My journey with testing for diabetes started in Week 24 of my pregnancy where they told me to do a 1 hour glucose test. There, I had to take 50mg of an orange soda like drink. However, they had me do the test at 3:30 in the afternoon! I didn’t eat the entire morning and was starving by the time they gave me the drink.
Results? I was on borderline diabetes. Shocked at the result, I did some research. First, this one hour test is HIGHLY unreliable. First they say fasting will make results more accurate but who is as crazy as me and starving myself with a baby in my tummy until 3:30 just to get 50mg of sugar water and not eat until literally 5pm that day??? The thing is… fasting doesn’t make it more reliable. It depends on the time of day. If it’s in the morning when you just wake up, yes, maybe it’s more reliable. However, booking a pregnant woman in the afternoon is not ideal. There’s a thing called “starvation diabetes.”
Starvation diabetes is your body’s response to shock of deprivation of sugar! It can occur from fasting and is different for every individual. You could take up to 6 hours for you to return back to normal blood sugar levels. It doesn’t mean you have diabetes. It just means your body was under shock and of course at the first onset of sugar after fasting, it’s not processing sugar correctly.
This also means if you’ve been eating on a blotchy pattern days prior to your test, you’ll get an inaccurate test. A good test would be taken after 3 days of accurate eating with balanced carbohydrates and proteins at every meal and requiring you not to starve yourself.
Can you tell me which pregnant women actually do this?
Therefore, the false positives of this test is substantial!
The three hour glucose challenge is the same thing except they have you drink double the sugar and monitor your blood sugar level each hour for 3 hours. They first take your blood prior to the drink, then after one hour, two hours, and last hour. I’ve included the drink I had at the doctor’s below. It should be pretty standard… a non carbonated fake orange soda.
Results of my 1 hour was 7.1 and 7 was the target level. It was borderline.
Results of my 3 hour done in my 28th week:
- Fasting:4.5 , Target: 5.3
- 1 Hour: 9.3, Target: 10
- 2 Hour: 7.9, Target: 8.6
- 3 Hour: 7.1 , Target: 7.8
If two of the 4 values are over target, then you’re diagnosed with gestational diabetes. For some stricter places, if only one is higher, then they say you have it. I just wanted to remind the women out there that if you’re tested positive, don’t panic. You may not have diabetes. The test could be wrong. Take the A1C test as well. It’s a diabetes test that averages out your blood sugar levels for the last 3 months. If that is also high, get the blood sugar monitor One Touch (they’re the best since you bleed the least) and monitor your blood sugar daily. If it’s consistent and good, then you’re 3 hour test was bogus.
For your one hour, book it as early as possible and don’t eat anything after 12 pm the night prior. For your 3 hour, book it in the morning for sure and you have to fast at least 8 hours prior to the test. Again, don’t eat after midnight. Try to eat a balanced diet for 3 days prior to your tests and if you don’t, that’s fine too. You may turn out just fine. It’s just a hassle doing the 3 hour since you have to sit there and not move for the entire morning. They won’t even let you go out and walk around. No water for 3 hours or anything else orally. You have to sit there and maybe read a magazine or watch TV. Really annoying to do the tests so I would have preferred to pass the test the first time instead of being “borderline.”
Hope you guys have better luck than me!