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Becky Parker
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| Posted: Oct 04 2010 at 6:44am | IP Logged
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With every one of my pregnancies, I have failed the 1 hour glucose test and had to go in for the 3 hour test. That always comes back normal.
This time, the same thing has happened (although I only "failed" by two or three points) and I am scheduled to go for the 3 hour test tomorrow. But I really, really don't want to. I know they are going to find that there is nothing wrong, I feel great!~
Has anyone ever declined this test? I'm not sure how to tell my doctor I don't want it.
Also, just in case, if I do happen to be positive for gestational diabetes, what is the treatment for that? Isn't it dietary?
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Becky
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Lisbet
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Just say "no thanks" and be on your way... 
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JodieLyn
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It's really much more effective to test yourself with a glucometer at home under normal conditions than to do any of the GTT tests.. usually a week of checks (or less) will satisfy most docs that you're fine.
And yes the treatment is dietary for most.. but it can get bad enough to use insulin as well.
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JaysFamily
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Gestational diabetes is treated with diet and insulin. I'd go ahead and go in for the 3 hr. You can have diabetes and not have any symptoms. I think I'd be more inclined to skip the 1hr, and go straight for the 3 hr test, or to test at home post meals, 3 times a day for a week.
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mamasue
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I would just cancel the appointment and at the next doctors app explain the situation. Those 3 hr tests are tough, as I see you are aware of
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Grace&Chaos
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This is a tough one. I hate doing those 3 hr test too. After the birth of our last baby a nurse came in to see me. She basically said even though my 3 hr came back normal they were going to treat as if it were positive next time, because ds weighed in at more than ten pounds and needed to have his sugar level increased immediately after birth with some formula. Both baby and I are fine (he has not had formula since that initial bottle) but it is a scary thought that it could have been much worse.
A good friend and my sister have both had gestational diabetes. One was able to treat it with diet alone, the other required insulin (along with extra doctor visits and nutrition expert visits).
I'd say better to suffer for three hours than to have something more serious happen to baby or mama later (my test were also off by just a couple of points, I've done them 6 times, they are always below).
(This part of preganancy always causes me the most stress  )
I will pray for you and baby 
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MicheleQ
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Grace&Chaos wrote:
| After the birth of our last baby a nurse came in to see me. She basically said even though my 3 hr came back normal they were going to treat as if it were positive next time, because ds weighed in at more than ten pounds and needed to have his sugar level increased immediately after birth with some formula. Both baby and I are fine (he has not had formula since that initial bottle) but it is a scary thought that it could have been much worse. |
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Well for what it's worth I have never tested anywhere close to being diabetic and I have had two children (of 10) born with low blood sugar. One was just under 10 lb., the other 8½ lb. and my drs. have never said anything about it being related to gestational diabetes.
What is odd --and we have no idea if it is in any way related-- is that those two children are the ones that got type 1 diabetes (one at age 8 the other at age 4 but within 5 months of each other).
Quote:
| I'd say better to suffer for three hours than to have something more serious happen to baby or mama later (my test were also off by just a couple of points, I've done them 6 times, they are always below). |
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I agree. Diabetes can be serious and it's worth being sure in my opinion.
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CrunchyMom
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My midwives who are really hands off and applaud my declining of all extra tests and such are still pretty stubborn about the glucose test. They will allow me the option of doing it without the sugary drink (come in early, take a sample, go eat breakfast, come back and test at certain time). I haven't taken that option yet because it has its own hassles, but I've considered it since I rarely eat lots of sugar, and I feel that drink is so very sugary, it would be possible to react just because I'm not used to it.
Anyway, you might consider asking if that is an option to see if you pass the test better with "normal" food instead of the icky drink.
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JodieLyn
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The statistics on the GTT's don't bear out the claims. Basically they are very unreliable.. in that they are not repeatable.. you could get different results each time.. so it's just not a reliable method.. not to mention the baby suffers when you suffer as well with those stupid tests.
Getting the glucometer and testing at home at the normal intervals before and after meals is a MUCH MORE RELIABLE method of determining if there's any problem.
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MicheleQ
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JodieLyn wrote:
| Getting the glucometer and testing at home at the normal intervals before and after meals is a MUCH MORE RELIABLE method of determining if there's any problem. |
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I agree. Glucometer's are easy to come by and will help with getting a better sense of things over time. My point was just that I wouldn't ignore it altogether. Then again I check everyone's blood sugar all the time anyway --pity the child who tells me they don't feel well because there's a finger stick in their immediate future! 
But I wonder, are they --drs. in general-- getting weirder about blood sugar numbers? I ask because they told my mom recently that her glucose was "high" when her number was 107 an hour or so after she had eaten breakfast. That's not high and it's certainly not unusual enough to scare her over it!
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pmeilaen
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After my first two babies I simply declined all glucose tests, no matter how long. My midwives never had a problem with this.
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JennGM
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I think doctors want the numbers tighter than before, especially in pregnancy. I had almost 4 years between pregnancies and the target numbers were lower for the second one.
I required insulin very early on in both pregnancies, and this was something I didn't expect at all. I generally have low blood sugar or hypoglycemia normally. But my body responds differently to the placental hormones. I don't take the test lightly and would encourage you to take it, just to make sure. Age and each pregnancy makes things different.
The glucometer is the best tool you can have, and the main indicator for gestational diabetes is your morning waking numbers certain days in a row. But glucometers are expensive, so the 3 hour fast, while not convenient, is second best.
Michele, that is interesting that the low glucose babies are the ones with the diabetes now.
Diabetes initially would be controlled by diet and lots of finger pricking to assure one is on target. Exercise also helps keeps the sugars under control.
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Topic: declining a glucose test
