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I am so bummed!!!!
I was laying out in my back yard trying to enjoy my day off, reading a good gossip magazine, and sipping on a virgin strawberry daquiri when I got the call.

The nurs said the norm is from 60 something - 139. Mine was 142. Now I have to do the 3 hour test next Thursday. She also said they will draw my blood 4 different times!!!!
Let me tell you all how much I hate needles!! I still have my bruise friom Wed. when I took my 1st getational diabetes test.

Needless to say, I poured the other half of my daquiri away and now I'm really scared about my little girl being too big. I really want to try and go natural and all I have heard about GD is BIG babies w/ BIG heads!

Is there anything I can do other than avoiding all sugar (which I will be) to help me have a lower number and healthier baby??

TIA
 

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I wouldn't worry too much until you get the final verdict. You were right on the edge. It could've been just something about your diet, or the last time/thing you ate, that made that number on the higher side.

You could ask them at the lab if they can do a hep-lock for the blood draws, at least then you'd only get poked once. If you have a fear of needles they may make accomadations for you.
 

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From what I've read (someone please confirm or deny if you know more than I do), you don't want to cut out all sugar and carbs in the days before your test. You want to eat normally so that your body will handle the sugar normally when you are tested.

The only other thing I know is that you should walk around during your test. I failed my screener during my last pregnancy and then i passed the real test. I think that part of why I failed the first and passed the second was because for the first I sat on a couch and read for the full hour, and for the second I wandered around in between the blood draws. Dr Sears says that your body does a better job of metabolizing sugar when you move. I don't think it was cheating either because my son was only 7 pounds 15 ounces (not tiny, but not huge either) and he had a 13.5 inch head (pretty average).

Don't panic yet. Everything will be fine, and you may not even need to change your diet. Let us know what happens.
 

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I failed the 1 hr last time and passed the 3 hr. I did the same as the pp and walked around and also drank a bunch of water during the 3hr. Neither of which I did during the 2hr. My results came back great. The worst part was not eating from midnight and then having to drink all that sugar. I was practically hallucinating by the end. Bring food to eat as soon as the test is done. I inhaled 2 almond butter sandwiched in less than a minute, and then went out for a whole lunch of Mexican food.
 

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Don't worry so much. Remember, this is just a screening test, not a diagnostic. Many women "fail" the one hour and "pass" the three hour. I actually opted not to be tested with glucola. My mw is doing a one hour postprandial with me instead. I get to eat my regular breakfast and have a finger stick done with a glucometer. I don't think that fasting or consuming all that glucose is good for you or your baby.
 

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I think the pp's have covered all the advice I have been given. In addition, you may want to schedule the appt for later in the afternoon so you can eat a nice protein rich breakfast before fasting. And definitely move around during the test!

You were just over the upper limit, so it doesn't sound like anything to be too alarmed about yet. From what I have read on MDC, many mamas fail the 1 hour and do just fine on the 3 hr. Good luck!
 

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I had GD with my last pregnancy and I'm very glad I had the tests done. I felt horrible until we figured out what it was. Once I started on the GD diet and learned that I had to eat 2200 calories a day to just maintain my weight I felt great.

Uncontrolled blood sugar can lead to bigger babies but from what I understand they are bigger through the chest and abdomen, not the head, and that can cause difficulty with delivery.

If you have GD and you aren't monitoring your blood sugars you have a far greater chance of your baby growing larger than normal ("normal" for you) and also your baby having blood sugar problems after birth.

If you have it you want to know so you can control it.

With this pregnancy I didn't even bother with the tests. I monitor with a glucose monitor at home and my numbers have been great when I watch my diet. If I splurge on too many carbs without any protein I can feel my blood sugar is too high (it feels crummy).

Best wishes on your test.
 

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Here is a good site full of resources that might help soothe your worried mind.

http://home.mindspring.com/~djsnjones/id33.html

I love the article it links to by Michel Odent. Very good.

Also, the GTT isn't a very accurate test. Even just being a little off on the timing, among the other reasons ladies mentioned in other posts, can leave you with inaccurate results.

I'm so sorry you have to go through all this stress *hugs*
 

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Dr. Tom Brewer used to say that there was never a case of GD that developed the awful complications that the mainstream medical obstetricians are fond of listing for pregnant mothers. He used to say that the only times that we see those complications are when Type 1 Diabetes mothers have extremely uncontrolled diabetes.

I also believe, as you may have seen in my article, that a "failed" Glucose Tolerance Test (either 1 hr or 3 hr) is not a sign of a misbehaving pregnant body, but rather a sign of a faulty test.

One reason that the GTT has such a high rate of false positive results is that it is so easily influenced by the "fight or flight" mechanism, which causes mothers to release high levels of glucose which is stored in their livers, and at the same time causes the pancreas to inhibit the release of insulin. One of the triggers of this "fight or flight" mechanism is the fear of needles. So I have little doubt that the sole cause of your "high" results was your fear of needles.

In case you haven't seen it yet, here is my list of suggestions from the website cited earlier....

Suggestions:

My first suggestion is to ask for an alternative screening test, instead of the GTT. The test that I would suggest is the Hemoglobin A1C. That test is one that measures the level of blood sugar that the red blood cells have been exposed to for the past 3 months. Since it is a test that shows what has been happening for 3 months, and not just in the past 12-15 hours, no fasting or carb-loading is required, and it shows what the mother's body usually does, with the food and lifestyle that is normal for her, AND it is not vulnerable to the "fight or flight" mechanism or any adrenaline surges.

If your midwife or doctor is not open to using the Hemoglobin A1C, then you can do several things to try to avoid triggering the "fight or flight mechanism" and getting an adrenalin surge immediately before, or during, your GTT.

1) Check the "GD: Myth or Metabolism?" article mentioned above for info on what kind of diet to eat for the 3 days before the test.

2) Schedule your appointment so that you are fasting the bare minimum of time necessary and not one minute more.

3) Schedule your appointment during a time when there is likely to be less traffic on the roads.

4) Leave any children that you have with a baby-sitter or relative at home.

5) Take a friend with you who can drive you there and sit with you during the test (choosing a friend who usually has a calming effect on you).

6) During the time before and between blood draws, do something very relaxing--listening to relaxing music, reading something relaxing, drawing, sewing, cross-word puzzles, meditation, yoga, or whatever relaxes you.

7) In the 5 minutes before each blood draw, have your friend help you with a guided relaxation--visualizing your favorite safe place, or your favorite vacation place, such as lying on the beach, or in a hammock in the woods, etc. Take deep abdominal breaths, and focus on helping all of the muscles in your body go completely limp. Ask your friend to name all the muscle areas of your body, head to toe, as you visualize making them release and go limp: "All the muscles on the top of your head, all the muscles at the back of your head, all the muscles in your forehead, all the muscles around your eyes, all the muscles in your cheeks, etc, etc..."

When I have done this with clients of midwives that I worked for, as I recall they "passed" the test every time.

I also agree with the suggestions for walking between blood draws and for asking for a hep-lock instead of repeated needle sticks. I think that there are some places, however, which will not allow you to walk between blood draws. But if they do, that would certainly help, in addition to taking the last 5-10 min of that hour to do some visualization and intentional relaxation.

Best wishes,
Joy
 

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I had a positive 1 hour gtt with my first pregnancy, too. My 3 hour test was not only normal, it was on the low side!!

This glucose test has a very high false-positive rate so DO NOT worry!!
You will be fine! Sending you good mama vibes!
:
 

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I agree with the other ladies. I 1 hour test has a very high false positive rate and your result was only 3 points above what they would have liked to see. I would skip the 3 hour test and just make sure to watch you diet if at all possible.
 

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Just for clarification, both the 1 hr and the 3 hr GTT are using the same procedures (fasting, carb-loading, and blood draws), so they are both subject to the same likelihood for false-positives. It seems to me that people "pass" the 3-hr after "failing" the 1-hr by sheer random luck (they managed to accidently not trigger an adrenaline surge the second time), or by intentionally managing the situation so as to not trigger an adrenaline surge.

I would also like to issue a caution about "watching your diet". Carbohydrates are very necessary for a healthy diet during pregnancy, but you can make sure that they are healthy carbohydrates, like unrefined carbohydrates--whole grain breads, fresh fruits, fresh vegetables, etc. I am concerned that some mothers might be inclined to cut out too many carbs in an attempt to "pass" this test, or in an attempt to keep their blood sugars unnaturally low, to meet the possibly unnatural standards of the mainstream medical viewpoint.

I would also like to suggest that using the checklist for following the Brewer Diet would be a very good way to be watching your diet in a healthy way, because it includes a healthy amount of carbohydrates.

http://home.mindspring.com/~djsnjones/id89.html

I would also like to underline something that I discovered when I was writing my GD article for Mothering in 1988. The placenta is secreting hormones for the very purpose of keeping the blood sugar up. So it would seem that it is normal for pregnant women to have higher blood sugar levels than non-pregnant people. And yet here we have the orthodox medical experts of our day telling us that the "normal" blood sugar levels for pregnancy should be lower than those for non-pregnancy. So I believe that the standards for pregnancy that have been set by mainstream medicine could quite likely be mistaken. After all, can modern medicine really know more about what is good for the survival of the human race than a placenta that has been working the same way for thousands of years? More details about that can be found on the link mentioned earlier....

http://home.mindspring.com/~djsnjones/id33.html

Joy
 

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I appreciate this post... I just failed mine, too. My score was 135, which is the cut off I think. Anyway I think the test was flawed because my test was in the afternoon and I had a snack just before the test (I forgot I was having it) and then had to drink that sugar drink. My 3 hour test is next week... Blah, kind of ruined my day too when I got the call.

Hang in there...
 
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