Sunday, July 23, 2006

GTT/GDM Testing and alternatives

I've read so many times online about women throwing up from the GTT and it seemed to me that there had to be other alternatives (my friend Gato just went through that this week). I did a search and came across some interesting info that I thought might be helpful. Please feel free to add in any other options you may know about.

I have to take the glucose tolerance test and drink that awful sweet drink. I detoxed from sugar before pregnancy, are there any alternatives?

You may ask your doc to forgo the GTT unless you are actually spilling sugar into your urine. It does not have to be done routinely.

Here is another alternative from Helen.

At the beginning of December I wrote to you all asking about what I should do about the glucose test to see if I have gestational diabetes. I didn't want to drink the sugar drink because I know it would make me so sick. I mentioned it to my Doctor and he kind of murmured to bad but didn't give me any alternatives.

I decided to switch the midwifes at the office I go to so I can use the natural childbirth center. In the orientation they said all tests are up to me. So when I met with one of the midwifes I said I didn't want to take the glucose test that morning. She said instead of not taking it, she proposed a sugar sensitive friendly alternative. I'll pass it along in case it comes up with any of you.

She told me to fast starting at midnight. Go to the office first thing in the morning and have my fasting blood drawn. Then go out and have breakfast- protein and complex carb like I eat anyway. Then come back in 2 hours and have my blood taken again. She said that will tell her everything she needs to know. Now it is a bit of a pain because the test will take all morning instead of an hour, but I think it is worth it.

And one more suggestion from Julie

A few years ago (1999, I think) ACOG did a study that showed that 18 Brach's Jelly Beans (the small ones) had exactly 50 ml of glucose and was a valid alternative to the glucola for the gestation diabetes test. Women also tolerated the jelly beans much better with fewer side effects such as headache and nausea/vomiting. Maybe your care provider has heard of this and/or is willing to look into it to let you try it.


The American College of Obstetrics and Gynecologists (ACOG) said in a recent statement to the media that there is not one certain method to be used to effectively screen the pregnant population for gestational diabetes. They do not, however, know what screening is best or agree on when the screening should take place.


Testing for those women who have a positive screen for GDM can take many forms. The most common is a fasting glucose after a woman has been given a drink called glucola (concentrated sugar) and had her blood drawn. About four years ago some studies were done showing that ingesting 18 Brach's® jelly beans worked just as well as the glucola. The jelly bean test is a bit more pleasant and has few stomach side effects than the glucola for most women. It is also important to note that there is not one perfect time for testing for GDM and that this should be decided between the practitioner and the woman.

Jelly Bean Alternatives for Glucose Testing

Glucose Tolerance Testing

How, when, and why to test for gestational diabetes mellitus <-- great article


Nikole said...

Just noticed that your weblog description says "just barely pregnant." Girl, you're way beyond barely pregnant--you're almost through with your first trimester!

lots of love!

Caprice said...

I did the jellybean alternative with my midwife and passed with flying colors. By the way, ditto to what Nikole said. I was thinking the SAME thing.