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confused & need advice


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  #1  
March 8th, 2010, 05:21 PM
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Join Date: Mar 2010
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Hi ladies! I'm new here and need some advice. I took the one hour glucose test with a result of 140. My doctor described this as borderline and didn't order additional testing; just told me to limit sweets . Well, when i got home and read about GD, it seems to me that I should go for the 3 hour test. One of the reasons that I am concerned is that generally, I eat healthfully and am not overweight. I eat mostly whole grains, fruits and vegatables, very limited amount of processed snacks, but I do have a major sweet tooth. So could my sweet tooth have caused my borderline reading? I'm not convinced. I have been following a diet based on GD sample diets that I have found on the internet to be safe, but I feel so stressed out and uncertain, and don't want to put myself through the stress of dieting if not neccesary. What do you ladies think? Is 140 high enough to worry? Should i demand the 3 hour? Also, I took the test in the morning on an empty stomach. Would this affect my score? Thanks so much for your help
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  #2  
March 8th, 2010, 05:50 PM
BluvnU4evr's Avatar Erica
Join Date: Jul 2005
Posts: 6,573
Do you have a family practice dr that you can see to order a fasting BG test for you? Or maybe just call the office back and ask that they give you a fasting BG test? At least with a fasting BG they can see if your body had enough time overnight to regulate your insulin from eating your dinner.

I don't think you should worry that you had an empty stomach because they gave you the 50grams of sugar to drink before the 1hr draw.
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  #3  
March 8th, 2010, 07:33 PM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
Join Date: Feb 2009
Posts: 1,842
Hi! I'm a Type 1 diabetic. 140 is borderline. You could have GD, you could just have a sweet tooth. It's hard to say. If you want the three hour GTT, ask for it! I ask for things all the time from my doctor If it's non-invasive (like the GTT) she usually says yes to calm my nerves.

Hopefully you don't have GD, and limiting sweets and juice (juice is surprisingly bad for even non-diabetics) will be enough. Also, pairing carbs with protein will help avoid highs and lows.
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  #4  
March 9th, 2010, 09:18 AM
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Join Date: Mar 2010
Posts: 3
Thanks for the advice. Unfortunately, I don't have a family practitioner to go to for a second opinion right now.
I guess it's because I'm borderline that I am so confused. How to I know if i need GD diet plan without additional testing? How do i know if my blood sugar is too high? If i do have GD would it be a mild case since my 1HR was borderline?
I told my doctor that type two runs strong in my family and he seemed to shrug it off. Wouldn't most OBs order the 3 hour?I go in today and I am going to be more persistant this time and ask for the 3 hour or maybe another one hour test.
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  #5  
March 9th, 2010, 12:27 PM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
Join Date: Feb 2009
Posts: 1,842
Well, the GD diet won't hurt you if you aren't actually GD, so you could always just start following it. You can also buy a glucose meter, they are surprisingly cheap (the test strips are where they get you). Most people test when they wake up (after fasting through the night), after each meal and at bedtime.

Good luck today!
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  #6  
March 9th, 2010, 02:27 PM
BluvnU4evr's Avatar Erica
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Keep us posted on how your appt went today.
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  #7  
March 9th, 2010, 04:22 PM
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So I expressed my concerns at my appointment today and the doctor said I could retake the 1 hour test, but for some reason he will not give me the 3 hour unless I score above 140. Any recommendations on what to eat before the test for a most accurate reading?
Also, I have been following the diet and while i miss making smoothies and having larger meals fewer times throughout the day, I feel do really good and will probably roughly follow this diet regardless of my result.
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  #8  
March 9th, 2010, 05:56 PM
rebeccabaltimore and more's Avatar (rebeccabaltimore)
Join Date: Feb 2009
Posts: 1,842
I was surprised how much better I felt on the diet myself. Unfortunately I have no advice for the 1 hour test, many people seem to go into it fasting but my diabetes was diagnosed with a different blood test so I never took the GTT.
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  #9  
March 10th, 2010, 09:05 PM
BluvnU4evr's Avatar Erica
Join Date: Jul 2005
Posts: 6,573
I don't know if I'd suggest fasting. It works for some women, but not for me. My 1hr blood glucose after my first meal of the day is just above 140 after only eating 15grams of carbs for breakfast, like not from sugar and that drink they give you is 50grams of sugar. Oh and that's just above 140 after taking my Glyburide. Whatever you decide to do, fasting or no fasting, I hope you get the numbers you want.
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