i told my midwife that i didnt want the glucose tolerance test, the sugary drink would make me sick; that she could check the fructosamine instead if she wanted something. she wasnt pleased about it, and i dont think she can actually order tests that arent on her list of tests that she usually orders. i might ask my regular doc for the fructosamine test (or the hga1c, which is nowhere near as helpful), but again i think i might run into the same problem that i usually do. here in canada, healthcare is like one big bad hmo, where the docs are only allowed to order certain tests.
i've also heard of women who check their postprandial sugars to see if they're falling into the normal range. if i felt like things were 'off', i might consider doing that. it seems more realistic/practical/closer to my reality than drinking a sugar drink and then testing. <shrug> i'm already eating the diet that's recommended for women with gest diabetes (adequate protein, lower carbs, real food!!), so i feel like i have it covered anyways.
i'm sure that some paleo moms do the gtt. i think everyone should be able to decide for themselves and i'm definitely not one to judge another mom for making a different decision than mine!! :)