Reply to Failed one hour glucose test. Do I have the option to opt out of the 3 hour test?

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Reply to "Failed one hour glucose test. Do I have the option to opt out of the 3 hour test?"

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[quote=Anonymous][quote=Anonymous]But so what if GD is overdiagnosed?  You don't take insulin unless your blood suger is not under control with the diet.  I had a 131 on the 1 hour and I FAILED the 3 hour.  I was put on the diet.  It is a super healthy diet and there is no way I would have the self control to do the diet (and my diet is normally very good, but this diet is strict) if it wasn't for the test.  I also was told to exercise 30 minutes per day and I did that everyday from the diagnosis to the delivery -- which I think in part helped with the quick birth.[/quote]

A diagnosis of GD automatically makes you "high risk" which means a different standard of care.  More monitoring near the end of the pregnancy, more concern with regard to fetal size, earlier inductions, and a higher c-section rate.  The science around this diagnosis is not the greatest.  It would make more sense to begin monitoring blood sugar in pregnant women from the beginning of pregnancy to find mom's that are truly diabetic.  Also, the testing protocols have been criticized prettty heavily for being inconsistently applied.  Some practices require carb loading three days before the 3-hour test, some do not.  One issue is that many healthy moms already eat a carb light diet, usually out of habit, and then simply cannot handle the shock of the 100g glucose test because their bodies are not used to having to produce so much insulin to compensate for the sugar overload.  These moms are NOT diabetic, and their diets probably wouldn't even need to be changed much if they failed the test anyway.  Yet, they find themselves labeled "high risk" for no good reason. [/quote]

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