I've done some research and I'm leaning more and more to declining the glucose test. I'm at very low risk, with no one in my family have any diabetes, and I eat healthy already.... The reasons I'm considering *not* doing the test are (stolen from this web page(http://www.gentlebirth.org/archives/gdnegmom.html):
* I don't like the idea of bombarding my body and baby with sugar (especially after a fast!)...can't imagine it's good for either.
* The fast alone not only sounds like a bad idea for the baby, but it can often make women ill b/c low blood sugar can trigger nausea. Drinking Glucola on an empty stomach may cause nausea, vomiting or fainting as well.
* I don't understand why they'd test me on a sugar high when that's such an unusual state given the healthy way I'm eating. (In addition, the better a woman's nutrition, the less likely her body is to be accustomed to large doses of straight sugar.)
* The test is not reproducible at least 50-70% of the time.
* From the research I've done, 30% of women fail the first test and have to go on to do further testing (somewhat of an ordeal as I understand it), even though only 2-3% are ultimately diagnosed with Gestational Diabetes, resulting in less than 1% (.45%) of all pregnant women needing insulin. (Incidentally, no clear improvement in perinatal mortality has been demonstrated with insulin treatment for GD.)
* While it is true that an abnormal glucose tolerance test (GTT) is associated with a 2-3 -fold increase in large babies, the majority of large babies are born to mothers with a normal GTT.
* If the treatment for GD is following a healthy diet, why not just eat a healthy diet to begin with (bearing in mind the specifics of watching carbo intake, etc.)?
* If I test positive with their test(s), my pregnancy would officially be considered "high risk," invoking an extensive program of tests and interventions of unproven benefit *and* automatically dictating a series of interventionist methods should I wind up birthing in a hospital. Another link I found lots of information http://www.gentlebirth.org/archives/gestdiab.html
3 months ago