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  5. Anyone declined the gestational diabetes tests?

Anyone declined the gestational diabetes tests? Rss

I am 29 weeks pregnant and recently went to my midwife appointment, however, my usual midwife was absent so I had another one instead. She mentioned about me doing the glucose test and I informed her that I have discussed this previously with my doctor and midwife telling them that I will not be doing the test. She proceeded to ask me why not? and I told her personal choice. She sat there with shock in her face and once again asked "why not? did something happen in your family?". She was professional i get it but at the same time it made me feel like she wouldn't accept my answer. She said she would highly recommend i do the test. I told her i had decided not to as I don't want to feel like a guinea pig nor do i want to drink such a high sugared drink and be fasting, putting my baby under at all that. She then booked me for an upcoming growth scan (dunno if thats a norm or only if they believe ur baby is larger or smaller then they'd expect)

Prior to this, she checked my blood pressure (which was good, as all my midwife, doctors etc appointments have had a good reading), was happy with the heart rate however when she measured me she got 29cm and this was 2 days before my 29 weeks. She said the baby is big to which i was slightly confused as the previous midwife and my sonographers at my (12 and 20 wk) ultrasound were all happy with the baby's progress), including when my usual midwife has measured me.

I am 182cm and my husband is 197cm, so we are QUITE tall and my mum is around 165cm and has carried bigger babies and when she gave birth to me i was 6kg (yes KG not pounds :/)

I generally keep a pretty healthy diet, 70% healthy the rest i have my days of indulgent. I've had my blood tests a few times and urine tests from my doctor and he was always happy with my results.

My question is, anyone else decline the test or felt pressured to get it done?

Also, this is my first pregnancy and i really thought 29cm at 29weeks was good?
I didn't decline the test. Anyone can get gestational diabetes, even people who have a healthy diet. It's caused by hormones from the placenta interfering with insulin production. It is not caused by anything you do (unlike type 2 diabetes which is strongly linked to poor diet). If it is discovered you have it there are risks to both you and your baby esp if your blood glucose levels are not controlled correctly.

It's your body and your choice but you may want to do a bit of reading about gestational diabetes and why its important to test for it.

29cm at 29 weeks seems about right. My midwife said its usually with 2 cms either way eg at 29 weeks normal range is 27-31cm. Everone carries differently though.



I agree with pixie chick. I would personally have the test and I did with my pregnancy. It's really not that bigger deal. I know friends who had GD. One very healthy like you describe yourself. You need to be aware of the risks it can have on you and your baby during pregnancy and after birth. You may find because you have not had the test they might monitor you more closely with scans etc.
Hi have to say I agree with the others. You can definitely choose what you want to do. It's your body and its your baby but out of everything they test for I'd say this is probably pretty important. They get people to do the test as its good for both your health and your babies health to know in advance.

I did it. It didn't take long and I felt fine. The fasting period wasn't too long and then the sugar drink was just like having a soft drink but without the bubbles (like a cordial made a bit too strong). The flavour was lime which I personally hate sad

The only person who I know who had gestational diabetes was someone who was thin and had a good diet. I had a shocking diet during pregnancy as I craved sweet things the whole way through and didn't have it (in fact I celebrated not having gestational diabetes with a mars bar!). You can't tell in advance whether you'll be fine based on your diet.

It's not actually a huge amount of sugar you have. If you drink soft drink then a 600ml coke has more. Also my mars bar almost had the same amount of sugar again. Every night you fast and probably have the same sugar load in your breakfast so you're actually doing the test to your body every day they just want to measure how your body is responding to it.

However as I said its your baby and your body so you can do whatever you want. I can understand not wanting to feel like a guinea pig. There's so many tests and appointments in pregnancy it can be overwhelming.
Yes it is your choice however I would not be declining. When I had my bubs recently the girl next to me baby had very low blood sugar at birth (like 1) and had toget sent via rfds to the bigger hospital. They think she had undiagnosed gd so this proves that undiagnosis can have consequences.



I gave birth 4 months ago and I had gestational diabetes. Diagnosed through the blood glucose test.
There's a lot of hype around GD and in my personal experiance, people make it out to be much worse/have much worse affects on baby than it really does. I gave birth to a healthy 8 pound 7 boy, no dramas.
The doctors made such a big fuss over me having GD, eg travelling over 4 hours to a city hospital to have my baby, I live in the country so was very inconvenient, having to inject insulin for last bit of my pregnancy which isn't all that nice, doing finger prick tests 4-5 times daily, and the list goes on!
After all the crap they made me do, my baby and I were both perfectly healthy. Healthy even after the insulin didnt work, wasnt bringing down my sugar levels, so in my opinion, if GD is untreated there's no real great drama! If babys blood sugar is slightly low at birth, they feed them, which happens normally after birth anyway. It's your choice. I wouldn't worry too much. Like I said, I had GD, I was treated for it, treatment didnt work, both me n baby were fine! Everyone over dramatises GD, just eat fairly healthy and you will be fine.




To the original poster, like others have said, a healthy diet does not protect against GD, it is entirely hormonal. There isn't anything you can do to avoid it and sometimes the healthiest people can develop it. The test is only a few hours, and you're able to do it first thing in the morning so it's almost like you've slept in and pushed breakfast back by a bit. The fasting and specific level in the drink (like others have said, it's not really that massive an amount) is there so they can see just how your body reacts to a known quantity of sugars. At the end of the day, yes it is your choice whether you have the test or not but it is definitely something to really talk through with your healthcare provider so you truly understand what the test involves/the impact that GD can have on your child etc so you can make an informed decision.

I'm sorry SouthCoastChick, but as a GD mother I have to strongly disagree with your post and the dismissive way you are towards your diagnosis and the after affects. Just because you were fortunate enough not to experience negative effects does not mean that it is 'over dramatised'. You were under treatment, it may not have been completely effective treatment and you may have still been having issues with your sugar levels etc but have you considered that those sugar levels were WITH treatment and that without it they would have been significantly higher with the matching issue of probable complications for your child? Yes, you had the hassle of going to a bigger hospital etc but that is because smaller hospitals are not equipped to cope with complications IF they occur.

I'm sorry, but I would rather put up with the inconvenience of the tests, doing the finger prick test each day, injecting insulin (and I have a fear of needles so every finger prick and injection caused my anxiety to spike), travel to a different hospital and not need all of these precautions than dismiss them as 'unnecessary' and an inconvenience. Are they inconvenient ... yes, but at the end of the day my convenience wasn't my priority, the health of my unborn children was so I dealt with the inconvenience and anxiety. My 1st child was 8lbs, 2nd 6lbs 11oz and 3rd 7lbs 3.5oz, I had GD with all of them which was relatively well managed (insulin required for baby #3). Even with relatively good management, both my 2nd and 3rd children did experience mild complications, boardering on more serious complications for my 3rd. Their blood sugars were significantly lower than they should have been and both needed supplementation to get their levels up, my 3rd was borderline requiring special care nursery because of her levels and that was with my GD being controlled and levels in the 'acceptible' range for the most part with assistance from insulin injections. For my 3rd child in particular it was 2 days of heel prick tests every few hours making sure that her levels were back where they should have been, my others had the heel prick tests too but not for as long because their levels weren't as low/came up to 'acceptible' levels much faster.

OP, can you refuse the test, yes absolutely, but please use your midwife/doctor as the source of your information when making that decision, not people on an open forum like this one.

Leisa.
I agree with all what Leisa has said. GD is not something to take lightly, anyone with GD needs to be closely monitor. It can have impact on your baby. I would consider discussing this in further detail with your midwife and how they plan to monitor you if you still decide not to have the test.
leisah wrote:
To the original poster, like others have said, a healthy diet does not protect against GD, it is entirely hormonal. There isn't anything you can do to avoid it and sometimes the healthiest people can develop it. The test is only a few hours, and you're able to do it first thing in the morning so it's almost like you've slept in and pushed breakfast back by a bit. The fasting and specific level in the drink (like others have said, it's not really that massive an amount) is there so they can see just how your body reacts to a known quantity of sugars. At the end of the day, yes it is your choice whether you have the test or not but it is definitely something to really talk through with your healthcare provider so you truly understand what the test involves/the impact that GD can have on your child etc so you can make an informed decision.

I'm sorry SouthCoastChick, but as a GD mother I have to strongly disagree with your post and the dismissive way you are towards your diagnosis and the after affects. Just because you were fortunate enough not to experience negative effects does not mean that it is 'over dramatised'. You were under treatment, it may not have been completely effective treatment and you may have still been having issues with your sugar levels etc but have you considered that those sugar levels were WITH treatment and that without it they would have been significantly higher with the matching issue of probable complications for your child? Yes, you had the hassle of going to a bigger hospital etc but that is because smaller hospitals are not equipped to cope with complications IF they occur.

I'm sorry, but I would rather put up with the inconvenience of the tests, doing the finger prick test each day, injecting insulin (and I have a fear of needles so every finger prick and injection caused my anxiety to spike), travel to a different hospital and not need all of these precautions than dismiss them as 'unnecessary' and an inconvenience. Are they inconvenient ... yes, but at the end of the day my convenience wasn't my priority, the health of my unborn children was so I dealt with the inconvenience and anxiety. My 1st child was 8lbs, 2nd 6lbs 11oz and 3rd 7lbs 3.5oz, I had GD with all of them which was relatively well managed (insulin required for baby #3). Even with relatively good management, both my 2nd and 3rd children did experience mild complications, boardering on more serious complications for my 3rd. Their blood sugars were significantly lower than they should have been and both needed supplementation to get their levels up, my 3rd was borderline requiring special care nursery because of her levels and that was with my GD being controlled and levels in the 'acceptible' range for the most part with assistance from insulin injections. For my 3rd child in particular it was 2 days of heel prick tests every few hours making sure that her levels were back where they should have been, my others had the heel prick tests too but not for as long because their levels weren't as low/came up to 'acceptible' levels much faster.

OP, can you refuse the test, yes absolutely, but please use your midwife/doctor as the source of your information when making that decision, not people on an open forum like this one.

Leisa.


I agree 100%



Well lets agree to disagree. In my case (speaking for myself here by the way not others) it was a load of crap that honestly caused more stress and worry throughout my pregnancy than needed. Just because some women have problems with baby after birth while having GD clearly doesn't mean all will.
I didnt. He was fine and healthy so was I. So in my case even knowing I had it wasn't necessary. Nor was taking insulin as my levels were exactly the same before and after insulin. And you say smaller hospitals are not equipped to deal with complications? If a baby has low blood sugar, to bring it back up, you feed them! Breast milk or formula, possibly top ups if need be. It's a load of crap that small hospitals can't deal with that!Cant they feed a child?! There is a massive problem with GD being over dramatised and I'm sticking to my guns in saying that.
The only complication your baby might have is low blood sugar, and when fed, the levels increase. I don't see how that is the end of the world! I've had 2 pregnancies both with GD and both were healthy happy babys, and no concerns. And it disappears after you've given birth. I think people need to stop worrying others with such a small problem. It's sugar in your blood, eat less of it, not a massive deal. That's just my opinion though, and I'm speaking from experiance, (Cue the horrid gasps and screams)




Hey southcoastchick. I'm glad to here your bubs were fine despite a very stressful pregnancy. However I also need to respectful disagree that just because your bubs were fine it doesn't mean all will be and its dangerous for people to think its not worth knowing about.

My friend with GD had a massive bub that got stuck being birthed and they had to snap her bubs collar bone while still in the birth canal so that her shoulders could fit. She was told her bub was so big as she had such as large amount of sugar to grow with (don't know her actual birth weight but my son was smaller at 3months old). She was in the NICU for a week and her blood sugars kept dropping so low so quickly that she would pass out and couldn't feed to bring the level up and needed sugar injected straight into her veins. I can't imagine a small hospital would have managed without specialists.

I obviously can't imagine the stress of GD as never had it in my pregnancy but after seeing what my friend went through with bub at birth I'd do anything to avoid it.
Wow, thank you everybody for your responses, I really appreciate all the advice/feedback/suggestions etc. I know it can be a touchy subject for many and it is an over whelming topic (for myself anyway) and I was battling within myself what the right thing to do is. Each to their own, everyone has their own personal reasons for doing it or not doing the test, my own were not because "it was inconvenient" or "i can't be bothered", i believed it was a strong enough reason as i was concerned of the consumption of the sugar and the fasting (as mentioned). In addition, I've had adic/heartburn as a majority of us do and one bit of chocolate will spiral that and I was afraid the glucose drink will make me super sick and it'll result in affecting the baby sad. Being my first pregnancy, obviously there'll be times when you don't know 100% what the right thing is.

On the bright side, I spoke to some friends who have done it,and reading the comments on here have helped my mind at ease so thank you for those who contributed to that.

I had my midwife appointment y'day and I haven't had this midwife before and all i can say is she was amazing and very comforting with everything. I did not mention to her what the doc said prior (about the big baby thing) and once she measured me i asked her what she thought? and she responded saying that my b/pressure, baby's heart rate and measurement were perfect for where I'm at and she then asked why? I told her what happened and she said not to worry that their doctors have the tendency to scare the patients as that's how they approach it but i shouldn't worry at all as the size is good.

Thanks to her adding to making me feel more comfortable during the appointment I had decided it was the best decision for me to TAKE the test. I will be doing it next Wednesday.

Thanks once again for all your comments smile

Forgot to mention, two days ago i saw my doctor and he said he would advise i do the test for piece of mind and said 'why not, you've done all the other tests?' and i asked him to do a BSL and that reading was good but still...
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