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Has anyone declined the glucose test? - Page 2

post #21 of 43
Quote:
Originally Posted by karen1968 View Post
Actually, no it isn't. With a controlled test, they would take weight into consideration. Do you really think 50 grams of glucose is the same to a 115 pound woman as it is to a 250 pound woman?? there are many medications that are administered by weight.

I think if docs REALLY want to "test" for this condition (it is NOT a disease), they would do fasting and post-meal testing, or send women home with a glucometer for a few days.
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post #22 of 43
I declined it . I don't have to pay for it b/c I live in Canada but I only have two risk factors one my ds was a big baby and I am over 25. But my grandma, aunt and mom all had big babies and none of them had a problem so I didn't see a reason for it.
post #23 of 43
I decided to take a modified version of the test only because i have been feeling so strange before and after food. My midwife is very hands-off even tho she is CNM and said she was fine if I didn't take it. so we did a one hour (it was more like one and half hour by the time we got the blood drawn) after eating blood test to see what my levels are like after a regular breakfast. well, it was 83 which is nice and low. We decided together that I might be feeling weird around food not b/c my sugar level gets high but because I probably have been having low blood sugar. does anyone who deals with blood sugar know what a normal one to two hour post-meal reading is? does 83 sound low? My mw seemed to think so although she wasn't concerned.
post #24 of 43
Quote:
Originally Posted by karen1968 View Post
Do you really think 50 grams of glucose is the same to a 115 pound woman as it is to a 250 pound woman?? there are many medications that are administered by weight.
Yes and yes. Medications are administered by weight in neonatal and pediatric patients. Glucose, however is a different story. By your logic, 50 grams of glucose would be more dispersed in a 250 pound woman and therefore not cause the same effect in a 115 pound woman. When in truth, the 115 pound woman has less insulin resistance and her body effectively handles the glucose. The 250 pound woman more than likely has built up more resistance to her own body's insulin and therefore has a spike in blood glucose in response to ingesting a large amount of carbohydrates.

Quote:
Originally Posted by karen1968 View Post
I think if docs REALLY want to "test" for this condition (it is NOT a disease), they would do fasting and post-meal testing, or send women home with a glucometer for a few days.
I think this is a great idea though not nearly as cost-effective. The glucometers aren't cheap and the training in using them as well as recognizing what normal values are for fasting, one hour and 2 hours after a meal. I just don't think it will happen.

I personally declined the 3 hour test because I felt like I had it. I already had the glucometer and already knew the diet and normal values so it was no biggie for me.
post #25 of 43
Quote:
Originally Posted by Savmay View Post
I decided to take a modified version of the test only because i have been feeling so strange before and after food. My midwife is very hands-off even tho she is CNM and said she was fine if I didn't take it. so we did a one hour (it was more like one and half hour by the time we got the blood drawn) after eating blood test to see what my levels are like after a regular breakfast. well, it was 83 which is nice and low. We decided together that I might be feeling weird around food not b/c my sugar level gets high but because I probably have been having low blood sugar. does anyone who deals with blood sugar know what a normal one to two hour post-meal reading is? does 83 sound low? My mw seemed to think so although she wasn't concerned.
83 is a normal reading. Less than 60 would be low. One hour after a meal it should be less than 140 and 2 hours after it should be less than 120. I'd be curious to find out what your fasting blood sugars are.

I have gestational diabetes and if I eat a good healthy meal and test my blood sugar 2 hours later, sometimes I get readings in the 90's (once it was in the 70's). If you continue to feel strange, I'd definately investigate further.

Mandy
post #26 of 43
I'm supposed to take the test on Tuesday morning. After reading this post I'm trying to figure out what to do... my first dd was born 2 yo ago and had no problems. I ate more sweets in this pregnancy in general and gained more weight (about 18 lbs so far at week 28) than in my first. What are the criteria here?? I don't mean to hijack the thread, but I need more answers before making up my mind to do this test. Are there any symptoms of GD?
Also, I'm doing a VBAC... and I don't want to get fasttracked to another csec.
post #27 of 43
Quote:
83 is a normal reading. Less than 60 would be low. One hour after a meal it should be less than 140 and 2 hours after it should be less than 120. I'd be curious to find out what your fasting blood sugars are.

I have gestational diabetes and if I eat a good healthy meal and test my blood sugar 2 hours later, sometimes I get readings in the 90's (once it was in the 70's). If you continue to feel strange, I'd definately investigate further
thanks Mandy for the numbers, I was curious but didn't really think to ask my MW about it at the time. I have a lot of food allergies and more than likely that is the cause of my feeling weird around food.... I have been eating more of the foods I am allergic to b/c I really crave protein but am allergic to eggs, chicken, turkey, soy, most nuts, ect... so right now I am just eating what I crave rather than trying to follow a rigid diet. I am not allergic to beef but having trouble wanting to eat it!
post #28 of 43
I declined it and they started to go on about fetal SIDS in the 3rd trimester. I took home the bottle but that is as far as it will go. Cause they are wanting me to come in and go to the lab. I have no time for that and have no history of GD with DD nor is it in my family at all. So I figure I am fine. Plus I know that baby is fine cause he is kicking the crud out of my insides.
post #29 of 43
I was going to decline it (3Rd baby, no risk factors) but my MWs told me they would treat me as though I had it (pricking my finger 4 times a day, going to a dietitian). So, I did the one hour and passed. I also had to pay out of pocket (we have insurance, but have not met our deductible). In the long run, I am glad I did it just to be sure. There are plenty of women who have GS w/o any symptoms or lifestyle patterns that would indicate that they do, so no one can be really sure.
post #30 of 43
Quote:
Originally Posted by Mizelenius View Post
I was going to decline it (3Rd baby, no risk factors) but my MWs told me they would treat me as though I had it (pricking my finger 4 times a day, going to a dietitian).
That would make me seriously angry. And I would really be led to wonder about the non-interventionist nature of my midwives. It is one thing to do the research and come to your own conclusion that you would prefer to have the test, entirely another to be forced into it by midwives, women who should have an inherent belief in the normalcy of pregnancy and delivery.
post #31 of 43
Quote:
Originally Posted by Nicole77 View Post
That would make me seriously angry. And I would really be led to wonder about the non-interventionist nature of my midwives. It is one thing to do the research and come to your own conclusion that you would prefer to have the test, entirely another to be forced into it by midwives, women who should have an inherent belief in the normalcy of pregnancy and delivery.
Well, ultimately I could NOT do it . . . .in other words, how would they know whether or not I was pricking my finger?

I am giving birth in a hospital (as I have done in the past) and I imagine that there is an inherent difference between HB MWs and hospital MWs. Since giving birth at home is not an option for me, I have to pick my battles. . . and my strategy is to labor at home and give birth in the hospital. That way interventions aren't even an option, for the most part. That's what I did last time and it worked really well. Hopefully it will be true again.
post #32 of 43
Thread Starter 
Quote:
Originally Posted by Mizelenius View Post
I also had to pay out of pocket (we have insurance, but have not met our deductible). In the long run, I am glad I did it just to be sure.
Mama, can you tell me how much it cost???

I am not opposed to doing it "just to be sure", as long as it's not extremely expensive. I did turn in my application for state insurance but of course have not heard back yet. Lucky for me my doc's appts keep getting cancelled because he's in surgery (is that a sign?), so I haven't been to the office since October and no one has brought up the test, but I am anticipating they will when I go in next time... Don't get me wrong, I love my OB, I just don't really want to take this test.
post #33 of 43
My HB MW used to work at a hospital where all she did was check poeple for the glucose tests, help the ones with GD figure out how to eat right, prick fingers, etc. And she's now the one to tell me that unless you think you have strong reasons to believe that you might have diabetes to just decline the test, as she thinks that even with all the upkeeping of the GD problem, it might not really make that much of a difference to warrant all the stress. So, she advised me to decline, yay. I'm supposed to take it tomorrow, but now will not.
She said she puts her clients on a very healthy diet anyway. Once she tells me her eating secrets on Friday at our meeting, I'll try to post a thread with it in health/healing, ok?
post #34 of 43
Quote:
Originally Posted by DecemberSun View Post
Mama, can you tell me how much it cost???
I wish I could . ..haven't gotten the bill yet. Call the lab and they will tell you!
post #35 of 43
I have declined it for my other two pregnancies and will again for this one. One of my back up midwives was pushing me hard to get it done (I do have several risk factors) but after doing a bit of research and finding this article by Henci Goer I have decided against it.

I have my next mw appt on Wednesday and I am bringing in a copy of the article.

Steph
post #36 of 43
I did this test at my last visit. I wanted to decline, but DH is in medicine, and I do many "compliant patient" compromises for his benefit.(I still manage to get labeled as difficult-no problem!)
But otherwise, I would have absolutely refused. I think there is way too much checking that goes on in general in medicine, and I think this test is definitely the potential fast-track to the cutting table!
post #37 of 43
I declined it, but then got the political discussion from the MW. "If you have to transfer, we can't prove blah blah blah". So to compromise, I'll be doing my fasting sugars for seven days before my next appointment, with three days doing a two-hour post meal reading. Apparently having that week of documentation in my chart will be enough to at least say that I don't have GD... if we have to go to a hospital... if it's not an emergency section... if if if...

This thread has been pretty informational, especially since I didn't even know what the "normal" numbers should be.
post #38 of 43
[QUOTE=avaylee;6899480]I declined it, but then got the political discussion from the MW. "If you have to transfer, we can't prove blah blah blah". /QUOTE]

What would happen with a transfer if you weren't tested for gd? I would think the most that would happen is that they would prick the baby after the birth if the baby was over 8 lbs 15 oz (I belive thats the weight cut off for most hospitals and even then if the baby isn't showing signs of being low in sugar than some might not test at all). Just wondering cause I have transfered before and they didn't even bring it up.
post #39 of 43
She said something about them going the default route of assuming that I did have GD, and that if it was a transfer because I wasn't progressing, if I couldn't prove that I ~didn't~ have GD, they would assume the baby was too big and move towards a c-section more rapidly. (Although with these hips, I'd be surprised if I couldn't get a 10-pounder out of me with ease... but I digress.)

Might just be the hospitals that she has dealt with, I'm not really certain. She was ok with me not taking the test, but seemed to have had some bad experience maybe?
post #40 of 43
I just got back from my 28-week appt where my midwife offerred this test. I declined it, and she tried to encourage me to take it anyway for two reasons:

1. High glucose levels effect on the devloping fetus' brain.
2. To maintain the midwifery model of care and prevent critisism from naysayers.

I researched the glucose and brain development thing and found an old study from 1987, which didn't really convince me to sway my opinion to consent to the test. And her second reason just made me angry. I'm sorry but I'm not going to stress myself out over this test just to make some doctors happy with my midwife in case of transfer to the hospital. :
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