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Recent Commentspatrice thompson on Free Diabetic Supplies – How to Get Them?munnaamalai on Type 1 vs Type 2 Diabetes ChartJessica I. An Oral Glucose Tolerance Test (OGTT) may be done by your doctor to test for Type 1 or Type 2 diabetes or gestational diabetes.
If you are a pregnant woman being tested for gestational diabetes, the liquid you must drink will have less sugar (glucose) dissolved in water. If you’ve been pregnant, chances are you’ve had to decide whether or not to take a ‘Gestational Diabetes’ test. The Glucose Challenge Test (GCT) is a relatively simple test: at 24-28 weeks gestation you drink a sweet drink with a high glucose load, usually around 50g of carbohydrate, and a blood sample is taken one hour later. Recommendations from some of the prominent College’s of Obstetrics and Gynaecology (ACOG, RAZNCOG and RCOG), state that every pregnant woman, regardless of risk or medical history, should be screened because the rate of GDM among expectant mothers is rising – although, that statement itself is ironic! When you think about the test, it’s not surprising that many women ‘fail’ or are considered ‘borderline’ or ‘pre-diabetes’. Another option some professionals give is to keep the formal test, but swap the drink for something else with an equivalent carbohydrate load.
If you choose to forgo the routine testing for less invasive tests or none at all, educating yourself is important. Royal Australian and New Zealand College of Obstetricians and Gynaecologists, The [RANZCOG]. All that to say, women should look into the options and understand that in other countries, this isn’t the standard way to approach GD and there ARE reasonable options besides the glucola drink.
Glad to see this post as at my last appointment (26weeks) I was bombarded with all the tests that need to be done in the next 4 weeks… and then as a side note asked how I was feeling and if the baby is moving?!?! This is one test that I feel was unnecessary in my last 5 pregnancies (and in this one) but that I do to appease my health care provider. I’m definitely not saying that Gestational Diabetes is nothing to worry about, just that the test is unrealistic and notoriously inaccurate.
However, at the appointment with a nutritionist following the 3 hour tests, she revealed my results and the guidelines for the 3 hour test are different from what they require you to achieve day-to-day. If the "goals" I was given at that appointment were to test my sugar after fasting and receive a reading of 100 or less, why is the guideline during the 3 hour glucola test 95 or less? I was diagnosed with GD in my first pregnancy and they told me I wasnt allowed to breastfeed for 24 hours so they could monitor my daughters sugar levels. So glad I poked around more this time then last time and have a doctor who isnt in the RX companies back pocket and actually has my interest at heart.
I am really glad I did take the test, as I had morning sickness for the entire 9 months (just puked in the morning and carried on nauseated throughout the day) and finding I had GD as my mother had when she was pregnant with me, and how to manage helped to alleviate some of the nausea. With my 2nd pregnancy, I passes the glucose challenge test, though I don’t know how much by. From a Cochrane review (meta-analysis of 4 published clinical trials), the researchers concluded there is not yet any hard evidence of the pregnancy-related benefits of screening. I think it’s such a shame to set up a negative attitude between health professionals and women. There is a fine line between not being fearful and being sensible, using our wonderful health care system to our advantage so we can have optimal health outcomes. Let’s hire care providers we can trust and then there can be a level of respect between both parties to know that everyone is doing what is best for mom and baby.
She is the woman i have chose to deliver my baby and she can’t even answer a simple question about diet or a test she so severely wanted me to take. I debated today wether i would do the test again, but i decided that i will, as much as i hate it. Your blood glucose or blood sugar levels are tested and then compared to the ‘average’ levels. Most women are also asked to sit and not engage in any sort of activity for the entire two hour test, which is a factor that can lead to higher blood glucose levels. At a hospital appointment I once had, my partner and I sat and listened to a midwife argue for 15 minutes with a woman who refused the routine GDM test. This attempts to mimic a real-life situation, and is thought to be more accurate than a test based on the glucose in the sweet drink. Be aware of the quality of your carbohydrates and how to eat well-balanced meals that include low-GI (glycemic index) carbohydrates.
My A1C came back normal, but two of my levels on the 3 hour OGTT were slightly (less than 5 points) higher than allowed, and they still gave me the diagnosis. By the end of my first pregnancy my levels were so well controlled is what thought that I didn’t actually have GD. Gestational Diabetes is real, and there are real risks associated with consistently high blood sugar in pregnancy (i.e. For some reason my midwife recommended I go straight to the second test and was told to fast for 12 hours. And if I was told that 2 hours after eating I should have a reading of 120 or less, why is the glucola test limit 155?
It was also one thing we knew could be crossed off the list when our daughter was born having suffered a perinatal stroke.

I realize it can be serious, but something has to change because this current system isn’t working.
I remember when my fiancee was pregnant with our son, she failed the glucose test and we had to go through the whole process of getting the glucose meter, meeting with a CDE at the hospital and monitoring everything she ate. Second pregnancy failed both but my OB self diagnosed me before even testing simply cause I was overweight and had a family history of type 2. Because I got diagnosed w my twins the only risk I see is that they will be monitored more closely and pricked with a needle to test sugar! I must say they took it a day after I returned from a weeks holiday in which I ate lots of pub meals and sweet drinks I wouldn’t normally.
However the trials used a 50g glucose load (instead of 75g) for the sceeening test, and only one actually reported the clinical outcomes. Midwives and doctors are in the profession with the aim of helping women and babies to be healthy and happy throughout the child bearing journey – they aren’t the enemy or trying to create fear for some secret personal agenda! On the other hand, the GTT is the gold standard of testing for GDM and recommended to women for good reason – there are risks associated with undiagnosed diabetes during pregnancy and if the pregnancy, labour and birth are monitored and treatment tailored, then adverse outcomes can be avoided.
Our healthcare system is free, but considering its my first time with a baby i thought id fork out a bit to see her as she had been highly recommend. 3 days prior, carb loading, then fasting 12 hours, then drinking that god-awful glucose drink, which was sweeter than anything I’ve ever tasted.
She handled the situation so terribly that i am considering, even after spending close to $5000 on appointments and fees, that really don’t have to, going to someone else.
However, there are many medical and birth professionals who, after reviewing the data themselves, have decided to do away with routine testing for GDM. Pregnant women also naturally have some form of insulin resistance thanks to the pregnancy hormones. Over the course of the conversation, the woman asserted herself, telling them she was 34 weeks pregnant, she checked her blood sugar at home periodically, she’d had a scan, everything was fine, and she didn’t want the test.
However, this is not recommended by some medical professionals because eating a meal takes more time than the 5-10 minute limit you are given when drinking the glucose drink.
Diabetes in pregnancy: Management of diabetes and its complications from pre-conception to the postnatal period. This time, she would have been fine with this too, but I decided to monitor at home for a few days.
Last time I was pregnant I was told by a doctor that when i woke up my blood sugar should be 120 or less and after two hours it should be 140 or less.
For breakfast you're allotted 15g carbs, 10am snack 30g carbs, lunch 60g carbs, 2pm snack 15g carbs, dinner 60g carbs, and evening snack 30g carbs. No doctor's medical degree or textbook can accurately predict how YOUR body will deal with blood sugar. But I did have to do the first test more than once since the lab screwed up, and those drinks are truly revolting!
Personally, while I know Gestational Diabetes can be a serious thing is not monitored, I feel that the way in which they test is not the best possible way. When I had my 3 hours, the lab tech mentioned my OB put my numbers lower than others so I most likely would fail. Its horrible to think they will have to experience that regardless if I control my sugar durring these last few weeks. The rest just compared screening methods and number of women diagnosed – including one that compared a glucose solution to food, and found no difference. I had no idea it could do that and didn’t know there were other options at at that time. Even getting pregnant was no drama (first go!), I’ve had a regular cycle since was 14 years old, no pill, no pcos, nothing. I didn’t really investigate too much more than that, just going with the flow like i have my whole life. Thats when i expressed my dislike of the test and how is it accurate reflection of my normal diet? Luckily my sister in law is a Nutritionist who has a healthy perspective between natural and medical, not a clinical dietician whose had her soul sucked out from 10 years in a hospital system. Actually you can eat almost anything in moderation, but it is best to avoid all simple sugars as much as possible. Over the next few hours, your doctor will test the sugar in your blood again and check your numbers against standard numbers.
You drink the sweet glucose drink (a fast-release carbohydrate load that is larger than someone would have in an average meal) without any form of protein to slow the release of glucose. It is logical and obvious that testing two hours at home after eating your lunch and doing whatever you normally do afterwards, would give you a good idea about whether or not your body is having trouble. Also, different types of foods have slower or faster releasing glucose, so the results can’t really be compared to the ‘average’ results after the glucose drink.
Dr Michael Odent explains this practice quite well in his article ‘Gestational Diabetes: A Diagnosis Still Looking For a Disease?’ (linked below). This post aims to inform women of the options that they have to test their blood sugar and monitor for any issues.

Anyone’s sugar levels are going to be elevated after being overloaded with a carb filled drink.
I need some solid info to hring to my midwife as shebdid.not give me the option of not testing! Of course I’m not going to eat that much sugar in one sitting, and if i did id be walking or moving, not sitting on my bum. It’s easy to see why many have decided that the formal tests are not an accurate representation of the mothers ability to tolerate carbohydrates in everyday meals.
Alongside a balanced diet, Buckley, Gaskin and Odent all recommend regular low impact exercise throughout pregnancy to help the body lower blood glucose levels naturally.
My doctor was not comfortable with doing any alternatives this time around (jelly beans, special meal…) so I agreed to monitor my levels at home for a bit. You must fast for approximately 10 hours, and then attend the pathology clinic for around 2 ? hours. This could give you an idea of whether you need to readjust your diet or consider medical management. The nutritionist basically said we needed to only eat fake sugar (diet soda vs fruit for example) and test our blood sugar often. Then she calls me stating she doesn’t feel comfortable seeing me unless I take the test. You will need to drink another sweet glucose drink – this one usually has around 75g of carbohydrate (the equivalent to eating 5 tablespoons of sugar or 3-4 pieces of white bread). Sarah Buckley, GP and obstetric professional, recommends against routine testing for GDM for most women. She even tried to pull the “You’re jeopardising the safety of your baby, it’ll be on your head if something happens” card.
If I refuse, I need to switch to an OB who will.start me, at 32 weeks with bi weekly ultrasounds and NSTs. My midwife and I speculate that I may have developed GD after passing the glucose challenge in my 2nd pregnancy, so fairly late, and so it wasn’t picked up. A series of three blood tests will be taken – one before you have the glucose drink, another test one hour after you’ve had the drink, and another one hour after that. Ina May Gaskin, a Certified Professional Midwife and founder of The Farm Midwifery Center, also reports that up to seventy percent of women who repeat the test get a different result than on their initial test. I’m not sure what became of the woman, but she was just one woman in what I imagine is a sea of pregnant women trying to assert themselves in this medicalised and interventionist culture of birth at the moment. However, it can be a hassle if you forget, or if you’re in the habit of frequent eating, because for accurate results you need to eat your meal and then nothing but water for two hours. I ended up with wonderful midwives, never got the official test and my daughter was born 41+1, 8lbs, 15oz, I gained 45 lbs and lost it all very quickly.
I refuse and ask her to follow the midwife model of care or help me find a midwife who will.
This is because other food or drink could raise your blood sugar levels and give an inaccurate reading of your body’s ability to handle the carbohydrate load of your meal. She replies that shes talked to several OBs (not midwives) who all agree with her assessment. I am so glad that I’m aware of this so that I am able to make the relevant changes to my lifestyle and hopefully prevent the onset of Type II diabetes. She then starts to patronise me tellug me i am naughty because i requested another test, and also starts to talk about how serious it is and that my baby could die. What the doctors are looking for is a normal fasting blood sugar level, a blood sugar peak at one hour, and then back within ‘normal’ range two hours after the drink. The mornings my numbers were in the 95ish range I felt the best and had the most energy and lack of nausea. I am not scared and I think that GD is just another card to play against what mom wants for her birth. Just because you have been diagnosed with it doesn’t necessarily mean that you actually have it.
As you all know that is like having 3 kids so I am very busy and very stressed out on regular days as it is. Anyway after doing all of my blood testing 4 times a day after meals and seeing how great my numbers look I really felt this hunch that something is just wrong and I do not have GD. I see my OB early next week so I will bring it up with her but it seems these days doctors tend to cover their asses with loads of tests and specialists to send patients to. Because honestly at this point I feel like I am restricting my diet in such a way that it is not healthy for the baby or for myself.

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