December 2011 Moms

Anyone opting out of the Glucose test?

Just curious... I haven't done mine yet and my boss (who just had her second child in March) was telling me that she opted out of the glucose testing so it got me thinking if that was something anyone was considering doing or is everyone taking the test?
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Re: Anyone opting out of the Glucose test?

  • I probably will. I had gastric bypass 2 years ago and if I drank that syrupy stuff they give you I would literally die. The ob/gyn's office said they would "come up with something" to test me with but I don't know if I really like that idea...
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  • I just took mine this morning, so obviously I opted in.

    Just curious, what was her reasoning for opting out? I think the test is pretty important, and really, the drink doesn't taste that bad :).

    Now I'm just crossing my fingers that I don't get a phone call from my doctor's office tomorrow... they only call if you have to go back for the 3 hr.

    BFP #1: 3.28.11 Dx w/ PIH @ 24w DS Born @ 36w: 11.7.11 6 Days in NICU
    BFP #2: 8.31.16 Dx w/ GD @ 28w DD Born @ 36w: 4.21.17


  • imageheatherom:
    I probably will. I had gastric bypass 2 years ago and if I drank that syrupy stuff they give you I would literally die. The ob/gyn's office said they would "come up with something" to test me with but I don't know if I really like that idea...

    I have heard that you can take 18 jelly beans instead of the drink, might be something to look in to!

    BFP #1: 3.28.11 Dx w/ PIH @ 24w DS Born @ 36w: 11.7.11 6 Days in NICU
    BFP #2: 8.31.16 Dx w/ GD @ 28w DD Born @ 36w: 4.21.17


  • imagelageorgiapaperie:

    imageheatherom:
    I probably will. I had gastric bypass 2 years ago and if I drank that syrupy stuff they give you I would literally die. The ob/gyn's office said they would "come up with something" to test me with but I don't know if I really like that idea...

    I have heard that you can take 18 jelly beans instead of the drink, might be something to look in to!

    Hummmm why cant we all just have 18 jellybeans!?!?!?!



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  • imagebuttercup1221:
    Just curious... I haven't done mine yet and my boss (who just had her second child in March) was telling me that she opted out of the glucose testing so it got me thinking if that was something anyone was considering doing or is everyone taking the test?

    Did your boss do anything else to be tested for GD?  Why would you want to opt out of a test so important to your health and the health of the baby?

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  • imageJulia_JJ:
    Did she say *why* she opted out?

    She opted out this time because she passed it with her first but got really sick from the drink and decided she didn't want to feel that again. She also laughed and said she wouldn't stop eating sugar anyway because she wasn't going to ignore cravings, etc. So as long as her doctor wasn't concerned she wasn't going to take it and I guess he wasn't concerned..


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  • I took the test and never got sick. I actually opted for all the tests I could possibly take to make sure LO and I are okay..
  • You definitely can eat 18 jelly beans, and there are fewer side effects for a lot of people. I didn't have any issues with my 1 hour test and passed with flying colors, but I was totally going to eat the jelly beans if I had to take the 3 hour test... mainly because I love jelly beans, haha.
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  • they should just give everyone jellybeans.

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  • imageKellyAnn911:
    they should just give everyone jellybeans.

    I second this notion!

    Does everyone have to take the 1 hour and the 3 hour? Or is the 3 hour only for people who don't pass the 1 hour. My one hour is coming up in three weeks.  

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  • I can see why women opt out. I will be doing the 1 hr but if the results come back only slightly abnormal or slightly high I will be opting out of the 3 Hr. Mostly because thats what happened to me last time and everything with the 3 Hr turned out fine. Except that I was sick the whole day of the three hour because of the fasting and the drink, nurses have a terrible time finding my veins so I looked like an addict with bruises everywhere afterwards, and I missed a whole day of work for nothing.

    My OB told me I didn't even have to do the 1 hr if I felt it was too much, and that GD that requires actual intervention with insulin is so rare, there would be many other symptoms. And he said that all pregnant women should be watching their diet anyway and balancing their intake of all carbs, sugars, etc.

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  • imagelageorgiapaperie:

    imageheatherom:
    I probably will. I had gastric bypass 2 years ago and if I drank that syrupy stuff they give you I would literally die. The ob/gyn's office said they would "come up with something" to test me with but I don't know if I really like that idea...

    I have heard that you can take 18 jelly beans instead of the drink, might be something to look in to!

    How did they come up with 18?? I could probably handle that, even though I don't particularly care for jelly beans - unless they are Jelly Bellies...yummm!

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  • 18 Jelly beans??
    What is this all about ladies? How do I opt into the 18 jelly beans instead of this liquid everyone says they have to drink? I dont take my glucose test for another few weeks... maybe I can talk to my doc about this. Thanks!

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  • Now I want jelly beans.
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  • I took the test this morning.  However, I had such a bad reaction to it that I might opt out for subsequent pregnancies if my doctor ok's it.  Being a first time mom, though, I thought it was important to make sure everything's normal.
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  • I've had gastric bypass as well.  My Dr. has me testing my blood sugar with an at home glucometer 4x's a day for two weeks.  I have to test when I first wake up and then two hours after each meal.  You might consider this option rather than just skipping it all together. 

    Also,  It seems that "dumping" can include hypoglycemia.  Im not sure what the Dr. is going to say about that or whether low sugars are a concern to baby.  I've got another week to go....

  • imageheatherom:
    I probably will. I had gastric bypass 2 years ago and if I drank that syrupy stuff they give you I would literally die. The ob/gyn's office said they would "come up with something" to test me with but I don't know if I really like that idea...

     

    Sorry for the double post.  I meant this in response to the above
    "quote"

    I've had gastric bypass as well.  My Dr. has me testing my blood sugar with an at home glucometer 4x's a day for two weeks.  I have to test when I first wake up and then two hours after each meal.  You might consider this option rather than just skipping it all together. 

    Also,  It seems that "dumping" can include hypoglycemia.  Im not sure what the Dr. is going to say about that or whether low sugars are a concern to baby.  I've got another week to go....

     

  • Opting out of the glucose test is moronic unless you have a seriously valid reason to do so.

    Untreated/Undiagnosed GD is one of the highest causes of infant mortality.

  • imagebuttercup1221:

    imageJulia_JJ:
    Did she say *why* she opted out?

    She opted out this time because she passed it with her first but got really sick from the drink and decided she didn't want to feel that again. She also laughed and said she wouldn't stop eating sugar anyway because she wasn't going to ignore cravings, etc. So as long as her doctor wasn't concerned she wasn't going to take it and I guess he wasn't concerned..


    Wow sounds a bit selfish to me.... GD can be a really serious thing.  I'd be really surprised if her doctor said it was ok.  I've heard of some doctors not seeing patients anymore because the mother didn't want to monitor it. 

  • imagebrandywine2010:

    imageKellyAnn911:
    they should just give everyone jellybeans.

    I second this notion!

    Does everyone have to take the 1 hour and the 3 hour? Or is the 3 hour only for people who don't pass the 1 hour. My one hour is coming up in three weeks.  

    The 3 hour is for people who fail the 1 hour.  It's a more comprehensive test to make 100% sure you have GD.


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  • Sheesh...what's the deal with everyone making such a huge deal about this insanely important test! Majority of people don't have issues and I don't see the big deal about fasting...which is just skipping out on breakfast if you can get it in the morning...The ones that are complaining...how in the world are you going to get through labor and delivery if you can't make it through a 1 hour and possibly 3 hour test...I have done both...get over it and do it for the health of you and your kid!
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  • I am having to opt out of the glucose tolerance test. I tried to take the 2 hour, but go figure, fasting for 12 hours and then releasing a straight sugar bomb on my stomach incites vomiting (first time ever this pregnancy)! Crazy!

    Honestly, I really think they need to adjust how they test or at least make other options more prevalent. Expecting a pregnant woman to fast for an extended period of time and then tolerate that drink is a bit much, IMO. The 1 hour non fasting test is woefully inaccurate as well. There are other ways to test that don't involve such extreme measures.

    My midwife has ordered a hemoglobin A1C test, which is basically a blood test that shows your average blood sugar for the last 3 months. I will also be taking my blood sugar levels twice a day (at work) for a week to give an idea of what they are now. I actually meet all of the lowest-risk categories that some Dr's use to determine who not to test, but me and my midwife are most comfortable being able to rule it out completely. 

  • I won't be opting out (I didn't even think this was an option). Drinking a bottle of flat orange soda is worth it to me to make sure I am healthy so my little man grows healthy.
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  • I wouldn't opt out of this test.. it's very important. I failed my 1hr with my son and did the 3hr, and I don't care if it makes me sick for a day or three days. To make sure I am healthy and my child grows properly is way more important to me, and I will gladly be sick.

    My aunt is an ob nurse and has had TWO patients (in ten yrs that opted out of the test have still birth due to untreat GD.

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  • They came up with 18 because it's equivalent to the 50 gm drink sugar wise. You can definitely ask your doctor about it - they have done studies that show you get the same results so it's often used.

    One caveat.... you have to eat the jelly beans in a 2 minute time limit.  

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  • The test is not that big of a deal. Personally, I would rather know that I am not at risk of GD or have there be a problem with my baby than be concerned about feeling sick. But that's just me. 

    And I agree about giving everyone jellybeans.  

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  • imageLaurenRinAtlanta:

    They came up with 18 because it's equivalent to the 50 gm drink sugar wise. You can definitely ask your doctor about it - they have done studies that show you get the same results so it's often used.

    One caveat.... you have to eat the jelly beans in a 2 minute time limit.  

    18 jelly beans is nothing.  That's like a handful.  I could kill an entire bag in less than 1/2hour.

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  • I would not want to opt out of the glucose test, especially with my family history of diabetes, or the concurrent blood testing (e.g. I passed the one hour test with DD but it did turn out I had an iron deficiency, which was good to know).  I am all for jellybeans though.
    DD born 10/10/07 * DS born 11/25/11 * #3 due 3/9/2015
  • I just had my glucose test today. It was no big deal. The drink that they gave me was not like syrup at all. It tasted like extra sweet fruit punch. I had no adverse effect, except the sugar high.

    I would never opt out b/c of the importance of the test. Everything that I have read so far so there really aren't any symptoms of GD, so I find it odd that, that Doctor would say that there are a lot of other symptoms.

    If I fail the test and have to do the 3 hr test then ol' well, I'm not looking forward to but I'll do what I have to do.

     

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  • imagegina_bo_bena:
    Now I want jelly beans.

    Me too! Jellybeans sound good now... 

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  • My friend's midwife had her opt out of it with her first baby.  She just did daily checks of her blood sugar.  Not sure how much easier that is.... but that's a way to do it I guess.
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  • imagesarakiefer:
    imagebuttercup1221:

    imageJulia_JJ:
    Did she say *why* she opted out?

    She opted out this time because she passed it with her first but got really sick from the drink and decided she didn't want to feel that again. She also laughed and said she wouldn't stop eating sugar anyway because she wasn't going to ignore cravings, etc. So as long as her doctor wasn't concerned she wasn't going to take it and I guess he wasn't concerned..


    Wow sounds a bit selfish to me.... GD can be a really serious thing.  I'd be really surprised if her doctor said it was ok.  I've heard of some doctors not seeing patients anymore because the mother didn't want to monitor it. 

    Regardless of how she did the first time, you can get GD with your first or your eighth pregnancy.  I've had it for two pregnancies and been fine for two.  It's ridiculous to blow that stuff off.

    Regarding the jelly beans, it is based on the OB office.  My office offers the jelly beans, some don't.  It's based on the sugar and carb count.

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  • Well, hopefully I'm going in for mine in a little bit today. Not really looking forward to it (I HATE needles). However, there is no way I would just skip it when it poses no harm to my child and I have a family history of diabetes. I'm just hoping I pass the 1 hour. I really don't want to have to go in for the three hour. I am thinking about maybe going in on Friday though because my stomach is reeking havoc today and I'm not sure a sugary drink will stay down very long...
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  • Honestly I had no idea it was even an option to opt out. I won't be, but I do think that the process needs to be a bit more streamlined. I've heard of several who have to fast for the 1hr, several who don't (I don't), and I dread the thought of having to fast for the 3hr if I fail the 1hr. I can pretty much guarantee I will pass out.
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  • imagebuttercup1221:

    She opted out this time because she passed it with her first but got really sick from the drink and decided she didn't want to feel that again. She also laughed and said she wouldn't stop eating sugar anyway because she wasn't going to ignore cravings, etc. So as long as her doctor wasn't concerned she wasn't going to take it and I guess he wasn't concerned..


    No offense to your boss, but she sounds like Mother of the Year..... real selfless. 

    "If every word I said, could make you laugh - I'd talk forever".
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  • imageFletcha:

    I am having to opt out of the glucose tolerance test. I tried to take the 2 hour, but go figure, fasting for 12 hours and then releasing a straight sugar bomb on my stomach incites vomiting (first time ever this pregnancy)! Crazy!

    Honestly, I really think they need to adjust how they test or at least make other options more prevalent. Expecting a pregnant woman to fast for an extended period of time and then tolerate that drink is a bit much, IMO. The 1 hour non fasting test is woefully inaccurate as well. There are other ways to test that don't involve such extreme measures.

    My midwife has ordered a hemoglobin A1C test, which is basically a blood test that shows your average blood sugar for the last 3 months. I will also be taking my blood sugar levels twice a day (at work) for a week to give an idea of what they are now. I actually meet all of the lowest-risk categories that some Dr's use to determine who not to test, but me and my midwife are most comfortable being able to rule it out completely. 

    I am in a similar boat. Some people have adverse reactions to the drink-I get vomiting and migranes. I did take it this time, made it to the test, and then got severely sick after and spent 2 days throwing up and in bed with migranes. With my first, it took me 2 trys to make it through to the test without vomiting before, followed both times by extreme migranes. My option if we got pregnant again (which will not be happening) is to track my blood sugar for 2 weeks to confirm that I do not have GD. It's a bigger hastle, but it's worth it for me since I do get very sick from the drink.

    I think that opting out because you wouldn't take care of yourself if you have GD is stupid, but I do believe that if you are unable to tollerate the traditional test that there are other options your doctor can offer.

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  • Take the test.  It's not that fun but it won't kill you.  Also check with your doctor on if you have to fast.  In the practice I go to you do not have to at all.  They just told me to avoid foods with a lot of sugar.



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  • I am surprised at how angry people get about others choosing not to do certain tests, and that people don't know that every single medical procedure out there is fully optional, no doctor can mandate that you do anything. And if they try to force you or intimidate you they likly are doing for their self interest in avoiding lawsuits and not your best interest. Not saying in anyway that I would skip out on pre-natal care but I also feel like people have the right to use their own judgement about all of this, and go with the flow as long as they understand ALL the risks involved.
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  • I don't see the GTT test in the same light as something like NT scan or amnio. It's not a test to find out whether or not the baby has a defect that may cause someone to decide to terminate, it's a test to find out if you're developing what could be a serious problem that will also cause the baby problem, and if it does turn out you've developed gestational diabetes there are ways of treating the problem. Unless you have a medical reason not to take the test (as a PP who has had gastric bypass), why would you opt out of it?
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