Glucose screen

redhotmama7 · February 2014

My dr insisted I do the 1hr test early since I have PCOS... So I did it last Friday and failed... I have decided not to do the 3hr but to get a meter and check my levels 4x daily... I was just wondering if anyone else turned down the 3hr test?

mrscurlygurl · February 2014

I don't know that I turned it down exactly, but I likely won't be doing it this pregnancy even though the lab lost the results of my 1 hour so I don't have official results. I had tested myself and with those results and the fact that I had it two years ago with DS, my office just wants to go ahead and diagnose me with GD.

Did you fail pretty badly to go ahead and decide not to do the 3 hour?

redhotmama7 · February 2014

My number was 153... They asked me to do the 3hr I'm just not comfortable with it and my drive to and from with no food or water after fasting 12-14hrs

Ylvelill · February 2014

My doc said meh on 3 hour since I barely passed 1. I am checking morning numbers and taking glyburide in the evenings.

splaster79 · February 2014

I didn't turn it down, they didn't even give me the option. My numbers were too high. Checking mine three times a day and insulin four times a day, ugh!

abundancenow · February 2014

I was surprised today when my dr suggested doing an early GD test, when normally they wait until 28 weeks. I took the 1 hour test today and if I fail, I would opt to just get the meter and test myself 4xs per day and diet, rather than take the 3 hour test. I just don't want to use that time testing, considering I had GD my first pregnancy. I'd prefer to control with diet and exercise, does anyone know what factors contribute to deciding to treat with medication? Is there a high number that is used?

Huahine · February 2014

So, by turning down the 3 hour, do they consider you as having GD? If so, I would seriously try to find someone to drive me to that appointment.

Once you are diagnosed as having GD, your pregnancy is going to follow a different path than if you don't have that diagnosis - more ultrasounds, appointments with nutritionists, and the potential for being pressured to induce or c-section early due to concerns about the baby's size. If you have any desire for a less interventionist pre-natal experience, I would find someone to take me to the glucose test.

sraexx · February 2014

I had GD last time and fully intend on turning down the 3 hour if I fail the first. I honestly would rather just assume I have I than have that test again (this time with a 2 yo with me!)

Tell me, does your insurance cover your testing equipment w/o the 3 hour results?

sraexx · February 2014

abundancenow said:
I was surprised today when my dr suggested doing an early GD test, when normally they wait until 28 weeks. I took the 1 hour test today and if I fail, I would opt to just get the meter and test myself 4xs per day and diet, rather than take the 3 hour test. I just don't want to use that time testing, considering I had GD my first pregnancy. I'd prefer to control with diet and exercise, does anyone know what factors contribute to deciding to treat with medication? Is there a high number that is used?

I also had it before, my nurse told me 3 days of morning high numbers we a danger sign but if I could keep it low after that I was ok. So basically, about a week of high numbers in the morning and you are on insulin. It is different for everyone though and it is regulated by diet but if you need insulin even after eating right, there isn't much you can do it is all chemical.

I was able to go without insulin and was induced but had no further interventions and was fortunate to have a natural birth. I never thought it would happen with GD.

helloblueeyes · February 2014

sraexx said:

I was surprised today when my dr suggested doing an early GD test, when normally they wait until 28 weeks. I took the 1 hour test today and if I fail, I would opt to just get the meter and test myself 4xs per day and diet, rather than take the 3 hour test. I just don't want to use that time testing, considering I had GD my first pregnancy. I'd prefer to control with diet and exercise, does anyone know what factors contribute to deciding to treat with medication? Is there a high number that is used?
I also had it before, my nurse told me 3 days of morning high numbers we a danger sign but if I could keep it low after that I was ok. So basically, about a week of high numbers in the morning and you are on insulin. It is different for everyone though and it is regulated by diet but if you need insulin even after eating right, there isn't much you can do it is all chemical. I was able to go without insulin and was induced but had no further interventions and was fortunate to have a natural birth. I never thought it would happen with GD.

This is one of my big fears right now, i know with the GD i am at a much higher risk of being induced and having to have interventions. I really really want a med free birth. If i need a c-section then that's fine, but i really worry about it being brought up and being made to feel like it's the best choice when it's purely convenience.

argonne · February 2014

If I fail my one hour this time, I will refuse the 3-hour. I have a meter, I know the diet, so I will try to convince my MW that I don't need the 3-hour, because I will, most likely, fail miserably like last time. I have to take my 1-hour next week.

argonne · February 2014

Huahine said:

So, by turning down the 3 hour, do they consider you as having GD? If so, I would seriously try to find someone to drive me to that appointment.

Once you are diagnosed as having GD, your pregnancy is going to follow a different path than if you don't have that diagnosis - more ultrasounds, appointments with nutritionists, and the potential for being pressured to induce or c-section early due to concerns about the baby's size. If you have any desire for a less interventionist pre-natal experience, I would find someone to take me to the glucose test.

Not necessarily. I had D with DS. It was diet controlled, but they wanted to see my numbers every appointment. I never had another ultrasound after my A/S, wasn't pressured to induce early, etc. When I got to around 38/39 weeks, I did two NSTs per week to make sure the baby/placenta were still healthy. With GD, the placenta can start to lose function earlier than a normal pregnancy, so the NSTs are imperative.

I was induced, but 1.5 weeks after my due date. That was the standard for my OB/MW office no matter if the patient had GD or not.

Now...that was my own anecdote. There are physicians out there who will do the extra ultrasounds, push for early induction, etc., so you need to be mindful of that.

sraexx · February 2014

helloblueeyes said:

sraexx said:

I was surprised today when my dr suggested doing an early GD test, when normally they wait until 28 weeks. I took the 1 hour test today and if I fail, I would opt to just get the meter and test myself 4xs per day and diet, rather than take the 3 hour test. I just don't want to use that time testing, considering I had GD my first pregnancy. I'd prefer to control with diet and exercise, does anyone know what factors contribute to deciding to treat with medication? Is there a high number that is used?
I also had it before, my nurse told me 3 days of morning high numbers we a danger sign but if I could keep it low after that I was ok. So basically, about a week of high numbers in the morning and you are on insulin. It is different for everyone though and it is regulated by diet but if you need insulin even after eating right, there isn't much you can do it is all chemical.

I was able to go without insulin and was induced but had no further interventions and was fortunate to have a natural birth. I never thought it would happen with GD.

This is one of my big fears right now, i know with the GD i am at a much higher risk of being induced and having to have interventions. I really really want a med free birth. If i need a c-section then that's fine, but i really worry about it being brought up and being made to feel like it's the best choice when it's purely convenience.

I will say we definitely had the extra ultrasounds and te pushes induction at 39 weeks. They told us she was 10lbs, um, no...she was 7.8 so be aware those end ultrasounds are a lot of guessing. I was terrified of c-section too and I thought for sure once that pictocin started it was all a foregone conclusion, but I literally had a dream birth. I am more scared this time for some reason. I am trying to take my own advice and know that I can do it and my body is ready but I it's beyond my control just lean into the moment and know I will bounce back, but no, It is scary every time.

ghostof5letters · February 2014

Last time, I failed my 1 hour but passed my 3 hour with no problems.

helloblueeyes · February 2014

sraexx said:

sraexx said:

I was surprised today when my dr suggested doing an early GD test, when normally they wait until 28 weeks. I took the 1 hour test today and if I fail, I would opt to just get the meter and test myself 4xs per day and diet, rather than take the 3 hour test. I just don't want to use that time testing, considering I had GD my first pregnancy. I'd prefer to control with diet and exercise, does anyone know what factors contribute to deciding to treat with medication? Is there a high number that is used?
I also had it before, my nurse told me 3 days of morning high numbers we a danger sign but if I could keep it low after that I was ok. So basically, about a week of high numbers in the morning and you are on insulin. It is different for everyone though and it is regulated by diet but if you need insulin even after eating right, there isn't much you can do it is all chemical. I was able to go without insulin and was induced but had no further interventions and was fortunate to have a natural birth. I never thought it would happen with GD.

This is one of my big fears right now, i know with the GD i am at a much higher risk of being induced and having to have interventions. I really really want a med free birth. If i need a c-section then that's fine, but i really worry about it being brought up and being made to feel like it's the best choice when it's purely convenience.
I will say we definitely had the extra ultrasounds and te pushes induction at 39 weeks. They told us she was 10lbs, um, no...she was 7.8 so be aware those end ultrasounds are a lot of guessing. I was terrified of c-section too and I thought for sure once that pictocin started it was all a foregone conclusion, but I literally had a dream birth. I am more scared this time for some reason. I am trying to take my own advice and know that I can do it and my body is ready but I it's beyond my control just lean into the moment and know I will bounce back, but no, It is scary every time.

Yea, i was told that i would have extra monitoring, ultrasounds and if i remember right bi-weekly or weekly NSTs starting at like 34 weeks? It's a lot but i would rather be safe then sorry. I just know labor is going to be a battle though. Because i don't have an OB overseeing me i have a perinatologist, i feel like they don't care as much about my choices, or feelings. Even when i go into labor, i will get whoever is the doc on call at the hospital at the time (it would have been this way with the OB i started out with too).

mrscurlygurl · February 2014

I'm surprised you only see the perinatologist now @helloblueeyes. I still went to (and likely this time) both my regular office and the peri doc. It's insane how much the care varies.

Last time I was put on glyburide because my fasting numbers were consistently high. Right now my numbers are kind of all over the place...a couple high some days, all normal others so I don't know if I'll end up on meds.

I was induced with DS. From what I understand, they don't like GD patients to go too much past 39 weeks because the placenta starts to age faster. It's not always about big babies though...DS was born 5.14 and they did know he was small. I was not happy about being induced, but it ended up going fine. I only had to be given Cervadil (no pitocin) and needed no other major interventions. My labor went crazy fast once my water broke (on its own) and I was begging for that epi...but that can all happen without being induced

sraexx · February 2014

Good to know of GD success stories, for sure!

I had an OB at a big practice and ended up having a new doctor during labor but I literally fell in love with him. Ok, maybe not literally. Ha. I would just try to stay positive and most important flexible. Like, know your "plan" but be open. It seems like the folks that have the hardest time with their birth experiences (emotionally) are those that are too fixed in what they think should happen. Everyone is so different and every time is different. (Easier said than done I know!)

helloblueeyes · February 2014

mrscurlygurl said:

I'm surprised you only see the perinatologist now @helloblueeyes. I still went to (and likely this time) both my regular office and the peri doc. It's insane how much the care varies.

Last time I was put on glyburide because my fasting numbers were consistently high. Right now my numbers are kind of all over the place...a couple high some days, all normal others so I don't know if I'll end up on meds.

I was induced with DS. From what I understand, they don't like GD patients to go too much past 39 weeks because the placenta starts to age faster. It's not always about big babies though...DS was born 5.14 and they did know he was small. I was not happy about being induced, but it ended up going fine. I only had to be given Cervadil (no pitocin) and needed no other major interventions. My labor went crazy fast once my water broke (on its own) and I was begging for that epi...but that can all happen without being induced

The MFM practice is based out of the OB department HQ. When i found out i was pregnant they gave me a referral for OB, the closest office to me is 10 min away. The hospital and med center where they send all high risk patients is 35 min (with no traffic) in the opposite direction. I guess my OB thought it would be easier to centralize my care. Which is fine, it's where i will deliver so i might as well know it.

My doc doesn't prescribe glyburide when GD is caught in the first tri. They go straight to insulin.

I totally understand all the reasons for induction and not letting me go too late. I have no problem with it because it might be whats for the best. The possible complications are what scare me half to death. C-sections are major fucking surgery with a lot of really scary and potentially down right horrifying outcomes. I think it's just a problem of the fact that i actually know too much and probably a good dose of mommy guilt.

redhotmama7 · February 2014

Hi ladies OP here sorry I posted and ran earlier....

I simply told my midwife I wasn't comfortable with the 3hr test and she said I could do 4x a day finger prick testing...

Unless those levels are high over the week-2weeks I have to submit then I won't be considered GD positive. If they're high then I would have failed the 3hr anyways....

I won't know more about after that until then.

Thank you ladies for the positive GD stories! My midwives office cannot do ultrasounds or c sections so... I'm not sure how all that works.

I do have an MFM for my blood disorder so maybe I'd just see her if I'm positive?

redhotmama7 · February 2014

Oh and one more thing I haven't gained any weight still down 8 lbs since getting pregnant even without morning sickness

Also my baby was measuring with a due date 4 days after my original due date. So baby isn't big yet and the later the test the more inaccurate weight predictions are...

My SIL was told her baby was 8-9lbs on the day of her c section and baby girl was born at 5lbs and ended up in the NICU for 12days

mrscurlygurl · February 2014

Oh, okay @redhotmama7...you're testing yourself in lieu of the 3 hour. I get it. Well, good luck!

@helloblueeyes, csections are major surgery and thus scary, but like @sraexx said it's best to keep as open a mind as possible. I think people who are very anti-csection can have a harder time recovering because they end up mourning their birth experience mentally as much as dealing with the physical recovery.

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