Originally Posted by BabyDakota
Can I ask why you do not want to do the glucose test?
1. it is actually a condition that can be defined
2. that "treatment" helped
3. that there was any purpose to the label.
add to that that you will get slapped with a "high risk" label quite probably and be pressured to induce, no thank you. For more info do a search on GD and Henci Goer.
OTOH, she was very concerned about the "dangers" of a vaginal birth without knowing if the baby had a neural tube defect because I declined the quad screen.
Chaotic mama to 5 plus a bonus one on the way.
However, from my research, I don't believe that it is anywhere near the problem that it is made out to be, and I don't want to put that sugary crap in my body. I really wish I knew what kind of sugar is used in the drink. I haven't been able to find that info. If it is high fructose corn syrup,I wouldn't go near it. The test sets women up to fail. And while I can see the possible problem to having a "large" baby, nine or ten pounds isn't that large. And it seems the most docs think that that is huge. I think that is more of a labor possition problem than a GD problem. I just don't want my pregnancy to be medicalized when I know how to take care of myself and am very low risk.
Not that great!
First, at my first appt I got the "bad" midwife at the CNM practice I am using (unfortunately homebirth is not an open option for me at this time). She doesn't attend births, and she is a TOTAL Med-wife. She harassed me about my "dates" told me I needed an ultrasound ASAP to "confirm" my dates, even though I TOLD her I was charting, knew exactly when I got pregnant, etc. When I asked why having exact dates was such a big deal, she said so they could do the glucose test at the right time, for one. She told me my only options WRT the test were to eat jelly beans or drink the sugar crap. By this time I was about to walk out the door and never come back...
Thankfully the midwife came in after this, and talked with me. She's been a true midwife so far every time I've seen her. She asked me to do a blood sugar screen 2 hours after a meal, which is MUCH more reasonable, and makes sense to me. I agreed, that is a compromise that keeps her OBs happy, and that I can live with. (She has to work with the OBs due to the way the laws are in my state)
So, I didn't totally refuse it, but I didn't drink the sugar stuff either.
But that doesn't matter. You don't need the test.
Before I even became pregnant and I was interviewing MW's, I lined out the tests I would not be allowing, GTT (GD) being one of them. My MW told me that nothing I had said was out of the ordinary. Specifically, she does not request the GTT for low-risk, healthy weight-women. And as a HB MW, all she sees are low-risk healthy women.
It's a pointless test unless you have some risk factors, and even then it can mostly be managed with diet and excercise.
Jam 7, Peanut Butter 5, and Bread 2.
I had to see a different doc next prenatal and she seemed to be fine with my decision as well but the doc that she had to check out with was ridiculous. And that she kept trying to pressure me into it really cheesed me. She said some pretty stupid things to me, one being that when I said that I totally trust my body to grow and birth this baby and I wasn't worried about him or her, she goes and says well I am. : WTF? All this after I had given my reasons (all of which I'm sure have been mentioned here on the I'm PG forum at some point or another ) to 3 different docs before dealing with her.
So of course I'm getting pretty flustered and frustrated at this point and my poor PG brain is smoking. So I just flat out said I just don't want it and she finally dropped it. We were discussing this in the May DDC as well and I think that the best course of action is just to be short and sweet.
Dealing with OBs and the hospital has definitely been an excellent learning experience for me. Not that I don't think there is without a doubt a time and place for medical care , I now know 1st hand why I've always wanted a HB with a good MW. And if I have to scrape together every penny I find from now until the next time DH and I conceive, God and good health willing, I will get the : that we could not afford this time.
Look at me, I'm still agitated when I think about it!
I hope your MW does not give you too much static mama. Good luck!
"A computer once beat me at chess, but it was no match for me at kick boxing." ~ Emo Philips
Me, DH, DS1, DS2, November 2012 , July 2013 , March 2014
Waiting on my SunshineBaby
So after talking it over with DH I am going to get the test done. But we are actively looking for a new midwife and I am 34 weeks along......
The American College of Obstetrics and Gynecologists (ACOG) said in a recent statement to the media that there is not one certain method to be used to effectively screen the pregnant population for gestational diabetes. They do not, however, know what screening is best or agree on when the screening should take place.
One of the most intriguing recommendations is that a woman may not need laboratory testing to screen for GDM if she meets all of the following criteria:
less than 25 years old
not a member of a racial or ethnic group with a high prevalence of diabetes (eg, Hispanic, African, Native American, South or East Asian, or Pacific Islands ancestry)
a body mass index (BMI) 25
no history of abnormal glucose tolerance
no previous history of adverse pregnancy outcomes usually associated with GDM
no known diabetes in first-degree relative
Women who are at a higher risk for GDM usually have one of the following risk factors:
family history of diabetes
past obstetric history
While diet and exercise are the mainstays of treating GDM, there are not a lot of concrete studies indicating that one way is best for anyone. While it has been popular in the past to place women with GDM on restrictive diets, particularly caloric intake, ACOG now advises that this may not be desirable. In fact, they state quite clearly that even if one chooses to restrict caloric intake no more than 33% of the calories should be removed from the woman's diet. Though the focus should definitely be on proper nutrition and eating habits. When conventional therapies involving diet do not bring about the desired changes in glucose levels insulin should be considered.
Other things that were long held in popular belief for women with GDM includes routine early induction simply because they had GDM. "When glucose levels are under control, and no other complications arise, there is no strong evidence to support routine delivery before 40 weeks of gestation," says the report issued on August 31, 2001. They gone on to report, "Although cesarean delivery rates are higher in women with GDM, ACOG notes that there are no data to support a policy of cesarean delivery purely on the basis of GDM."
by Robin Elise Weiss, ICCE-CPE, CD(DONA), CLD
On the other hand, diabetes runs in my family. My aunt, uncle, and grandmother (all on my father's side) have (or had) diabetes. My dad doesn't have it. I took the GTT with my first pregnancy and BARELY failed the 1-hr screening, then passed the 3-hr with flying colors. I didn't take it in my last pregnancy mainly because we were cash patients and I couldn't afford it, plus I have strong anxiety about needles and I almost had a panic attack during my first screening...which I don't think is good for me or my baby, especially when I'm also hungry, woozy, etc. After I took the GTT w/ Preg #1 I was sick for days...it took me a long time to recover from fasting and then having all that nasty sugar in my body.
At my OB appointment this Friday they are hoping to schedule it. I am 95% sure that I won't be taking the test, but 5% of me is concerned that diabetes does run in my family. I have been on a good diet w/ exercise lately. I guess I'd just like to know what others have done or would do in my situation.
Baby #6: 20****25****30****35**** - EDD December 17, 2010