1 hr fails, where you at?

amhah09 · January 2014

Rrrrrachel said:
For some people it's as simple as cleaning up their diet, but for around 15% of women that doesn't work, even if they do it perfectly, and they have to go on medication. Even if you can control it with diet you will probably still be pressured to induce, and there's evidence that just being diagnosed, even if it's well controlled, drastically increases your chances of a c section. It can also have long term implications for your health, even when well controlled.

I dont think it's worth freaking out over, but I'm a little sick of people totally downplaying it and acting like it's no worse than a hang nail, too.

Also the gd diet is NOT low carb. It's a controlled number of carbs spread out throughout the day and paired with protein. Going low carb can cause your body to go into ketosis and that's not good for your baby, either.

This. Absolutely.

I BARELY failed my 3 hour when I was pregnant with DS and still ended up on Glyburide with him because my glucose levels were continually borderline. Then I got hypoglycemic, but that's another story.

I tried to limit my carbs at breakfast and got scolded because of the ketosis risk. You have to have a balance of carbs vs. protein specifically required for you body and that's why they send you to a nutritionist.

I wasn't induced with him but at 40 weeks they gave me an "if he's not here by the end of the weekend we're inducing you" ultimatum. He was shoulder dystocia. And my blood sugar was never uncontrolled - ADA considers a normal blood glucose less than 140 TWO hours after eating and even when I was put on medicine it was because my sugar was hovering over or just below 140 ONE hour after eating. So the shoulder dystocia was blamed on the GD and him being too big because of it.

When I got pregnant with DD my A1C was normal, I passed the glucola test early on, again at 28 weeks, and was still *encouraged* to either take the 3 hour "just to be sure" or monitor my diet and blood sugar four times/day as if I had been diagnosed with GD again anyway. I was harped on about weight gain at every appointment and induced at 39 weeks because of my experience with DS. (I switched practices for this pregnancy)

So I get a little bothered by people acting like it's NBD. Even if it's controlled or even if you don't have it the next time, there are still pressures and complications that may or may not arise. Medical professionals always look for the complication so even when there are no issues to be seen, some are made.

amhah09 · January 2014

And I am a 1 hour fail this time, so here's my shout out! At the practice where I had my other babies the cutoff was 140 for the 1 hour but this practice is 130. I was 133. I realllllly hope I pass the 3 hour test. I'm going in Thursday morning for that.

Laroo0220 · January 2014

amhah09 said:

Rrrrrachel said:
For some people it's as simple as cleaning up their diet, but for around 15% of women that doesn't work, even if they do it perfectly, and they have to go on medication. Even if you can control it with diet you will probably still be pressured to induce, and there's evidence that just being diagnosed, even if it's well controlled, drastically increases your chances of a c section. It can also have long term implications for your health, even when well controlled.

I dont think it's worth freaking out over, but I'm a little sick of people totally downplaying it and acting like it's no worse than a hang nail, too.

Also the gd diet is NOT low carb. It's a controlled number of carbs spread out throughout the day and paired with protein. Going low carb can cause your body to go into ketosis and that's not good for your baby, either.
This. Absolutely.

I BARELY failed my 3 hour when I was pregnant with DS and still ended up on Glyburide with him because my glucose levels were continually borderline. Then I got hypoglycemic, but that's another story.

I tried to limit my carbs at breakfast and got scolded because of the ketosis risk. You have to have a balance of carbs vs. protein specifically required for you body and that's why they send you to a nutritionist.

I wasn't induced with him but at 40 weeks they gave me an "if he's not here by the end of the weekend we're inducing you" ultimatum. He was shoulder dystocia. And my blood sugar was never uncontrolled - ADA considers a normal blood glucose less than 140 TWO hours after eating and even when I was put on medicine it was because my sugar was hovering over or just below 140 ONE hour after eating. So the shoulder dystocia was blamed on the GD and him being too big because of it.

When I got pregnant with DD my A1C was normal, I passed the glucola test early on, again at 28 weeks, and was still *encouraged* to either take the 3 hour "just to be sure" or monitor my diet and blood sugar four times/day as if I had been diagnosed with GD again anyway. I was harped on about weight gain at every appointment and induced at 39 weeks because of my experience with DS. (I switched practices for this pregnancy)

So I get a little bothered by people acting like it's NBD. Even if it's controlled or even if you don't have it the next time, there are still pressures and complications that may or may not arise. Medical professionals always look for the complication so even when there are no issues to be seen, some are made.

Wow that is crazy that they had you basically act like you had GD when you really didn't. I hope you pass your 3 hr. Thank you for all this info. It's just nice to hear all sides of it to get some perspective.

amhah09 · January 2014

Laroo0220 said:

amhah09 said:

Rrrrrachel said:
For some people it's as simple as cleaning up their diet, but for around 15% of women that doesn't work, even if they do it perfectly, and they have to go on medication. Even if you can control it with diet you will probably still be pressured to induce, and there's evidence that just being diagnosed, even if it's well controlled, drastically increases your chances of a c section. It can also have long term implications for your health, even when well controlled.

I dont think it's worth freaking out over, but I'm a little sick of people totally downplaying it and acting like it's no worse than a hang nail, too.

Also the gd diet is NOT low carb. It's a controlled number of carbs spread out throughout the day and paired with protein. Going low carb can cause your body to go into ketosis and that's not good for your baby, either.
This. Absolutely.

I BARELY failed my 3 hour when I was pregnant with DS and still ended up on Glyburide with him because my glucose levels were continually borderline. Then I got hypoglycemic, but that's another story.

I tried to limit my carbs at breakfast and got scolded because of the ketosis risk. You have to have a balance of carbs vs. protein specifically required for you body and that's why they send you to a nutritionist.

I wasn't induced with him but at 40 weeks they gave me an "if he's not here by the end of the weekend we're inducing you" ultimatum. He was shoulder dystocia. And my blood sugar was never uncontrolled - ADA considers a normal blood glucose less than 140 TWO hours after eating and even when I was put on medicine it was because my sugar was hovering over or just below 140 ONE hour after eating. So the shoulder dystocia was blamed on the GD and him being too big because of it.

When I got pregnant with DD my A1C was normal, I passed the glucola test early on, again at 28 weeks, and was still *encouraged* to either take the 3 hour "just to be sure" or monitor my diet and blood sugar four times/day as if I had been diagnosed with GD again anyway. I was harped on about weight gain at every appointment and induced at 39 weeks because of my experience with DS. (I switched practices for this pregnancy)

So I get a little bothered by people acting like it's NBD. Even if it's controlled or even if you don't have it the next time, there are still pressures and complications that may or may not arise. Medical professionals always look for the complication so even when there are no issues to be seen, some are made.

Wow that is crazy that they had you basically act like you had GD when you really didn't. I hope you pass your 3 hr. Thank you for all this info. It's just nice to hear all sides of it to get some perspective.

One of several reasons why I switched midwives this time. I was completely stressed out during my entire pregnancy with DD and left every appointment crying. It was wholly unnecessary. By the way I gained less than 30 lbs with her and they were still all "watch your weight, watch your weight" with her. They were worried I would have another "big" baby and have shoulder dystocia again.

emanresu14 · January 2014

Rrrrrachel said:
I had my three hour today. Hopefully I'll know something tomorrow or Wednesday at the latest. It wasn't as bad as I thought it would be, although it was boring and felt kind of disgusting. Make sure you bring water for after! The hardest part was not being able to drink water after the glucola.

And I took an awesome nap when I got home

They wouldn't let you drink water? I was allowed 8oz per hour.

Rrrrrachel · January 2014

sascott520 said:

@Laroo0220 The doc was actually the one who decided that a 3-hour wasn't necessary...they didn't even give me a choice. The nurse told me that good blood sugar levels are between 90-120. Had I scored between 130-180, my doc would've sent me for the 3-hour test. But, since I was above that, they're just sending me to a dietician and hopefully I can control it will diet/exercise. I know it's manageable but I'm still so bummed!

Your doctor sounds very conservative. I usually hear ranges in the 130-140 for normal and 200 and up for skipping the three hour.

emanresu14 said:

I had my three hour today. Hopefully I'll know something tomorrow or Wednesday at the latest. It wasn't as bad as I thought it would be, although it was boring and felt kind of disgusting. Make sure you bring water for after! The hardest part was not being able to drink water after the glucola.

And I took an awesome nap when I got home
They wouldn't let you drink water? I was allowed 8oz per hour.

No! I specifically asked and they said no.

amhah09 · January 2014

sascott520 said:
@Laroo0220 The doc was actually the one who decided that a 3-hour wasn't necessary...they didn't even give me a choice. The nurse told me that good blood sugar levels are between 90-120. Had I scored between 130-180, my doc would've sent me for the 3-hour test. But, since I was above that, they're just sending me to a dietician and hopefully I can control it will diet/exercise. I know it's manageable but I'm still so bummed!

At the practice I was at in my previous pregnancies a normal sugar was up to 139 and anything 140-184 warranted the 3 hour. Anything over 185 was an automatic GD diagnosis. I don't know what an automatic diagnosis is at this practice but their cutoff is 10 pts lower (130 instead of 140). I know some practices in the area that go as low as 120 as well. I think anything under 140 is conservative.

sorarose · January 2014

I had 139 and while I was told I don't need to take the 3 hr, I demanded that they give it to me since the baby measured large during the past couple ultrasounds. Thinking I'll take it at 29 weeks (next week).

JBellacqua84 · January 2014

Let the 3 hr test begin!! I have been starving since 4am... 11:30 can't come soon enough! Good luck to anyone else testing this week!

Laroo0220 · January 2014

JBellacqua84 said:
Let the 3 hr test begin!! I have been starving since 4am... 11:30 can't come soon enough! Good luck to anyone else testing this week!

Good luck!! I'm testing Friday and already worried about it. Hopefully you come through it feeling ok and with a pass!

bootsiebabe · January 2014

I was at 196 after the one hour.

Rrrrrachel, it's not low carb, per se, but for me I'm eating far few carbs than I was before. I usually eat some fruit with my meals (usually an orange or apple) to get carbs in, and I was able to eat some ice cream after dinner and still have my blood sugar fall within the acceptable range. Last night I had stir fry with rice and it was no problem. Just had to measure out the amount of rice, but had all the veggies I wanted.

Lexii2385 · January 2014

I failed the 1 hour and cried

they said they want the level to be 134 or under and I was 136

so now I have to go sit at the lab for 3 hours on Monday my only day off until baby comes! Ugh I hope I pass the 3 hour!

Rrrrrachel · January 2014

I faaaailed my three hour. All four levels were high. Le sigh meeting with a nurse in the am.

Laroo0220 · January 2014

Rrrrrachel said:
I faaaailed my three hour. All four levels were high. Le sigh meeting with a nurse in the am.

sorry to hear that. I hope they can tell you what you should be eating and that everything goes smoothly tmrw. My 3 hr is fri so I will keep u posted.

bootsiebabe · January 2014

Rrrrrachel said:
I faaaailed my three hour. All four levels were high. Le sigh meeting with a nurse in the am.

Sorry

Good luck tomorrow. I felt so much better after that meeting because I felt like I had an understanding of what I needed to do to try and keep my sugar under control. Still no fun though.

Kiahsimpson · January 2014

Just found out I failed mine. On top of being in and out of the hospital all weekend and already having to meet with a high risk doctor tomorrow, I did not want this to happen. Taking my 3 hour Thursday.

Laroo0220 · January 2014

Kiahsimpson said:

Just found out I failed mine. On top of being in and out of the hospital all weekend and already having to meet with a high risk doctor tomorrow, I did not want this to happen. Taking my 3 hour Thursday.

Sorry Hun. It sucks to have happen especially on top of anything else. I felt like I couldn't handle anything else when I failed mine. My iron was low despite taking supplements all pregnancy so that made me lose it too. Good luck Thursday!

NYJodway · January 2014

Lexii2385 said:

I failed the 1 hour and cried they said they want the level to be 134 or under and I was 136 so now I have to go sit at the lab for 3 hours on Monday my only day off until baby comes! Ugh I hope I pass the 3 hour!

If it's any comfort, this isn't much of a failure at all. NIH would consider this result within the normal range. It's just your practice following a more conservative guideline that renders your result a failure.

Hope all goes well with the 3-hour!

acmarcolini · January 2014

Passed my three hour! Have hope!

LBStewart · January 2014

I took the 3 hour last week. They said I would get a call the next day if I did not pass. No news would be good news.

Those of you who already took the 3 hours, how long did it take for you to get your results??

Kiahsimpson · January 2014

Laroo0220 said:

Kiahsimpson said:

Just found out I failed mine. On top of being in and out of the hospital all weekend and already having to meet with a high risk doctor tomorrow, I did not want this to happen. Taking my 3 hour Thursday.

Sorry Hun. It sucks to have happen especially on top of anything else. I felt like I couldn't handle anything else when I failed mine. My iron was low despite taking supplements all pregnancy so that made me lose it too. Good luck Thursday!

Thank you! I was reassured that I would get a call whether I passed or failed anything they did. But when this cholestasis came up, I just assumed that I passed the one hour. I think that's why I got so overwhelmed, I stupidly assumed I was in the clear! Fingers crossed for the 3 hour though!

lajohnso1982 · January 2014

I took my 3 hour test today. It wasn't bad, just BORING. The drink was super sweet and I did feel a bit sick because I had nothing in my stomach due to fasting. Sitting in a quiet room for three hours straight waiting for blood draws what not how I pictured spending my morning. Hopefully I passed.

amhah09 · January 2014

Sitting for my 3 hour now. I still have my glucometer and strips from my other pregnancies so I've been checking myself all week. All of my fastings have been in the 80s and all my post meal sugars have been perfectly normal, not even borderline. Today? I've watched my fasting sugar go from 95 to 102 back to 93 and it was 98 right after the girl drew my blood before I finally drank that crap. Sooo it's not looking positive for me, but I do plan on checking my own sugar with the glucometer at the hour intervals so I'll know when I leave instead of waiting for a phone call.

Rrrrrachel · January 2014

I swear the stress of the test makes your sugar to up!

amhah09 · January 2014

Rrrrrachel said:
I swear the stress of the test makes your sugar to up!

Well stress really does increase blood glucose levels. I wondered about short term effects this morning because I know I am super anxious about this given my past experiences with my other midwife. I just really wanted a good, complication-free pregnancy with my last baby. Is that too much to ask? Plus I'm really not looking forward to meeting with a nutritionist and working on a diet when my sugars have been perfectly normal without one. Stupid GTT. And if this practice wasn't conservative with the 1 hour I wouldn't even have to take the 3 hour.

amhah09 · January 2014

Well unless my glucometer is malfunctioning today then I have absolutely failed this test.

christinanoelle · January 2014

I failed both the one hour and the 3 hours. I met with a nutritionist last week and have been monitoring my blood sugar levels and modified my diet quite drastically (I was craving carbs this entire pregnancy). However, my fasting levels were always significantly hire. I was able to maintain good levels throughout the day. I met with the nutritionist, nurse, and doctor again this week and they advised me I need to take insulin once a day at night to ensure my fasting levels are stable.

It was very overwhelming and I definitely felt sad but in the end, we'll do what is necessary for our babies. All this to say, even if you don't pass the 3 hour test, try not to stress over it too much.. Once you meet with the nutritionist and your doctor things will seem much more manageable. (Not fun, I won't lie - but manageable

!

Rrrrrachel · January 2014

My fasting levels are my biggest concern. They were only a little high at my three hour (96), but they're the most difficult to control! I'm trying to take a good walk after dinner and hoping that helps, and trying to keep my bedtime snack as close to breakfast as I can.

bootsiebabe · January 2014

@Rrrrrachel - I'm the same way. I've noticed a correlation to high fasting numbers and earlier dinner times. Early dinner times means that I need a snack before bed.

Rrrrrachel · January 2014

I'm glad you've seen a correlation hopefully that means it will help!

christinanoelle · January 2014

Rrrrrachel! Those are all great ways to try and keep it down. In my case, they didn't work unfortunately. So don't be demotivated if it doesn't help...I tried a snack (within my carb limits) before bed, no snack, yoga, walking etc and nothing seemed to help hence the insulin.

My nutritionist advised me that the fasting levels are always the hardest to control (for obvious reasons I suppose..)

Have you met with anyone yet?

Rrrrrachel · January 2014

I met with a nurse at the birth center and got the broad strokes, and I'll meet with a nutritionist tomorrow to get a more individualized meal plan, I guess.

christinanoelle · January 2014

Good luck tomorrow! It helped me to meet with the nutritionist - I felt more in control.

ckred27 · January 2014

Failed my 1 hr waiting for doc order on 3 hr but we already know I have it so hoping we can skip it and just start insulin.

amhah09 · January 2014

When I had GD with DS it was always my fasting sugar and post breakfast sugar that kept creeping up. I ended up taking Glyburide at night to lower the AM sugar and then I started getting hypoglycemic in the afternoons and evenings. I don't have any experience with insulin but from everything I'm reading that's what's safer for baby anyway.

Rrrrrachel · January 2014

If I have to take medication I will risk out of the birth center, so I really hope can control it without it! So far so good, I was only 91 first thing this am. Post breakfast was within range, but much higher than my other levels so far!

NYJodway · January 2014

One reason for fasting numbers going higher is what they refer to as the "liver dump" that happens overnight during fasting. Basically, when you go a long time without eating, your body looks for food for energy, and when it doesn't get any, the liver breaks down fatty tissue and converts the adipose to glucose, dumping it into your bloodstream to be used for energy. If you don't have the insulin production or sensitivity to insulin to lower that glucose, it hangs out in your blood stream.

Insulin resistance is typically higher at breakfast than it is at other meals. What you all are experiencing (while it does kind of suck) is perfectly normal, and won't surprise an experienced endocrinologist or OB/GYN one bit.

I know that's not much comfort, but sometimes it's nice to know that something is common.

Rrrrrachel · January 2014

I know it's common but over is over and will still risk me out!

NYJodway · January 2014

Will the dx itself get you the boot, or just if you have to take meds?

newter135 · January 2014

I just found out today I failed my 1 hour and will be taking my 3 hour next week. Totally dreading it seeing as I barely kept down the 1 hour drink and felt soooo nauseated from it I don't know how I will fast and last so much longer

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