3rd Trimester

3-hr GTT results, one abnormal value?

I'm reposting this from Sept. birth board.

I just spoke with my doctor's office.  My doctor is busy but the midwife at least gave me a little info.  I had one abnormal value - two means you have to do the blood testing, etc., so i'm glad i didn't get two.  but the midwife says once the doctor goes over my results she may want me to stay on a certain diet and possibly do another blood test.  anyone have any similar results?  i'm sure i'll be talking to my doctor within the next day or two but would love any input from someone who had a similar result.  thanks!  btw, i only failed the one-hour with a 145. 

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Re: 3-hr GTT results, one abnormal value?

  • I failed my 1 hour with a 142 and the cutoff was 130. I then failed two of the four draws on my 3 hour test and they considered me as having GD. I was told even if you failed one of the draws, you failed the test.
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  • I was told failing 2/4 meant GD but 1/4 meant "glucose intolerant".  At my practice the difference was the testing and monitoring, but they still want you to follow the GD diet.

    If that is what your doctor wants you to do, it isn't a big deal.  Essentially you count your carbs, eat on a regular schedule (make sure you get those snacks in!), and avoid high sugars.  It isn't as bad as you'd think at all- especially if you aren't testing and having to worry about your stupid blood sugar results after every meal! =)

    I wouldn't stress about it.  It also helps keep your weight in check which is nice for post-partum weight loss!

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  • imagemoonrose2715:

    I was told failing 2/4 meant GD but 1/4 meant "glucose intolerant".  At my practice the difference was the testing and monitoring, but they still want you to follow the GD diet.

    If that is what your doctor wants you to do, it isn't a big deal.  Essentially you count your carbs, eat on a regular schedule (make sure you get those snacks in!), and avoid high sugars.  It isn't as bad as you'd think at all- especially if you aren't testing and having to worry about your stupid blood sugar results after every meal! =)

    I wouldn't stress about it.  It also helps keep your weight in check which is nice for post-partum weight loss!

    thanks!  i know, i am at least grateful i don't have to do fingerpricks.  last time i had one done i passed out, convulsed and threw up - can't imagine doing that four times/day!  i was already told to cut out my sugar for three weeks before the test because my baby is measuring large and I have been having a hard time with it.  i guess now i just have to take it really seriously and get on the ball.

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  • I failed the 1-hour in similar fashion and then I failed 2/4 in the 3-hour.  I am monitoring my sugar 4x/day (fasting and 2hours after each meal).  The finger prick is not that terrible.  The diet is pretty easy to follow and it's definitely slowed down the weight gain (baby is measuring right on track). 

    OP-It sounds like with your numbers, it would be pretty easy to control with diet alone.  I am hoping mine stays that way, so I don't have to move to meds or insulin injections.  However, as your pregnancy progresses, the placenta secretes more of the hormone that causes your body's insulin resistance, so blood sugar numbers may go up or your body may make enough insulin to counteract the increasing hormones.

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  • I was diagnosed last week and I'm eating a heck of a lot more than I was prior to the diet.

    It's not bad at all. 

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  • I failed my 1 hr with a 131 then had one abnormal value on my 3 hr (my 2 hr reading was still a little high, then dropped down rapidly for the 3 hr) and my doctor considered it a "glucose sensitivity."  We had already determined that I was having weird reactions to simple carbs (pasta!) and sugar so I had pretty much already modified my diet, but after that I switched completely to whole grain products and I haven't had anything with a lot of sugar in months (ice cream!).  It's not hard honestly as long as I don't think about pasta and ice cream...did I mention that my SIL decided to have my shower at an Italian restaurant and ordered a huge cake? GL!
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