So far this third pregnancy has been going along just swimmingly. I’m 21 weeks today and I’ve had no morning sickness, no real complications, nothing too terrible at all. (Don’t hate me.)
Unfortunately, there has been one major problem: I was diagnosed with gestational diabetes at 14 weeks pregnant. I didn’t have gestational diabetes with either of my other pregnancies and it really wasn’t even on my radar this time. But my doctor chose to have me tested early in my pregnancy because I had a few risk factors. (I’m 35 and considered overweight). And it turns out early testing was a good call in my case!
Over the past few weeks I have quickly learned a lot about gestational diabetes as well as the testing process. And I’ve realized that the little I thought I already knew was mostly wrong! These are the things that have been the biggest surprises along the way:
1. A lower score on the one hour glucose test doesn’t guarantee you will pass the three hour test.
I know that different doctors do testing differently, but most doctors in the United States have women do a one hour glucose tolerance test. If they don’t pass that test, they go on to take a three hour test.
In the one hour test, you drink a glucose drink and then the doctor checks your blood sugar an hour later. At my OB-GYN, the cut off for the one hour test is 135. I got a 136; I missed it by one lousy point. Some doctors consider anything under 140 passing, so if I had been in a different practice, I might not have failed at all. Because of all this, I was pretty convinced I would pass the 3 hour test with no problem.