Failed the 1 hour GTT :(

SciChick · May 2013

I just got the news that I have failed the 1 hour glucose test. I had passed it earlier in the pregnancy. I am trying to rework my work schedule so I can do the 3 hour test ASAP. I got a 149 and the nurse said it needs to be under 130 to pass, although I read some sources said between 130-140 is passing. At any rate, how bad is 149? I understand that this test does not necessarily mean I have GD, but after reading a little bit on it, I am concerned. One source said it can lead to the death of the baby. So, what do you all know about it and how well can it be treated? I just want to be prepared.

Missuskeekers · May 2013

I think everything in the worse case scenario could lead to the death of the baby. That's why I was freaking out yesterday about being anemic, because I read something that said in severe cases it could cause preterm labor and still birth.

It seems like a lot of people who fail the 1 hr pass the 3 hr.

raashton · May 2013

I would say 149 is good for passing the 3 hour. I failed the 1 hr at 159. I technically passed the 3 hr but was borderline so they have me on the diet and checking my sugars 4x daily, and almost never are they out of the acceptable range. It isn't that bad, I knew I was at a higher risk bc of PCOS.

Yes, in extreme, unregulated cases it can cause death for baby, or heart, pancrease, and size issues. But you are already putting in the research and know that it could be an issue for you, which means that more than likely, you'll not get to a spot of being out of control (and even that would only be if you get the diagnosis, and really, how often are you drinking 75 mL of sugar?) Remember, this isn't really anything you did or did not do. GD is kind of funny like that.

What I did leading up to the 3 hour was research a gestational diabetes diet and follow it as best I could for the week leading up to the test, just to get used to the diet in case I failed, and hope that I stabilized my sugars enough to get a borderline and know I needed to watch my sugars and carbs.

I am so sorry that you failed the 1 hour. And I won't lie, the 3 hour sucks (take some veggies to inhale as soon as you are released. Carrots have never tasted so good and I had eyeballed those bad daddies for hours...), but I would say you'll probably be fine.

Much love, hugs, and luck!

dtowngirl · May 2013

I failed my 1 hour with a 160. I'm not sure if it had something to do with the fact that I wasn't told to fast and it was at the end of the day. When I took my 3 hour the doctor said I passed all 4 of the draws "with flying colors". There's no use of worrying about it until you do your 3 hour. Good luck.

SciChick · May 2013

Thanks everyone. I appreciate it.

Luthy · May 2013

A little more info for you from someone who has GD!

I failed the 1 hr with a 144 and went on to fail the 3 hr. I have been on a controlled diet and have to test my blood sugar 4x a day. Two weeks ago I had to be put on oral meds to help control my fasting number (your blood sugar level when you wake up in the morning). I have to see a MFM since I'm not strictly diet controlled so we've been over alllllll the possibilities.

The reality is that as long as your sugars stay controlled, there's not much to worry about. And if you can't control with diet, they'll give you meds, insulin if necessary. The scary things happen when it's not caught and not controlled.

It DOES mean you get extra monitoring, just to make sure everything is is okay. (Until yesterday) I have had no other complications since early 2nd tri, and this is what my schedule has looked like:

Weekly NSTs to make sure LO is not in any distress

Every-other-weekly BPPs to monitor growth and make sure everything looks okay in there

Weekly OB appointments to make sure everything else (BP, etc) looks okay

Every-other-week meetings with the MFM since I was put on the meds to track those

Usually I can line up the BPPs with the MFM appointments, and the OB appts with the NSTs, so it's really only 1-2 appointments a week. And honestly, everything has been great so far. The diet is a gigantic pain but of course I would do anything to keep LO healthy, so I can deal.

I am going to be induced at 39 weeks due to the GD, but the only complication they foresee happening is she may have low blood sugar at birth and so might need some sugar water. I can deal with that!

I hope some of that lays your mind at rest. It seems really scary but as long as you keep your sugars under control everything will be just fine!

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