Glucose Test During Pregnancy For Gestational Diabetes
Congratulations! A baby is on the way. Your nine months will be filled with preparations, from decorating the nursery to stocking up on bibs and booties to going for regular checkups to ensure that you and your baby are as healthy as possible. One of the tests that you’ll have during this time is to check for gestational diabetes. A few weeks ago, we looked at Type 1 and Type 2 diabetes. Gestational diabetes, which is growing more common among pregnant women, will be our focus this week. What is gestational diabetes? Gestational diabetes, or GDM for short, is diabetes that occurs during pregnancy. In fact, it only occurs during pregnancy. (Gestational diabetes is not the same as diabetes in women who have existing diabetes and become pregnant). Diabetes, as most of you know, is a condition in which blood glucose levels go too high. High blood glucose levels can be harmful to you and, in the case of pregnancy, to your unborn child. Fortunately, blood glucose, or sugar, levels can be controlled during pregnancy, and in most instances, high blood sugar levels return to normal after the baby is delivered. According to the National Institutes of Health, up to 10% of pregnant women in the United States have gestational diabetes. What causes gestational diabetes? A lot of changes occur in the body during pregnancy, many of them occurring due to widely fluctuating hormone levels. The placenta, which is what connects the baby to the mother’s uterine lining, makes various hormones, and while this is a good thing, these hormones can sometimes make it hard for the body’s insulin to work properly (a condition called insulin resistance). As a result, blood sugar levels can start to climb in women who cannot produce enough insulin to deal with the insulin resistance. How do you Continue reading >>
Glucose Screening And Glucose Tolerance Testing
Learn what these painless tests are, and why it's important to have them done during your second trimester. When is the test taken? Glucose screening is usually done between 24 and 28 weeks of pregnancy. If the test, which screens for gestational diabetes, reveals elevated levels of blood glucose (sugar), a glucose tolerance test is then given to confirm the gestational diabetes diagnosis. Who needs to take the test, and why? You should have a glucose screening during pregnancy if you are over 30, have a family history of diabetes, had a troubled earlier pregnancy or are obese. But even if you don't fit any of these criteria, your practitioner may still advise taking this safe and simple test, because about half of the women who develop gestational diabetes have no known risk factors. About 15 to 20 percent of women who take this screening will show abnormal levels of glucose and will be given the more involved (and more precise) glucose tolerance test. About 15 percent of the women given the second test will be diagnosed with gestational diabetes. Gestational diabetes can be controlled by diet, exercise or insulin. But if the elevated glucose levels remain undetected, the excess sugar in the mother's blood raises the odds of the baby being macrosomic, or overly large—generally 9 pounds, 14 ounces or more. Macrosomic babies may have difficulty fitting through the birth canal and are at risk for health problems such as jaundice, low blood calcium levels, or hypoglycemia. Luckily, glucose screening and glucose tolerance testing can help you detect gestational diabetes early, and give you a chance to minimize the risks of this condition. What's involved? For glucose screening, you will be given a syrupy (and a little unpleasant) glucose solution to drink. An hour after y Continue reading >>
When Do You Find Out Results Of 1-hr Glucose Test?
when do you find out results of 1-hr glucose test? This morning I had my glucose tolerance test done. I am exactly 28 weeks. How much longer until I find if I passed? No news is good news! I had mine last Tuesday, haven't heard anything. I know I would have heard right away if I failed bc I'm high risk. I hope yours went well! @allengirl08 Your next app if your negative My lady said I'd hear back tomorrow. I had the big blood draw at 12:50. My number was 70 beforehand and the tech said I'd probably be fine. I thought I was in the clear with my one hour because it took8 days to hear! And I had to do it at 13weeks because I had GD with my last pregnancy. But sure enough, after those 8 days I found out I failed. Then I failed the 3 hour too. Been dealing with the GD for three months now. But it's not so bad. @allengirl08 It usually take 2-3days for the results to be delivered to your dr. If their negative that probably won't notify you until your next apt. I'd something is wrong, I'm sure they will contact you. Try not to worry. @allengirl08 They told me I would hear back the next day, so I stopped worrying when I didn't hear anything, until today, almost 2 whole weeks later, they finally call to tell me I failed. :( 3 hour test is this Friday. @shannahaire Shannahaire - I'm sorry to hear about your 3 months of GD. What are you doing differently now? Smaller meals? Can you still eat fruits? It was kind of a free for all with me and sweets until I just found out I failed the 1 hour and I got a quick reality check. Now I'm freaked out about the 3 hour - I was told to incorporate more complex carbs over the next 4 days and then do the dreaded 12 hour fast before my Friday test. Was your last baby born big? Did baby have any complications? Have you increased exercise? I'm wor Continue reading >>
Gestational Diabetes Test: What To Expect
Gestational diabetes occurs only during pregnancy, and it usually goes away once you’ve delivered your baby. Pregnant women with gestational diabetes have higher than normal blood sugar. This is because their bodies aren’t producing enough insulin. Insulin is a hormone that regulates blood sugar. Gestational diabetes can happen at almost any time during pregnancy, but it typically occurs between 24 to 28 weeks. This is also when testing typically takes place. Getting tested for gestational diabetes is an important part of prenatal care. Doctors test all pregnant women at least once during pregnancy. Your doctor will consider your risk factors when determining when you should have this test and how often you should have it. Learn what to expect during this test and how to prepare. Many women who have gestational diabetes have no symptoms. If symptoms do appear, it’s possible you may overlook them because they’re similar to typical pregnancy symptoms. These symptoms may include: frequent urination extreme thirst fatigue snoring You should call your doctor if you’re experiencing these symptoms to a greater degree than is normal for you. The exact cause of gestational diabetes is unknown, but it may be due to hormones your placenta produces. These hormones help your baby grow, but they can also stop insulin from doing its job. If your body can’t make enough insulin, the sugar in your bloodstream stays put. The sugar is then unable to convert into energy in the cell. This is called insulin resistance. If it’s left untreated, gestational diabetes can have significant consequences for both you and your baby. Once your doctor knows you have this condition, they’ll work with you on a treatment plan to ensure your and your baby’s health. Any pregnant woman can g Continue reading >>
Are We Testing For Gestational Diabetes Too Late?
A new study shows that babies are already showing the effects of gestational diabetes by the time expectant moms are tested for it. So are we testing too late? No one likes the glucose tolerance test—having to chug down that nasty orange drink, and hoping there are no side effects. Unfortunately, screening for high blood sugar is a necessity in pregnancy, as gestational diabetes mellitus (GDM) can cause problems ranging from stillbirth to childhood obesity. But a new study published in journal Diabetes Care suggests that unborn babies are showing the effects of GDM before expectant mothers are even tested for it, throwing the screening's relevance into question. Should pregnant women be tested even earlier? Diagnosis after baby is already affected Researchers looked at data from over 4,000 pregnant women to measure baby's growth, as large size is an indicator of gestational diabetes, and compared that info to the 171 moms who actually developed GDM later on. They also looked at which women were obese, another risk factor for GDM. "Gestational diabetes and obesity were both associated with accelerated growth of the [baby's] abdomen between 20 and 28 weeks," study author Gordon Smith, M.D., Ph.D., the head of the department of obstetrics and gynecology at the University of Cambridge in the UK, tells Fit Pregnancy. "In relation to gestational diabetes, measurements were normal at 20 weeks, but were large by 28 weeks. Women who were both obese and had a diagnosis of gestational diabetes were almost five times more likely to have a baby with a large abdominal measurement at 28 weeks." Because GDM wasn't actually diagnosed in the women until 28 weeks, "the effects of gestational diabetes [are] already present at the time we normally make the diagnosis," Dr. Smith says. Alth Continue reading >>
Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after giving birth. It can occur at any stage of pregnancy, but is more common in the second half. It occurs if your body cannot produce enough insulin – a hormone that helps control blood sugar levels – to meet the extra needs in pregnancy. Gestational diabetes can cause problems for you and your baby during and after birth. But the risk of these problems happening can be reduced if it's detected and well managed. Who's at risk of gestational diabetes Any woman can develop gestational diabetes during pregnancy, but you're at an increased risk if: your body mass index (BMI) is above 30 – use the healthy weight calculator to work out your BMI you previously had a baby who weighed 4.5kg (10lbs) or more at birth you had gestational diabetes in a previous pregnancy one of your parents or siblings has diabetes your family origins are south Asian, Chinese, African-Caribbean or Middle Eastern If any of these apply to you, you should be offered screening for gestational diabetes during your pregnancy. Symptoms of gestational diabetes Gestational diabetes doesn't usually cause any symptoms. Most cases are only picked up when your blood sugar level is tested during screening for gestational diabetes. Some women may develop symptoms if their blood sugar level gets too high (hyperglycaemia), such as: But some of these symptoms are common during pregnancy anyway and aren't necessarily a sign of a problem. Speak to your midwife or doctor if you're worried about any symptoms you're experiencing. How gestational diabetes can affect your pregnancy Most women with gestational diabetes have otherwise normal pregnancies with healthy babies. However, gestational diabetes can cause problems s Continue reading >>
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
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- Gestational Diabetes: The Overlooked Form of Diabetes
Your Pregnancy And What You Need To Know About Glucose Tests
Pregnancy If you’re pregnant, then sometime between 24 and 28 week mark, your doctor will have you come in for a Glucose Challenge Test (GCT). This is a test to screen whether you might have gestational diabetes, a high blood sugar condition that starts or is diagnosed during pregnancy and will need to be treated. As far as tests go, this is a whole lot easier than your calculus midterm exam in high school. You basically drink something that tastes like grossly sweet soda (which is much better cold) and an hour later, you’ll have your blood drawn. Some doctors will give you the liquid to take at home and others will require you to drink it in the office. Your doctor just wants to make sure you are processing sugar properly. A high level in your blood may indicate that your body is not. Now I had no problem with this test during my first and second pregnancies so when it came to my third, I declared myself a glucose champion (I’m sure the trophy is around here somewhere) and I wasn’t concerned at all. Which is why I thought nothing of consuming a gigantic sugary scone before my Glucose Challenge Test. Do not do this. This is a very bad idea because I failed the test. On the upside, I did get a B in calculus. If like me, you fail your Glucose Challenge Test, don’t panic. It doesn’t necessarily mean you have gestational diabetes (remember, it’s just a screening test), but you do now have to take a 3 hour Glucose Tolerance Test (GTT). If you already have children at home, think of it as a 3 hour getaway to surf Facebook and Twitter without interruption. And this getaway comes with a refreshing cocktail! Okay, the drink stinks but at least you’re getting a little alone time. With the Glucose Tolerance Test (GTT), you will have to fast beforehand and that supe Continue reading >>
Glucose Screening And Glucose Tolerance Test
Nearly 1 in 10 women will develop gestational diabetes (GD or GDM) during pregnancy — which is why almost all practitioners screen for it in all their patients. Fortunately, gestational diabetes is also one of the most easily managed pregnancy complications. When blood sugar is closely controlled through diet, exercise and, if necessary, medication, women with gestational diabetes are likely to have perfectly normal pregnancies and healthy babies. When a glucose screening is done The glucose screen is usually done between week 24 of pregnancy and week 28 of pregnancy. Some practitioners may test earlier if you're at higher risk for the disorder, including if you're obese, 35 or older, have a family history of diabetes or had gestational diabetes in a previous pregnancy. How a glucose screening is done The glucose screening is simple, especially if you have a sweet tooth. First, you'll drink a very sweet glucose (aka sugar) drink, which usually tastes like flat orange soda. Then you'll wait for one hour before having some blood drawn and tested for glucose. Most women chug the stuff with no problem and no side effects; a few, especially those who don't have a taste for sweet liquids, feel a little queasy afterwards. How a glucose tolerance test is done If the results of your glucose screening show elevated levels of glucose in your blood, it's possible that you might not be producing enough insulin to process the extra glucose in your system. Your doctor may then order a glucose tolerance test. For this diagnostic test, you'll be asked to fast overnight. Your blood will be drawn in the morning, and then you'll drink a higher-concentration glucose mixture. Your blood will be drawn three more times, at one, two, and three hours later. If a glucose tolerance test diagnose Continue reading >>
Pregnancy And Gestational Diabetes Screening
All pregnant women should be screened for gestational diabetes during their pregnancy. Screening may be done by taking the woman's medical history and examining certain risk factors, but an oral glucose tolerance test is also recommended. The oral glucose tolerance test is used to screen for gestational diabetes. Gestational diabetes is a specific type of diabetes that can develop in some women late in pregnancy (usually after the 24th week). Women who develop this complication do not have diabetes before becoming pregnant. The test is generally given between the 24th and 28th week of pregnancy. If you have had gestational diabetes before, or if your health care provider is concerned about your risk of developing gestational diabetes, the test may be performed before the 13th week of pregnancy. The oral glucose tolerance test involves quickly drinking a sweetened liquid (called Glucola), which contains 50g of glucose. The body absorbs this glucose rapidly, causing blood glucose levels to rise within 30 to 60 minutes. A blood sample will be taken from a vein in your arm about 60 minutes after drinking the solution. The blood test measures how the glucose solution was metabolized (processed by the body). A blood glucose level of 140mg/dL or higher will identify 80% of women with gestational diabetes. When that cutoff is lowered to 130mg/dL, the identification increases to 90%. If your blood glucose level was greater than 130 mg/dL, your provider will likely recommend you take another diabetes screening test that requires you to fast (not eat anything) before the test. During this second test, called the 100-gram oral glucose tolerance test, your blood glucose level will be tested four times during a three-hour period after drinking the sweetened (many flavors are availabl Continue reading >>
Glucose Tolerance Test (gtt)
What is a glucose tolerance test? A glucose tolerance test (GTT) diagnoses diabetes in pregnancy by checking how well your body regulates your blood sugar levels. Gestational diabetes, or GD, is a common pregnancy complication. It's thought to affect one pregnant woman in six. Although GD is common, testing for it is not routine. Your midwife will offer you the test only if she thinks there's a chance you could develop GD. Usually, you'll have the test when you’re between 24 weeks and 28 weeks pregnant. You could have the test earlier than this, usually at 16 weeks, depending on your medical history and where you live in the UK. For example, your midwife will offer the GTT sooner if you’ve had GD before. Why do I need a GTT? GD doesn’t often cause obvious symptoms, which is why testing is important. If GD isn’t recognised and treated it may put your health and your baby's health at risk. GD happens when your body fails to make enough insulin. Insulin is a hormone that keeps your blood sugar levels stable. It also helps your body to store sugar for when you need it later. During pregnancy, your body has to produce extra insulin to meet your baby’s needs, especially when he's growing rapidly. If your body can't make enough insulin, you may end up with too much sugar in your blood, resulting in GD. Having too much sugar in your blood may mean that your baby grows large. This increases your chances of having an induced labour, and a caesarean birth. GD, especially if it's not controlled, even raises the risk of a baby being stillborn. That's why it's so important to follow the advice of your midwife or doctor if you're diagnosed with GD. Am I at risk of developing GD? You’re more likely to develop GD if: Your body mass index (BMI) is 30 or above. You have previo Continue reading >>
At How Many Weeks Do You Do Glucose Test??
i have just had mine this week, my dr said that it is usually done at 28 weeks. i should get the results next week at my next appointment with OB, then if it comes back as high risk i will have to do the glucose tolerance test too. my sister had gest.diabetes with her last baby, so i am apparently higher risk, i am hoping not, as i already find it hard enough with all the eating restrictions being pregnant puts on us!!! but it is all for the health of bubby!!! I had GDM with my first child (was tested at 26 weeks). This time around, because of the high risk I was tested at 17 weeks (negative) and will be tested again next week at just over 26 weeks. I had it with DS, but talked to my midwife this time and have decided not to have it. She said as I am under 30 and don't have a family history of Diabetes I'm not high risk.. YAY its the test I hated most when pregnant with DS. The test shows if you have gestational diabetes (or a potential to develop it?) It wont show if the baby has it, and gestational diabetes doesnt turn into 'real' diabetes This time tested at 28 weeks (1 hour test) and had to be tested again (2 hour test) this week. It shows up from around 28 weeks onwards. While GD doesnt mean you WILL get diabetes later, it puts you at a higher risk. Also, if you have GD there can be some risks to bub if not diagnosed, such as MASSIVE baby born with sugar dependancy. If you have GD bubs should have its blood checked regularly after birth. I went straight back to normal after DS was born, and he had no signs of having sugar problems. Personally, I think it is over-diagnosed, and that I was misdiagnosed with it, although I'm not quite willing to go without the test just in case Continue reading >>
Is The Glucose Test During Pregnancy Optional?
Doctors recommend having a glucose test for gestational diabetes, but it's not mandatory. Here's what you need to know to make an informed choice. It’s an appointment on the calendar most pregnant women dread: the glucose test (or oral glucose screening), usually scheduled around week 26 to week 28 of pregnancy. You’ve no doubt seen many Instagram or Facebook pics posted by women tasked with drinking the super-sweet, typically orange liquid to gauge their body’s ability to handle glucose. This test is one of the ways to screen for gestational diabetes, a temporary form of diabetes that occurs only in pregnancy and typically resolves after delivery. The mama-to-be drinks the juice, hangs out for an hour in the waiting room, and then has blood taken to measure her glucose levels. (Ask your doctor, midwife or blood lab if you should fast beforehand or not—it can vary by clinic.) Your care provider may also specify a time constraint, like drinking the whole bottle in three to five minutes. A reading higher than 7.7 millimoles/L on the gestational diabetes chart calls for further follow-up testing, often called the glucose tolerance test. A reading higher than 11.1 millimoles/L likely means a gestational diabetes diagnosis. When I was expecting my second baby, the nurse at my bloodwork clinic told me there are two kinds of women when it comes to the glucose test: chuggers and sippers. I was totally a chugger. I downed that syrupy drink in just a few mouthfuls, to get the test over with as soon as possible. But a couple of days later, the doctor’s office called me back. There had been an error at the lab. I had to do the test again. I chugged the second time, too, eager to get back to work. That time my results were borderline, just a hair above acceptable levels, a Continue reading >>
How Late Is Too Late For Glucose Test?
Mine told me the closer to 28 weeks the better. I got a lab slip from her at my last appointment and just have to walk in to the lab (no appointment) for the test. I'd see if that's available in your area. My doctor gave this impression to - she gave me a reason as to why 28 weeks was best (they catch more of the cases?) - but she said she also felt comfortable waiting this long because I don't have any risk factors for GD that wouldwarrantearlier testing. I'd definitely call your OB back - you don't want to miss the window! I guess I'm the odd one here, but at my 26 week appt my doctor said she was fine with going another 4 weeks until my next appt [and gtt]. She said that because my weight gain and bp have been good she was fine with doing the glucose test at 30 weeks, then switching to every 2 week appts after. Then she measured my uterus and said...umm, nevermind, see me in two weeks! But, she acted like the test at 30w is totally normal so long as you don't have any risk factors. Same here. My next appt is 3/20 so I'll be closer to 30wks. OB said to do it a few days before and I'll be fine. I have no risk factors and have had 2 smaller babies already. I was more concerned about doing it too early since my rhogam shot is on the same order. That's usually done 28-30wks. BFP 2/14/08, DD1 born 10/11/08 (natural); BFP 5/16/10, DD2 born 01/12/11 (c/s, breech) TTC #3: BFP 4/27/12, Ectopic 5/16/12 Expectant Management, 8/15/12 Cleared to TTC BFP 9/25/12 EDD 6/6/13, Shooting 3-for-3 from the line: It's a Girl Continue reading >>
Glucose Screening And Glucose Tolerance Tests
Why do I need a glucose screening test during pregnancy? Most healthcare practitioners routinely recommend a glucose screening test (also called a glucose challenge test or GCT) between 24 and 28 weeks of pregnancy to check for gestational diabetes. Gestational diabetes is a high blood sugar condition that some women get during pregnancy. Between 2 and 5 percent of expectant mothers develop this condition, making it one of the most common health problems during pregnancy. And because the condition rarely causes any symptoms, testing is the only way to find out whether you have it. Like any screening test, the GCT won't give you a diagnosis. Instead, it's designed to identify as many women as possible who may have a problem and need more testing to find out. So a positive result doesn't mean that you have gestational diabetes. In fact, only about a third of women who test positive on the glucose screen actually have the condition. If you test positive on the screening, you'll need to take the glucose tolerance test (GTT) – a longer, more definitive test that tells you for sure whether you have gestational diabetes. Your practitioner may want you to be screened earlier than 24 weeks if a routine urine test shows a lot of sugar in your urine or if you're considered high risk. If the results are normal, you'll be screened again at 24 to 28 weeks. Of course, if you were diagnosed with diabetes before pregnancy, you won't need to be screened. Instead, you'll continue to work with your practitioner to manage your condition during pregnancy. How is the glucose screening test done? When you arrive for the test, you're given a sugar solution that contains 50 grams of glucose. The stuff tastes like a very sweet soda pop (it comes in cola, orange, or lime flavor), and you have to Continue reading >>
Is It Too Late To Get Gestational Diabetes Test?
Is it too late to get Gestational Diabetes test? Started by mandarins, Jan 19 2011 07:09 PM I am 30 wks pregnant in 2 days. I have not had my GD test done yet but was going to in next few days. I have heard that its suppose to be done between 26 -28 weeks. I dont think im hih risk and neither does my widwife but im still being urged to get it done as they say there are no obvious symptoms. My m/w is away for another week ... is it worth me still getting it done at this stage. I'd be happy not to bother and dont want the hassle of doing it if im too late to get an effective result anyhow. My pathology request form also say I need TFT (thyroid?) HIV (um, really doubt I got that) and Hb Ferritin blood group antibodies - not sure what that bit is? I know a friend of mine didn't have hers until after 30 weeks I think. She ended up having pretty bad GD. (because of work I had trouble scheduling an appointment). I believe the test is usually done earlier so that if you have it they can get it under control. If you have the test now it will still give an accurate result but obviously it could mean you may have had it undiagnosed for a while. I had mine at 32 weeks because I knew it was completely unnecessary. Only reason I did it in the end was they told me they would refuse me to deliver in the hospital birth centre if I didn't do it grr You can absolutely have the glucose challenge test at 31 weeks if you wish to do so. The aim of having it at 26-28 weeks is because gestational diabetes will have typically developed by then. The test is just as effective at 31 weeks as it is between 26-28 weeks. It does have a significant false positive rate, although the vast majority (~75%) of women who 'fail' the screening test GCT pass the GTT (which is the diagnostic test). Antibodies- Continue reading >>