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Discussion Starter · #1 ·
OK ladies, I am open to ideas. I don't know how to best deal with this situation.<br><br>
I had gestational diabetes with my first pregnancy. It was easily controlled by diet. This time I am planning a homebirth assuming everything is fine with the baby. I am currently seeing a CNM in a family practice because AFAIK I have to have a medical person write the orders for me to get my Level II U/S at 20 weeks. That's all I need her to do.<br><br>
So I went in to see her at 8 weeks and because I had GD last time they wanted me to do the 1 hr test right away this time. She told me not to fast though because it wasn't a good idea when you're pregnant. So I ate a fairly light breakfast an hour before I went and drank the glucose and my glucose was slightly high. The nurse called me (regular nurse not the CNM) and I refused to do the 3 hr test. I'll admit I was rather rude on the phone, but she really caught me off-guard at a bad time. Still no excuse to be rude, but anyway.<br><br>
So I just got a voice mail (OK I have caller ID and avoided answering the phone) from the CNM. She said if I refuse to take the 3 hr test they will just have to start me doing my blood sugars 4 times a day instead. I don't want to take the 3 hr test. I am barely keeping from being sick as it is and I think that drink will send me over the edge. Then I get to feel like [email protected] the rest of the day because my blood sugar is so thrown off from fasting and then jolting it with the sugar. I'm feeling fairly certain that if I refuse both they will refuse to see me again. I wouldn't care except that I need someone to write the orders for the level II U/S.<br><br>
So any ideas or thoughts? Thanks.
 

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Not in your DDC, but came across this and I wonder if they would consider the jelly bean GD test - same general idea, except that essentially you eat a handful of jellybeans instead of drinking the awful drink. Would that be easier in terms of morning sickness? It wouldn't take care of the effects of the blood sugar swings, though . . .
 

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Hmmm... If this is a "deal breaker" with your provider, will you be able to find someone else to take you on who would be okay with you skipping the test? I know the CNM I saw last week insists on it.<br><br>
If it were me, I'd probably just do it and plan to have someone help me out that day if I felt badly afterward. Hopefully, it will be negative and you won't have to worry about it, but if it's positive you can get started right away on managing it (hopefully!) without medications.<br><br>
Also, you could ask to have the one-hour test repeated and if the results are still high, go from there.<br><br>
Good luck!
 

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Discussion Starter · #4 ·
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>gretasmommy</strong> <a href="/community/forum/post/8116892"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Not in your DDC, but came across this and I wonder if they would consider the jelly bean GD test - same general idea, except that essentially you eat a handful of jellybeans instead of drinking the awful drink. Would that be easier in terms of morning sickness? It wouldn't take care of the effects of the blood sugar swings, though . . .</div>
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No, this is a small local hospital and they only have the sugar drink. I think I'm just going to try to go with the CPM I planned to see. I've found out that she works with another ob who can order the u/s for me. So I just don't have to deal with all of this. Thanks for the idea though.
 

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Discussion Starter · #5 ·
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>MCKH</strong> <a href="/community/forum/post/8118907"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Hmmm... If this is a "deal breaker" with your provider, will you be able to find someone else to take you on who would be okay with you skipping the test? I know the CNM I saw last week insists on it.<br><br>
If it were me, I'd probably just do it and plan to have someone help me out that day if I felt badly afterward. Hopefully, it will be negative and you won't have to worry about it, but if it's positive you can get started right away on managing it (hopefully!) without medications.<br><br>
Also, you could ask to have the one-hour test repeated and if the results are still high, go from there.<br><br>
Good luck!</div>
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Thanks. I think I'm just going to plan to go with the CPM I want to use. I've found out that she works with another OB who should be able to order the u/s for me.
 

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Be sure you ask the general "I'm Pregnant" forum too! They may have some more ideas.
 

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Glad your CPM has another option for you! How does the midwife feel about you skipping the GD test? I know when I refused it last pregnancy my midwife would have rather I took it... one of my options was to eat a specified breakfast (eggs, toast, juice -- actual foods) and then have the glucose checked. So if you're thinking about getting re-checked later in pregnancy, this might be an option... just though I'd throw it out there. I think that hospitals can do this test too, but you have to object strongly enough to that yucky drink!
 

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Discussion Starter · #9 ·
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<div>Originally Posted by <strong>raspberrymoondoula</strong> <a href="/community/forum/post/8123857"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">why get the ultrasound?</div>
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My daughter has spina bifida. I cannot plan any kind of birth this time until we know about the health of this baby.
 
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