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Mothering › Groups › October 2013 Due Date Club › Discussions › Gestational Diabetes Testing?

Gestational Diabetes Testing?

post #1 of 18
Thread Starter 

My last practice didn't really care. This one really dislikes seeing women decline it. I have a lot of risk factors for gestational diabetes. I refused the test but agreed to them checking my (non-fasting) sugar levels when they do my blood draws for iron, vitamin D, etc... despite the lack of evidence for using such a test for screening for gestational diabetes. Are you screening for gestational diabetes? If so, how?

post #2 of 18
Thread Starter 

Really? No one has any thoughts on this? I'm 21 weeks now, and with screening traditionally happening between 24-28, I thought this would be on other mamas' minds.

post #3 of 18
I totally missed this thread before! This has been on my mind the entire pregnancy. I was diagnosed with gestational diabetes in my last pregnancy. I strongly believe the test gave a false positive. Since I was diagnosed last time, my midwife wants me to do the traditional testing which I now have no faith in. I must admit, I didn't give it much thought with my first three babies. I have declined the glucose tolerance test (though technically, I could still change my mind since I'm only 19 weeks). I asked my midwife if there were any alternatives to traditionals testing and she said no. Since I had to deal with this last time, I know what's normal for my blood sugar, so I have been testing it occasionally myself. If my blood sugar ends up being hard to control, I'll let my midwife know. This doesn't seem to ease my midwife's mind (although I don't see how this doesn't give a clearer picture than a one time unrealistic and harsh test), but she has agreed to support me.
post #4 of 18
I will not be having the test done at all. I'm slim, healthy, eat well, and have had three perfectly healthy babies with no indication of GD. If you are at high risk of getting it then I would change your diet to a diabetic type diet. It's a completely personal decision, and you can change your mind at any point if you have any signs of high blood sugar. Good luck!!
post #5 of 18

I get it done- I know there are far better ways of testing, but it isn't a big pain so I just do it.  Our midwife has us follow pretty strict food guidelines for the week before, and despite some sugar issues (PCOS), I've always tested fine.  It's actually about the only testing I get done- just doesn't bother me to do it.  (And to answer your question, I'll just do the normal "drink the orange stuff" test.

post #6 of 18
Quote:
Originally Posted by gracisue View Post

I totally missed this thread before! This has been on my mind the entire pregnancy. I was diagnosed with gestational diabetes in my last pregnancy. I strongly believe the test gave a false positive. Since I was diagnosed last time, my midwife wants me to do the traditional testing which I now have no faith in. I must admit, I didn't give it much thought with my first three babies. I have declined the glucose tolerance test (though technically, I could still change my mind since I'm only 19 weeks). I asked my midwife if there were any alternatives to traditionals testing and she said no. Since I had to deal with this last time, I know what's normal for my blood sugar, so I have been testing it occasionally myself. If my blood sugar ends up being hard to control, I'll let my midwife know. This doesn't seem to ease my midwife's mind (although I don't see how this doesn't give a clearer picture than a one time unrealistic and harsh test), but she has agreed to support me.

If you have a monitor then I don't see why your midwife wouldn't just let you start testing instead of taking that gross test?? That's what I did and I have an OB as my main provider (also have a midwife). My situation is a little different as I have been prediabetic off and on for the last few years. I knew early there may be a problem so I started taking my fastings and they were high. I got on insulin at 12 weeks!

If I didn't have any past issues I might skip the test, but I have had issues and I also had an 11 lb baby last time. I will say that even people who are thin and eat well can get it, and people who are heavy can not get it. It doesn't really depend on your weight as much as some folks think. (This came from my midwife)
post #7 of 18
In more than 90% of cases GD is treated only with diet changes and exercise. A very small percent actually get put on insulin. So if you are eating properly and doing regular exercise, the chances of developing or maintaining GD is EXTREMELY slim!!!! However, many women see pregnancy as a time to eat freely and poorly, not exercise much, and pack on serious pounds!!!! Those are the people most at risk for GD. There is always a small exception though.
post #8 of 18
I do think, though, that even eating really healthy may not control GD. For instance, it is healthy to eat fruit but the sugar would not be good if you had GD. Brown rice is healthy but not if you are trying to control your sugars. My sugar went up today because I had CARROTS!!! Ugh. But you are right, most people can control it with diet alone. My case is rare and needing insulin is rare. I'm just saying that diet and body type are not the best indicators.
post #9 of 18
Quote:
Originally Posted by dalia View Post

I'm just saying that diet and body type are not the best indicators.
I agree. Family history plays a role, and for some people I think it's just plain bad luck as they do all the right things and still battle it. GD can have some serious complications, so personally I don't mind taking the test and checking it off as one less thing to worry about. I did an early screen (fasting blood sugar plus some blood component that reflects insulin response over the last few months) due to family history even though I have history battled hypoglycemia. I'll likely due the orange drink, too (although I chose lemon-lime: no artificial colors)! smile.gif
post #10 of 18
Last pregnancy, my midwife had me use raw honey instead of the gross drink. I can't remember the dosage, though!!
post #11 of 18
I will do the drink test too. It honestly wasn't that bad tasting so I didn't mind...it was clear & tasted like a Sprite.
I didn't have any problems with blood sugar in my first three pregnancies, so I'm hoping this one is ok too!
post #12 of 18

You know, up until my midwife scheduled the test for me at my last appt I was just planning on doing it again. Now I'm really feeling like calling and telling them I'll be declining.  I didn't have it last time and don't have a family history and figure that if there are any warning signs through the rest of my pregnancy I'll do it but otherwise it is more of a pain in the ass that requires another hour + of childcare.  I'm still a bit conflicted and plan on talking to my doula about it (she's also a midwife) at our meeting on Thursday. What felt weird was that with my last midwife she let me do a version of the test with just a normal breakfast and she actually asked me if I wanted to do it at all. Now, with my hospital midwife they never asked and just scheduled it for 28 weeks.  Its interesting how much more is just assumed and not talked about this time.

post #13 of 18

I decline it

post #14 of 18

My midwife just does a finger stick.  Works for me.

 

post #15 of 18

I think if I didn't have to go sit in the lab for an hour I might consider it but since I already live almost an hour from the hospital/lab it just makes it that much more inconvenient. It was so much easier with my old midwife, oh right...and when I didn't have a 3 year old to worry about.

post #16 of 18

I'm not doing it. I exercise and have followed a low sugar/low GI index diet for years... there's no reason to. 

post #17 of 18

My test is tonight!!! 10 minutes until I start my orange beverage consumption... I hope I don't fail. I had some sherbet last night, which has been my constant craving for the last month. And a cupcake today (though truthfully the cupcake was small, unfrosted, and mostly healthy... more like a muffin) EEEK!

post #18 of 18
Good luck!!!
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