or Connect
Mothering › Groups › March 2014 Due Date Club › Discussions › is Glucose Test necessary?

is Glucose Test necessary?

post #1 of 28
Thread Starter 

I am almost 23 weeks with my first pregnancy and thankfully everything is going beautifully and the baby and I are both healthy.  My midwife mentioned at our appointment last week that I would need to take the glucose test in about 3 weeks from now.  I was just re-reading an Ina May book and she talked about the test not really being necessary, and not giving an accurate picture.  Has anyone refused the test?  What do I have to gain or lose by not taking the test?   Thank you!

post #2 of 28

I took it even with midwives during my first two pregnancies. I am going to take it again. I guess I don't really have any advice, but I am completely dreading it! 

post #3 of 28
I do not take the test. I use a home meter to test my blood sugar several times a day; an a.m. fasting and 2 hours post meals. This has many advantages. It is a more accurate picture of how your body is reacting to what you really eat. If necessary, it allows you to experiment with adjusting your diet and activity level and get instant feedback on the results. I do not feel good about putting my body through the standard test during pregnancy since I normally eat a healthy diet, and I am not impressed with results gleaned from chugging artificial sugar on an empty stomach, then sitting around for 1-3 hours.

Because my numbers are usually within the diabetic range following a high carb/sugar meal, I consider myself a diet-controlled gestational diabetic and continue to test my entire pregnancy, eating carefully to maintain healthy readings. That is all you would do if you failed the test anyway. By skipping the formal test, I am not diagnosed as a diabetic, though, so am not put in a high-risk catergory. If you are planning a natural pregnancy and birth, avoiding this label is *very* significant.

If your readings are consistently normal post-meal, however, you would not need to continue testing beyond a short period of time you agree on with your midwife. On the flip side, if you can't control your readings with diet, you would want to consult further.

When I had an OB, he was strongly opposed to skipping the GD test, however, the midwives I have had for later pregnancies agree that home testing is actually a healthier, more accurate choice. It is unpopular because women are never told it is an option, some might find it tedious, and doctors just like to stick with tests they are used to.

Also, supplies are not always covered by insurance without a GD diagnosis, but you can often get meters for free, and IMO the cost of a few strips if necessary is so worth it.
Edited by neycie - 11/17/13 at 10:26pm
post #4 of 28

Not really, no.
I almost skipped it the first time, but they asked me to do it later. It was good that I did because I ended up in a hospital for the birth and they really want that information.

My midwife this time will do it at my house, so I don't really mind. I didn't mind it terribly the first time, minus the needles. This time would have sucked if it wasn't at my house because I have a kid who can't be away from a parent for more than an hour ;)

post #5 of 28

Hi,

I just had this (one-way) discussion at my last appt. (24 wk) and asked if there were any alternatives - for example, using a glucose meter which is much more accurate. I've read there is a high false + rate with this test, especially for people eating a healthy or low-carb diet (gluten-free in my case). My 1st pregnancy I passed the test but was nauseous/vomiting all day afterwards. Well my OB blew off my concerns; this + several other visits where I feel like I'm being treated at a McDonald's drive-through or used car lot has led me to start searching for other birth options. Anyways, I've heard also of more pleasant alternatives such as downing a specific amount of fruit juice or 1/4 cup of maple syrup, probably as accurate as the glucose syrup but good luck finding an open-minded provider (pardon my pessimism; starting to think some of these mainstream practices are just getting kickbacks from the glucose test manufacturer). I think the test is important for high-risk people but maybe someone on here in the medical field can weigh in too hopefully. Best of luck!

post #6 of 28

I have always done it, but I only did that glucola drink once.  My birth center offers this alternative:

 

Normal, high protein breakfast, normal meals throughout the day if your appt. is late in the day.

 

Glucose source 1 hour before blood draw:

16oz OJ + 1/2 banana or

8oz Apple J +1/2 banana or

8oz Grape J + 1/2 banana or

6oz Grape J + whole banana

 

Eat a high protein snack immediately after blood draw.

 

It is still a sugar bomb, and my midwives say it is not *quite* as accurate, but the 1 hour screen is notoriously inaccurate anyway.  I figure if my GD is that bad, anything is going to show it…  

 

I have large babies and sometimes feel a little funny after sugar, etc., so it gives me peace of mind for the screen once during the pregnancy.  Of course, the way this pregnancy is going, I'll probably flag it this time and have to do the 3 hour.  I don't know if they will let you opt out of the glucola for the 3 hour :eyesroll

 

Anyway, if your care practitioner really fights you for opting out, perhaps this could be a compromise.

post #7 of 28

My Midwife is lending me her glucometer instead. She and I both agree that the test has too many false positives. I avoid high sugar foods and drinks for the most part because I don't tolerate sugar well, so the test would certainly show me as a risk. So I have put myself on a stricter diet, and exercise more. I have to do the glucometer for two weeks and stay within a certain range, which will let my midwife know how I am doing with my plan. Keeps me honest. 

 

:)

post #8 of 28

I have done it with my past 2 pregnancies and will do it with this one, as well.  My midwife happily will let me choose a healthy drink, like what gizzy mentioned :)  For some reason, I do not mind this test, and do not find it invasive, although it is not something I worry about, either.

post #9 of 28

My OB is ok with an A1C instead, it is a blood test, since I eat a low glycemic diet I just told him I didn't want to shock my system with that much glucose, he was totally fine with it.

post #10 of 28

My birth center allows you to drink 32oz of orange juice instead of the glucose drink. Not excited about it, but seems better to have more natural sugars flood the body than the junk that's in the drink! I'm really nervous about passing this. I eat a pretty healthy diet (veggies & fruit every day, mix of proteins, yogurt/cultured food, no ingredients I can't pronounce, mostly cook from scratch) and have been walking about 3miles/week but I enjoy more dark chocolate every day than I probably should....

 

When I was about 4mo pregnant I had a blood test after 10hr fast (overnight) for life insurance company. My glucose & fructosamine results both came in the normal range. I hadn't thought to share this info with midwives. Wondering if it would matter or if it was still early enough pregnancy that it wouldn't "count" ?

post #11 of 28
Quote:
Originally Posted by newmama2b View Post

My birth center allows you to drink 32oz of orange juice instead of the glucose drink. Not excited about it, but seems better to have more natural sugars flood the body than the junk that's in the drink! I'm really nervous about passing this. I eat a pretty healthy diet (veggies & fruit every day, mix of proteins, yogurt/cultured food, no ingredients I can't pronounce, mostly cook from scratch) and have been walking about 3miles/week but I enjoy more dark chocolate every day than I probably should....

When I was about 4mo pregnant I had a blood test after 10hr fast (overnight) for life insurance company. My glucose & fructosamine results both came in the normal range. I hadn't thought to share this info with midwives. Wondering if it would matter or if it was still early enough pregnancy that it wouldn't "count" ?
32 oz of orange juice at once is a ton of juice greensad.gif
OJ is the one thing that will skyrocket my sugars into diabetic range....love it but would never consume it while pregnant. It's really about how you are reacting to what you actually eat. With your diet, it sems like you'd be better off testing after your biggest dark chocolate indulgence! I'm not sure about the fasting blood test counting since it's not post-prandial...even if my fasting is fine my sugars can still spike fast with food.
post #12 of 28

I don't do this test. I am receiving shadow care from a OB. When this test comes up I will decline it. We'll see what they say, but ACOG supports the mother's right to make decisions like this.

 

 http://evidencebasedbirth.com/gestational-diabetes-and-the-glucola-test/

 

I will also be declining internal exams and prenatal rhogam. If they wish to drop me, that's all right with me. 

 

Tabitha

post #13 of 28

Just found this study linked on another site:

 

http://www.ncbi.nlm.nih.gov/pubmed/10561636

 

According to the conclusions, eating 28 jellybeans can be just as effective for results as the drink!  And would be a lot easier to swallow than 32oz of OJ!!

post #14 of 28

YUM!  Jellybeans :)

post #15 of 28

I'd rather do the OJ or jelly beans. I'm dreading that stuff!

post #16 of 28
I love oj and apple j for that matter. I also love smoothies and baked goods. I eat lots of proteins and veges too but I do love my sugar. I had thought I would go in for the test last week but didn't think I would pass due to my diet so will maybe go this week. Last time my midwives sent me as indicated from my pee stick (as fas as I can remember). I failed the 1 hour and passed the 3 hour. This time the ob's kind of pushed it but I'm ok with it. I would rather the fruit source for the glucose, never heard of that before. I don't think this kind of diabetes is entirely related to genetics but since I don't know my genetic history I often error on the side of more tests than maybe I would otherwise.
post #17 of 28

I just declined the test on Thursday at my super-conventional OB office. They urged me to do it, but admitted they couldn't make me. During their effort to convince me they told me:

 

It's no big deal if it is positive, you just change your diet!

 

and

 

 

It has nothing to do with your diet, so don't think having a good diet will prevent it!

 

It was an amusing visit. 

post #18 of 28
Thread Starter 

Thank you all for posting and your feedback!  I'm definitely going to call the office on Monday and try to have a conversation with the midwives about the test, and see if they are open to an alternative method of screening.  Fingers crossed!

post #19 of 28
Quote:
Originally Posted by tabitha View Post
 

I just declined the test on Thursday at my super-conventional OB office. They urged me to do it, but admitted they couldn't make me. During their effort to convince me they told me:

 

It's no big deal if it is positive, you just change your diet!

 

and

 

 

It has nothing to do with your diet, so don't think having a good diet will prevent it!

 

It was an amusing visit. 


Wow! That is crazy! Good to hear you could just decline!!

 

I think I'll ask to do OJ (seeing a midwife, so imagine that should be okay). Thanks for all the thoughts!

post #20 of 28

Hello

 

I declined as well! I hear a lot of people say "whats the big deal just do it" but to me the tests are so inaccurate and me carrying twins I already feel too much pressure for medical intervention I cant imagine having a positive GD test as well. Unless I feel something is wrong or they notice a buildup in my urine samples than I will not do any unnecessary testing.

  Return Home
  Back to Forum: March 2014 Due Date Club
Mothering › Groups › March 2014 Due Date Club › Discussions › is Glucose Test necessary?