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Gestational diabetes risk
heshhome posted:
I would like to know what "high risk" vs. "higher risk" means? I find lists of reasons I would be at a higher risk for GD, but what does that mean? I am over 25 (just a little) or 30 (depending on which list you refer to) and may be considered overweight (I don't believe in the BMI chart simply because I know many people who are a certain heigth and are much heavier than the chart, but are very fit and healthy). I can't even begin to imagine drinking that God awful glucose crap, especially after watching my sister gag and puke multiple times trying to get it down!
Robert O Atlas, MD responded:
The incidence of gestational diabetes mellitus is increasing secondary to the epidemic of obesity.

All women are to take the glucola at this time because of the need to identify women because it increases the risk of complications to the baby and possibly you.

Hang in there. you don't have to enjoy it, just take it.
heshhome replied to Robert O Atlas, MD's response:
I am weighing the emotional distress versus the physical benefit of this test. I am not happy with my prenatal care at this time and am not just taking what the doctor says at face value...for instance, the Group B Strep is supposed to be done, but the odds of an effect to the baby is 1.25%. Pelvic exams are extremely traumatic for me, so do I want to let someone else violate my body to erase such an insignificant risk? At some point my emotional health has to play a part in what I am subjected to. I don't like your statement of not having to enjoy it, just do it. That lack of compassion is why I am seriously considering skipping the prenatal care!
An_241467 replied to heshhome's response:
I think what the expert was meaning is that parenting is full of secrifice. You wouldn't not take your child to get a tetanus shot just because you are afraid of needles correct? You are saying that because you are afraid of your reaction to a test you are not willing to have it done, even though it has the potential to save you as well as your child. Pregnancy isn't about the women being picked on or subjected to unnecessary test because its whats the doctors like to do. Its to allow for the best possible outcome of the baby and mother. At some point you need to consider whether you are overreacting or have valid concern. At no point in science have there been an established risk to performing the regular screenings which you are describing. There are however established risks without proper prenatal care. The concern should not be placed on what you feel but what provides for the best possible outcome.

I hope for both your and your childs sake, that you look at the situation logically. Parenting isn't easy and it is full of doing things that are emotionally traumatic. That all starts in pregnancy and if you aren't certain you can handle putting your feelings aside to do whats best for your child, I strongly suggestion contraception the next time you decide to have intercourse.
heshhome replied to An_241467's response:
AN_241467 apparantly didn't understand my question - what are my risks of having gestational diabetes and No, I am not afraid of the results. I have experienced several traumatic events in the past few months and am trying to weigh my continued and increased emotional distress against the risks. If I could put my feelings aside, I wouldn't be bothered by feeling physically assaulted and treated like a slab of meat by my doctor! (I am in a very rural community, so alternative care is extremely limited, too!) You may want to hold off judgement and such critical "advice" until you have all the facts and circumstances!
beckie_33 replied to heshhome's response:
Your risks of getting GD depend on alot of different factors, not just weight alone. I know several serverly overweight women who never had GD and then some thin women who have.

Does diabetes run in your family? Did any of your siblings, your mother have GD? Those are some risk factors for getting GD.

Because of pregnancy you are more likely to have some health problems because of hormonal changes, etc.

You don't mention that you are pregnant so if you are just try to eat healthy and exercise and you should be fine.
scperdomo7 responded:
Almost all women have some degree of impaired glucose intolerance as a result of hormonal changes that occur during pregnancy. That means that their blood sugar may be higher than normal, but not high enough to have diabetes. During the later part of pregnancy (the third trimester), these hormonal changes place pregnant woman at risk for gestational diabetes.

The following factors increase the risk of developing gestational diabetes during pregnancy:
  • Being overweight prior to becoming pregnant (if you are 20% or more over your ideal body weight)
  • Being a member of a high risk ethnic group (Hispanic, Black, Native American, or Asian)
  • Having sugar in your urine
  • Impaired glucose tolerance or impaired fasting glucose (blood sugar levels are high, but not high enough to be diabetes)
  • Family history of diabetes (if your parents or siblings have diabetes
  • Previously giving birth to a baby over 9 pounds
  • Previously giving birth to a stillborn baby
  • Having gestational diabetes with a previous pregnancy
  • Having too much amniotic fluid (a condition called polyhydramnios)
Also, some women who develop gestational diabetes have no known risk factors.

Some women handle the glucose drink just fine. Just because your sister couldn't handle doesn't necessarily mean you will gag on it - to me, it tasted like semi-flat orange soda.

Of course, your doctor cannot MAKE you do any test that you are not comfortable with, there is no law that says you have to have it. There is no law that says you have to have the 3rd trimester vaginal checks either (I declined those, doc wasnt happy, but it's my vagina and I'd rather not have someone's hand crammed up there once a week for 4 weeks).

Of course, if you decline the test and it turns out you DO have GD, there are repercussions to that as well. Just do your research and make sure you are well educated before you go declining test because you feel they aren't necessary - the doctors WILL try to persuade you otherwise, so know your facts.

Either way, best wishes!

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