Question:
How do you test for gestation diabetes in a post op pregnancy?

The normal test consists of a really sugary drink, you wait an hour then they test your blood. With the whole dumping thing, I am doubtful you could do that, so exactly how would you test for gestational diabetes? Are there other tests?    — Jessica M. (posted on October 28, 2002)


October 28, 2002
Go to this link www.gastricbypass.com, click on the BENEFITS AND RISKS Section, as you go down, there's a whole section on pregnancy and a study that was done. Click on the link to download the article, it's in .pdf format. The direct link is http://www.gastricbypass.com/images/GBP%20-%20Pregnancy.pdf. Page 3 of the article has recommendations for the glucose tolerance testing that's done in the 28th week of pregnancy. If you don't mind, I'll email you the article directly!
   — Rosario T.

October 28, 2002
This is taken from Wittgrove et al.'s (1998) (Dr Wittgrove is Carnie's surgeon) publication in the journal Obesity Surgery (vol. 8, pp. 461-463): "Gastric bypass patients will experience 'dumping syndrome' if they ingest large quantities of simple sugar. This is important at 28 weeks when obstetricians routinely test for gestational diabetes. Since the 50g glucose load used for this test can make the patient quite ill it is best avoided. Instead, we would recommend a fasting and 2 hour post-prandial glucose level and a HgB A1C level if there is any question." (p. 463) Post-prandial means after you have eaten something. Hope this helps!
   — Patricia E.




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