Question:
Glucose Tolerance Test Question

Tuesday I actually caved in, and gave my Ob/Gyn the 1 hr. Glucose Test (didn't dump)... they called today and said "results were a little high" and they wanted me to do the "three hour tour"... this time I said no, and faxed over Wittgrove's suggestion. But I am curious, what if they push it? And what happens if I do get Gestational Diabetes? I watch my diet, correct? Do I have to take Insulin? I know there is a site for WLS/Pregnancy-but I like this site; it's easier to post/read replies so I am posting here as well.    — Karen R. (posted on November 21, 2002)


November 21, 2002
If you have gestational diabetes, it is very likely that you will need to go on insulin. You can get an insulin pump, where you only need to change the needle site every 3rd day (I think that's it) so you wouldn't necessarily need to take multiple shots every day. Do NOT take this lightly. If you are pregnant and your blood sugars are high, it is bad for both you and your baby. Because your body is not able to use the sugar in your blood, your baby's body takes over with its insulin. This can cause the baby to grow very large, 9-10 pounds or more. This can make it necessary for you to have a C-Section. If you do have gestational diabetes, insist on seeing a high-risk OB-GYN. You and your baby will both be healthy at its birth and that's what you really want. Best of luck to you.
   — garw

November 21, 2002
Karen, I developed gestational diabetes with my last child and even tho I watched my diet closely I still had to take insulin. I didn't like it but I did it because I wanted my baby to live. If you don't follow a specialists advice, not only will your baby suffer but you will have lasting difficulties. Even after your baby is born diabetes will come back 56% of the time. You have to deal with it. You won't like the alternatives.
   — Cheri P.

November 21, 2002
You will NOT have to take insulin necessarily. You may have to. You will NOT remain diabetic after the baby is born. The baby will not have diabetes. You have an increased risk of developing diabetes later in your life. If you need insulin it is no big deal. You should get nutrition counseling. Don't eat concentrated sweets or bagels or juice before 10am. You may need to monitor your sugars. The baby may be larger than 9 lbs. and may have low blood sugar shortly after birth, they will monitor the baby's sugars and give him/her sugar water if he/she needs it in the first few hours after birth.
   — Dana S.

November 21, 2002
Karen I haven't had surgery yet, but when I was pregnant I had to have the 3 hour test. My first 1 hr. Glucose Test was a high, so my OB sent me back for the 3 hour one. Everything came back normal. I don't know if this helps but I would not stress out. Take it one day at a time.
   — Brandyraj

November 22, 2002
Were any of you post op, pregnant and having to take this glucose test?? I guess that is really my question... What to do with my Ob/Gyn who doesn't understand that I SHOULD not take the glucose tests. If I do develop GD, I will deal with it however I am supposed to- but how can we even know that I have it- if our tests come back misleading!
   — Karen R.

November 22, 2002
Karen, I know you said you like this Q&A board better, but in order to get your questions answered you may hve to post to the Yahoo OSSG-Pregnancy list. Those women over there are in the same position as you, pregnant post WLS. If they don't have the answer or can't help point you in the right direction, I don't know who can! Good luck, I hope your OB reads the Wittgrove paper and can help you out.
   — Ali M

November 22, 2002
I did, Allison and got squat! Seems none of them had GD POST-OP either, it was all pre WLS....
   — Karen R.

March 5, 2003
With my 4th child I refused to take this test, this was pre-surgery though. I refused because it made me very sick and gave mne a sugar headache. My doctor said no problem we can give you a fasting glucose test instead. It's a blood test. I fasted from 9pm till the nest day had the test at 7:30 am. and it came back fine. There are alternetives and you do have the option to refuse.
   — SHERRY P.




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