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Discussion Starter · #1 ·
I was just wondering if there was anyone here who declined the 1hr gluclose test and if so, why?<br>
I have to decide if I want it done and i'm just looking for other's opinions. TIA. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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We're declining it. Had a talk with my midwife about it & she felt completely comfortable with our decission, since there is no history of diabeties in our family, DS was not very large (7ish pounds), there have been no traces of protein in my urine.
 

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Discussion Starter · #3 ·
I'm kinda wanting to decline it as well...but my dad's dad died of diabetes...and my dad's mom has late onset diabetes. No one on my mom's side has it, which according to my midwife is more likely where i'd get it from...so I don't know. I guess I need to do more research on gestational diabetes. I'm eating healthy and have a low sugar intake, so I don't think I should have any problems. Plus my urine tests fine all the time so far. :/
 

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Hi,<br><br>
With my last pregnancy I was following a diet where I wasn't eating white flour or sugar, and when I realized that the glucose drink would flood my body with an incredible amount of sugar and ruin my life (!), I used these words with at the OB's office, talking to the CNM:<br><br>
Taking the glucose drink is not an option for me. Is there another way to measure this?<br><br>
She just looked a little surprised and dug around in her files and found a paper about how to induce the same kind of blood sugar spike, and all it said was to eat some carboydrates (maybe it was without protein?) instead of the glucose drink. Really. I couldn't believe how I had agonized over how to get out of taking that drink. And I thought it was so funny about how they have this drink all measured, and the directions on "just have some carbohydrates" were so vague.<br><br>
It was still a pain in the neck, I think I had to fast and then brought a container of noodles and broccoli or something to eat before the test... of course the test came out fine.<br><br>
So try hypnotizing your care provider with those magic words: "That's not an option for me" And watch them acquise to your every command!<br><br>
-mainstreetmama
 

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Hi.<br>
We did NOT have any glucose testing with dd (my first). I was big (gained a lot) but measuring on time, no family history of diabetes except at the great grandparent level and it was late onset so that's apparently less significant. My dr monitored my urine and felt that it was just not needed to test me.<br>
Charlotte was born 8days late, a shade under 8 lbs.<br><br>
With Silas we did do a one hour test except my midwives had me eat recess pieces instead of the nasty shake for my glucose and I passed. Didn't really think the test was needed then either but did it anyhow.
 

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It hasn't been brought up yet but I am not planning on having it done this time. I've had it with all three of my previous pregnancies and the only thing it accomplishes is to upset my stomach. The only diabetes in my family is my grandfather who got it when he was around 75.
 

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We're pretty sure we won't be doing it either... I don't fit into any of the high risk categories, and the supposed percentage of women who have gestational diabetes is so low (4%, according to our release form) that I'm not worried I'll sneak into that group. The downside, though, is if I end up in the hospital during birth, the assumption of the hospital will be that I have/had gestational diabetes--since there's nothing on record saying otherwise--and would then have to poke the baby, however many times, to make sure that his/her levels are okay. (I don't know if that's a WA State policy, or standard everywhere.) I don't like that thought, but I'd like to assume we won't end up in a hospital. DH says that if we do, he'd be really on-guard, and would (try to) fight hospital policy... So... we're almost positive we'll decline the screening.<br><br>
-Anya
 

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I'm not doing the fasting, because I don't think it's accurate. I might do the testing at home though. I think it is a much better representation of what's really going on with your body. Just my opinion though!
 

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I'm going to do the glucose test because I feel like the risk of GD (2-7%) is high enough that it's worth it. I'd also like to be able to modify my diet, etc. to control any potential GD rather than ending up in a crisis situation where I need insulin shots, hospitalization, etc. My HMO does not require (and in fact discourages) fasting before the 1 hour test, so I don't feel like it will negatively impact my health to follow their protocol in this case.
 

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I did the "midwives" version of the test with pregnancy number 1, where you fast then eat a large carb-heavy meal. IMO the glucola drink is ridiculous - better to know how your body reacts to REAL life situations like, um, eating real food, KWIM? My diet isn't ideal, but I would never fast for 12 hours then consume a coke, a package of candy, and some sugar cubes as a "meal"! So measuring what my body does in that sort of situation is moot.<br><br>
This pregnancy I'm declining the glucose tolerance test. I just don't feel it's necessary for a variety of reasons. If there is truly a problem, other indicators (urine, size) will point to the need for further inquiry.<br><br>
Carol
 

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I'm not going to do it.My last two pregnancies I fail the one hour by 2 points and pass the 3 hour fine.It was so hard doing the 3 hour last time becuase I was also watching DS #1 and chasing after him inbetween draws.With two children I just don't have the time.Both of my babies were under 8 lbs.,I have no family history of diabetes,I eat even less sugar and refined foods than I did even a year ago.I think by now I'm good to go.
 

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Discussion Starter · #13 ·
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<div>Originally Posted by <strong>EllasMama</strong></div>
<div style="font-style:italic;">This pregnancy I'm declining the glucose tolerance test. I just don't feel it's necessary for a variety of reasons. If there is truly a problem, other indicators (urine, size) will point to the need for further inquiry.<br><br>
Carol</div>
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I've decided to skip it as well. My diet is fine, I don't consume large amounts of sugar, and there hasn't been any indications that I might have GD. I figure if something shows up in my urine for example, then i'll do more testing. But for now i'm not going to worry about it. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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I declined it because I already know I have blood sugar issues. With my first pregnancy I had the test and it was negative but I acually did have a problem.<br>
I test my self several times a week with a monitor my mom got me, she has type 2 diabetes. It is much more accurate.<br>
If you have a history, I would get my blood sugar tested one hour after a large starchy meal like spagetti, it will be a much more accurate test of how your body is handleing real food.<br><br>
If you do end up having a problem you can use a PGX fiber supplement before meals to slow your sugar spike and some Fenugreek to lower your blood sugar levels.
 

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I was just going to make a post about this...hope it's okay that I'm bumping it, even though it's not TOO old.<br><br>
This is my first pregnancy, and my husband and I (after talking to other relatives, even) have decided I'm going to decline it. I have none of the risk factors, urine tests have been perfect, no one in the family has ever had diabetes/gestational diabetes. I'm vegan and watch my diet VERY well, I cut out sugar a long time ago (husband has bad ADD so we cut it out for that), avoid "bad" carbs, get light exercise... I already do pretty much everything that I was told would be recommended to do if the test were to come out positive, so I don't see a point.<br><br>
I'm nervous, though...I have to talk to the midwife about it on my next appointment on the 9th. She's more of what I've seen referred to as a "MEDwife" on this board, and I'm so not good in confrontational situations. Oh well, even if she wants to "fire" me, it's my last appointment anyway -- we're moving out of state two weeks after that.
 

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Ok....coming from someone who has had GD with my last 2 pregnancies and I am now a Type II diabetic since it never went away with my last baby, I would reccomend this. I would NOT drink that stuff if you don't have to....HOWEVER....I would reccomend a plain fasting glucose be drawn (no food after midnight normally)....if your fasting is elevated then I "might" consider the 3 hour test with something OTHER then the drink. I know you can go and eat a however many coloried meal (ask MW or Dr how many I don't know) and then have your levels checked. I WOULD NOT RECCOMEND THE ONE HOUR TEST, if it comes out + you will just have to go through the entire process again with the 3 hour test, so I say kill 2 birds with 1 stone.<br><br>
I took the test with my first 3 pregnancies and then just started monitoring on my own and had fastings drawn. The drink in my opinion CANNOT be healthy, loading your body...let alone your baby with that much sugar seems so unhealthy.<br>
Alicia
 

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I declined because I knew that getting a positive wouldn't change my diet. I'm already really sensitive to sugar, so I eat a diet low in sugars and simple starches. When my CNM heard that I had reservations, she actually encouraged me to decline. Everything else so far is perfect, and if that changes, we'll go from there.
 
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