Failed my glucose.... :o( - Mothering Forums

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#1 of 17 Old 01-04-2007, 04:03 PM - Thread Starter
 
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I had my glucose tested on the 28th. I didn't WANT to have it done...but my I've have family history with Diabetes and know that my mom delivered my brother with GD.
In addition I've been gaining crazy weight and not knowing where it's coming from! :
Anyway...just got word that I did fail my 1 hour test. : And I have to go in ASAP for a 3 hour.

My MW's nurse mentioned that I'm 4 "points" over the cut off and so my numbers are too high.

I'm a bit bumed! But to be honest, I was "close" to the cut off with DD, but never had to do the 3 hour. Can someone please tell me what I'm to expect?
What if I fail the 3 hour? Then what happens?
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#2 of 17 Old 01-04-2007, 04:08 PM
 
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Have no idea what you should expect, but,
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#3 of 17 Old 01-04-2007, 04:25 PM
 
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No advice but
Love you bunches!
I know when I looked up threads on the glucose test, there were a lot of posts about the 3 hr one. Hope you find something that helps.
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#4 of 17 Old 01-04-2007, 04:32 PM
 
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I think 4 points above the cut off is pretty close - anyone know for sure?

I failed the 1 hour, and requested that I be allowed to retake it. Then I passed the second 1 hour. I was just barely above the cut off, so that's why they let me retake it, but I think you are pretty close too...

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#5 of 17 Old 01-04-2007, 05:49 PM
 
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If you end up taking the 3 hr, might I suggest that you walk for a good part of the time. Don't just sit there. I failed my 1 hr and went back for the 3 hr. I passed, but I drank lots of water and walked around the hospital. If you fail the 3 hr, they'll send you to meet with a dietician who will tell you how to follow a GD diet- basically no sweets, and eating healthy. You'll take your blood sugar 3x a day and they'll monitor baby for being "big". We already had some complications so I really did NOT want to add another red flag to our situation. They will also test baby's blood sugar and monitor it once he or she is born. My mw told me at one of our first visits that she wasn't even sure there was such a thing as GD. Our bodies do things differently when we're pregnant. Anyway, my 2cents.
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#6 of 17 Old 01-04-2007, 05:54 PM
 
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I failed my 1 hour and went in for the 3 hour. I was high for one of my four tests and only one point short of being too high for a second, so I barely scraped in. If you know that you are capable of watching your sugar I'd go in for the 3 hour and not sit still the whole time. I was thinking that I should have moved around more during mine because the exercise will burn off the sugar faster and you wont test high. I wasn't allowed to leave the lobby, but I could have walked around it or even bounced my legs to burn off some of the sugar. I also thought about going into the bathroom and running in place in a stall, that would really have done it!
If I had failed I would have been very upset because I am careful with my sugar and I see no need to test myself. I know my body well enough that I can tell if I've had too much, and if I have I'll get some exercise to burn it off before it affects the baby. The worst I've ever heard about GD is that it can cause you to have a big baby.
I hate that test because I felt like no one ever has that much sugar at one time, and if they do they probably don't sit perfectly still for the next three hours. I really don't think it's practical. However, if you dont' take the test I'd be afraid that they would assume you would have tested positive and treat you as though you had GD, which could be a real hassle.
I hope that helps.
Let us know how it goes!
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#7 of 17 Old 01-04-2007, 06:38 PM
 
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Wow! I have to really disagree with the advice here. I was super thin and never had a big appetite until a few years ago when I started having "hormonal problems." I now know that I have poly-cystic ovarian syndrome. Up until a few years ago I weighed only about 105 lbs (5'2") without regard to diet or exercise. (Of course, if I did exercise or eat healthfully I felt better.) Now, after gestational diabetes I weigh 185 lbs and my son is 19 months old. I weigh even more than when he was born!

So, do the test as they tell you and if you fail get good advice on how to eat for a diabetic. It is not just about low carbs and high protein AT ALL! In fact, that can be dangerous for a diabetic. A "low carb" (Atkins) diet would call for about 25 grams of carbs a day while my pregnancy diabetic diet called for over 200 carbs a day. It's NOT just about eating less sugars at all. What happens is that your body can no longer process your glucose (energy) properly so your body "thinks" you've gone on a crash diet, so to speak. So, you need to eat a proper amount of carbs with the proper amount of protein consistently through the day. Also, something like an Atkins shake will lower your blood sugar because of the high protein, but is not good for you; if you look at the Glucerna shakes you'll see they have more carbs than the Atkins and they are for diabetics.

Also, while having a large baby is a large part of what you want to avoid, the size is not the only problem. Having GD puts your baby at risk for diabetes in the future. The baby (fetus) is producing his/her own insulin at this point, but your excess glucose will pass the placental barrier and cause your baby to make even more insulin as your insulin does not pass the barrier. The baby will continue to do so even after birth if you do not monitor your glucose properly.

I'll tell you this... When pregnant I got a "diet" from the local Diabetes Wellness Center. I followed it and my son was fine. That said, I did not really understand the importance of eating the number of carbs I needed to eat and started drinking the Atkins high protein shakes. Like I said, they'll lower your blood sugar, but will not provide your cells with energy (glucose). I've since been back for more extensive counseling which I highly recommend. The first time they just explained a little and gave me the diet, assuming, I suppose, I wouldn't need it for long. Ask for the more extensive counseling.

But, I would not try to alter the test to get by. If you fail and need to address the issue then do so. Fortunately, I did not have to use medication, so that's not always necessary. Diet can work.

I'm sorry I can't explain further right now. DS is just waking from a nap. Must go.... Please let me know if you have any questions.
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#8 of 17 Old 01-04-2007, 06:38 PM
 
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Hi,
I had GD with my first baby and went the standard route -- failed 1 hour, failed 3 hour, visited endocronoligist and dietician, self-monitored, etc... I was actually eating a healthy diet to begin with, so the GD diet wasn't much of a stretch for me. The only change was that I basically at 5 similar-sized meals a day, rather than 3 regular meals and 2 snacks.

With my 2nd pg, I took the 1 hour at 12 weeks (to see if I had a undiagnosed type II condition) which I failed; took the 3 hour which I passed. Unfortunately, both times I took the 3 hour (1st and 2nd pg), I got very sick (nausea, dizziness, migraine). My OB asked me to take the 1 hour again at 25 weeks, which I failed. At that point, I refused to take another 3 hour. I said I would monitor my own sugar levels and would be happy to visit the diabetes specialist.

So, off I went to the diabetes specialist. I explained my situation and showed her a week's worth of self-monitoring results (all Normal). The happy ending to the story is that she said without the additonal 3 hour test, and the fact my self-monitoring was fine, they refused to diagnose me with GD. She suggested I keep monitoring myself a couple times a week and keep her in the loop if there are any changes.

I guess the moral to my (long) story is that self-monitoring is a lot more useful than the 1 or 3 hour test. Since you have family history of diabetes, it may be worth your while just to go straight to the self-monitoring. Best of luck with your pg!
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#9 of 17 Old 01-05-2007, 12:51 AM
 
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I have decided to go straight to monitoring my sugar with a meter and eating healthy. why chance all the false positives and all the hoops you will have to go through if labeled when doing what the would have you do if you failed isn't that hard?
I have a migraine problem and was sure that I would give myself a doozy from such a harsh test.
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#10 of 17 Old 01-05-2007, 03:34 AM - Thread Starter
 
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Thanks for all the words of wisdom gals!
I'm still in a bit of shock! I know it's not the end of the world, but because I am so concerned with my weight and BP already I can't help feeling like my body is failing me! LOL! I've cut out all sugar-y drinks, I drink nothing but water, I won't even touch salt anymore, I've been buying (and eating!) more fruits n veggies than I ever have (LOL) and my meals are so tiny and spread out that I thought I would sail by!

Ugh...And with the one hour I wasn't allowed to eat or drink anything till after the blood draw. I'm very worried about going that long without my water bottle for the 3 hour. :

I guess I'm just going to have to hang in there and see what happens! I'm ok with seeing a dietician (it would help in the long run with a few things!) and I can self monitor, or whatever I need to do! All I want is for baby to be heathy and (hopefully!) a chance for a VBAC!

As a side note: At least I know I won't be "just" sitting there for that long....DD will be with me! LOL!
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#11 of 17 Old 01-05-2007, 02:02 PM
 
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I was allowed just a few ice chips the whole time! Can't remember exactly, but I think I wasn't allowed to eat or drink anything else from the night before, so I was so ready for some water.

Just make sure you're mixing your proteins with your fruits and veggies. I thought the diet they gave me was sooooo much food. I remember standing at the refrigerator looking for something to eat and crying. DH made a joke about how rough it must be to HAVE to eat all day! FYI: The counseling center can even give you a fast food guide. Not that you want to eat a bunch of fast food, but if you're stuck and have to at least you know.

And, you could ask about advanced counting net carbs. My recent couselor was avoiding that until I asked. It's not just "net carbs" as listed; a little more complicated, so I'll let you get it from a valid expert. Don't want to tell you the wrong thing.

I don't really understand how the GD would cause a C-section. I was induced 18 days early due to the high blood pressure and had a C-section because DS couldn't make the last little bit of turn and was pressing on the cord. I was breech myself and C-section. And, DS was "smushed" in there giving him a partially flattened head (we've had the helmet) and me a hiatal hernia. So, that's what caused our CS. I wouldn't think the GD would? In any case, despite DH being 6'4" and both his brothers weighed over 10lbs at birth, DS was only 6lbs 2oz and still in lower percentiles, although he looks perfectly healthy, just small for his age.

So, it can be done with diet. Just a lot of work to get all those calories you need and make sure you don't have too many carbs at one time. Eating an apple, an otherwise very healthful choice, will give you almost as much carbs as a glass of orange juice, the usual quick fix for low blood sugar. Real fruits are obviously better than juice, and a dietitian can tell you about the "net carbs," but otherwise for a diabetic it's almost like eating any other sugar. So, eat some cottage cheese, some peanut butter, or cheese or something with your fruit.
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#12 of 17 Old 01-05-2007, 04:01 PM - Thread Starter
 
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I don't really understand how the GD would cause a C-section. I was induced 18 days early due to the high blood pressure and had a C-section because DS couldn't make the last little bit of turn and was pressing on the cord. I was breech myself and C-section. And, DS was "smushed" in there giving him a partially flattened head (we've had the helmet) and me a hiatal hernia. So, that's what caused our CS. I wouldn't think the GD would? In any case, despite DH being 6'4" and both his brothers weighed over 10lbs at birth, DS was only 6lbs 2oz and still in lower percentiles, although he looks perfectly healthy, just small for his age.
DD was almost 9# and my mw hinted around the appointment before my sugar test that if I kept gaining weight then I wouldn't be able to have a VBAC because baby would be too big. : I was a bit offended and discouraged by what she said because all my research I did on VBAC told me that I could VBAC regardless of my weight.
I just don't want to be scared into a c-section. I know what I want, but when it comes down to it I have a hard time making it happen!

I'm starting to come to the conclusion though that my mw is not the kind of mw I want! But she is the only mw in my area who accepts my insurance! :
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#13 of 17 Old 01-05-2007, 04:30 PM
 
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Originally Posted by HeavenLeighGrace View Post
I won't even touch salt anymore
Salt is an important part of a healthy diet during pregnancy. It's wise to be aware of your sodium intake, but salt IS important.

Here is a link with information about salt intake during pregnancy
http://www.blueribbonbaby.org/pih.shtml
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#14 of 17 Old 01-05-2007, 05:22 PM
 
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Originally Posted by HeavenLeighGrace View Post
DD was almost 9# and my mw hinted around the appointment before my sugar test that if I kept gaining weight then I wouldn't be able to have a VBAC because baby would be too big. : I was a bit offended and discouraged by what she said because all my research I did on VBAC told me that I could VBAC regardless of my weight.
I just don't want to be scared into a c-section. I know what I want, but when it comes down to it I have a hard time making it happen!

I'm starting to come to the conclusion though that my mw is not the kind of mw I want! But she is the only mw in my area who accepts my insurance! :
I get it now. Like I mentioned, both of my BILs were over 10lbs at birth and my MIL did not have C-sections. But, she's much larger boned and taller than me. I'm just 5'2" with small bones and short-waisted, so that's why we were so "smushed" and I now have a hernia. In fact, DS hardly "kicked" at all, he just "shifted." I read that the baby grows to the size of the mother, regardless of the size of the father. So, if you are larger boned and taller then the size shouldn't be such an issue. If, however, the baby is growing larger because of excess glucose and excess insulin production, that's another issue.

When my (then new) OB/GYN left her practice and I had to find a new one (again) I went ahead and passed on the "alternative" birthing center as I was already concerned I would have complications. That said, what worries me about the other posts, and posts on other threads, is that it sounds like it's a "competition" to have the most "alternative" birth and that some posters would prefer to "cheat" the tests to avoid a hospital birth. That concerns me. I do agree that we need to question and understand our choices, and avoid mainstream medications if they are more harmful than healing when there is an alternative with fewer side effects. (DS - 19 months has never had antibiotics or synthetic ear drops. Just holistic remedies other than a couple of doses of Tylenol and a few applications of Neosporin on a cut.) But, there is a time and place for those mainstream practices.

As I wrote, I was being induced because of my high blood pressure (only in pregnancy). I actually had to be told I was having contractions at first as I was hooked up to a machine so they knew, but I did not even feel them at first! They told DH it was okay to go get something to eat saying it could be hours. Well, he barely made it to the delivery! It all suddenly went wrong. My SIL said she saw the look on his face when he returned and was told what was happening, and he looked like he thought he'd never see us again! Made it just in time for the delivery, as DS was almost out as DH entered the room. So, I'm really glad I was in the hospital for my birth. Was I dissapointed that even though I'd already chosen a hospital birth that I had to be induced? Yes. Was I even more dissapointed I had to have a C-section and not experience "giving birth?" Yes. Am I glad I have a healthy child? Outweighs the other dissapointments by far.

If I were pregnant again I probably would skip the glucose testing and go right to the diet and monitoring as I wouldn't want to put myself through all that eating poorly for the days prior when I'm pretty sure I'd have it anyway. But, I now know more about the condition, even though I made it through okay for my DS I've had a very hard time recovering, so I'd like to be much better prepared next time, if there is one...

I'm rambling, but I guess my point again is to say to everyone not to try to cheat the tests. You really could have something wrong, and it can all go wrong very quickly. Better to be informed and risk missing out on a homebirth (or other alternative birth) than to risk, for example, a child with cerebral palsy. I mean, I really thought about the local alternative birthing center, and I think that would be so lovely. In the end I'm glad I went mainstream as it really was called for in our case. And, I still say so in retrospect. There were other issues, such as breastfeeding, that I would definitely do differently. I did not know that, among other things, PCOS would affect my milk. Or that when DS let out his cry when nursing on my right side it was because of his yet to be diagnosed torticollis (even though I kept saying to DH I thought he was in pain); he was actually in pain and wouldn't nurse on that side. I would find a consultant who had actually nursed a child at some point in her life to help me! I did nurse for months, but supplemented with formula, as well. So, I would be better prepared for trying to nurse exclusively. But, the rest of it... I would have preferred a different experience, but would not change anything I chose or had done given the circumstances.

So, please everyone, don't misunderstand : and think I'm against "alternative" births. I'm not at all! I'm just saying that even though it is dissapointing some people might just need more mainstream treatment and/or deliveries.
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#15 of 17 Old 01-05-2007, 06:02 PM
 
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I had GD with both my previous pregnancies but passed with this one. I was also overweight with those and not with this one so I guess that had something to do with it!

I actually never had to take the 3 hour test, my levels were so high with the 1 hour that they put me straight on the diet and monitoring.

It wasn't bad at all, to be honest. It's a really sensible and healthy way to eat. And as a PP said, it's NOT about watching carbs. I just had to eat a small meal every 3 hours and watch my portion sizes. Yeah, I had to make sure I had x amount of proteins and x amount of whatevers for meals but it's just simply a healthy diet.

Mine was super high and was controlled very easily with diet. And my DS was 7 lb 4 oz and DD 7 lb 15 oz.

Don't fret, it's a little bit of a hassle and yes, those tests aren't fun, but from my experience it wasn't a big bad thing I had to deal with. Hopefully you pass the 3-hr and if not, I hope it's handled easily with diet.
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#16 of 17 Old 01-05-2007, 07:18 PM
 
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There's a wonderful online resource about GD (diagnosis, related conditions, treatment, options, diets, ways to avoid/reduce, etc) at http://www.plus-size-pregnancy.org/gd/gd_index.html

Since I have a family history of diabetes I'm very familiar with the standard diabetic diet, and when I tested borderline with dd I just adjusted my diet to be closer to that standard. With this pregnancy I shifted to a modified blue ribbon baby diet (link given by pp)...sort of the Brewer diet crossed with the standard diabetic diet. Very healthy, very spread out, and not that hard to do.

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#17 of 17 Old 01-05-2007, 07:28 PM
 
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I failed the 1 hour test miserably 250! (140 is the cutoff, so if you were only a few points over, I wouldn't worry about it at all. I am rarely under that level. I average 110 for my fasting rate, and around 155 for my 2 hour after meal rate, sometimes I can be in the 200's if I have any high carb food at all. The drink is so sugary, chances are you will never drink that much sugar/carbs in one sitting anyway.)

So they didn't even bother giving the 3 hr test (lucky me) the just diagnosed me right away. So I went to self monitoring and seeing the dietician. They told me I can have 45 G of carbs with each meal and 15 at snacks, but I find that if I even come close to 45, my glucose goes well above 200, even with protein. I can only handle about 15-20. Walking for 30 min drastically reduces that. I can't eat even a 1/2 bagel with protein as the dietician said I could, makes it really high, same with ice cream, they said I can have a 1/2 c as a bedtime snack, but if I do, I pay in the morning. It seems I just have to figure out what my body can tolerate and what it can't. Straight protein seems to be the only thing that doesn't elevate me. It is so frustrating. I wish is was just eating the recommended level of carbs because then I could still eat ice cream and whole wheat breads and potatoes, but if I touch any carbs forget it, even with proteins! I feel like I am on the atkins diet and it sucks! I want to cry every day, especially when I test my blood!
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