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! Hba1c – normal range, chart, blood test values, What is hba1c, this blood test helps find blood sugar levels and diagnose diabetes. Decoding hba1c test for blood sugar – normal reading for, Hba1c or glycated hemoglobin test is a blood test that measures average level of blood sugar (glucose). Gestational glucose intolerance is detected during pregnancy with the glucose tolerance test (GTT).
By identifying gestational glucose intolerance during pregnancy, the mother can alter her diet to keep her blood sugar from getting too high.

If this one-hour screening test turns out to show high blood sugar, the doctor may recommend a more accurate three-hour test.
Movement and Its Impact on Your HealthJune 23, 20160What Can Plants Teach Us About Being Healthy? 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. A glucose tolerance test during pregnancy is usually recommended around 24-28 weeks, and may be repeated around 32-34 weeks in mothers with high-risk pregnancies. Gestational glucose intolerance is more common in overweight women, older women, those with a family history of diabetes, or women who have previously delivered a baby weighing more than nine pounds.
You drink a glass of sweet liquid called glucola (it tastes like sweetened Coke or Pepsi) on an empty stomach, and then your blood sugar is checked one hour later.
Only around 15 percent of women with abnormal one-hour GTT will have an abnormal three-hour GTT test.
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?).
If the three-hour test is abnormal, the doctor may recommend a diabetic diet throughout the rest of pregnancy. 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.
A 1990 study of 1,307 women (533 of whom were not screened and 774 who were screened) showed that screening resulted in more tests and worry during pregnancy and a significantly higher cesarean rate in the screened mothers, but it did not decrease the number of large infants. 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! These researchers concluded that the routine use of a glucose tolerance test during pregnancy caused more worry than the benefits derived.
Discuss with your practitioner whether or not the GTT is necessary in your particular pregnancy. The hormones produced by the placenta cause insulin resistance, meaning it can’t work as well.

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