Glucola one hour test as the gold standard.  That's all. 

With the meal I ate, I did wake up and eat that on an empty stomach, but it was a lot easier than I thought it would be since it was just normal food (just kinda crazy proportions of PB&J).  I was still dealing with m/s at the time and the meal went down fine.  Honestly the hardest parts were swallowing that much peanut butter (talk about stuck to the rough of your mouth!) and downing the milk b/c I hate milk.  But the peanut butter situation helped me to drink the milk so it all worked out.  I was also careful to make my appointment at a time that made sense for me to be able to eat that meal and wait an hour.  Since it was just a blood draw with a nurse (at the birth center) they were able to take me at any time of the morning.

[Jennifer B]

Thank you Jaimee and Thesan83!

Jamiee, I had seen your earlier post, but was unable to get the link to open.  Thanks to Thesan83's hint I got it now.  With the meal you ate, did the bread matter?  Whole wheat versus white?  How much peanut butter and milk?  With my previous midwife I was allowed to do a meal, but it was extremely specific, and so many years ago that I can't recall it. 

I think having a study for the jelly beans will have the most value to my OB.

Thanks!

[Jaimee]

Yeah, it was 5 years ago now so I'm a little fuzzy on the details.  I believe the bread didn't matter, but I do recall something like 2 TBS of PB and 2-4 TBS of jam (depending on how much sugar it had).  I clearly remember that the amount of jam I needed was quite excessive for the sandwich and was squirting out while I was trying to eat it.  So it was definitely a lot.  It was 8 oz of milk, I know that, and an apple (size wasn't specified).  If you check out your bread, milk, PB, and jam you can add up the grams of sugar you'll see that it adds up to 50g pretty quickly.  Here are some rough figures from my pantry:

8 oz milk: 12g

1 apple: 15-20g

2 TBS PB: 2g

2 TBS jam: 16g

2 slices of bread: 6g

Total: 51-56g

[Dov'sMom]

I have no issue taking the glucola but I don't have time to take an extra 1.5 hours out of my work day to get the test done -- my midwifery practice doesn't draw blood, so drinking the stuff at home before my appointment and having blood drawn there (as I've done in prior pregnancies) wasn't an option.

My endocrinologist gave me the glucola and told me to just do it at home with a home blood meter; the result would probably be a few points higher than what they'd get at a lab, but if it was too high I could always go to the lab at that point. The midwife wasn't at all thrilled with the suggestion, but reluctantly agreed based on the endo's authority.

[justamama]

Well, I failed the one hour today. I have to call back for my number tomorrow because the girls were going nuts at that point and I forgot to ask. But I will do the 3 hour next week. I'd pretty much decided with the SPD, AND an injured tailbone that my homebirth was done with, so now it's just deciding between the birth center or the hospital.

[Jaimee]

Originally Posted by justamama 

 I'd pretty much decided with the SPD, AND an injured tailbone that my homebirth was done with, so now it's just deciding between the birth center or the hospital.

Really?  I had an injured tailbone with my first and it did not get in the way of the labor really.  I can't speak for SPD, but you can also manage GD outside of a hospital/birth center setting.  Or are you just feeling like it's not right for you anymore?

[jbk21]

Originally Posted by Jaimee 

Really?  I had an injured tailbone with my first and it did not get in the way of the labor really.  I can't speak for SPD, but you can also manage GD outside of a hospital/birth center setting.  Or are you just feeling like it's not right for you anymore?

I'm wondering this as well....?