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When I was pregnant with Kate, my midwives policy and practice was to test if you had risk factors. I guess in the time since Kate was born, their policy has shifted. They had a mom who went to 43 weeks and they knew the baby was big. She went to the hospital to get induced because of how late she was and the estimated size of the baby (this was obviously after trying natural inductions with my midwives). The OB on call wouldn't even induce her and did a c/s right there because they didn't know her GD status. I guess our midwives got some flack for not doing the test.
Their current practice is to offer the test to everyone and if you refuse to sign a refusal form that they will keep in your chart. I decided I'd do it this time, based on the way they do it. There is no fasting, just the recommendation to eat a healthy high protein breakfast then to come in, drink a juice box of Welch's 100% white grape juice (it has the same sugar content as the glucola and tastes a lot better). Then they test your blood after your appt. I honestly don't mind doing it. I've already refused the 3 hour test though. No way in heck I'm doing that.
They offer it but you can sign a refusal form. I had it done at my OB's office since I was there for some other stuff anyway and the OB sprung it on me. I didn't have to fast and I had no worries about not passing it so I took it.
I will decline it but haven't discussed it with the midwife yet. I didn't have any signs or problems last time and it really seemed like a waste of time (not to mention it was gross). If the midwife or I get concerned later on then we can test with a monitor.
My midwife just does a random blood sugar draw around 28 weeks. If that is normal no further testing is needed. She does the typical screening of urine each visit so that would also show if there was an issue.
Alison - Mom to: Emmeline (7/14), Augustus (2) Maximus (4) Eleanor (5) Reid (6) Evelyn (8) Lucas (13) Christopher (14)
My midwife also does the urine screen each appt, so she will see if a problem is developing. Otherwise she gives you a choice. You can refuse, get sent to a lab to do the glucola test or you eat a specific meal and she tests you with a handheld meter. I did the meal and meter and was actually a little low.
The grape juice method sounds nicer than the glucose drink... =/ I was told to go for one (given paperwork by OBGYN nurse and told to go in sometime last week...) - it was the 1 hour, I had to watch what I ate the day before and fast from midnight (though everyone seems to be being told they don't have to fast for that one....) then go in the next morning.
I haven't so far. I'm not sure whether to or not... If it becomes a worry, then I will get tested, but so far I haven't had any signs and I'd just rather not do it! I planned to on Friday last week, but DH couldn't come with me, so I freaked about being alone...
my MW did a basic fasting blood sugar draw using a diabetes monitor thingy...only decided to have it done since diabetes run in my family on both sides but actually my levels were really low. i also checked my urine every appt for protein and whatnot.
It was up to me and I declined it. I have no risk factors and she said that the outcomes for treating it or not treating it don't seem to be very different - so I figured - why bother? If I feel like something is wrong or baby starts to get big we can look into it!
Thank you Kiliki for my first beautiful Siggie!
mom of 2 angels and an earth baby