I've been having a wonderful pregnancy. No health problems, no issues, feeling the baby just fine and I'm one healthy lady.
I have been booked for a one hour glucose test where I have to drink the sugar stuff and then they draw blood. This is not something I'm interested in doing.
The question is: do I really need to have this test done? Have other mom's, pregnant ladies out there refused this test? What are the pros and cons of this test?
I posted a similar question in my DDC and several women were also opting out.
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Chances are you do not have it... but to me, the risks to the baby if you do have it are such that it's worth drinking some yucky goo and giving a bit of blood.
Mom to DS(8), DS(6), DD(4), and DS(1). "Kids do as well as they can."
I see it as a 'pick my battles' situation. I'd rather save my 'veto' for something(s) that is really important to me instead of being contrary over every little thing. I do get that to some women the GTT is not a 'little thing', to me it is. I dislike confrontation, really dislike it, and prefer to only enter into it when I must, for me the GTT isn't a must.
Lovin' my four-pack: M, S, a different M, and me.
What the wonderful OB "let" me do this time was to have my blood drawn for a Ha1C test (3 month blood sugar number) early on. I will do finger pricks for about 2 weeks, some fastings and some 1 hour after meals, around 26 weeks. I will also do another Ha1C test then. My first one was 4.6, which is pretty darn low.
I know it's something I usually kind of blow off, but I really do think it's important to make sure you don't have GD. It can really cause a lot of problems for the baby. My OB did give me the option of eating a certain number of regular jelly beans, but it's not so much the yicky drink but how the amount of sugar makes me feel.
My midwives do a real-food test instead of the gross drink version (real breakfast of 2 eggs, toast, glass of milk and one of OJ), which I was happy with since these foods are close enough to what I generally eat. And because I ate at home, I didn't have to sit at the lab for an hour. I just went there about 50 minutes after I ate for the blood draw and then left. Maybe this is an option for you, too. Good luck!
Wifey to my DH 9/2005 and always busy SAHM to my beautiful boys Elijah 12/2008 and Caeleb 6/2010
Our baby girl is arriving October 2012!!!
NICE guidelines state risk factors as: having a very overweight BMI, a previous macrosomic baby, previous gestational diabetes, family or personal history of diabetes and a place of origin with a high prevalence of diabetes.
birth doula since 2006
Anyway, both times I failed. This last time it was by 2pts. I didnt actually verbally refuse the longer test, I just never scheduled it. Instead I went to the drug store & got a cheap diabetes test kit & took readings upon waking & 1 hr after eating for 7 - 10dys.
It was a PIA, but the drs had no prob with it at all.
Wife of 10 yrs to Oaties, Mama to Bubs 08/06/08, Rizie 04/19/10 & MRae 02/02/13 & to
Anyone know why the don't do this instead of the glucose drink?
I declined the test with DD and will also decline it with this pregnancy, but only because I can easily test my CBG at work (RN, hospital, lots of glucometers available). If I didn't have access to this method, I'd just request that my midwives fill out a few requisitions for blood tests for fasting blood glucose and after meals.
It has been offered to me because 1). My son was huge (10 and a half pounds - it wasn't offerd to me during his pregnancy though) and 2). This baby is also measuring pretty large.
Both pregnancies I have only ever had a bit of sugar present in my urine once - all other urine checks check out fine! (and those things are natoriously innacurate - there could be countless reason there is sugar present in your urine that does not indicate something like Gestational Diabetes).
The glucose test makes no sense to me. Its nasty to start off with. It can make you feel pretty crappy for a few days - so I am told. 'Here - we think you might have GD...drink glucose!' ...Does that sound healthy to you at all? Its not like you would normally sit around drinking that stuff - or having glucose in such large amounts in any day anyhow!
Yes - GD can be pretty serious. But in all honesty - IF you did have GD, the only thing they could do about that is make sure you are eating right to keep it at bay. So why not just make sure you are eating right already? If sugar clearly is not presenting a problem for you (havn't detected it in your urine, not measuring huge for dates, etc)...then have a few more treats if you wish! lol If it is - just be vigilant about eating right (low carbs, high protein, no processed sugars, low GI, small meals often, etc) - Its very rare that eating right alone would pose a problem to even those with GD (meaning that they rely on insuline)...and there will be other indicating factors with that before something like a glucose test.
I feel the glucose test can just be another tool they can use against you - slap a lable on you and proceed to pull you downhill from there. Avoid it at all costs.
Because I have already had a large baby I can assume that either 1). I am prone to GD or 2). I just make large babies. It is more possibly the latter because my diet with my DS was crap - he turned out huge...I have had a GD diet regardless with this baby because of DS size and this baby is still looking pretty darn large! Either way - I choose to eat healthy. How much of a difference that will make on my babies size - who knows! At least both babe and I are pretty healthy so far!
I'm 24 weeks. I'll be 35 years old next month, and this is my first baby. My next scheduled appointment is for the glucose test. After finding out that I'll have to have 50 grams of sugar on an empty stomach, I have no interest in doing this. I barely ever eat sweets, I don't drink soda, and on the rare occasions that I do, I react badly (seriously, if I drink a whole glass of Sprite, I get terrible jitters nearly to the point of delusion, and I throw up). I know this will make me really sick. I cook all my own food, and exercise regularly. I REALLY don't want to take this test and be sick for two days. However, since it's my first baby, I'm worried that I'll be doing something wrong if I opt out. There is also no way I can eat a gigantic breakfast or 20 jelly beans -- that's just not how I eat. If I tried too eat a breakfast that big, I would probably throw up immediately. The jelly bean thing would just make me ill, as well. I'm really wondering how any of these options are relevant to the way my body processes food? I'm skinny (well, except for baby), I'm not a big eater, and I don't eat sweets.
Katie - Married to Mike 06/02/01, Mom to Sydney Anne born 11/21/09 and Alice Maeryn & Oliver Thomas born 04/24/13
I have a theory that people who eat really well may actually fail the 1 hour GTT more often because their body isn't used to all the sugar. I don't like the idea that I work so hard to eat well and then the doctor makes me fast and then consume a massive amount of sugar just to see if everything is okay. There is always the option of monitoring your own blood sugar if you don't want to take the test.
I skipped it with DD, but won't this time. I learned after the fact just how serious GD can be, and that you can't always tell without the test if you've got it or not.
According to NIH resources, fitting even one of the following criteria puts you at "average risk" for GD:
- I have a parent, brother, or sister with diabetes.
- I am African American, American Indian, Asian American, Hispanic/Latino, or Pacific Islander.
- I am 25 years old or older.
- I am overweight.
- I have had gestational diabetes before, or I have given birth to at least one baby weighing more than 9 pounds.
- I have been told that I have "prediabetes," a condition in which blood glucose levels are higher than normal, but not yet high enough for a diagnosis of diabetes. Other names for it are "impaired glucose tolerance" and "impaired fasting glucose."
It then goes on to say that if you're "low risk," you doctor may skip testing. Though other sources I've read insist everyone should be tested.
With it being such a safe test, I'm happy to take it, even if it is gross and more sugar than I would typically want to eat at once.
<--Me, IronMammaries <--Med-student DP<--DD (12/08) & <--DS 4/13
I've skipped it with both pregnancies. I have no risk factors so felt comfortable opting out of that one. I give this answer as a pregnant woman NOT as a Doula.
Mommy, Wife, Birth Doula, Breastfeeding Counsellor.
It's definitely not a requirement :) I personally do it just for the peace of mind, but if you are happy, healthy, and confident, you definitely have the right to refuse it!
Wife to DH (12.10.2009), Anchorage based doula , Proud mama to Autumn (09.03.2008), Sylas (04.25.2010), (06.11.2012), Calliope(04.23.2013) .
For my first son I did the real food version and passed with flying colors. With DS2 my midwife did an Ha1C blood test instead, as she said it was more accurate at telling how your body is reacting to the actual way you eat. Again I passed with flying colors. My midwife did also comment that the women who do eat healthy pregnancy diets are more likely to fail with glucola since they are not used to processing sudden large amounts of glucose.
I have risk factors, as my mum was diagnosed with type 2 diabetes just a year ago. I am over weight and I am now 40. Yet I had no issues with my previous pregnancies, even though I grow larger babies (DS1 8lb7oz & DS2 9lb8oz) so I am not concerned for this new pregnancy. I will probably just stick to the Brewer's Pregnancy Diet and then get the Ha1C again this time.
Lyn, wife to Rob & Mamma to "Moredcai" 12wks July 09, Aiden(6/1/10) and Seth(9/7/11) New blessing Megan(5/9/13)
Lynann, that sounds like a really good way to handle it. I wonder if my midwives will offer different options for testing instead of just the shake. I'd much rather just let someone stab me with a needle and take some blood than down a nasty shake.
<--Me, IronMammaries <--Med-student DP<--DD (12/08) & <--DS 4/13