You’re nearing your third trimester and also you’ve been informed it’s important to take a check for diabetes at your subsequent appointment. Perhaps you’ve seen the posts on the message boards—the determined ones that say, “Assist! I failed my glucose check!” or “I ate sweet as we speak! Will I fail my check?” Now you’re nervous and questioning what precisely this check is and how one can put together.
The oral glucose tolerance check (OGTT) is often accomplished round 24 to twenty-eight weeks of being pregnant to check for gestational diabetes, a situation that may happen throughout being pregnant because of a big shift in hormones. It could actually occur as a result of being pregnant hormones make your physique much less environment friendly at processing the carbohydrates out of your weight loss program. In consequence, blood glucose ranges might be too excessive.
It’s endorsed that each one pregnant individuals obtain the OGTT to detect gestational diabetes. Untreated gestational diabetes can result in problems throughout being pregnant—together with rising giant infants which can be onerous to ship, or going into pre-term labor.
Whereas clinically it appears easy—you drink one thing sugary, then have your blood drawn—many ladies are underinformed in regards to the check, resulting in anxiousness and worry. Most know they must take the check, however could also be not sure why. “The glucose check was not defined effectively in any respect. I simply knew I needed to drink the stuff and it was to check for gestational diabetes,” says Michelle Hytinen Palmgren, who’s taken the check with every of her three pregnancies. “I didn’t know what I used to be consuming or the way it works, and nonetheless don’t know.”
The reality is, it’s nothing to be nervous about. As an authorized diabetes care and training specialist, right here’s what I need you to know.
What does the oral glucose tolerance check contain?
In a nutshell, you might be given a drink that incorporates 50 to 75 grams of sugar that may elevate your blood glucose. Then, an hour later, your blood ranges are checked to see how your physique responds. In case your ranges are excessive in the course of the one-hour check, you may be referred for a three-hour check. Throughout the three-hour check, your ranges are first checked after fasting. Then you definitely’ll eat the drink and have blood drawn each hour for 3 hours afterward.
What does the glucose tolerance check drink style like?
Let’s speak in regards to the precise drink. Some individuals tolerate it simply high quality, evaluating it to flat orange soda. Then again, some don’t achieve this effectively. The big load of glucose alone could make you’re feeling anxious or nauseous. Mandi Brayak, a mom of three, has an aversion to sure drinks. “Having to drink the glucose drink was fairly anxiety-inducing for me,” she says. Her physician’s workplace made some lodging for her, akin to permitting her to refrigerate the drink to make it extra palatable.
Different individuals could also be attempting onerous to eat a clear and nutritious diet for his or her pregnancies, and don’t need to eat the usual orange drink. This was the case for Jody Pontius, whose midwife instructed that she drink fruit juice as an alternative. “I nonetheless consumed the identical quantity of easy sugars however with out different added substances,” she says. “I a lot most popular this.”
Don’t consider it as ‘failing’
One other a part of the check that causes stress is that it’s usually deemed a “go” or “fail.” As an authorized diabetes care and training specialist, I feel it’s time we alter the way in which we discuss OGTT outcomes. Failing a check makes it sound as if you might be personally accountable for the outcomes, as when you did one thing incorrect. In case your lab outcomes come again excessive, you didn’t fail. It’s simply that your physique isn’t processing glucose in addition to it usually does whenever you aren’t pregnant. There’s no must really feel ashamed. You simply must take motion.
In case your lab outcomes come again excessive, you did not fail… You simply must take motion.
In case you are identified with gestational diabetes, you’ll work along with your care group to ensure your blood glucose ranges are secure to your child. This often means you’ll change a few of your meals selections and meal patterns. It may additionally be helpful to prioritize common motion. And generally administration additionally requires treatment.
How you can prep for the glucose tolerance check
So how do you put together for the OGTT? Kristin Mallon, CNM, MS, RNC-OB, an authorized nurse midwife, says, “We don’t inform girls to do something in preparation for the check as a result of we wish the check to disclose correct outcomes as to how they reply to a glucose load.” Though some pregnant individuals will keep away from sugar and easy carbs within the hours earlier than the check, the aim is to get an thought of how your physique usually reacts, so that you’ll need to simply hold consuming the way you usually would in order that it’s practical.
By and huge, the OGTT is well-tolerated—there’s no must worry. However in case you are nervous or anxious, Mallon has some options. “Make the most of any methods you usually use to fight anxiousness, akin to meditation, mindfulness, yoga, going for walks in nature, exercising, speaking to a pal, or discussing your considerations along with your supplier,” she says.
You deserve to be told, so ask questions. Your supplier has the solutions. Growing an open relationship with them will make the whole course of much less nerve-racking.