Docs are pressuring wifey to drink the koolaid.
Should she, or shouldn't she?
I remember finding a very astutely written article by none other than Dr Kurt Harris on his thoughts about how the glucose tests done to determine gestational diabetes are often woefully flawed from the starting gate.
Does anyone know the link to that article? Also, what are your thoughts on the test?
I'm facing the same dilemma. They won't let me give birth in the birthing center without passing the test. At first I wanted to fight it, but I can actually now see the liability issues, etc. that make it necessary. Gestational diabetes seems to be a legitimate risk factor.
I'm scared of the drink, but actually less scared than before I got pregnant. I think my paleo babby and body can handle it. I have been eating many more carbs (fruit, rice, starches) since pregnancy than before. I haven't done this intentionally but it seems to be what my body prefers, so I'm not "fat adapted" at this point and trust I can clear the 75g of glucose in 2 hours.
My decision is to do it. I don't think the drink will be harmful in the long run and I'm crossing my fingers that I pass with flying colors. If not, I hope I can use a bg monitor to prove that my post-prandial levels are fine over time on a daily basis...
First of all I'll be controversial and say that non-diabetic pregnant women should not be very low carbing (<25% energy), the area is not well studied and the few studies we do have are concerning. Sorry guys but it's totally experimental and pregnancy is not the time to be conducting these types of experiments.
Second of all where did the 2/3 false positive thing come from? From the Hyperglycemia and Adverse Pregnancy Outcomes study, we can see a linear effect in negative outcomes and failed OGTTs.
I would definitely do the test, if low carbing (which again I do not advise), carb up for a week before the test. If a positive test occurs, then how you handle that is up to you.
Bottom line is hyperglycemia is far more likely to happen during pregnancy due to an increase in certain hormones and it is something that needs to be tested for.
Just finished my thesis on GDM so if anyone needs more info/links to studies let me know.
My unprofessional opinion- just do it. Only cause if she doesn't, they will always err on the side of caution as if she does.. so if your baby comes out over 9 pounds, they will worry the baby has sugar problems and your wife has been GD this whole time.
Yes, it's super sweet nasty drink- but if she passes it the first time, then that's it, case closed! Of course if she doesn't pass, then she will have to retest- but that would be something you want to be aware of and on top of. Good luck and congrats on your baby :)
I mean they say what 2/3 are false positives? So I guess its up to you. I would assume from some of your previous posts that you would treat it nutritionally anyhow. And if she is already eating well then whats the upside of taking the test? Can't make the decision for you, but I will say when push comes to shove we all have a right to decide. Don't be pressured into it if you decide against. Choice in all matters regarding whats put in or taken out of our bodies.
No don't do it. If she's adapted to a lowish carb diet then she'll 1) get a false positive and 2) it'll make her sick. It's an insane amount of glucose they give you. Plus if she's a fat burner that sugar is going to stress the fetus too. We just had a Paleo baby a month ago and I know the fight you're facing. We actually dropped our original docs and went with midwives when they pulled out the "you don't love your baby" card when I tried to explain the biochemistry.
What people don't understand is that EVERY intervention has risks (even ultrasound) do you have to weigh the risks with the information you get from it. Don't let docs pressure you, they don't want to think they just want to follow protocol with out worrying about special cases. No matter the pressure, the choice is always yours.
Search RobbWolf's site, he had a great article on the OGTT and why you shouldn't do it.