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Discussion Starter · #1 ·
Hi ladies! I haven't been around since like oh first trimester but for those who remember me I am still pregnant and doing well. I just stopped coming because we got busy with moving into our first house and that was quite an adjustment then we got rocked by christmas and you know how it is.<br><br>
But I'm due for my glucose tolerance test this week and really feeling weird about it. I know I haven't been exercising as much as past pregnancies, this is my third, and I feel like I've eaten worse but I think overall I'm balanced. Im kind of afraid that because I'm pregnant in winter instead of summer and my lifestyle is different i am at an increased risk of a positive test. However, I personally don't feel that a positive test is very bad. It seems like another way to keep us feeling like we 'need' med intervention while pregnant. Like its some made up thing almost and made into a bigger deal then it really is.<br><br>
My point is i am afraid if i come back positive it will stress me out. Quite frankly I've dealt with way too much stress this pregnancy from 2 early bleeds to moving into a house to other things and I just don't want to add to that. And I can tell myself all day from this side that positive doesn't mean much but when faced with it on myself I will probably feel differently.<br><br>
I'm just wondering if it is really necessary. Is it really worth it? Does it really mean anything? Or will it just make me feel like I have reason to stress more?<br><br>
I've read Michel Odent's article about it and it kind of makes sense. He seems to say what I think in a complicated medical way but I'm not really sure because i don't speak med language.<br><br>
I have a friend who just skipped it. We see the same midwife. I already feel like a problem child because i refuse lots of testing and any extras at birth and I'm keeping the placenta and all that. They see a lot of us hippy types but i don't want to be an issue. Will I be seen as higher risk if I am positive? What if i don't take it? Then am i just higher risk too? I should ask. But my test is already scheduled for Wednesday.<br><br>
I'm just wondering if anyone else skipped it or is thinking about skipping it and why. Or did take it and had a positive and what they were told. I am seeing a midwife who is pretty medically minded but they do have an overall natural theme and see a super lot of super natural types. So I won't have to be worrying about dealing with an ob.<br><br>
Thanks for your time. Sorry for rambling on, this has been on my mind a lot lately and I'm not real clear in my thought process.<br>
 

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<p>I'm not taking the test, but I going to start monitoring my blood sugar levels at home.  I have several increased risks for GD (father is diabetic, I'm overweight, and I only have about 1/2 of my pancreas).  If I didn't have any of those I would probably just skip it all together.  I have shown no physical signs of GD, but it can be asymptomatic and I don't want to take the chance.</p>
<p> </p>
<p>I don't like the standard GTT that most offices do.  I just don't think it is an accurate representation of a person's ability to process glucose.  But for those with markers for it, I think some kind of testing should be done.</p>
 

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I haven't decided yet... With DD, I gained a TON of weight, failed the first test, passed the 2nd. She came out weighing 10lbs3oz. This time, I'm gaining the same ungodly amount, but I think it's just how my body works. I'm sure I'll also have another huge baby, GD or not. So I don't know... my midwife said she can do just random blood checks for me, so I'll probably do that instead.
 

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<p>not doing it... actually my midwife sugeested not bothering with it. The only risk factor I have is i'm over 25. my wieght is fine i had a big jump in weight but thats becasue my body finally decided to put on some weight instead of losing it....</p>
<p> </p>
<p>I'd talk with your midwife.. but really it can just be another thing to worry and stress over.</p>
 

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<p>I am overdue for mine, I am doing it Fri. I failed the first test in the past once so this time I am going to go heavy on proteins, light on carbs for a couple of days before. Not thrilled to be doing it but if there really was an issue I'd like to know so I could manage it. Big babies run in my family and I have gained ~ 50 lb. w/ea. pregnancy. I am on the skinny side but feel like these could be risk factors? I've actually managed to exercise more in this pregnancy than I have in my other two, maybe that's a good thing? It hasn't impacted my weight gain though, I am on track for that ~50 lb. # if I go full term. I have always lost all the weight. </p>
 

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Discussion Starter · #6 ·
I forgot to mention that this won't be the typical gtt. I am going in for a fasting draw early in the morning and then I eat breakfast and then go back for my regular appointment 2 hours after I eat. Or 3 I don't remember. But it seems a more accurate way to test. Still, I'm just not sold that it's necessary.<br><br>
I mean what are the real risks of gd?
 

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<p>True GD that needs to be managed by insulin can be a tremendous risk, but it's far more common to have borderline or mild GD.  I've done basic post-prandial finger prick tests with most of my pregnancies.  This pregnancy my midwife is now doing a specific breakfast formula followed by blood draw, and since twins are a risk factor, in addition to my previous 10.14 lb baby, I went ahead and agreed to it.  It must have come back fine, since I didn't hear from them.  But, my diet wouldn't change all that much from what I'm eating now.  If I needed additional controls, that would be important to know.  </p>
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<p>I like plus-size pregnancy's website on this, as it gives good balanced information on risks and benefits of testing, and GD itself, including the questionable history of GD testing itself.  </p>
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<p>ETA: forgot the link: <a href="http://www.plus-size-pregnancy.org/gd/gd_whatis.htm" target="_blank">http://www.plus-size-pregnancy.org/gd/gd_whatis.htm</a></p>
 

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<p>I'm not doing it. Now i have enough on my plate to worry without adding this too.</p>
 

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<p>I'd go with your instincts and avoid it if it'll cause you too much worry. Your midwife might not even be that concerned about it. My midwife is recommending random glucose tests since I don't have any risk factors, which makes sense to me. </p>
 

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<p>First time around my midwife did a blood draw test 2 hrs after eating- and my new midwife will do it again this time, they both told me if I were to transfer without the test results the hospital would monitor the baby some ridiculous amount that I can't quite remember right now.  Why put a baby through that if all I have to do is a little finger prick.  If I had to do that sugar drink thing I don't think I would do it.  Both midwives also told me that the blood draw is what they do after the initial sugar drink test if you fail it.  So why even do the drink version??  Might be worth asking about...and if I did have an issue I guess I would rather know it and try to manage it then to not know...but I think if I remember correctly diet is the management of GD.</p>
 

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<p>We discussed this with the midwife at our last appt.  I said I was leaning towards not doing it and she said that since I have no family history of diabetes, have a "normal" BMI, baby is not measuring large and my fluid appears to be normal she doesn't see an issue.  The only risk factor I have is being over 25 as a PP said and according to the MW that is a "weak" risk factor.  Actually she stated that for women who have the risk factors and are concerned about GD she would recommend just doing the 3 hr test and skipping the 1 hr screening as it's not diagnostic and not always accurate.</p>
 

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<p>I opted not to do the test for my first two pregnancies. I decided to go ahead and take it this time, because my last baby was 9 lb. 8 oz, and although the delivery was totally fine and he was perfectly healthy, my midwife explained that any baby bigger than 9 lb 5 oz may indicate GD. So I may have had it last time and not known it. It didn't really make any difference, but I figured that I would take it this time because I just like to know these things, and plus if I got a positive test, I think that would give me more motivation to eat healthfully. But I totally wouldn't think it a big deal to skip it. It's not a life or death type of thing.</p>
 

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<p>with DD my OB actually recommended not doing it. no risk factors and no symptoms.</p>
<p>this time I'm not doing it again, and my midwife is totally cool with that. </p>
 

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<p>Here's an article put together by my midwives from an article written by Henci Goer about GD- <a href="http://www.birthbydesign.org/Files/BBD_Gestational_Diabetes.pdf" target="_blank">http://www.birthbydesign.org/Files/BBD_Gestational_Diabetes.pdf</a></p>
<p> </p>
<p>I am not doing the normal test, but just a finger stick after a normal meal at my next appointment.</p>
<p> </p>
<p>Hope that helps!</p>
 

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Discussion Starter · #15 ·
I did it. :/ And when I told the mw I saw that I'd been considering not doing it she said I didn't really need to. Lol, now you tell me. Well, I knew that I just felt bad canceling so last minute. I'm sure it will be fine and honestly even if it isn't, I know it really is.<br><br>
I'm glad to hear so many of you aren't doing it tho! I will definitely skip it next time around.<br><br>
Thanks for the help and opinions ladies!
 

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<p>I didn't do it last time and I'm not doing it this time. When you say you have a midwife, is she a homebirth midwife? Nurse midwife- birthing at hospital or birth center of some sort? I do have some "risk" factors, but I also was sure to become informed about GD by reading some good articles. It sounds like you have done that, and I think you should trust what your gut is telling you.</p>
 

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<p>I had risk factors and my nurse had me test early in pregnancy, which I passed, and again at 20 weeks, which I did not.  I have been doing a pretty strict GD diet and 4 finger pricks a day for the last two months.  I have mixed feelings about it as I've done a lot of reading since then, but I think that it is overall a good thing for me.  There is some newer research that uncontrolled gestational diabetes can predispose the baby to a number of health problems.  Also, for me, the long exposure to higher levels of blood sugar is a risk for the baby that I wouldn't want to take.  For my own health, this is a wake up call about my own risks (diabetes on both sides of the family and being a little overweight) and I think I will continue eating a more healthy diet after the arrival of the baby.  This has made my pregnancy feel much more medicalized than I had hoped for, and I am now at the point of interviewing home-birth midwives because I am getting so worried about the hospital treating me as high risk when I have been completely well-controlled this whole time and there really is no risk from the GD.</p>
<p> </p>
<p>For those of who don't have any risk factors, I can see why you wouldn't want to bother with the test.</p>
 

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<p>I thought that anyone could get GD during pregnancy, with or without risk factors.  I could very well be wrong about this.  But that's why I (as a first-time-mom) didn't question it when my midwife suggested the screening.</p>
 

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<p>I took the test with my first two pregnancies and passed- I skipped the last pregnancy and this one <span><img alt="orngbiggrin.gif" src="http://files.mothering.com/images/smilies/orngbiggrin.gif"></span></p>
 
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