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Gestational Diabetes Testing - Page 3

post #41 of 138

Nvm, just got an email that my 1 hr was 190 instead of 180 or lower so i have to repeat the stupid test in 3 weeks. So not happy.

post #42 of 138

gloomy.gif  I'm sorry...

post #43 of 138

Bummer Edelweiss!  Sorry to hear that. greensad.gif

post #44 of 138
Quote:
Originally Posted by Edelweiss98 View Post

Nvm, just got an email that my 1 hr was 190 instead of 180 or lower so i have to repeat the stupid test in 3 weeks. So not happy.

Ugh! So sorry! I was freaking about that test last night (mine is Monday) and how I think it is such a waste of time. Hugs, Edwlweiss.
post #45 of 138

Darn, that's frustrating! Sorry you're having to go through this! hug2.gif

post #46 of 138
So sorry it wasn't good news. Would be nicer if they just let you monitor at home for awhile instead of doing that awful test again.
post #47 of 138
Ugh. Awful. My MW has never had me do the OGTT. (I did it with my first with an OB and had no issues, despite being overweight by a lot.) One pregnancy we did nothing at all; one I got a glucose monitor and checked after a good dinner and then super sweet breakfast (all fine); the next I don't know if we did anything; and this time she recommended doing the hemoglobin a1c blood test with the regular labs. That tells your risk of developing diabetes, which is the only real thing to consider in pregnancy. If you're at risk, pregnancy may push you to a point of having trouble regulating sugars. But if you're not at risk, there's nothing to worry about (other than healthful eating!). Mine, thankfully, was perfectly find. (whew!!)

All that to say, there ARE options and it's within our rights to demand them.

Hugs!
post #48 of 138

Only just found this group, so chiming in late! I took the GD test with #1, as I thought it was scheduled before I got a spot at the birth centre (located within the hospital, but for natural births only and spaces allocated based on lottery). Test came back fine. Declined the test with #2, as birth centre midwife confirmed I was low risk and only risk of GD was large baby, which didn't scare me (she didn't mention the risk of developing type 2 diabetes later in life, and I didn't research it well enough).

 

I expected to decline the test again with #3, but midwife said I now have a significant risk factor, as #2 was 9lb 11oz. I'll take the test in 5 weeks (I'm 23w now), and she advised that I follow the GDM diet starting now, for the duration of the pregnancy, both to minimise risk of testing positive and also just for general health. Her take on it is that if all women followed the diet, they would birth babies the appropriate size for their bodies.

 

So I started the diet a week ago, but am struggling to find the balance. I'm HUNGRY all the time, so I clearly need to up my proteins (I used to go straight to carbs when I was hungry), and I am REALLY missing my nightly bite of chocolate. I'm sure I'll find the middle ground eventually, but as of now, I lost a pound or so last week (my starting BMI was 23, so I'm not thin but not overweight, either). :/

post #49 of 138
What does GDM diet look like?
post #50 of 138

Well, at least my NP said we'd do the fasting test again and if I pass the 1 hr we'll stop, since that's the point I failed at before. I'm just bummed all around because it's my next appt time when we have another u/s and appt with my doctor and I want to be able to function to ask him all my questions and be not just feeling awful to find out about my babies' growth and stuff, too.  I just normally take care of myself and don't go hrs without eating and then chug 100g of sugar solution, you know? and then fast for another 4 hrs. Who does that? I eat protein and plenty of it pretty much following the Brewer diet for twin PG.

post #51 of 138

I successfully refused the GD test yesterday. Was stressed about it- but made my case. I've taken the test 6 times with two kids. I don't eat sugar and have a habit of throwing up the solution which invalidates the test. There is another blood test they can do that measures how well your body has responded to sugars over the past three months. They are doing that one for me instead. Maybe you can ask for that one Edelweiss? 

post #52 of 138

I don't feel like I'm getting anywhere when I ask for something else. I was really upset yesterday, too, when I got the email saying we'll have to repeat it. I think that test makes a lot more sense, though, with the 3 mos....I just don't get anywhere when I ask for an alternative. I like my doctor because he specializes in multiples and preventing pre-term labor and he's the first one who had a solution to my repeat miscarriages that actually helped so I don't want to change practices, but I just don't think I get anywhere when I try to argue against the test. It was just 10 lousy points, too.

post #53 of 138
I'm refusing the Tolerance Test (with the drink) but I'm doing the fasting blood draw to calm the midwives, since it has better accuracy anyways, I don't feel as worried that it would turn out wrong. Also if you look at the Cochrane Review, you find they don't have evidence of better outcomes with treatment, since they don't know what treatment "works".
post #54 of 138
Quote:
Originally Posted by Edelweiss98 View Post

I don't feel like I'm getting anywhere when I ask for something else. I was really upset yesterday, too, when I got the email saying we'll have to repeat it. I think that test makes a lot more sense, though, with the 3 mos....I just don't get anywhere when I ask for an alternative. I like my doctor because he specializes in multiples and preventing pre-term labor and he's the first one who had a solution to my repeat miscarriages that actually helped so I don't want to change practices, but I just don't think I get anywhere when I try to argue against the test. It was just 10 lousy points, too.

 

I just looked it up- it's called glycohemoglobin A1C. They tested me, and probably you, for it in the first trimester blood work. That is how they catch diabetes early. They repeated this test for me and I volunteered to do a fasting draw as well- but they wanted to see how this came back first. 

post #55 of 138
Yep, the A1C or hemoglobin A1C is what I had done. It's far more informative as it looks at your body's processing over a span of time, so with your normal diet.
post #56 of 138
Quote:
Originally Posted by cardigan View Post

What does GDM diet look like?

It's sensible eating, really. Reduce and choose better carbs (low GI; no sugary drinks, cakes/cookies/sweets); pair carbs with protein and increase lean protein (eggs for breakfast, chicken breast with dinner), eat lower fat options (dairy, meats), and eat every 2-3 hours (so your blood sugar doesn't spike and drop). There are lists online of high and low GI breads, pastas, rice, fruits, veggies, etc., so you can navigate the options and choose the better ones. I'm trying to keep to 12 serves of carbs a day, where 15g of total carbohydrate = 1 serve.

 

Snacks like fresh veggies with hummus, a piece of low GI fruit, a single carb serve crunchy granola bar, yogurt with a few fresh berries, or four low GI wholegrain crackers with toppings (tsp hummus, tsp peanut butter, fresh slice of tomato, and slice of low fat cheese) are good. Green leafy salads with veggies along with fish or grilled chicken are good for dinners. Stir fries (with smallish servings of lower GI rice) are also good. Be sure to take carb content of sauces into account as well. You can find lots of low GI recipes online, as I'm finding out now. :)

post #57 of 138

For those of you who have taken or proposed the hemoglobin A1C test as an alternative and more accurate form of GD testing, do you have any response to the suggestion from the Mayo Clinic's website (http://www.mayoclinic.com/health/diabetes/DS01121/DSECTION=tests-and-diagnosis) that the test may be inaccurate during pregnancy, hence the 1hr and fasting 3hr tests:

 

 

Quote:

If the A1C test results aren't consistent, the test isn't available, or if you have certain conditions that can make the A1C test inaccurate — such as if you're pregnant or have an uncommon form of hemoglobin (known as a hemoglobin variant) — your doctor may use the following tests to diagnose diabetes:

  • Random blood sugar test. A blood sample will be taken at a random time. Regardless of when you last ate, a random blood sugar level of 200 milligrams per deciliter (mg/dL) — 11.1 millimoles per liter (mmol/L) — or higher suggests diabetes.
  • Fasting blood sugar test. A blood sample will be taken after an overnight fast. A fasting blood sugar level between 100 and 125 mg/dL (5.6 and 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, you'll be diagnosed with diabetes.

 

I want to propose this to my midwife, but want to make sure I have the right info before I do.


Edited by EA77 - 5/5/13 at 1:58am
post #58 of 138

My doc said the A1C is less accurate than the tolerance test. But that combined with a fasting or two will give a good enough idea. I tend to throw up the glucose drink- which invalidates the test- which is one of the reasons I downright refused this time. Two pregnancies 4 GTT. Enough for me. 

post #59 of 138
Ok, I think the best way forward for me is to propose to my midwife that I decline the test at 28 weeks on the grounds that: 1) my only risk factor is my big-ish baby last time and that I showed no signs of GD with her; and 2) I am now following the GDM diet, which is what I would do if I tested positive anyway. The only difference is that I won't be testing my blood sugar daily to make sure I'm in the safe zone, but presumably I would exhibit other symptoms if I did have GD and it wasn't being managed by diet.
post #60 of 138

I've read there aren't a lot of symptoms if any with GD. I follow a similar diet, I eat frequently, protein with every meal and snack, very few refined sugars so I don't know how I would change my diet anyway. I've told that to my NP, too.

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