Originally Posted by janellody
Ok so question.. she gave me a drink and told me directions for my glucose test. Why do so many people hate the glucose test? What's sucky about it? Does the stuff taste bad? It sounds like you just drink it and then they take your blood an hour later, so what's the big deal? I keep seeing people complain about it and never knew what it was until today when she gave me my orange-flavored drink thingy and directions for my next appointment.
I could really go off on this subject, but I'll try to keep it short(-ish)...
- There is no proof that GD exists. As one famous MW has said, GD is a diagnosis looking for a disease. All studies done on diabetes in pregnancy have been done on diabetes melitus. All the fears and dangers and scare tactics used to force large women into doing something are based on diabetes melitus.
- The numbers by which GD is measured are not standardized. They vary from lab to lab, practitioner to practitioner. In most instances, the numbers that indicate "fail" on the GD test are lower than the numbers used on a non-pg woman, even though it is known that pg women have higher numbers.
- The test itself is a false test. If you do not normally fast, then drink a Pepsi on an empty stomach and then continue fasting, while you are pregnant, then this test is not showing an accurate representation of what your life is. Many women will react badly to that set of circumstances, pg or not. Doesn't mean they have diabetes.
- There is no proof that "treatment" of GD improves outcomes of babies. Again, all studies have been done on women with actual diabetes.
- Fat women are often railroaded into being treated as GD even if they pass the tests. Many OBs make the assumption that regardless of what the test says, a fat woman cannot possibly NOT be GD. These women are treated as such regardless of what the tests show, often being tested repeatedly, they are railroaded into early inductions and have a much higher c/s rate. You can read some of the comments from OBs on myOBsaidwhat.com
So, for all of those reasons, the actual performance of the test is questioned by many pg women, and many practitioners. There are also a lot of women (like me), who KNOW that they will react badly to that influx of sugar on an empty stomach - not that I'm worried about failing the test (because I don't believe in it), but that I have no desire to be puking my guts out, dizzy, and unable to function for the rest of the day. It's not good for me, my baby or my toddler who I have to care for. There's also the question of what does a fail on the test mean for your birth choices? In some places it means no HB. In some it means no MW care, being treated as high-risk and transferring care to an OB. In some it means that your OB is going to want to induce you before 40 weeks, which increases your risk of c/s. This is a question you have to ask your care provider. In DS1's pg, my refusal to take the GTT meant I was fired by my care providers and required to transfer care to a perinatologist. Not an OB, but a high risk OB. They attempted scare tactics, talking about big babies to try to get me to take it - I pointed out my size and the size of my husband and pointed out that the 2 of us together weren't about to make a small baby regardless of their test. They didn't like it, but ultimately they couldn't force me to take the test.
The reality is that if you or your care provider is concerned about what your blood sugar (BS) is doing, it's much more accurate to use a glucometer for a few days or a week. Keep a log. Test first thing in the morning, immediately after a meal, 1 hour after, 2 hours after. Keep the log side-by-side with your food diary, and you can see the patterns of how what you ate affected your BS. This is much more useful information. In DS' pg, using the glucometer showed that my numbers initially went up, as would be expected, but then at hour 2 the numbers bottomed out (lower than before eating). This is an indicator of hypoglycemia, which is very different, and requires different treatment than diabetes. But if I had taken the test, 2 elevated numbers are all that are needed in order to receive a diagnosis of GD. Other indications are often ignored (there's a mama in the Feb DDC dealing with this right now).
Originally Posted by maryamrose
Symptoms: I had nothing to complain about for weeks but now the symptoms are starting up again - my GI system is all messed up (reflux, gas, frequent/not great bowel movements, etc). it's actually pretty painful sometimes. baby is as active as ever, lots and lots of big thumps and squirms (eee!)
Food: gluten free for close to a week now with no improvement. so gluten doesn't seem to be the root of my stomach problem this time. I've been eating pretty well, but there's also been some kind of dessert every day. lots of mandarins and cucumbers. appetite is starting to die down a bit.
Sounds like pregnancy to me! You sure you're not pg?
As the baby keeps growing, the reflux, heartburn and gas tend to just get worse for those of us prone to it. I highly recommend digestive enzymes - you can get them at most HFS. Take one after each meal, and it helps prevent the reflux/heartburn. I also keep ginger chews on hand, which help with any roiling stomach issues I may get. Although if you are wheat sensitive, I do recommend staying away from it - for me that was the biggest culprit in previous pg. Cutting out wheat completely reduced my symptoms drastically (doesn't make them go away though). So long as the baby is squishing your organs, things aren't gonna work the way they did before. That can also contribute to the low appetite - your stomach is being compressed, so you're not as hungry and get full quicker.
As for GF, I seem to recall it takes 2-3 weeks to clear from your system. So if you're seeing some improvement at this point I'd keep it up.
Originally Posted by JynxGirl
Cristeen - WOO on Baby Signing Time!!! I'm a Signing Time Instructor through their Academy program, and that show is how my daughter started TALKING!!! I love love love Signing Time. :P
DS LOVES BST and ST. I've thought off and on about becoming an instructor, just because at this point I've been watching the videos almost daily for 2 years. And with another one on the way, it's going to be another 2+ years. I don't have the speed of someone who's using it all the time, and I struggle with fingerspelling, but I have the vocabulary, and do my best to sign whatever I can for DS, since he seems to understand it better than the spoken word. My cousin and her GF were both interpreters at a deaf school for a while, and at one point they were sitting on my couch watching the Zoo Train for the vocabulary. DS doesn't sign much though - at least he really didn't start trying until after 2. But he definitely understands it. And he'll ask for his fave videos (I'm a Girl! I'm a Boy!; My House; Happy Birthday to You!). I finally loaded them on the iPad so he could control them himself rather than me having to go swap the discs constantly.