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Discussion Starter · #1 ·
I went and took the 1 hour glucose test yesterday after dragging my feet and putting it off and one of the midwives called me and told me that I'd failed it, my fasting number was OK but the 1 hour number was high and now they want me to go to a class and start monitoring my blood sugar every time I eat and all this stuff.<br><br>
I just want to be left alone!!! It's not that I don't want to continue eating a healthy diet, or take care of my unborn baby. I just don't want to deal with doctors at all and I feel like this is intrusive...<br><br>
I also think GD is a bunch of [email protected] from reading I've done and I don't like the way the midwife was talking to me on the phone...like I am a little child who needs to have things explained to me with small words. It just sucks.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> Hang in there and do what you think is best for you and your little one.
 

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Sorry to hear that. Don't they send you back for a three hour test if you fail the one hour?<br><br>
I'm not an advocate of the test by any stretch, just curious....
 

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I know how you feel, I failed mine too. I just started monitoring it on my own and found some of the foods I need to stay away from. So far things have been good. I have done a lot of reading and I don't buy into everything OB's say about it.<br><br>
I also had GD with my first pregnancy, but I went on and did the 3 hour. Failed that and then just drove myself crazy. I wish I knew more then. My OB pushed for things and I was stubborn. I wouldn't let them induce when they wanted to. I went into labor on my own 5 days after the suggested inducing and had a wonderful med-free birth experience. My DS was 8lbs 13oz. I don't think that was big. I think him being that size had more to do with genetics.<br><br>
Standing for what I believe in is what got me through my first time with GD and it's getting me through this time too.
 

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Discussion Starter · #5 ·
My other two children were 7lbs, 3 oz and 7lbs, 4 oz. Nothing much has changed about me since I had them except that I am a little older now, of course! I just wish I had denied the test.
 

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I've done a ton of reading about GD since I declined the test. It is a subject rife with controversy. My own take on it after so much reading is that the screening process is very inaccurate and is often not reproducible from one day to the next (pumping your body full of sugar and see what it does at a moment in time seems a little goofy to me.)<br><br>
With that said, I am, however, not convinced that GD doesn't exist or it is a totally benign entity. I think the screening process is flawed, that "normal" glucose metabolism in pregnancy needs to be better understood and that some of the studies that coorelate risks with GD can be criticized scientifcally. Also, I think many women may get dumped into a 'GD category' and are set up for a cascade of interventions - big baby fears, increased risk of c-sections, etc. But, for me - these are all flaws in how a real problem might be diagnosed and treated. I think there is also too much evidence to completely ignore the possibility that GD does exist and could have a negative effect on the baby (like low blood sugar after birth - which, btw, means breastfeed as early as possible after birth and every 2-3 hours in the first few days.)<br><br>
My approach to the whole mess has been to start monitoring my own glucose levels in the morning (fasting) and after meals (my MW's actually requested a few numbers for my chart since I declined the test and own a meter.) Yesterday, I tossed my ancient meter which required too much blood and was giving wildly variant readings, I picked up a One Touch Ultra2 (with a rebate for the purchase price) and it is so much nicer to use. I'm just starting to get a clear picture of my glucose levels and hope I can manage any problems with a few diet adjustments. Keeping glucose levels even (which often involves increasing protein intake and eating smaller meals throughout the day) is good for me and the baby anyway.<br><br>
I've been very proactive with my own healthcare and this has been the only area of pregnancy that has been this hard for me to discern the facts as far as screening, risk and treatment. For me, I felt most comfortable researching it, monitoring it myself and eating better to help balance my sugar levels. This seemed a better approach than to either get the test and breath a sigh of relief that I passed (only to develop glucose issues 2 weeks later) or get the test and fail (but ultimately not have a glucose problem at all and be at a higher risk for unnecessary interventions.)<br><br>
Honestly, I think I would have passed the 28 week test. I think my sugar started getting a little out of whack at around 30 weeks.<br><br>
Of course, this is all just my own opinion. <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 too failed the 1 hour and have been procrastinating the 3 hr. I just called today to make the appointment becaue it looks like there is a good chance of snow Wed (read= school closes) and I am out of sick days I am not saving for an emergency or need a few days off before my due date.<br><br>
I asked what would happen if I just didn't take the 3 hr an my dr office told me they would ask me to test 4 times a day. I've decided to take the stupid thing only because either way, unless I am worried about it, I will UC at home anyway, so I don't need to worry about risking out.
 

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Is there any reason you can't take the 3-hour before doing all that other stuff (classes, monitoring, etc.)? I also failed the one-hour and really wasn't concerned at all and then passed the 3-hour with flying colors.<br><br>
ETA: I read some other posts and can certainly see the reasoning behind foregoing the tests altogether. But since you already failed the one-hour, I personally would be more inclined to take the 3-hour than take classes and monitor daily. That sounds like a chore!
 

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I failed the one hour too and opted out of the 3 hour and just be treated for GD. I either failed or was borderline with my other 2 pregnancies and just didn't want to take the 3 hour test. It makes me feel awful. I test 4 times a day.
 

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For those of you that are testing, you might consider asking your CP if there is an alternative testing protocol that means less pokes.... for a regular diabetic rather than testing 4 times every day they test 7, 0, 4, 0 in a 4 day rotation. I don't know exactly when all those 7 are on the first day, but then you get two days of 0. Just some info in case you were interested! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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<div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">With that said, I am, however, not convinced that GD doesn't exist or it is a totally benign entity. I think the screening process is flawed, that "normal" glucose metabolism in pregnancy needs to be better understood and that some of the studies that coorelate risks with GD can be criticized scientifcally. Also, I think many women may get dumped into a 'GD category' and are set up for a cascade of interventions - big baby fears, increased risk of c-sections, etc. But, for me - these are all flaws in how a real problem might be diagnosed and treated. I think there is also too much evidence to completely ignore the possibility that GD does exist and could have a negative effect on the baby (like low blood sugar after birth - which, btw, means breastfeed as early as possible after birth and every 2-3 hours in the first few days.)</td>
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I totally agree. I have been GD once and am full blown diabetic now. The amount of interventions is INSANE. Starting now I have to go in for twice weekly non-stress tests as well as weekly U/S to measure the fluid levels. I will be induced by 40 weeks, I am not allowed to go over that. I don't know how it will go this time, but when DD was born I got to glance at her, then she was immediately whisked off to the nursery to test her blood sugar (which was fine) and to moniter her for 5 hours. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: DD was 8 lbs even and this baby is measuring exactly on target. My fluid levels are great (they want them to be around 10, mine is 19!). I just feel so bad for mamas labeled as GD when they barely fail that stupid test, then they have to go through all this. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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Discussion Starter · #12 ·
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<div>Originally Posted by <strong>Muggins&Doody</strong> <a href="/community/forum/post/7259911"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I totally agree. I have been GD once and am full blown diabetic now. The amount of interventions is INSANE. Starting now I have to go in for twice weekly non-stress tests as well as weekly U/S to measure the fluid levels. I will be induced by 40 weeks, I am not allowed to go over that. I don't know how it will go this time, but when DD was born I got to glance at her, then she was immediately whisked off to the nursery to test her blood sugar (which was fine) and to moniter her for 5 hours. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: DD was 8 lbs even and this baby is measuring exactly on target. My fluid levels are great (they want them to be around 10, mine is 19!). I just feel so bad for mamas labeled as GD when they barely fail that stupid test, then they have to go through all this. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"></div>
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I will not be induced. How can they make you do it? I mean, there's no way I'm going to go in 2x a week. I have a wacko 3 year old in tow wherever I go, kwim? I just feel like they aren't going to like me very much, I will do their testing but I'm not going to do anything else unless *I* feel like there's a need. Grrr :Z
 

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Can you go post this is birth professionals forum? They should have some good links and info about this.<br>
From what I know this is not a reliable test.
 

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I never had GD and my last baby was ten pounds, six ounces!
 

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<div>Originally Posted by <strong>Emilie</strong> <a href="/community/forum/post/7260803"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Can you go post this is birth professionals forum? They should have some good links and info about this.<br>
From what I know this is not a reliable test.</div>
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I absolutely agree. The cut-off is arbitrary and the methodology changes from lab to lab and even woman to woman. Do your research. Being one point over doesn't put you at any greater risk than being one point under. It's a ridiculous test IMO, I refused it. I'd rather test my own sugars and be aware of my own body then have some test label me as one thing or another.
 

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<div>Originally Posted by <strong>Muggins&Doody</strong></div>
<div style="font-style:italic;">I totally agree. I have been GD once and am full blown diabetic now. The amount of interventions is INSANE. Starting now I have to go in for twice weekly non-stress tests as well as weekly U/S to measure the fluid levels. I will be induced by 40 weeks, I am not allowed to go over that. I don't know how it will go this time, but when DD was born I got to glance at her, then she was immediately whisked off to the nursery to test her blood sugar (which was fine) and to moniter her for 5 hours. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">: DD was 8 lbs even and this baby is measuring exactly on target. My fluid levels are great (they want them to be around 10, mine is 19!). I just feel so bad for mamas labeled as GD when they barely fail that stupid test, then they have to go through all this. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"></div>
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Aww, that is awful and why I declined the test. I will monitor my own glucose levels and if something is really awry then I'll bring it up w/my midwives. I don't want to be stuck in a category that will lead me down a path filled with possible interventions because my glucose levels were elevated after being artificially pumped full of sugar in a screening where the results often can't be duplicated from one day to the next.<br><br>
I'm sorry you developed full blown diabetes and no longer have this option. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> I think over-management of pregnancy patients out of fear of liability just plain sucks and screws up the birth experiences of way too many women.
 

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One thing with the GTT is how often do you drink that much sugar and go and sit in a chair with no water to drink. I decided that if I was forced to take the test again, I would get up and walk around and probably go in the bathroom to drink some water I had in my purse. I mean, for me I don't eat/drink that much sugar at one time and if I do I tend to go for a walk and drink some water. I think that is what is most inaccurate about the test--it is so unrealistic to a lot of our lives. That being said, with DD I took the test and failed--had to monitor my sugar 4 times a day. It NEVER went over the limits--except once when I ate Taco Bell. For DS, I refused the test and know what, he was only 2 oz more than DD. This time around they took blood to check my glucose levels, but here in Japan they don't make you drink the solution unless you fail just a regular blood test. I haven't received my results back from the test yet, but I'm so far along that I'm not too concerned about all of it.
 

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Discussion Starter · #18 ·
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<div>Originally Posted by <strong>treemom2</strong> <a href="/community/forum/post/7262307"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">One thing with the GTT is how often do you drink that much sugar and go and sit in a chair with no water to drink. I decided that if I was forced to take the test again, I would get up and walk around and probably go in the bathroom to drink some water I had in my purse. I mean, for me I don't eat/drink that much sugar at one time and if I do I tend to go for a walk and drink some water. I think that is what is most inaccurate about the test--it is so unrealistic to a lot of our lives.</div>
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I had actually planned to go take a walk around the parking lot during the test, but they were like the GTT police...they escorted me to a chair (a RECLINER) and told me to stay in it until they came for me. Grrr <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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<div>Originally Posted by <strong>PajamaMama</strong> <a href="/community/forum/post/7262667"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I had actually planned to go take a walk around the parking lot during the test, but they were like the GTT police...they escorted me to a chair (a RECLINER) and told me to stay in it until they came for me. Grrr <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"></div>
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Ah, there's always "going to the bathroom" and doing some walking/jogging in place in there, or having to go out to the car for the book you brought but forgot. . .Can you tell I have thought a lot about all of this?!!?<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> Also, water is a very good thing while in the potty or walking to the car!
 

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Wow, I guess I got lucky that I went in when I did...I got there just after the lab opened an hour late...someone hadn't shown up, and there were a ton of ticked off people. I originally declined the test, but my Dr. made a deal with me that if I took the test, then she would help me get disability early. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment"> So I caved (I haven't worked in about 3 months, and we're slowly going broke.)<br>
So, when I got there, I just told the tech to give me the liquid for the test, and I would come back in an hour, because there was no place to sit in the waiting room, and I had to go talk to my doc anyway. I drank the horrid stuff, the tech noted the time, and I left! I didn't know that you weren't supposed to drink water...the stuff made me feel so nauseous that I drank about 30 oz. of water during the 45 mins that I was gone...and then when I got back, the tech was about 10 mins late drawing my blood. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I guess I got lucky, because I passed!!!<br><br>
Don't worry about the 3 hour, mama...I've heard that most people pass with flying colors...the 1 hour is so innacurate that they have tons of people fail that, and then go on to pass the 3 hour!
 
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