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?
Gestational Diabetes Testing?
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.
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)
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.
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.
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!