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Tuesday I was faced with the lovely task of chugging a bottle of orange-flavored sugar water {50 grams of dextrose aka sugar!} for the mandatory pregnancy glucose screening test. I had visions of nausea and light-headedness and general feelings of crappiness, but in reality, it wasn’t so bad.
However, if I don’t pass…I’m not so sure I can handle the double strength version of the test. Around 26-28 weeks, every pregnant woman has to go through the not so pleasant task of downing a super sugary artificially flavored drink and then sitting around waiting for an hour to have blood drawn. Most of the time you don’t get any hint that you have gestational diabetes- most women do not experience any symptoms, other some experience increased thirst or urination, fatigue, blurred vision, or frequent infections. Gestational diabetes puts you at risk for possible birth complications, the most apparent being macrosomia- a fancy term for a big baby. They made me sit in a closet (where they weigh you) and drink it while the CNA stared me down.
Anyway, my doctor said I would go to the lab, drink the stuff, come up for my appointment, and then go back to the lab for the blood work to be drawn.
I had my appointment in between- I think it was mostly luck that the midwife was ready then though!
I think super sugary flat orange soda is the perfect description- and it being cold would be so much better!
When thinking about pregnancy glucose test, you should know that this screens for gestational diabetes.
If the results of the pregnancy glucose test show high levels of blood sugar that doesn’t necessarily mean that you have gestational diabetes. After this, for the glucose tolerance test, the specialists will draw your blood three times.
Most probably you are interested in the possible risks of the glucose tolerance pregnancy test. When it comes to pregnancy glucose test the parents are also interested in the effects of gestational diabetes. Nonetheless you should know that even though the pregnancy test for glucose tolerance shows that you are affected, you could have a healthy baby if you monitor your health closely.
Now you know more about the pregnancy glucose test and you also know what to expect during the test and what the results could mean. If you’re pregnant, then sometime between 24 and 28 week mark, your doctor will have you come in for a Glucose Challenge Test (GCT). This is a test to screen whether you might have gestational diabetes, a high blood sugar condition that starts or is diagnosed during pregnancy and will need to be treated. Your doctor just wants to make sure you are processing sugar properly.  A high level in your blood may indicate that your body is not. With the Glucose Tolerance Test (GTT), you will have to fast beforehand and that super sweet drink (extra-concentrated) can potentially make you quite queasy. It’s important to know that if you are diagnosed with gestational diabetes (3 to 10% of all pregnancies), you can still go on to have a healthy pregnancy and the condition will likely go away after you give birth. If you have any questions about these different glucose tests, don’t hesitate to talk to your OBGYN.
Sign up for the web’s most entertaining (while informative) weekly newsletter on your pregnancy! The first glucose test in not really precise and can indeed be “influenced” by too many sweets! Basically, hormones from the placenta help block the action of the insulin in the mother’s body.
When I did the test, I was able to chug the stuff (which would have been great with some club soda, lime and vodka.
Anyhow, the diet really helped minimize weight gain those last few months and taught me a thing or two about eating better.
My doctor forgot to mention that they’d be checking for antibodies because of my Rh-negativeness when they did the glucose blood screen.

My OB’s office requires the 2-hour test for everyone now (they were still doing the 1-hour when I was pregnant with DD in 2010). 3 hour test to start because my sister had GD with all of her pregnancies, so I decided I’d rather start with the 3 hour test rather than have to do 2. My doctor said to eat normal, but nothing sugary that day, since my test would be in the afternoon.
So, after great finangling and stress I was able to take the 3 hour test a few days later, and guess what, EVERY SINGLE blood draw (and there’s 4 of them!) came back as in a good range. So, after I proved my non-diabetic-ness, they claimed they couldn’t remove the first test results from my record.
I had a lot of difficulty with the standard test the first time around – failed the 1-hour and nearly failed the 3-hour, even though I did NOT have gestational diabetes. Affiliate RelationshipsWe have affiliate revenue relationships with Amazon, and with other retailers that are handled by third parties like Skimlinks, RewardStyle, Commission Junction and Linkshare.
I was dreading it- I do not like super sugary things, and I do not like drinking things fast. If you fail, you’re subjected to an even more wonderful three hour version of the test, where you drink a double strength or double volume drink and then have your blood taken each hour for 3 hours. Gestational diabetes is a form of diabetes that can occur during pregnancy, regardless of whether or not you had diabetes before hand. Some people can keep it under control through diet and exercise, just like type 2 diabetes.
It’s not uncommon for additional blood tests to be run with the same blood draw from your glucose test, specifically iron. I had to have the ultrasound first though so the sugar didn’t make the baby go crazy. If the blood sugar levels turn out to be higher than normal, you will have to have some other tests as well. However there are some doctors who say that only those women should be tested who belong to a high risk group.
Which is why I thought nothing of consuming a gigantic sugary scone before my Glucose Challenge Test. This is a very bad idea because I failed the test.  On the upside, I did get a B in calculus. But while pregnant, you will need to make changes to your diet, add daily exercise and possibly take medication to keep your blood sugar levels under control. I’m definitely skipping the scone and my doctor recommend that I cut back on sugar and carbohydrates 72 hours before the screening test. This Columbia Journalism School graduate also drives a gold minivan because you can’t fit five kids on a Vespa. Although my doctor definitely thought the scone played a part in me failing the first glucose test.
In early pregnancy, insulin secretion increases, while insulin sensitivity is unchanged, decreased, or may even increase (1,2). When I was pregnant with my daughter (she’s a little over three now), I ended up having gestational diabetes.
I did and ended up having to spend the whole day getting a non-stress test because my baby’s heart rate was so high. It’s a complex condition involving the interplay of your endocrine system and all those fun pregnancy hormones.
This meant hanging around the doctor’s office for three hours instead of one, and as I had post-appointment plans, my blood pressure became elevated, causing concern about preeclampsia. Man, with my midwife, I was given a specific breakfast to eat then they took my blood sugar.
Everybody is tested because it doesn’t really matter what your risk factors are- you can still get it.
A baby born to a mother with gestational diabetes also faces the risk of hypoglycemia- low blood sugar- right after birth, because the baby immediately loses the large supply of glucose from the  mother.  While gestational diabetes goes away after giving birth, having gestational diabetes also means you’re at a greater risk of developing type 2 diabetes down the road, so consider it a flashing warning sign.

Pregnancy literally robs your body of iron- and it’s super important to keep those levels up. The worst part was having that much liquid in my stomach (for normal people it’s no big deal- maybe 8 or 10 oz?).
The one hour test only does screening, while the three hour test offers you an exact diagnosis. This means that the obese women or the women with some family history of this problem will certainly be tested. Some of the doctors give this solution to their patients in advance so that they go to the office prepared. This usually happens if you have several tests with the same result or if you were affected by gestational diabetes during a previous pregnancy.
The baby could be at risk of having birth injuries or type 2 diabetes as he or she develops.
If you already have children at home, think of it as a 3 hour getaway to surf Facebook and Twitter without interruption. I think that man is severely underestimating my addiction to Whoppers and Junior Mints but I’m going to do my very best. So whether you had a scone or not, if you’re not insulin resistant or deficient(two causes of diabetes), your glucose level will be normal. However, in late gestation, maternal adipose tissue depots decline, while postprandial free fatty acid (FFA) levels increase and insulin-mediated glucose disposal worsens by 40–60% compared with prepregnancy (2).
I tried the test at least twice with the other pregnancies and was never able to keep it down. Being on the heavier side pre-pregnancy can make you more susceptible, but so can having a family history of diabetes, especially if your own mom’s blood sugar levels were high while she was pregnant with you! However, rest assured that our affiliate relationships do not guide our product recommendations, at all. Either way, you’ll probably be monitoring your blood sugar with finger pricks to keep an eye on things.
I was really, really not looking forward to it because I hate sweet things too- the idea of a regular soda makes me gag. You will have your blood drawn the next morning and you will have to drink another mixture. I had GDM with both my pregnancies, and having to be strict with my diet and go for extra check-ups was a drag for sure, but of my girls were born perfectly healthy, with no weight or sugar issues. Only that my doctor thought it skewed the results, forcing me to take the 2nd test which I passed with no problem. And the silver lining of that strict diet for me…no weight gain beyond what my body needed for a healthy baby, so postpartum weight loss was quick and painless.
More than 2 weeks after that a nurse called me and said, your Glucose results are in, and you need to go immediately into diabetinc counseling your results were so crazy high.
While being obese and unhealthy certainly increase your chances, it’s not unheard of for a perfectly fit and healthy woman to become diabetic during pregnancy. Luckily the doctors office called me the next day and told me my levels were completely normal… NO three hour test for me! When I started monitoring my blood sugar levels at home, it became clear that my body wasn’t processing sugar like it should be. The hormones produced by the placenta cause insulin resistance, meaning it can’t work as well. Every hour, your blood will be drawn so they can monitor how you are processing sugar over a span of time.
She was big enough without adding whatever weight she might have gained had I never been diagnosed.

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