If the ingredients in Glucola bother you, know that you may have alternatives, like refusing the drink and choosing a different test like the jelly bean test , candy twist test or the Hemoglobin A1C test and finger stick blood testing. However, some doctors and midwives may not support this, and a Cochrane Library metastudy indicates that it is inconclusive whether any are better than the standard GTC.
There is also a clear Glucola drink available that does not have the food dye and coloring. There are many risks to mother and child if gestational diabetes develops.
Unmanaged diabetes can lead to macrosomia having a larger-sized baby complications that put you and baby at risk before and after delivery, premature delivery , and other conditions, like preeclampsia. So getting screened is a good idea. Plus, after delivery, the baby has a higher risk of being hypoglycemic, which may lead to the child needing to spend time in neonatal intensive care.
Educated decision-making is a pillar of midwifery care. Some women choose not to do the initial screening at all. In her practice, Blennerhassett presents all of the research, risks and benefits to the expectant mother, and allows her to make her own personal choice about whether to take the test, and what to do if she gets a positive diagnosis. But both of these things often happen in mothers without gestational diabetes, too.
When it comes to medical stuff, however, I tend to worry, so I was glad to have done the testing just to rule it out. Ultimately, I devoted more than six hours in the lab, and a whole lot of anxiety, just to be told that everything was as it should be. Read more: How to manage gestational diabetes Should gestational diabetes be treated?
Obstet Gynecol. Moyer VA U. Preventive Services Task Force. Screening for gestational diabetes mellitus:U. Preventive services task force recommendation statement.
Ann Intern Med. The association between preeclampsia and the severity of gestational diabetes:The impact of glycemic control. Am J Obstet Gynecol. Effects of treatment in women with gestational diabetes mellitus:Systematic review and meta—analysis.
Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med. A multicenter, randomized trial of treatment for mild gestational diabetes.
Poston L. Developmental programming and diabetes —The human experience and insight from animal models. Gestational diabetes mellitus:An evaluation of gynecologists'knowledge of guidelines and counseling behavior.
Arch Gynecol Obstet. Glucose challenge test for detecting gestational diabetes mellitus:A systematic review. Gestational diabetes:The con—sequences of not treating. Am J ObstetGynecol.
Knowledge level, attitude and behaviours about glucose challenge test among Turkish pregnant women. Ankara Med J. Diabetes Res Clin Pract. Screening tests for gestational diabetes:A systematic review for the U. Preventive services task force.
Diabetes Care. Gestational diabetes:Problems associated with the oral glucose tolerance test. Vomiting during OGTT in third trimester of pregnancy. Use of a more physiologic oral glucose solution during screening for gestational diabetes mellitus. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy.
Diabetes and Pregnancy. Can J Diabetes. Simplifying the intravenous glucose tolerance test. J Reprod Med. Carpenter MN. Testing for gestational diabetes. The stuff tastes like a very sweet soda pop it comes in cola, orange, or lime flavor , and you have to get all of it down in five minutes.
Some providers keep it chilled or let you pour it over ice and drink it cold. A blood draw: An hour later, a blood sample is taken to check your blood sugar level. The result indicates how efficiently your body processes sugar.
Results: These should be available in a few days. If the reading is too high, which happens an estimated 15 to 23 percent of the time, you'll be asked to return for a three-hour glucose tolerance test see below to see whether you have gestational diabetes.
The good news is that most women whose screening test shows elevated blood sugar don't turn out to have gestational diabetes. Here's what to expect at the lab: First blood draw: When you arrive for the test, a blood sample is taken to measure your fasting blood glucose level.
An even sweeter drink: Next, you'll drink either a more concentrated dose or a larger volume of glucose solution. Three more blood draws: Brace yourself for three more arm pricks, as your blood is tested every hour for the next three hours. The lab tech should alternate arms each time your blood is drawn. Some tips to make your test more comfortable: Have someone drive you to and from the test in case you feel lightheaded or are low on energy due to fasting.
Bring something to distract you, because you have to stay nearby when your blood is not being drawn. Bring something to eat right after the final blood sample is taken, because you'll probably be starving. Sweet drink: Next, you'll drink a very sweet drink, which usually contains 75 grams of glucose. Two more blood draws: Your blood will be drawn at one hour and two hours after the drink. Results: If any of your blood sugar readings are abnormal you will be diagnosed with gestational diabetes.
As with any blood draw, there is a slight risk of: Feeling lightheaded or fainting Excessive bleeding Infection at the blood draw site, or buildup of blood under the skin Is there anything I can do to help me pass the glucose tests?
These are: Healthy eating : Opt for whole grains, fruits, and vegetables, which are high in fiber, and cut back on foods and drinks that are high in added sugars. Exercise: Moderate exercise , such as walking briskly and swimming, can help keep your blood sugar under control. Maintaining a healthy weight: Use our pregnancy healthy weight gain calculator to estimate how much you can expect to gain and whether you are on target.
Together you'll come up with a treatment plan, which will cover: Strategies for managing gestational diabetes Diet for gestational diabetes Medication for gestational diabetes Your high blood sugar should last only as long as your pregnancy. Learn more Folic acid may reduce gestational diabetes risk How will gestational diabetes affect my baby? Tips from moms-to-be with gestational diabetes Will gestational diabetes affect my birth options?
Sources BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. Claudia Boyd-Barrett. Featured video. Preterm labor and birth. Chorionic villus sampling CVS. Rh factor testing. Quad screen second-trimester prenatal screening.
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