Failed 1 hour glucose test -- total panic

I know this can be pretty common and many people go on to pass the three hour test, but I'm having a really hard time with this call from the nurse right now. I don't have a thyroid, and researched to find that thyroid disease in general can increase the chances of GD no matter what... which is really concerning, because I've been exercising everyday and eating well :( part of my eating well was to try and get me ready for a blue sway after pregnancy... I was full on LE earlier!

My 1 hour test came the day after I had to go without eating because of errands and than a quick McDonald's meal at 11:30 p.m., but the nurse was evasive over whether or not that would trip anything. My number was 150, and I guess the threshold was 140, too.

I have a history of anorexia, so to be told that I may potentially have to really closely monitor my food (which was already pretty low carb to begin with, something I was going to struggle with changing for my blue sway) is hugely triggering.

Anyone have any input, advice? I know blood sugar stuff is often talked about on the boards, and many of you have had multiple pregnancies, so just hoping to get some reassurance about, well... anything.

(Really scared I'll end up with a c-section or kicked out of my midwives' office, since they don't take on high risk patients)

I always get GD despite being very Paleo style diet and having perfectly normal, on the lower end of normal even, blood sugars when not pregnant. GD is something you have very minimal control over. Your pancreas needs to pump out 4x or more its normal amount of insulin. Sometimes it just can't. The placental lactogen hormones actually interfere with insulin function. Having GD is not something to beat yourself up over.

I had GD with my last pregnancy and it was surprising as I'm not the typical body type for it and I've never had any related issues or had it in my previous two pregnancies. It really wasn't too bad and while it's controlled with diet I didn't have to monitor obsessively. You can still have carbs and pretty much anything it just has to be spaced out evenly and not eaten in excess.

I wouldn't panic over it. I failed my 1-hour tests with both of my kids but passed the 3-hour tests easily. I know a few other women who had the same experience. I personally think the 1-hour test is hard to pass because your digestion slows so much when you're pregnant and sometimes you are still digesting the sugary drink an hour later.

I was going to say do you think it was a timing thing? As in if you didn't have the Maccy D's you think you would have made it? I think you should iirc be entitled to another test. I hope it goes OK x

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Originally Posted by bunnywabbit

I was going to say do you think it was a timing thing? As in if you didn't have the Maccy D's you think you would have made it? I think you should iirc be entitled to another test. I hope it goes OK x

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That was what I wondered, too, since the day or two before were an anomaly for me.

Since posting this I spoke with my midwife. Apparently I WASN'T supposed to take the 1 hour fasted, either, but my paperwork hadn't said one way or the other and I can't have any food or drink outside of water within an hour of my thyroid pill.

She said I'm a rare case where I could retake the 1 hour, but that the decision is up to me between that, the 3 hour, or a week of blood sugar checks.

Any advice? I'm not entirely sure if any option is mentally healthier for me than the rest :/

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Quote:

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Originally Posted by Throwaway_panther

That was what I wondered, too, since the day or two before were an anomaly for me.

Since posting this I spoke with my midwife. Apparently I WASN'T supposed to take the 1 hour fasted, either, but my paperwork hadn't said one way or the other and I can't have any food or drink outside of water within an hour of my thyroid pill.

She said I'm a rare case where I could retake the 1 hour, but that the decision is up to me between that, the 3 hour, or a week of blood sugar checks.

Any advice? I'm not entirely sure if any option is mentally healthier for me than the rest :/

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Hmm... Unfortunately that's up to you. *IF* you decide to, see if you can get an appointment a few days off so if you must be 'naughty' with your food at least you know when to leave a time margin! At least it'll help with peace of mind that you did what you should have on the lead up to.

Please try not to worry about it, I failed my one hour 4 times with 5 pregnancies (with my first son I had to take it twice and failed both times and then went on to pass 3 hour) and passed the 3 hour every time. I only passed the one hour with two. The three hour is awful if you can possibly avoid it. With my 4th son I was so out of it during the 3 hour (talking and not making sense) they were 100% convinced that I had GD but then the blood test was totally normal. My point is that you can have a normal insulin response for YOU that it may confuse things. I think my blood sugar may just take a little longer than average to normalize, and with the one hour it doesn't have time or something.

Even if you do have GD please try to think of all the gals out there who eat anything and everything and then end up on insulin - you will do fine even if you do have to change your eating a bit.

I have had it with 2 pregnancys. And problably will have it again next time. If you have it, you have to eat low Sugar, sort of a diet, and you will have more ultrasounds and blood drawn to check your levels. You don't need a c section, so don't wordt about it to mutch!

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Weekly blood sugar checks. My midwife doesn't do glucose drinks are horrible. Eat a good meal not high in sugar and you check a couple hours later so would just schedule your appt. Around that time.