Failed one hour glucose test. Do I have the option to opt out of the 3 hour test?
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Anonymous
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I found out that I failed the one hour test with a score of 137. I know most doctors use 130 as the cut off for passing, but I read that some doctors use 140. I have no family history of GD and am under 35. I am dreading taking the 3 hour test because I have a history of blacking out when fasting.
Has anyone had a score that was this close to passing and elected to not take the test? Of course my doctors office is saying I need to take it. Thanks! |
Anonymous
| Would they agree to letting you re-take the 1-hour first? |
Anonymous
| I wouldn't opt out of the three hour test without asking to retake the one hour test, or finding out the difference between accepting the 130 vs. 140. If they use 130, I would not opt out. If you have GD and it isn't diagnosed, that it unfair to do to your child. In the grand scheme of things, is not taking the three hour test worth your and your child's health risk? |
Anonymous
| I feel your pain. I failed the one hour and then threw up in the middle of the three hour test which meant I had to quit and try again another day (I had terrible "morning" sickness the entire pregnancy). I agree with the PP, you have to look at in the grand scheme of things. Also, discuss your concerns about blacking out with your doctor. |
Anonymous
| If you filed the 1hr test, you're considered to have 'glucose intolerance', so you'll need to make changes to your diet anyway. You might as well take the 3 hr test & take charge of your life. Welcome to parenthood. |
Anonymous
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I was just diagnosed, and all the materials they gave me said they are tightening the ranges they use (which means more women will be diagnosed) because they've found too many women are going undiagnosed and having complications. So, it's unlikely that they'll let you opt out of further treatment altogether.
I would agree that it's worth seeing if you can redo the 1 hour test if they'll let you though. But if not, definitely schedule the 3 hour test for first thing in the morning. I only had to fast from midnight on--and could have started the test at 8 am. Also, the age factor as an increased risk for gestational diabetes is thought to be more like 25 than 35. I didn't have any of the other risk factors either--and I still have it. Managing it has been really easy so far though, so I'd really encourage you to take care of yourself and the baby! |
Anonymous
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OMG you have a history of blackingout when fasting. No ! You need to take that test. Tell them what you told us. They will monitor you the whole time. How do I know? I do the same thing and just did that boring test week before last. All was fine.
They will/should tell you to sleep as late as possible come right in draw yoour blood immedialtey and give you the orange crush like stuff immediatley. |
Anonymous
| I "failed" the 1 hour test last week- I got a 130 exactly....talk about borderline! They let me retake the 1 hour test, and if I fail again, I will go for the 3 hour one (but I sure hope I pass). You may want to ask them if you can take the 1 hour again.... |
Anonymous
| OP here. Thanks for the suggestions. For the PP who is retaking the one hour test, did you do anything different this time to prepare (limit sugar or carbs a few days before, fast, etc)? |
Anonymous
| OP, I failed the 1-hour and passed the 3-hour but I think I actually had it. DS was born big and with low blood sugar so we had to supplement with formula. I made a few changes to my diet anyway, but not nearly as much as I would have if I had the Dx. Take the test. Better to know, believe me! |
Anonymous
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With my first pregnancy, I "failed" the one hour with something like a 136 or 137. I too was dreading the 3 hour because I almost passed out with the 1 hour. I actually thought the 3 hour was easier. I passed the 3 hour with flying colors.
Now I'm on my second pregnancy and they're having me do the glucose test at 20 weeks and at 28 weeks because I was borderline on the 1 hour last time. Sucks, but I'm glad they're being cautious. |
Anonymous
Don't try to "game" the test. If you normally have a diet that includes pasta and orange juice, for example, then by avoiding those things before the test you'll get an inaccurate reading. Eat your normal foods. This is in the best interests of you and your baby. |
Anonymous
I completely agree with this. Why are you trying to "beat or game" the test. This is what is best for you and your child. This is one of many sacrifices you will need to do. Address your concerns with your doctor, but don't try and find a way to alter the test results. My friend tested negative for the 1 hour test and upon delivery, they discovered that there was most likely a problem with that test. Her baby spent 3-4 days in the NICU to have treatments and observation. It's not worth it! |
Anonymous
| You shouldn't try to "beat" the test. If you are willing to follow the dietary guidelines and do the blood sugar monitoring with the results of the 1 hour test, then I would think your OB would be willing to allow you to skip the 3 hour...but it would be on the assumption that you have GD and would follow the diet and monitoring, I would think. I had GD with both pregnancies and with my second my OB and I agreed to just move forward as if I had GD after my 1 hour test. The diet is not that hard and is actually very healthy for you and the baby. Good luck! |
Anonymous
Not true with all OBs. I failed the 1 hr text (by the new lower cut off) but passed the 3 hr. They have not had me make any changes to diet. |